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
| Autor: | Shwu-Huey Yang, Tuyen Van Duong, Khoa Cao Dang, Khanh Vuong Diem Doan, Nhi Thi Hong Nguyen, Hien Thi Minh Nguyen |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Anemia Health Toxicology and Mutagenesis medicine.medical_treatment 030232 urology & nephrology lcsh:Medicine kidney disease quality of life malnutrition healthcare cost Article End stage renal disease 03 medical and health sciences Young Adult 0302 clinical medicine Quality of life Renal Dialysis Internal medicine medicine Humans 030212 general & internal medicine Hypoalbuminemia Aged Aged 80 and over end-stage renal disease hemodialysis low-resourced setting business.industry lcsh:R Public Health Environmental and Occupational Health Health Care Costs Middle Aged medicine.disease Comorbidity anemia humanities Confidence interval health-related quality of life comorbidity Cross-Sectional Studies Vietnam Quality of Life Kidney Failure Chronic Female Kidney Diseases Hemodialysis business Kidney disease |
| Zdroj: | International Journal of Environmental Research and Public Health International Journal of Environmental Research and Public Health, Vol 17, Iss 6552, p 6552 (2020) Volume 17 Issue 18 |
| ISSN: | 1660-4601 1661-7827 |
| Popis: | We examined factors associated with healthcare cost, health-related quality of life (HRQOL), and kidney disease quality of life (KDQOL) in hemodialysis patients. We conducted a cross-sectional study on 160 patients from January to April 2019 at a hemodialysis center. Socio-demographic, clinical, and laboratory parameters and quality of life (QOL) (using KDQOL-SF-v1.3) were assessed. Monthly healthcare costs were extracted from the hospital information system. The means of healthcare cost, HRQOL, and KDQOL were VND 9.4 ± 1.6 million, VND 45.1 ± 21.9 and VND 51.3 ± 13.0, respectively. In the multivariate analysis, the healthcare cost was higher in patients with a longer hemodialysis vintage (regression coefficient (B): 0.74 95% confidence interval (95% CI): 0.25 1.23), comorbidity (B: 0.77 95% CI: 0.24 1.31) and lower in those with a higher hematocrit concentration (B: &minus 0.07 95% CI: &minus 0.13 &minus 0.01). Patients that lived in urban areas (B: 9.08 95% CI: 2.30 15.85) had a better HRQOL those with a comorbidity (B: &minus 14.20 21.43 6.97), and with hypoalbuminemia (B: &minus 9.31 16.58 2.04) had a poorer HRQOL. Patients with a higher level of education (B: 5.38~6.29) had a better KDQOL those with a comorbidity had a poorer KDQOL (B: &minus 6.17 10.49 1.85). In conclusion, a longer hemodialysis vintage, a comorbidity and a lower hematocrit concentration were associated with higher healthcare costs. Patients who lived in urban areas had a better HRQOL and a higher level of education led to a better KDQOL. Patients with a comorbidity had a lower HRQOL and KDQOL. Malnourished patients had a lower HRQOL. |
| Databáze: | OpenAIRE |
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