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21-01-2019

Modality transition on renal replacement therapy and quality of life of patients: a 10-year follow-up cohort study

Auteurs: Daniela Cristina Sampaio de Brito, Elaine Leandro Machado, Ilka Afonso Reis, Daniela Pena Moreira, Thiago Henrique Mascarenhas Nébias, Mariângela Leal Cherchiglia

Gepubliceerd in: Quality of Life Research | Uitgave 6/2019

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Abstract

Purpose

Despite advance in renal replacement therapy (RRT), patients with chronic end-stage renal disease (ESRD) face various limitations, and renal transplantation (Tx) is the treatment that impacts most on quality of life (QoL). This study aimed to assess changes in QoL in a cohort of ESRD dialysis patients.

Methods

Sociodemographic, clinical, nutritional, lifestyle, and QoL data were collected from 712 patients at baseline (time 1) and after 10 years of follow-up (time 2) for patients surviving. The QoL was assessed through the 36-Item Short Form Health Survey (SF-36) and the multiple linear regression model was used to analyze the factors associated with change in QoL.

Results

A total of 205 survivors were assessed and distributed into three groups according to current RRT (Dialysis–Dialysis, Dialysis–Tx, and Dialysis–Tx–Dialysis). At time 1, only age was significantly different among groups; at time 2, transplant patients sustained greater social participation, job retention, and improvement in SF-36 scores. The factors associated with change in QoL were more time on dialysis interfering negatively on physical functioning (p = 0.002), role-physical limitations (p  = 0.002), general health (p  = 0.007), social functioning (p = 0.02), role-emotional (p = 0.003), and physical components ( p = 0.002); non-participation in social groups at times 1 and 2 reducing vitality (p = 0.02) scores; and having work at time 2, increasing vitality (p = 0.02) and mental health (p  = 0.02) scores.

Conclusions

QoL was shown to be dynamic throughout the years of RRT, transplantation being the treatment with more benefits to the ESRD. More time on dialysis and limited social and occupational routine were associated with a reduction in QoL.
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Metagegevens
Titel
Modality transition on renal replacement therapy and quality of life of patients: a 10-year follow-up cohort study
Auteurs
Daniela Cristina Sampaio de Brito
Elaine Leandro Machado
Ilka Afonso Reis
Daniela Pena Moreira
Thiago Henrique Mascarenhas Nébias
Mariângela Leal Cherchiglia
Publicatiedatum
21-01-2019
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 6/2019
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-019-02113-z

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