Quality of life is impaired in patients with hemodialysis finding a lower quality of life in incidents patients, those who initiate or carry less than three months in renal replacement therapy,identifying common factors of elevated PTH, low rate body mass, anemia and use of catheter
Background: Chronic Kidney Disease (CKD) has increased its prevalence in recent years, from 44.7 patients per million in 1993 to 621 patients per million in 2012; patients who receive renal replacement therapy hemodialysis in Colombia have increasingly improved survival. The increase in the number of patients and the increase in the survival encourage us to improve the quality of life for dialysis years.
Methodology: The quality of life was compared by SF-36 in 154 patients with end-stage CKD on hemodialysis management, 77 incidents patients and 77 prevalent patients who are part of a renal unit in Bogotá, Colombia
Results: All scales of quality of life in the entire population of hemodialysis patients, have dropped. In the incident patients there is a lower quality of life compared to prevalent ones (p = 0.028) in this group the most relevant features was BMI <31, hb <11 g/dL and use of catheter, the scales of the SF-36 the most affected ones are those of physical component.
Conclusions: The quality of life of dialysis patients is affected with greater impact on the group of incident patients, the nutritional aspects should be enhanced, hematological and vascular access in this group.
2. Gómez RA. Renal disease in Colombia. Ren Fail. 2006;28(8):643-7. Disponible en: https://doi.org/10.1080/08860220600925719
3. Weiner DE, Tighiouart H, Amin MG, et al. Chronic kidney disease as a risk factor for cardiovascular disease and all-cause mortality: a pooled analysis of community-based studies. J Am Soc Nephrol. 2004;15:1307-15. Disponible en: https://doi.org/10.1097/01.ASN.0000123691.46138.E2
4. Kalantar-Zadeh K, Kopple JD, Block G, et al. Association among SF-36 quality of life measures and nutrition, hospitalization, and mortality in hemodialysis. J Am Soc Nephrol. 2001;12:2797-806.
5. Lopes AA, Bragg-Gresham JL, Satayathum S, et al. Health-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). Am J Kidney Dis. 2003;41:605-15. Disponible en: https://doi.org/10.1053/ajkd.2003.50122
6. Lowrie EG, Curtin RB, LePain N, et al. Medical outcomes study short form-36: a consistent and powerful predictor of morbidity and mortality in dialysis patients. Am J Kidney Dis. 2003;41:1286-92. Disponible en: https://doi.org/10.1016/S0272-6386(03)00361-5
7. Unruh M, Benz R, Greene T, et al. Effects of hemodialysis dose and membrane flux on health-related quality of life in the HEMO Study. Kidney Int. 2004;66:355-66. Disponible en: https://doi.org/10.1111 j.1523-1755.2004.00738.x
8. Kimmel PL, Emont SL, Newmann JM, et al. ESRD patient quality of life: symptoms, spiritual beliefs, psychosocial factors, and ethnicity. Am J Kidney Dis. 2003;42:713-21. Disponible en: https://doi.org/10.1016S0272-6386(03)00907-7
9. Kusek JW, Greene P, Wang SR, et al. Cross-sectional study of health related quality of life in African Americans with chronic renal insufficiency: the African American Study of Kidney Disease and Hypertension Trial. Am J Kidney Dis. 2002;39:513-24. Disponible en: https://doi.org/10.1053/ajkd.2002.31401
10. Perlman RL, Finkelstein FO, Liu L, et al. Quality of life in chronic kidney disease (CKD): a cross-sectional analysis in the Renal Research Institute CKD study. Am J Kidney Dis. 2005;45:658-66. Disponible en: 11. https://doi.org/10.1053/j.ajkd.2004.12.021
12. Tsai YC, Hung CC, Hwang SJ, et al. Quality of life predicts risks of end stage renal disease and mortality in patients with chronic kidney disease. Nephrol Dial Transplant. 2010;25(5):1621-6. Disponible en: https://doi.org/10.1093/ndt/gfp671
13. Clement FM, Klarenbach S, Tonelli M, et al. The impact of selecting a high hemoglobin target level on health-related quality of life for patients with chronic kidney disease: a systematic review and meta-analysis. Arch Intern Med. 2009 Jun 22;169(12):1104.
12. Disponible en: https://doi.org/10.1001/archinternmed.2009.112
14. Finkelstein FO, Story K, Firanek C, et al. Health-related quality of life and hemoglobin levels in chronic kidney disease patients. Clin J Am Soc Nephrol. 2009 Jan;4(1):33-8. Disponible en: https://doi.org/10.2215CJN.00630208
15. Mehrotra R, Kopple J. Nutritional management of maintenance dialysis patients: why aren’t we doing better? Annu Rev Nutr. 2001;21:343-80. Disponible en: https://doi.org/10.1146annurev.nutr.21.1.343
16. Moore E. Challenges of Nutrition Intervention for Malnourished Dialysis Patients. Journal of Infusion Nursing. 2008;31(6):361-6. Disponible en: https://doi.org/10.1097/NAN.0b013e31818c0e3f
17. Kalantar-Zadeh K, Fouque D, Kopple JD. Outcome research, nutrition, and reverse epidemiology in maintenance dialysis patients. J Ren Nutr. 2004 Apr;14(2):64-71. Disponible en: https://doi.org/10.1053j.jrn.2004.01.005
18. Coresh J, Longenecker JC, Miller ER, et al. Epidemiology of cardiovascular risk factors in chronic renal disease. J Am Soc Nephrol. 1998, 9(Suppl 1):S24-S30.
19. Kalantar-Zadeh K, Kopple JD. Relative contributions of nutrition and inflammation to clinical outcome in dialysis patients. Am J Kidney Dis. 2001;38:1343-50. Disponible en: https://doi.org/10.1053ajkd.2001.29250
20. Kalantar-Zadeh K, Block G, Humphreys MH, et al. Reverse epidemiology of cardiovascular risk factors in maintenance dialysis patients. Kidney Int. 2003 Mar;63(3):793-808. Disponible en: https://doi.org/10.1046/j.1523-1755.2003.00803.x