Original Investigations: Dialysis TherapiesHealth-related quality of life and associated outcomes among hemodialysis patients of different ethnicities in the United States: The Dialysis Outcomes and Practice Patterns Study (DOPPS)*,**,*
Section snippets
Methods
Data used for analyses are from the Dialysis Outcomes and Practice Patterns Study (DOPPS), an international, prospective, observational study of hemodialysis practice patterns and associated outcomes.17, 18 The study is ongoing in the United States, Europe (France, Germany, Italy, Spain, and the United Kingdom), and Japan. Nationally representative samples of dialysis facilities have been recruited in each country. Within each participating facility, study patients were randomly selected. The
Results
Table 1 lists information on sociodemographic variables and years on dialysis therapy for all patients and by ethnicity.Non-Hispanic whites were significantly older than patients from other ethnic backgrounds. Whites also presented a greater proportion of men (P < 0.01 compared with African Americans and Native Americans) and those with a shorter time on dialysis therapy (P < 0.01 compared with African Americans and Hispanics). Higher levels of income and education were observed for whites,
Discussion
African Americans treated by hemodialysis scored higher than whites in several subscales and three major components of HRQOL (PCS, MCS, and KDCS). Asians and Hispanics also had higher scores for the PCS than whites. Conversely, lower scores in the KDCS were observed for Asians and Hispanics than whites. Lower MCS scores were observed for Native Americans and Hispanics than whites. Except for Native Americans, all other ethnic groups had higher scores in Vitality than whites. Also, a lower score
Acknowledgements
The authors thank the members of the Worldwide DOPPS Committee for contributions during the design and implementation of the DOPPS. For a full list of committee members, see Young et al.17
References (37)
- et al.
Quality of life in end-stage renal disease patients
Am J Kidney Dis
(2001) Impaired quality of life as a risk factor in cardiovascular disease
J Chronic Dis
(1987)Hemodialysis patient-assessed functional health status predicts continued survival, hospitalization, and dialysis-attendance compliance
Am J Kidney Dis
(1997)- et al.
African-Americans on maintenance dialysis: A review of racial differences in incidence, treatment, and survival
Adv Ren Replace Ther
(1997) - et al.
Survival advantage in Asian American end-stage renal disease patients
Kidney Int
(1999) - et al.
Health-related quality of life among dialysis patients in Seattle and Aichi
Am J Kidney Dis
(2001) - et al.
The Dialysis Outcomes and Practice Patterns Study (DOPPS): An international hemodialysis study
Kidney Int
(2000) - et al.
Withdrawal from dialysis: A review with an emphasis on the black experience
Adv Ren Replace Ther
(1997) - et al.
Ethnicity as a taxonomic tool in biomedical and biosocial research
Ethn Dis
(1991) - et al.
Health-related quality-of-life assessments in diverse population groups in the United States
Med Care
(2000)
Quality-of-life assessment in clinical research: Application in diverse populations
Med Care
Quality of life as an outcome variable and a risk factor for total mortality and cardiovascular disease: A study of men born in 1913
J Hypertens
Health-related quality of life as a predictor of mortality following coronary artery bypass graft surgery. Participants of the Department of Veterans Affairs Cooperative Study Group on Processes, Structures, and Outcomes of Care in Cardiac Surgery
JAMA
Self-reported quality of life as a predictor of hospitalization for patients with LV dysfunction: A life course approach
Res Nurs Health
Association among SF-36 quality of life measures and nutrition, hospitalization, and mortality in hemodialysis
J Am Soc Nephrol
A comparison of the quality of life reported by elderly whites and elderly blacks on dialysis
Geriatr Nephrol Urol
Race and restless sleep complaint in older chronic dialysis patients and nondialysis community controls
J Gerontol B Psychol Sci Soc Sci
Black/white differences in symptoms and health satisfaction reported by older hemodialysis patients
Ethn Dis
Cited by (165)
Psychosocial Issues in Patients Treated With Dialysis
2022, Handbook of Dialysis TherapyDialysis-Induced Cardiovascular and Multiorgan Morbidity
2020, Kidney International ReportsSocial determinants of racial and socioeconomic disparities in CKD and ESRD
2020, Psychosocial Aspects of Chronic Kidney Disease: Exploring the Impact of CKD, Dialysis, and Transplantation on PatientsLife outcomes after paediatric kidney transplantation: a qualitative, biographical study in long-term survivors
2024, Archives of Disease in Childhood
- *
Supported in part by an unrestricted grant from Kirin-Amgen; and grant no. BEX2018/00-4 from the Fundação Coordenação de Aperfeiçoamento de Pessoal de Nível Superior, Ministry of Education of Brazil (A.A.L.).
- **
Address reprint requests to Friedrich K. Port, MD, University Renal Research and Education Association (URREA), 315 W Huron, Ste 260, Ann Arbor, MI 48103. E-mail: [email protected]
- *
0272-6386/03/4103-0009$30.00/0