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Quality of Life Research
Gepubliceerd in: Quality of Life Research 8/2014

01-10-2014

Patient’s response to a simple question on recovery after hemodialysis session strongly associated with scores of comprehensive tools for quality of life and depression symptoms

Auteurs: Gildete Barreto Lopes, Luciana Ferreira Silva, Gustavo Behrens Pinto, Luiz Fernando Catto, Marcia Tereza Silva Martins, Margarida Maria Dantas Dutra, Antonio Alberto Lopes

Gepubliceerd in: Quality of Life Research | Uitgave 8/2014

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Abstract

Purpose

Many maintenance hemodialysis patients do not feel well after the hemodialysis session and need a time to recover. The main objective of the study was to investigate whether a simple question about the need of some time to recover from hemodialysis was associated with scores of comprehensive tools of depression symptoms and health-related quality of life (HRQOL).

Methods

Cross-sectional evaluation of 800 Brazilian patients enrolled in the Prospective Study of the Prognosis of Chronic Hemodialysis Patients (PROHEMO). The KDQOL-SF was used for HRQOL and the 20-item CES-D and BDI for depression symptoms. Linear and logistic models were used for multivariable adjustments.

Results

Patients who reported some time to recover (30 %) had significantly (P < 0.001) higher depression symptoms scores (mean difference = 4.75 for CES-D and 4.48 for BDI). HRQOL scores were, in general, lower for patients who referred a time to recover, with mean differences larger than 4.0 (P < 0.05) both for physical and mental components. Strong associations of needing a time to recover and lower scores of several kidney disease-targeted HRQOL components were also observed. Differences in depression symptoms and HRQOL were largely reduced after adjustments for symptoms (muscle pain/cramps, faintness, fatigue, nausea/vomiting).

Conclusions

The results support the validity of a simple question on post-hemodialysis recovery as a proxy for scores of complex instruments for depression symptoms and HRQOL. The results suggest that the poorer HRQOL and higher depression probability in patients who need a time to recover from hemodialysis could be partially explained by the presence of hemodialysis-related symptoms.
vorige artikel Physical activity in relation to quality of life in newly diagnosed colon cancer patients: a 24-month follow-up
volgende artikel Using Rasch analysis to examine the distress thermometer’s cut-off scores among a mixed group of patients with cancer
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Metagegevens
Titel
Patient’s response to a simple question on recovery after hemodialysis session strongly associated with scores of comprehensive tools for quality of life and depression symptoms
Auteurs
Gildete Barreto Lopes
Luciana Ferreira Silva
Gustavo Behrens Pinto
Luiz Fernando Catto
Marcia Tereza Silva Martins
Margarida Maria Dantas Dutra
Antonio Alberto Lopes
Publicatiedatum
01-10-2014
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 8/2014
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-014-0666-z

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