Changes in Quality of Life in Older Hemodialysis Patients: A Cohort Study on Dialysis Outcomes and Practice Patterns

Ishiwatari, Ayumi; Yamamoto, Shungo; Fukuma, Shingo; Hasegawa, Takeshi; Wakai, Sachiko; Nangaku, Masaomi

doi:10.1159/000509309

Cited by 32 publications

(28 citation statements)

References 23 publications

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“…Respondents in present study was predominantly male (66.3%) and majority (38.8%) were from over 60 years of age. Similar findings have been shown in previous studies among patients under hemodialysis where male were 62.9% and 60.9% were above 60 years of age 31 . Respondents were classified into malnourished and well-nourished groups and according to modified SGA score, 90% of the respondents were malnourished.…”

Section: Discussionsupporting

confidence: 92%

Comparison of Body Mass Index with Modified Subjective Global Assessment for Detection of Malnutrition Among Patients Under Maintenance Hemodialysis: A Multi-Center Cross-Sectional Study

Rahman

Haque

Sultana

et al. 2022

JOPSOM

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Background: Patients under maintenance hemodialysis are at increased risk of malnutrition, causing from multitude of factors. Present study aims to assess the prevalence of malnutrition among maintenance hemodialysis patients using both modified subjective global assessment score and body mass index, compare them and assess the sensitivity and specificity of body mass index for detecting malnutrition, along with determining a new cutoff value for BMI that better represent the maintenance hemodialysis patient’s nutritional status. Methods: This was a cross-sectional study conducted in the hemodialysis unit of Bangabandhu Sheikh Mujib Medical University, Sir Salimullah Medical College Mitford Hospital, BIRDEM General Hospital and National Institute of Kidney Diseases & Urology; among 80 adult CKD patients who were on regular (≥2 sessions per week) maintenance hemodialysis for more than 3 months without any acute infection, during the period of July 2016 to June 2017. Nutritional assessment was done for each patient using modified SGA score along with BMI. Sensitivity analysis of WHO recommended cutoff value for BMI was done among the study population using modified SGA score as gold standard test for detection of malnutrition among the respondents. ROC curve was used to estimate the best fitting cutoff value of BMI that showed highest sensitivity, specificity and accuracy for detracting malnutrition among maintenance hemodialysis patients. Results: The study participants were predominantly male (66.3%) and from age group 45 to 59 years (36.3%). Modified SGA score detected 90.0% of the study population as malnourished. WHO recommended 18.5 kg/m2 cutoff value was also used to detect malnutrition among study population and 13.8% were found to be malnourished, with a sensitivity and specificity of 12.5% and 75.0% respectively. Accuracy was found to be 18.8%. Using ROC curve, 23.1 kg/m2 was found to be the best fitting cutoff value of BMI for the study population to detect malnutrition. With a sensitivity of 47.2%, specificity of 37.5% and accuracy of 46.3%. Conclusion: BMI showed low sensitivity for detecting malnutrition among patients under maintenance hemodialysis, compared to modified SGA score and should be avoided as a screening tool, but 23.1 kg/m2 cutoff value for BMI showed potential to be used as an easy to use and quick tool for detecting malnutrition among such patients. Further study with larger sample size could shed more light on this. JOPSOM 2021; 40(1): 14-21

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Section: Discussionsupporting

confidence: 92%

Comparison of Body Mass Index with Modified Subjective Global Assessment for Detection of Malnutrition Among Patients Under Maintenance Hemodialysis: A Multi-Center Cross-Sectional Study

Rahman

Haque

Sultana

et al. 2022

JOPSOM

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“…In a Japanese study, physical scores on quality of life became worse as dialysis vintage lengthened. 35 Renal transplantation may be the most physiologically similar to one's body as a mode of renal replacement therapy. Among transplant recipients, immunologic similarity can further be assessed with haplotype match between donor and recipient.…”

mentioning

confidence: 99%

Quality of Life and Health Status Among Patients Receiving Renal Replacement Therapy in Trinidad and Tobago, West Indies

