A Review of the Quality of Life of Hemodialysis, Breast Cancer, and Type 2 Diabetes Mellitus Patients

Arceo, Engracia; Dizon, Genevieve; Salunga, Micah Angela; Valenzuela, M; Sibug, Nestor; Tiongco, Raphael Enrique

doi:10.1007/s42399-020-00222-2

Cited by 2 publications

(2 citation statements)

References 67 publications

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“…Based on statistics of the United States Renal Data System, the prevalence of ESRD is increasing among the population aged >65 years [4]. Mortality among elderly ESRD patients is high, as expected [5,6]. Though, the dialytic patient's aging phenomenon is exacerbated by older dialysis patients more copious acceptance, improved dialysis patient survival, and limited access to treatment.…”

Section: Introductionmentioning

confidence: 95%

A Retrospective Study on Outcome of Hemodialysis in Elderly Diabetic Patients

Noor¹,

Noor²,

Ishaque³

et al. 2022

PJMHS

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Background and Aim: Hemodialysis is a valuable treatment for elderly individuals progressing to chronic kidney disease (CKD). Globally, hemodialysis demand is increasing for elderly individuals as a life-sustaining therapy which might lead to prolonged suffering in geriatric patients. Therefore, the current study aimed to evaluate the outcomes of hemodialysis in elderly diabetic patients. Methodology: This retrospective study was carried out on 64 type 2 diabetic patients admitted to the Dialysis Unit at Social Security Hospital, Multan Road Lahore from January 2021 to April 2022. Ethical approval was taken from the institution research and ethical committee. All the type 2 diabetic patients above 65 years age having CKD on dialysis were included. Patients having disease that require immunosuppressive treatment, history of malignancy, and those who died within three months of initial treatment were excluded. Patient’s survival data and comorbidities such as cognitive, vascular, and autonomy were studied. Other comorbid conditions such as cerebrovascular disease, peripheral vascular disease (PVD), and coronary artery disease (CAD) were reviewed. SPSS version 25 was used for data analysis. Results: Of the total 64 diabetes patients, there were 34 (53.1%) males and 30 (46.9%) females. The overall mean age was 68.9±3.1 years whereas dialysis mean duration was 28±22 months. Cognitive impairment, lost autonomy, and prior cerebrovascular accident had significant association with mortality rate reported as 7.8% per year. The incidence of fistula or graft, depression, dementia, died, and bedridden cases were 39% (n=25), 18.8% (n=12), 15.6% (n=10), 12.5% (n=8), and 14.1% (n=9) respectively. Of the 25 cases of fistula or graft, about 9.5% used catheter. Conclusion: The present study found that mortality rate was 7.8% in elderly (>65 years) diabetes patients. The high mortality risk was substantially related with cognitive disorder, cerebral vascular accident, and lost autonomy. Generally, hemodialysis practice varies with the region’s clinical pattern due to age variation in elderly patients. Keywords: Hemodialysis, Chronic kidney disease, Elderly, Diabetes

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Section: Introductionmentioning

confidence: 95%

A Retrospective Study on Outcome of Hemodialysis in Elderly Diabetic Patients

Noor¹,

Noor²,

Ishaque³

et al. 2022

PJMHS

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“… 2 In the future, the number of deaths due to CKD and the number of patients with ESKD are projected to increase rapidly. 1 , 2 Patients with ESKD have various health problems, such as frailty, 3 , 4 malnutrition, 5 cognitive impairment, 6 and depression, 7 as well as daily-life problems, such as impaired quality of life, 8 low levels of recreational and work activities, 9 , 10 and poor dietary habits. 11 Furthermore, CKD brings a serious financial burden on the society.…”

Section: Introductionmentioning

confidence: 99%

Influences of Financial Strains Over the Life Course Before Initiating Hemodialysis on Health Outcomes Among Older Japanese Patients: A Retrospective Study in Japan

Sugisawa¹,

Shimizu²,

Kumagai³

et al. 2022

IJNRD

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Purpose This study analyzed the influence of financial strains over the life course before initiating hemodialysis on the health outcomes of older Japanese patients. This study was limited to financial strains over the life course before initiating hemodialysis to eliminate the influence of financial strains resulting from resignation from paid jobs. We examined which of the four life course models—pathway, latent, social mobility, and accumulation—were appropriate to describe the influences of financial strains over the life course on older patients’ health. Patients and Methods Data were obtained from a cross-sectional survey of 6,644 outpatients in dialysis facilities across Japan. We selected participants aged 60 years and older at the time of the survey. Numbers of dialysis complications, activities of daily living (ADL) disability, and depressive symptoms were selected as health outcomes. Benchmark periods over the life course were constructed in three parts: less than 18 years (childhood), 18–35 years (young adults), and 35–50 years (middle-aged). We retrospectively measured financial strains over the life course. Results Pathway models best described the influence of financial strains over the life course on the three types of health outcomes. Experiences of financial strains as young adults had a direct influence on ADL disability of older patients. This result supports latent models. Social mobility models (upward and downward mobility) and accumulation models explained the number of dialysis complications, ADL disability, and depressive symptoms in older patients. Conclusion These results suggest that socioeconomic disadvantages over the life course before initiating hemodialysis were significantly associated with health outcomes in older patients.

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A Review of the Quality of Life of Hemodialysis, Breast Cancer, and Type 2 Diabetes Mellitus Patients

Cited by 2 publications

References 67 publications

A Retrospective Study on Outcome of Hemodialysis in Elderly Diabetic Patients

A Retrospective Study on Outcome of Hemodialysis in Elderly Diabetic Patients

Influences of Financial Strains Over the Life Course Before Initiating Hemodialysis on Health Outcomes Among Older Japanese Patients: A Retrospective Study in Japan

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