A comparison of the quality of life of the patients undergoing hemodialysis versus peritoneal dialysis and its correlation to the quality of dialysis

Abstract

Over the years, there has been a steady increase in the number of patients requiring dialysis. However, no consensus exists between choosing either hemodialysis (HD) or peritoneal dialysis (PD) as the preferred method of dialysis for patients. In this study, we have compared the quality of life of the patients undergoing either HD or PD. This cross-sectional study was performed in the dialysis center of the Noor and Saint Ali Asghar University Hospital in Isfahan, Iran in 2012. Forty-six patients who underwent PD (28 males and 18 females) and 46 similar patients undergoing HD (26 males and 20 females) were compared. A standardized Persian version of the short form-36 (SF-36) tool was used to assess the quality of life and to assess the quality of dialysis weekly Kt/V in patients undergoing PD and single random Kt/V sampling in HD patients were assessed. Patients undergoing PD reported higher scores in physical functioning. The lowest scores in both groups were reported in mental health section. In physical functioning section, physical role functioning section and overall score of the SF-36 tool, PD patients reported significantly higher scores compared to the HD patients (P <0.05). There was no significant difference between the qualities of the dialysis in the two patient groups. Aspects of quality of life such as physical functioning, physical role functioning, bodily pain, general health perceptions, and overall score were significantly different between the two groups. If these results are substantiated by subsequent longitudinal studies, then the choice of dialysis could be better guided in patients by the quality of life issues.

Health-Related Quality of Life in Home Dialysis Patients Compared to In-Center Hemodialysis Patients: A Systematic Review and Meta-analysis

“…A total of 46 articles was eligible for critical appraisal. 82 , 83 , 84 , 85 , 86 , 87 , 88 , 89 , 90 , 91 , 92 , 93 , 94 , 95 , 96 , 97 , 98 , 99 , 100 , 101 , 102 , 103 , 104 , 105 , 106 , 107 , 108 , 109 , 110 , 111 , 112 , 113 , 114 , 115 , 116 , 117 , 118 , 119 , 120 , 121 , 122 , 123 , 124 , 125 , 126 , 127 The following articles presented overlapping patient data and were appraised as one: Bujang et al 91 and Liu et al, 92 Chkhotua et al 94 and Maglakelidze et al, 95 Griva et al 103 and Yang et al, 104 2 articles by Kontodimopoulos 111 , 112 and 2 articles by Theofilou, 120 , 121 leaving 41 studies for analysis.…”

Assessment of quality of life in patients undergoing hemodialysis using WHOQOL-BREF questionnaire: a multicenter study

“…In contrast, Atapour et al found no relation between duration on hemodialysis and QOL in patients with CKD. 24 It is interesting to note that ethnicity affected the overall perception of general health in the patients undergoing hemodialysis. Terai/Madhesi ethnic group had lower scores in this dimension than other groups.…”

Quality of life in chronic kidney disease: a community perspective using world health organization quality of life: BREF questionnaire

“…19 Many authors from different regions compared hemodialysis and peritoneal dialysis patients and were of the opinion that PD improved quality of life. 20 On the contrary one south African study observed higher symptom burden in PD patients compared to hemodialysis. 21 A systematic review comparing both treatment modalities was also inconclusive on the benefit of PD.…”