Quality of life on chronic dialysis: comparison between haemodialysis and peritoneal dialysis
| Autor: | Georges Halabi, Pierre-Yves Martin, Jean Pierre Wauters, Jean-Blaise Wasserfallen, Thomas V. Perneger, Harold I. Feldman, Patrick Saudan |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
medicine.medical_specialty
Visual analogue scale medicine.medical_treatment Mixed anxiety-depressive disorder Peritoneal dialysis Quality of life Renal Dialysis Surveys and Questionnaires Internal medicine medicine Health Status Indicators Humans Dialysis Transplantation business.industry Health Status Indicators Humans *Peritoneal Dialysis *Quality of Life Questionnaires *Renal Dialysis medicine.disease humanities Nephrology Quality of Life Physical therapy Anxiety Hemodialysis medicine.symptom business Peritoneal Dialysis Kidney disease |
| Zdroj: | Nephrology, Dialysis, Transplantation, vol. 19, no. 6, pp. 1594-9 |
| ISSN: | 1460-2385 0931-0509 |
| DOI: | 10.1093/ndt/gfh175 |
| Popis: | BACKGROUND: Quality of life (QOL) assessment in patients on chronic haemodialysis (HD) or peritoneal dialysis (PD) has only rarely been carried out with the generic Euroqol-5D questionnaire. METHODS: All chronic HD and PD patients in the 19 centres of western Switzerland were requested to fill in the validated Euroqol-5D generic QOL questionnaire, assessing health status in five dimensions and on a visual analogue scale, allowing computation of a predicted QOL value, to be compared with the value measured on the visual analogue scale. RESULTS: Of the 558 questionnaires distributed to chronic HD patients, 455 were returned (response rate 82%). Fifty of 64 PD patients (78%) returned the questionnaire. The two groups were similar in age, gender and duration of dialysis treatment. Mean QOL was rated at 60+/-18% for HD and 61+/-19% for PD, for a mean predicted QOL value of 62+/-30 and 58+/-32% respectively. Results of the five dimensions were similar in both groups, except for a greater restriction in usual activities for PD patients (P = 0.007). The highest scores were recorded for self-care, with 71% HD and 74% PD patients reporting no limitation, and the lowest scores for usual activities, with 14% HD and 23% PD patients reporting severe limitation. Experiencing pain/discomfort (for HD and PD) or anxiety/depression (for PD) had the highest impact on QOL. CONCLUSIONS: QOL was equally diminished in HD and PD patients. The questionnaire was well accepted and performed well. Improvement could be achievable in both groups if pain/discomfort and anxiety/depression could be more effectively treated. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|