Quality of life in patients with end-stage renal disease treated by hemodialysis and peritoneal dialysis
Abstract
The main methods of renal replacement therapy (RRT) are hemodialysis (HD) and peritoneal dialysis (PD). Improvement of dialysis technologies has increased life expectancy of ESRD-patients. This brings attention to estimate of not only indicators of clinical and laboratory parameters, but also to quality of life (QOL). In the present study an analysis of QOL in patients on different methods of RRT is performed. The assessment of QOL in patients on HD ( n =97) and PD ( n =88) was performed with the questionnaire Kidney Disease Quality of Life Short Form (KDQOL-SFTM), a hospital anxiety and depression scale (A.S. Zigmond, R.P. Snaith, 1983), the comorbidity index of M.E. Charlson. The nutritional status was also estimated. It was found that parameters of QOL and depression depend on the mode of RRT, comorbidity index and nutritional status. Estimations of QOL were higher in the PD patients: the role of emotional functioning, social functioning, burden of kidney disease, and effects of kidney disease. Irrespectively of the mode of RRT disorders of nutritional status were associated with decrease in QOL.
About the Authors
M. I. Krylova
Russian academy of postgraduate medical education, S.P. Botkin Moscow city hospital, Moscow
Russian Federation
Russian Federation
V. M. Ermolenko
Russian academy of postgraduate medical education, S.P. Botkin Moscow city hospital, Moscow
Russian Federation
Russian Federation
E. V. Shutov
Russian academy of postgraduate medical education, S.P. Botkin Moscow city hospital, Moscow
Russian Federation
Russian Federation
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Review
For citations:
Krylova M.I., Ermolenko V.M., Shutov E.V. Quality of life in patients with end-stage renal disease treated by hemodialysis and peritoneal dialysis. Nephrology and Dialysis. 2010;12(3):192-196. (In Russ.)
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