2003
DOI: 10.1046/j.1523-1755.2003.00289.x
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Health-related quality of life among dialysis patients on three continents: The Dialysis Outcomes and Practice Patterns Study

Abstract: On all three continents, ESRD and hemodialysis profoundly affect HRQOL. In the United States, the effects on mental health are smaller than in other countries. Japanese hemodialysis patients perceived that their kidney disease imposes a greater burden, but their physical functioning was significantly higher. Different distributions of socioeconomic factors and major comorbid conditions could explain little of this difference in physical functioning. Other possible factors, such as quality of dialysis and relat… Show more

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Cited by 285 publications
(264 citation statements)
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References 29 publications
(33 reference statements)
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“…Studies that have investigated both diabetic and non-diabetic patients found similar results for the 11 subscales and the KDCS scores, with a trend towards higher scores in our study [25][26][27][28]. A Spanish study [47] compared quality of life of diabetic dialysis patients and unmatched non-diabetic patients using the SF-36 questionnaire and found significantly lower scores in seven out of eight subscales, but did not correct for the fact that the Spanish diabetic patients were significantly older than the non-diabetic patients (61.9± 13.5 vs 56.6±17 years).…”
Section: Diabetic Complications and Cardiovascular Diseasessupporting
confidence: 85%
See 2 more Smart Citations
“…Studies that have investigated both diabetic and non-diabetic patients found similar results for the 11 subscales and the KDCS scores, with a trend towards higher scores in our study [25][26][27][28]. A Spanish study [47] compared quality of life of diabetic dialysis patients and unmatched non-diabetic patients using the SF-36 questionnaire and found significantly lower scores in seven out of eight subscales, but did not correct for the fact that the Spanish diabetic patients were significantly older than the non-diabetic patients (61.9± 13.5 vs 56.6±17 years).…”
Section: Diabetic Complications and Cardiovascular Diseasessupporting
confidence: 85%
“…The mental health scores in this study are in contrast to the results reported in some studies [27,47], but in accordance with a study of quality of life in chronic kidney disease (CKD) patients with different GFRs [26]. They found decreasing physical health with decreasing GFR, but a similar mental health score in the five CKD groups and the dialysis group in which the mental health score was 50.0±9.…”
Section: Diabetic Complications and Cardiovascular Diseasessupporting
confidence: 83%
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“…The KDQOL-SF TM has been used extensively to assess and evaluate the health-related quality of life among patients with kidney disease and on dialysis in clinical trial studies, validation studies, evaluation studies and multinational studies (Green et al 2001;Korevaar et al 2002;Walters et al 2002;Fukuhara et al 2003;Mapeds et al 2003;Van Maden et al 2003;Aqarwal et al 2006 ) as a generic core to measure functioning and well-being of patients on dialysis. The SF-36 includes eight multi-item scales that summarize physical component scale (PCS) and mental component scale (MCS): physical functioning (10 items), role limitations caused by physical health problems (4 items), bodily pain (2 items), general health (5 items), vitality (energy/fatigue) (4 items), social functioning (2 items), role limitations due to emotional problems (3 items), and mental health (psychological distress and psychological well-being) (5 items) (Ware 2001).…”
Section: Study Subjectsmentioning
confidence: 99%
“…Despite improvements in the medical treatment of ESRD, the level of health-related quality of life (HRQOL) is still much lower for these patients than for the general population (1). Furthermore, there has been little progress in improving HRQOL of dialysis patients over the past decade (2), although routine follow-up of HRQOL is mandated by the US Centers for Medical Services.…”
Section: Introductionmentioning
confidence: 99%