Modality transition on renal replacement therapy and quality of life of patients: a 10-year follow-up cohort study.
Purpose: Despite advance in renal replacement therapy (RRT), patients with chronic end-stage renal disease (ESRD) face various limitations, and renal transplantation (Tx) is the treatment that impacts most on quality of life (QoL). This study aimed to assess changes in QoL in a cohort of ESRD dialys...
| Publicado en: | Quality of Life Research Vol. 28; no. 6; pp. 1485 - 1496 |
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| Autores principales: | , , , , , |
| Formato: | Journal Article |
| Publicado: |
Springer Nature
Jun2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=136504673&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 136504673 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09629343 GPQ jtl: Quality of Life Research issn: 09629343 maglogo: N pubinfo: dt: Jun2019 vid: 28 iid: 6 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 136504673 136504673 NLM30666548 10.1007/s11136-019-02113-z NLM30666548 136504673 ppf: 1485 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Modality transition on renal replacement therapy and quality of life of patients: a 10-year follow-up cohort study. aug: au: de Brito, Daniela Cristina Sampaio Machado, Elaine Leandro Reis, Ilka Afonso Moreira, Daniela Pena Nébias, Thiago Henrique Mascarenhas Cherchiglia, Mariângela Leal affil: Grupo de Pesquisa em Economia e Saúde, Belo Horizonte, Minas Gerais, Brazil sug: subj: Kidney Failure, Chronic Psychosocial Factors Kidney Transplantation Psychosocial Factors Quality of Life Psychosocial Factors Kidney Failure, Chronic Therapy Hemodialysis Psychosocial Factors Renal Replacement Therapy Psychosocial Factors Prospective Studies Adult Survivors Emotions Middle Age Male Mental Health Female Social Participation Questionnaires Short Form-36 Health Survey (SF-36) Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Purpose: Despite advance in renal replacement therapy (RRT), patients with chronic end-stage renal disease (ESRD) face various limitations, and renal transplantation (Tx) is the treatment that impacts most on quality of life (QoL). This study aimed to assess changes in QoL in a cohort of ESRD dialysis patients.Methods: Sociodemographic, clinical, nutritional, lifestyle, and QoL data were collected from 712 patients at baseline (time 1) and after 10 years of follow-up (time 2) for patients surviving. The QoL was assessed through the 36-Item Short Form Health Survey (SF-36) and the multiple linear regression model was used to analyze the factors associated with change in QoL.Results: A total of 205 survivors were assessed and distributed into three groups according to current RRT (Dialysis-Dialysis, Dialysis-Tx, and Dialysis-Tx-Dialysis). At time 1, only age was significantly different among groups; at time 2, transplant patients sustained greater social participation, job retention, and improvement in SF-36 scores. The factors associated with change in QoL were more time on dialysis interfering negatively on physical functioning (p = 0.002), role-physical limitations (p = 0.002), general health (p = 0.007), social functioning (p = 0.02), role-emotional (p = 0.003), and physical components ( p = 0.002); non-participation in social groups at times 1 and 2 reducing vitality (p = 0.02) scores; and having work at time 2, increasing vitality (p = 0.02) and mental health (p = 0.02) scores.Conclusions: QoL was shown to be dynamic throughout the years of RRT, transplantation being the treatment with more benefits to the ESRD. More time on dialysis and limited social and occupational routine were associated with a reduction in QoL. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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