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The Health-Related Quality of Life of Chinese Patients on Hemodialysis and Peritoneal Dialysis

Author

Listed:
  • Julie Yun Chen

    (The University of Hong Kong)

  • Eric Yuk Fai Wan

    (The University of Hong Kong)

  • Edmond Pui Hang Choi

    (The University of Hong Kong)

  • Anca Ka Chun Chan

    (The University of Hong Kong)

  • Karina Hiu Yen Chan

    (The University of Hong Kong)

  • Joyce Pui Yan Tsang

    (The University of Hong Kong)

  • Cindy Lo Kuen Lam

    (The University of Hong Kong)

Abstract

Aims Our aim was to compare health-related quality of life (HRQOL) between end-stage renal disease (ESRD) patients and the Hong Kong general population to identify how the mode of dialysis and other factors were associated with HRQOL. Methods We conducted a cross-sectional study involving 253 hemodialysis (HD) patients and 103 peritoneal dialysis (PD) patients recruited in 2014–2015. Their HRQOL was evaluated using Kidney Disease and Quality of Life-36 (KDQOL-36) sub-scale scores and the Short Form-6 Dimensions (SF-6D) health preference score. One-way analysis of variance was used to analyze the difference in mean KDQOL-36 and SF-6D scores among PD patients, HD patients, and an exact age- and sex-matched general population. Multiple linear regressions were conducted to evaluate factors associated with the KDQOL-36 and SF-6D scores. Results The physical HRQOL of ESRD patients on dialysis was worse than that of the age- and sex-matched general population (38.4 vs. 49.6), but mental HRQOL was similar (50.7 vs. 52.0). After adjusting for all baseline characteristics, male subjects was associated with higher physical component summary (PCS), SF-6D, and symptom scores. A higher level of education (secondary or tertiary) was associated with higher mental component summary (MCS), SF-6D, symptom, and effects scores. Patients who were female, younger, married, and less educated and had a history of cardiovascular disease (CVD) and did not achieve target hemoglobin and albumin levels were associated with poorer HRQOL outcomes. Conclusions HD was associated with a greater negative impact of ESRD on daily lives than was PD, which may be a consideration when deciding on the dialysis modality for first-line renal replacement therapy. To improve HRQOL among patients on maintenance dialysis, more attention should be paid to those with demographic risk factors, preventing CVD, and meeting clinical dialysis outcome targets such as hemoglobin and albumin levels.

Suggested Citation

  • Julie Yun Chen & Eric Yuk Fai Wan & Edmond Pui Hang Choi & Anca Ka Chun Chan & Karina Hiu Yen Chan & Joyce Pui Yan Tsang & Cindy Lo Kuen Lam, 2017. "The Health-Related Quality of Life of Chinese Patients on Hemodialysis and Peritoneal Dialysis," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 10(6), pages 799-808, December.
    • Handle: RePEc:spr:patien:v:10:y:2017:i:6:d:10.1007_s40271-017-0256-6
    DOI: 10.1007/s40271-017-0256-6
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    References listed on IDEAS

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    1. Sprangers, Mirjam A. G. & Schwartz, Carolyn E., 1999. "Integrating response shift into health-related quality of life research: a theoretical model," Social Science & Medicine, Elsevier, vol. 48(11), pages 1507-1515, June.
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    1. Marques Shek Nam Ng & Cho Lee Wong & Eva Hau Sim Ho & Yun Ho Hui & Christine Miaskowski & Winnie Kwok Wei So, 2020. "Burden of living with multiple concurrent symptoms in patients with end‐stage renal disease," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(13-14), pages 2589-2601, July.
    2. Khanh Vuong Diem Doan & Hien Thi Minh Nguyen & Nhi Thi Hong Nguyen & Khoa Cao Dang & Shwu-Huey Yang & Tuyen Van Duong, 2020. "Associations of Socio-Demographic, Clinical and Biochemical Parameters with Healthcare Cost, Health- and Renal-Related Quality of Life in Hemodialysis Patients: A Clinical Observational Study," IJERPH, MDPI, vol. 17(18), pages 1-15, September.
    3. Sahbanathul Missiriya Jalal & Mini Rani Mary Beth & Zahra Mohammed Bo Khamseen, 2022. "Impact of Hospitalization on the Quality of Life of Patients with Chronic Kidney Disease in Saudi Arabia," IJERPH, MDPI, vol. 19(15), pages 1-11, August.
    4. F. Yang & N. Luo & T. Lau & Z. L. Yu & M. W. Y. Foo & K. Griva, 2018. "Health-Related Quality of Life in Patients Treated with Continuous Ambulatory Peritoneal Dialysis and Automated Peritoneal Dialysis in Singapore," PharmacoEconomics - Open, Springer, vol. 2(2), pages 203-208, June.
    5. Fang Cao & Lanfei Li & Miao Lin & Qinyu Lin & Yiping Ruan & Fuyuan Hong, 2018. "Application of instant messaging software in the follow‐up of patients using peritoneal dialysis, a randomised controlled trial," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(15-16), pages 3001-3007, August.

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