Quality of life in incident patients vs prevalent patients. Is there any difference in quality of life?
PDF (Español (España))

Supplementary Files

Carta de presentación (Español (España))


Quality of life
chronic kidney diseases.

How to Cite

Varela DC, González NM, Vanegas O, Rodríguez K. Quality of life in incident patients vs prevalent patients. Is there any difference in quality of life?. Rev. Colomb. Nefrol. [Internet]. 2017 Jul. 27 [cited 2022 May 18];4(2):141-8. Available from: https://revistanefrologia.org/index.php/rcn/article/view/269


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.

PDF (Español (España))


1. Foley RN, Collins AJ. End-stage renal disease in the United States: an update from the United States Renal Data System. J Am Soc Nephrol. 2007 Oct;18(10):2644-8. Disponible en: https://doi.org/10.1681ASN.2007020220

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
No national or foreign publication may partially or totally reproduce or translate Revista Colombiana de Nefrología articles or abstracts without prior written permission from the journal’s Editorial Board.


Download data is not yet available.