Top

Quality of Life Research

Gepubliceerd in:

16-01-2021

Health-related quality of life associated with risk of death in Brazilian dialysis patients: an eight-year cohort

Auteurs: Mariana Araújo Pena Bastos, Ilka Afonso Reis, Mariângela Leal Cherchiglia

Gepubliceerd in: Quality of Life Research | Uitgave 6/2021

Abstract

Purpose

Despite the advancements in renal replacement therapy, patients with end-stage renal disease face several limitations, with significant impacts on health-related quality of life (HRQoL) and mortality. This study aims to examine associations between quality of life and risk of death in Brazilian patients who underwent dialysis therapy between 2007 and 2015.

Methods

Observational, prospective, non-concurrent cohort study of patients who underwent dialysis therapy at the Brazilian Public Health System (SUS) and were followed up for 8 years. Semi-structured questionnaires interrogating socioeconomic and demographic characteristics, as well as HRQoL measures (36 Item Short-Form Health Survey, SF-36), were employed. The Cox proportional risk model was used to investigate associations between HRQoL and risk of death.

Results

Our sample comprised 1162 patients; of these, 884 were on hemodialysis (HD) and 278 on peritoneal dialysis (PD). Among the HD patients, death was associated with the physical (HR: 0.993; 95% CI: 0.989–0.997) and physical summary component (HR: 0.994; 95% CI: 0.989–0.999) domains of HRQoL. Regarding the PD patients, death was associated with the bodily pain (HR: 0.994; 95% CI: 0.990–0.998), mental health (HR: 0.094; 95% CI: 0.990–0.998), emotional problems (HR: 0.993; 95% CI: 0.987–0.998), social functioning (HR: 1.012; 95% CI: 1.002–1.023), physical problems (HR: 0.992; 95% CI: 0.986–0.998) and mental summary component (HR: 0.989; 95% CI: 0.981–0.997) domains of HRQoL.

Conclusions

Our data suggest that early and timely intervention measures aiming to enhance the HRQoL of dialysis patients are an essential component of professional practice and may contribute to improving the management of factors associated with dialysis patients' mortality.

vorige artikel Longitudinal change of quality of life in the first five years of survival among disease-free Chinese breast cancer survivors

volgende artikel The impact of transvenous cardioverter-defibrillator implantation on quality of life, depression and optimism in dialysis patients: report on the secondary outcome of QOL in the randomized controlled ICD2 trial

Neves, P. D. M. M., Sesso, R. C. C., Thomé, F. S., Lugon, J. R., & Nascimento, M. M. (2020). Censo Brasileiro de Diálise: análise de dados da década 2009–2018. Brazilian Journal of Nephrology. https://doi.org/10.1590/2175-8239-jbn-2019-0234.CrossRefPubMed

International Society of Nephrology and International Federation of Kidney Foundations. (2020). World Kidney Day. Retrieved July 27, 2020, from https://www.worldkidneyday.org/faqs/chronickidney-disease/ckd-disadvantaged-populations.

The WHOQOL Group. (1995). The World Health Organization Quality of Life assessment (WHOQOL): position paper from the World Health Organization. Social Science & Medicine, 41(10), 1403–1409. https://doi.org/10.1016/0277-9536(95)00112-k.

Valderrábano, F., Jofre, R., & López-Gómez, J. M. (2001). Quality of life in end-stage renal disease patients. American Journal of Kidney Diseases, 38(3), 443–464. https://doi.org/10.1053/ajkd.2001.26824.CrossRef

Rebollo-Rubio, A., Morales-Asencio, J. M., Pons-Raventos, M. E., & Mansilla-Francisco, J. J. (2015). Revisión de estudios sobre calidad de vida relacionada con la salud en la enfermedad renal crónica avanzada en España. Nefrología (Madr.). https://doi.org/10.3265/Nefrologia.pre2014.Jul.12133.CrossRef

Oliveira, A. P., Schmidt, D. B., Amatneeks, T. M., Santos, J. C., Cavallet, L. H., & Michel, R. B. (2016). Quality of life in hemodialysis patients and the relationship with mortality, hospitalizations and poor treatment adherence. Jornal Brasileiro de NefrologiaJornal Brasileiro de Nefrologia. https://doi.org/10.5935/0101-2800.20160066.CrossRef

Rubio, M. V. R., Arnala, L. M. L., Ornab, J. A. G., Navarroa, P. M., Gutiérrez-Dalmaua, A., Iborc, E. L., et al. (2019). Supervivencia y calidad de vida en pacientes ancianos en tratamiento renal conservador. Nefrología. https://doi.org/10.1016/j.nefro.2018.07.009.CrossRef

National Kidney Foundation (2002). K/DOQI clinical practice guidelines for chronic kidney disease: evaluation, classification, and stratification. American Journal of Kidney Diseases : The Official Journal of the National Kidney Foundation, 39(2 Suppl 1), S1–S266.