Sanchez

Teelucksingh²,

Ali³

et al. 2021

IJNRD

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The determinants of quality of life for patients on renal replacement therapy vary across the world. The aim of this study is to determine the quality of life of patients on renal replacement therapy in Trinidad and Tobago and predictors thereof. Patients and Methods: This cross-sectional study took place over a 1-year period. Data were obtained from 530 out of 1383 patients meeting inclusion criteria (100 transplants, 80 peritoneal dialyses, 350 hemodialyses) using the survey instruments. Stratified random sampling with proportional allocation was used to select patients at hemodialysis centres. The Kidney Disease Quality of Life questionnaire (KDQOL-36), EuroQol and demographic questionnaires were administered via face-to-face interviews. SPSS24, STATA14 and MINITAB18 were used for descriptive and inferential data analysis. Results: Of the 530 patients, 52.5% were male, 37.5% were in the 56-65 years age group and 51.3% were of Indo-Trinbagonian descent. Hypertension (25.5%) and type 2 diabetes mellitus (62.0%) were reported as the main causes of kidney disease in the dialysis group. In the transplant category, chronic glomerulonephritis (45%) was the main aetiology of kidney disease. The KDQOL-36 domain scores and significantly associated variables included modality of renal replacement, Charlson's Comorbidity Index, ethnicity, income and employment status. Transplant patients had higher mean subcomponent Kidney Disease Quality of Life scores and performed better in the EuroQol than patients on dialysis. Patients on peritoneal dialysis had a better quality of life than hemodialysis patients. Among patients on hemodialysis, an arteriovenous fistula significantly impacted their quality of life. Conclusion: Renal transplant recipients enjoy the best quality of life and health state among patients on renal replacement therapy in Trinidad and Tobago. Increasing patients' access to renal transplantation or peritoneal dialysis will markedly improve health status for the number of years of renal replacement therapy.

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“…The reason may be that the average age of the patients enrolled in this study was older (58.57 ± 12.07). As described in the study by Ishiwatari et al, dialysis patients' quality of life decreased over time, especially among those older adults [23].…”

Section: Discussionmentioning

confidence: 84%

Association between exercise self-efficacy and health-related quality of life among dialysis patients: a cross-sectional study

Zhang¹,

Liao²,

Zhang³

et al. 2021

Preprint

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Background Given the importance of exercise self-efficacy in the process of quality of life change, this study aimed to describe the relationship between exercise self-efficacy and health-related quality of life (HRQOL) in dialysis patients. Methods A cross-sectional study was conducted in Shanghai, China. Structured questionnaires applied to the patients collected basic information about gender, age, marital status, education, and income for socio-demographic and body mass index, causes for end-stage renal disease, dialysis modality, and dialysis vintage for the disease-related factors. Physical activity was assessed by a self-administered questionnaire. Exercise self-efficacy was measured through the Exercise Self-Efficacy Scale (ESES). Health-related quality of life was evaluated by the Kidney Disease Quality of Life Instrument-Short Form version 1.3 (KDQOL-SF™ v1.3). Data were analyzed using a univariate generalized linear model, Spearman correlation, and hierarchical multiple regression. Results A positive association was observed between exercise self-efficacy and HRQOL (r = 0.310, P < 0.001). Physical activity as predictor variables explained 9.8% of the variance in overall HRQOL (P < 0.001). Exercise self-efficacy explained an additional 7.1% of the HRQOL variance. In total, 24.6% of the variation in the HRQOL is explained by the socio-demographic variables, disease-related factors, physical activity, and exercise self-efficacy. Conclusion Overall, only 16.9% of the change in HRQOL was explained by physical activity and exercise self-efficacy. Future research is still needed to explore further the factors influencing the quality of life in dialysis patients. However, this finding suggests the need to consider the importance of HRQOL and physical activity as well as exercise self-efficacy when developing intervention programs.

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Changes in Quality of Life in Older Hemodialysis Patients: A Cohort Study on Dialysis Outcomes and Practice Patterns

Cited by 32 publications

References 23 publications

Comparison of Body Mass Index with Modified Subjective Global Assessment for Detection of Malnutrition Among Patients Under Maintenance Hemodialysis: A Multi-Center Cross-Sectional Study

Comparison of Body Mass Index with Modified Subjective Global Assessment for Detection of Malnutrition Among Patients Under Maintenance Hemodialysis: A Multi-Center Cross-Sectional Study

Quality of Life and Health Status Among Patients Receiving Renal Replacement Therapy in Trinidad and Tobago, West Indies

Association between exercise self-efficacy and health-related quality of life among dialysis patients: a cross-sectional study

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