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Quality of Life Research
Gepubliceerd in: Quality of Life Research 1/2008

01-02-2008

Changes in health-related quality of life in patients of self-care vs. in-center dialysis during the first year

Auteurs: Carole Loos-Ayav, Luc Frimat, Michèle Kessler, Jacques Chanliau, Pierre-Yves Durand, Serge Briançon

Gepubliceerd in: Quality of Life Research | Uitgave 1/2008

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Abstract

Objective

In the Lorraine area (France), dialysis centers propose an educational program to improve patient’s ability to perform dialysis by themselves. The objective was to assess changes in health-related quality of life (HRQoL) during the first year of dialysis, comparing independent patients with patients on in-center dialysis.

Method

All patients aged between 18 and 70 and having started their first dialysis between June 1997 and June 1999 in the Lorraine area were included. Socio-demographic, medical data and HRQoL (KDQoL) were assessed for each patient at enrollment, at 6 and 12 months.

Results

At 12 months, 195 patients were in dialysis, 147 were non-autonomous, and 48 were autonomous. Independent patients were younger, were more often in occupational activity, had a lower body mass index and had fewer comorbidities. Several dimensions of the HRQoL were significantly higher in autonomous patients at baseline: physical functioning (60.4 vs. 50.7) and work status (30.9 vs. 18.4); and at 12 months: less burden of kidney disease (51.7 vs. 37.3), fewer effects of kidney disease (65.9 vs. 54.0), cognitive function (72.0 vs. 62.7) and role-emotional (53.0 vs. 34.5).

Conclusion

These results show improved HRQoL among independent patients. Our regional care network may be a particularly useful model for undertaking actions motivating the healthcare teams and for enhancing the human resources devoted to patient education.
volgende artikel Quality of life and its correlates in octogenarians. Use of the SEIQoL-DW in Wave 5 of the Aberdeen Birth Cohort 1921 Study (ABC1921)
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Metagegevens
Titel
Changes in health-related quality of life in patients of self-care vs. in-center dialysis during the first year
Auteurs
Carole Loos-Ayav
Luc Frimat
Michèle Kessler
Jacques Chanliau
Pierre-Yves Durand
Serge Briançon
Publicatiedatum
01-02-2008
Uitgeverij
Springer Netherlands
Gepubliceerd in
Quality of Life Research / Uitgave 1/2008
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-007-9286-1

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