Silva, G. D., Fernandes, B. D., Silva, F. A., Dias, Y. C. B., & Melchiors, A. C. (2016). Qualidade de vida de pacientes com insuficiência renal crônica em tratamento hemodialítico: análise de fatores associados. Revista Brasileira de Qualidade de Vida. https://doi.org/10.3895/rbqv.v8n3.4426.CrossRef

10.

Cunha, C. B., Leon, A. C. P., Schramm, J. M. A., Carvalho, M. S., Junior, P. R. B. S., et al. (2007). Tempo até o transplante e sobrevida em pacientes com insuficiência renal crônica no Estado do Rio de Janeiro, Brasil, 1998–2002. Cad Saúde Pública. https://doi.org/10.1590/S0102-311X2007000400008.CrossRefPubMed

11.

Mcdonald, S. P., Marshall, M. R., Johnson, D. W., & Polkinghorne, K. R. (2009). Relationship between dialysis modality and mortality. Journal of the American Society of Nephrology. https://doi.org/10.1681/ASN.2007111188.CrossRefPubMedPubMedCentral

12.

Szuster, D. A. C., Caiaffa, W. T., Andrade, E. I. G., Acurcio, F. A., & Cherchiglia, M. L. (2012). Sobrevida de pacientes em diálise no SUS no Brasil. Cadernos de Saúde Pública. https://doi.org/10.1590/S0102-311X2012000300002.CrossRefPubMed

13.

Álvares, J., Cesar, C. C., Acurcio, F. A., Andrade, E. I. G., & Cherchiglia, M. L. (2012). Quality of life of patients in renal replacement therapy in Brazil:comparison of treatment modalities. Quality of Life Research. https://doi.org/10.1007/s11136-011-0013-6.CrossRefPubMed

14.

Álvares, J., Almeida, A. M., Szuster, D. A. C., Gomes, I. C., Andrade, E. I. G., Acurcio, F. A., et al. (2013). Fatores associados à qualidade de vida de pacientes em terapia renal substitutiva no Brasil. Ciência & Saúde Coletiva. https://doi.org/10.1590/S1413-81232013000700005.CrossRef

15.

Ciconelli, R. M., Ferraz, M. B., Santos, W., Meinão, I., & Quaresma, M. R. (1999). Tradução para a língua portuguesa e validação do questionário genérico de avaliação de qualidade de vida SF-36 (Brasil SF36). Revista Brasileira de Reumatologia, 39(3), 143–150.

16.

Wight, J. P., Edwards, L., Brazier, J., et al. (1998). The SF36 as an outcome measure of services for end stage renal failure. Quality Health Care, 7, 209–221.CrossRef

17.

Neto, J. R. F., Ferraz, M., Cendoroglo, S., et al. (2000). Quality of life at initiation of maintenance dialysis treatment—a comparison between the SF-36 and the KDQ questionnaires. Quality of Life Research, 9, 1001–1107.CrossRef

18.

Junior, A. A., Pereira, R. G., Gurgel, E. I., Cherchiglia, M. L., Dias, L. V., Ávila, J., et al. (2018). Building the National Database of Health Centred on the Individual: Administrative and Epidemiological Record Linkage - Brazil, 2000–2015. International Journal for Population. https://doi.org/10.23889/ijpds.v3i1.446.CrossRef

19.

Saran, R., et al. (2016). US Renal Data System 2015 annual data report: epidemiology of kidney disease in the United States. The American Journal of Kidney Diseases, 67(3), 1–305.CrossRef

20.

Lima, H. M. P., Caseiro, M. M., & Gagliani, L. H. (2017). Main factors for admission of the acute renal patient to the intensive care unit Rev Soc Bras. Clinical Medicine, 15(2), 99–102.

21.

