Archivos suplementarios
Palabras clave
Calidad de vida
SF-36
hemodiálisis
enfermedades renales crónicas.
SF-36
hemodiálisis
enfermedades renales crónicas.
Cómo citar
1.
Varela DC, González NM, Vanegas O, Rodríguez K. Calidad de vida en pacientes incidentes vs prevalentes ¿Hay diferencia en la calidad de vida?. Rev. Colomb. Nefrol. [Internet]. 27 de julio de 2017 [citado 3 de julio de 2024];4(2):141-8. Disponible en: https://revistanefrologia.org/index.php/rcn/article/view/269
Resumen
Introducción: La enfermedad renal crónica (ERC) ha aumentado su prevalencia en los últimos años, pasando de 44,7 pacientes por millón en 1993 a 621 pacientes por millón en 2012; los pacientes que reciben hemodiálisis de terapia de reemplazo renal en Colombia han mejorado cada vez más la supervivencia. El aumento del número de pacientes y el aumento de la supervivencia nos animan a mejorar la calidad de vida durante los años de diálisis.
Metodología: La calidad de vida fue comparada por SF-36 en 154 pacientes con ERC terminal en manejo de hemodiálisis, 77 pacientes incidentes y 77 pacientes prevalentes que forman parte de una unidad renal en Bogotá, Colombia
Resultados: Se han reducido todas las escalas de calidad de vida en toda la población de pacientes en hemodiálisis. En los pacientes incidentes hay una menor calidad de vida en comparación con los prevalentes (p = 0,028) en este grupo las características más relevantes fueron IMC <31, hb <11 g / dL y el uso de catéter, las escalas del SF-36 Los más afectados son los componentes físicos.
Conclusiones: La calidad de vida de los pacientes en diálisis se ve afectada con mayor impacto en el grupo de pacientes incidentes, los aspectos nutricionales deben ser mejorados, el acceso hematológico y vascular en este grupo.
Citas
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
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
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