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Factors affecting health-related quality of life in older patients with chronic kidney disease: a single-center cross-sectional study

  • Nephrology - Original Paper
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Abstract

Background

Health-related quality of life (HRQoL) assessment is important for patients with chronic kidney disease (CKD). However, few studies have examined factors related to HRQoL, such as physical function, in older patients with predialysis CKD. This study evaluated the relationship between physical function, renal function, and nutritional status on the HRQoL in this patient group.

Methods

This cross-sectional study included 61 patients aged ≥ 65 years with stages 3–5 predialysis CKD who were admitted for CKD education purposes. Using the EuroQoL 5-dimension 5-level (EQ-5D-5L) health status measure, the percentages of each EQ-5D-5L item were investigated. Physical function was measured using the short physical performance battery (SPPB) and grip strength, and characteristics, such as age, sex, diabetes mellitus, estimated glomerular filtration rate, and Geriatric Nutrition Risk Index, were investigated. Factors associated with EQ-5D-5L were identified using multiple regression analysis.

Results

More than half of respondents (34/61, 55.7%) selected the second or higher level “have a problem” for the pain/discomfort section. The EQ-5D-5L score was significantly correlated with grip strength (r = 0.34, p = 0.01) and SPPB (r = 0.59, p = 0.00) in a single correlation analysis. Only SPPB (β = 0.67, p = 0.00) remained a significant factor after adjustment for grip strength, SPPB, age, sex, diabetes mellitus, and estimated glomerular filtration rate.

Conclusion

Physical function may be an important factor influencing HRQoL in older patients with predialysis CKD.

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Acknowledgements

We would like to thank the patients who participated in this study and the hospital staff for their tremendous cooperation during the study period.

Funding

No funding was received for this study.

Author information

Authors and Affiliations

  1. Department of Rehabilitation, Seirei Sakura Citizen Hospital, 2-36-2 Ebaradai, Sakura-shi, Chiba, 285-8765, Japan

    Aki Tabata, Takehide Katogi, Yuya Mitake, Oono Shunta & Tomohiro Shirai

  2. Department of Physical Therapy, School of Rehabilitation Sciences, Seirei Christopher University, 3453Mikatahara, Kita-ku, Hamamatsu, Shizuoka, 433-8558, Japan

    Hiroki Yabe

  3. Department of Rehabilitation, Seirei Fukuroi Municipal Hospital, 2515-1, Kuno, Fukuroi, Shizuoka, Japan

    Tomoya Yamaguchi

  4. Department of Nephrology, Seirei Sakura Citizen Hospital, 2-36-2 Ebaradai, Sakura-shi, Chiba, 285-8765, Japan

    Takayuki Fujii

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  1. Aki Tabata
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Contributions

Material preparation, data collection and analysis were performed by AT, TK, and OS. AT and HY were major contributors in writing the manuscript. TK, TY, YM, TS, and TF read and approved the final manuscript.

Corresponding author

Correspondence to Aki Tabata.

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Conflict of interest

All the authors have declared that no conflict of interest exists.

Research involving human participants

The ethics committee of Seirei Sakura Citizen Hospital approved all the procedures performed in this study (Approval Number 2020047).

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Informed consent was obtained from all participants included in the study.

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Tabata, A., Yabe, H., Katogi, T. et al. Factors affecting health-related quality of life in older patients with chronic kidney disease: a single-center cross-sectional study. Int Urol Nephrol 54, 2637–2643 (2022). https://doi.org/10.1007/s11255-022-03180-x

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  • DOI: https://doi.org/10.1007/s11255-022-03180-x

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