Bersan, S. A. L., Santos, A. C. F., Gomes, I. C., & Cherchiglia, M. L. (2013). Fatality and hospitalizationin hemodialysis patients in a health plan. Revista de Saúde Pública, 47(3), 624–633.CrossRef

22.

Jaar, B. G., Coresh, J., Plantinga, L. C., Fink, N. E., Klag, M. J., Levey, A. S., et al. (2005). Comparing the risk for death with peritoneal dialysis and hemodialysis in a national cohort of patients with chronic kidney disease. Annals of Internal Medicine, 143(3), 174–183.CrossRef

23.

Feroze, U., Noori, N., Kovesdy, C. P., Molnar, M. Z., Martin, D. J., Reina-Patton, A., et al. (2011). Quality-of-life and mortality in hemodialysis patients: Roles of race and nutritional status. Clinical Journal of the American Society of Nephrology, 6(5), 1100–1111. https://doi.org/10.2215/CJN.07690910.CrossRefPubMedPubMedCentral

24.

Kalantar-Zadeh, K., Kopple, J. D., Block, G., & Humphreys, M. H. (2001). Association among SF36 quality of life measures and nutrition, hospitalization, and mortality in hemodialysis. Journal of the American Society of Nephrology: JASN, 12(12), 2797–2806.CrossRef

25.

Grincenkov, F. R., Fernandes, N., Pereira, B. S., Bastos, K., Lopes, A. A., Finkelstein, F. O., et al. (2015). Impact of baseline health-related quality of life score on survival of incidente patients on peritoneal dialysis: A cohort study. Nephron. https://doi.org/10.1159/000369139.CrossRefPubMed

26.

Broers, N. J. H., Usvyat, L. A., Kooman, J. P., van der Sande, F. M., Lacson, E., Jr., Kotanko, P., et al. (2015). Quality of life in dialysis patients: A retrospective cohort study. Nephron, 130, 105–112. https://doi.org/10.1159/000430814.CrossRefPubMed

27.

Kang, S. H., Do, J. Y., Lee, S. Y., & Kim, J. C. (2017). Effect of dialysis modality on frailty phenotype, disability, and health-related quality of life in maintenance dialysis patients. PLoS ONE. https://doi.org/10.1371/journal.pone.0176814.CrossRefPubMedPubMedCentral

28.

Makkar, V., Kumar, M., Mahajan, R., & Khaira, N. S. (2015). Comparison of outcomes and quality of life between hemodialysis and peritoneal dialysis patients in Indian ESRD population. Journal of Clinical and Diagnostic Research: JCDR. https://doi.org/10.7860/JCDR/2015/11472.5709.CrossRefPubMed

29.

Painter, P., & Marcus, R. L. (2013). Assessing physical function and physical activity in patients with CKD. Clinical Journal of the American Society of Nephrology, 8(5), 861–872. https://doi.org/10.2215/CJN.06590712.CrossRefPubMed

30.

Reese, P. P., Cappola, A. R., Shults, J., Townsend, R. R., Gadegbeku, C. A., Anderson, C., et al. (2013). Physical performance and frailty in chronic kidney disease. American Journal of Nephrology, 38(4), 307–315. https://doi.org/10.1159/000355568.CrossRefPubMedPubMedCentral

31.

Kutner, N. G., Zhang, R., Huang, Y., & Painter, P. (2015). Gait speed and mortality, hospitalization, and functional status change among hemodialysis patients: a US renal data system special study. American Journal of Kidney Diseases, 66(2), 297–304.CrossRef

32.

Sadigova, E., Ozkurt, S., & Yalcin, A. U. (2020). Pain assessment in hemodialysis patients. Cureus. https://doi.org/10.7759/cureus.6903.

33.

Molsted, S., & Eidemak, I. (2020). Musculoskeletal pain reported by mobile patients with chronic kidney disease. Clinical Kidney Journal. https://doi.org/10.1093/ckj/sfz196.CrossRefPubMedPubMedCentral

34.

Davison, S. N. (2003). Pain in hemodialysis patients: Prevalence, cause, severity, and management. American Journal of Kidney Diseases. https://doi.org/10.1053/j.ajkd.2003.08.025.CrossRefPubMed

35.

Terra, F. S., Costa, A. M. D. D., Ribeiro, C. C. S., Nogueira, C. S., Prado, J. P., Costa, M. D., et al. (2010). The holder of chronic kidney failure and its dependence on hemodialysis treatment: phenomenological understanding. Revista Brasileira de Clínica Médica, 8(4), 306–310.

36.

Brito, D. C. S., Machado, E. L., Reis, I. A., Carmo, L. P. F., & Cherchiglia, M. L. (2019). Depression and anxiety among patients under going dialysis and kidney transplantation: A cross-sectionalstudy. Säo Paulo Medical Journal. https://doi.org/10.1590/1516-3180.2018.0272280119.CrossRefPubMed

37.

Schouten, R. W., Nadort, E., Harmse, V., Honig, A., Ballegooijen, W., Broekman, B. F. P., et al. (2020). Symptom dimensions of anxiety and their association with mortality, hospitalization and quality of life in dialysis patients. Journal of Psychosomatic Research, 133, 1–9. https://doi.org/10.1016/j.jpsychores.2020.109995.CrossRef

38.

Wu, P.-H., Lin, M.-Y., Huang, T.-H., Lin, Y.-T., Hung, C.-C., Yeh, Y.-C., et al. (2019). Depression amongst patients commencing maintenance dialysis is associated with increased risk of death and severe infections: A nationwide cohort study. PLoS ONE, 14(6), 1–15. https://doi.org/10.1371/journal.pone.0218335.CrossRef

39.

Kimmel, P. L., & Cukor, D. (2019). Anxiety symptoms in patients treated with hemodialysis: Measurement and meaning. American Journal of Kidney Disease, 74(2), 145–147. https://doi.org/10.1053/j.ajkd.2019.04.012.CrossRef

40.

Silva, R. A. R., Souza, V. L., Oliveira, G. J. N., Silva, B. C. O., Rocha, C. C. T., & Holanda, J. R. R. (2016). Estratégias de enfrentamento de pacientes em hemodiálise. Escola Anna Nery. https://doi.org/10.5935/1414-8145.20160020.CrossRef

41.

Sturesson, A., & Ziegert, K. (2014). Prepare the patient for future challenges when facing hemodialysis: Nurses’ experiences. International Journal of Qualitative Studies on Health & Well-Being. https://doi.org/10.3402/qhw.v9.22952.CrossRef

42.

Mapes, D. L., Lopes, A. A., Satayathum, S., McCullough, K. P., Goodkin, D. A., Locatelli, F., et al. (2003). Health-related quality of life as a predictor of mortality and hospitalization: The Dialysis Outcomes and Practice Patterns Study (DOPPS). Kidney International, 64(1), 339–349. https://doi.org/10.1046/j.1523-1755.2003.00072.x.CrossRefPubMed

43.

Osthus, T. B. H., Preljevic, V. T., Sandvik, L., Leivestad, T., Nordhus, I. H., Dammen, T., et al. (2012). Mortality and health-related quality of life in prevalent dialysis patients: Comparison between 12-items and 36-items short-form health survey. Health and Quality of Life Outcomes, 10, 1–9. https://doi.org/10.1186/1477-7525-10-46.CrossRef

Titel: Health-related quality of life associated with risk of death in Brazilian dialysis patients: an eight-year cohort
Auteurs: Mariana Araújo Pena Bastos
Ilka Afonso Reis
Mariângela Leal Cherchiglia
Publicatiedatum: 16-01-2021
Uitgeverij: Springer International Publishing
Gepubliceerd in: Quality of Life Research / Uitgave 6/2021
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-020-02734-9

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Purpose

Methods

Results

Conclusions

Log in om toegang te krijgen

Andere artikelen Uitgave 6/2021

Relationship between quality of life and social integration among patients with schizophrenia attending a Nigerian tertiary hospital

Identifying the minimal important difference in patient-reported outcome measures in the field of people with severe mental illness: a pre–post-analysis of the Illness Management and Recovery Programme

Patient-reported outcomes and the identification of subgroups of atrial fibrillation patients: a retrospective cohort study of linked clinical registry and administrative data

Use of the Long-Term Conditions Questionnaire (LTCQ) for monitoring health-related quality of life in people affected by cognitive impairment including dementia: pilot study in UK memory clinic services

Adverse childhood experiences and impact on quality of life in adulthood: development and validation of a short difficult childhood questionnaire in a large population-based health survey

The hypospadias-specific health-related quality of life conceptual framework: a scoping review of the literature