Predictors of Quality of Life among Peritoneal Dialysis Patients with End-Stage Renal Disease in Kuwait

Abstract

Quality of life (QOL) is an important indicator of quality of healthcare. Measuring QOL and its correlates for peritoneal dialysis (PD) patients is important for public health policy, intervention, and clinical decision-making. Data from 62 patients treated at 6 dialysis centers were collected using short form (SF)-36. Multiple linear regression was used to assess the relationship between QOL and several covariates. Results indicated most patients were ≥ 60 years old (51.6%), retired (40.3%), diagnosed with end-stage renal disease (ESRD) > 1 year (82.3%), with diabetes as primary cause of ESRD (38.7%), and performing daily dialysis (77.4%). After adjustment of covariates, males (P = 19.03, p = 0.0001) scored on average 19.03 higher on QOL than females. Patients 41 - 60 years (P = 11.4, p = 0.018) scored on average 11.4 higher than those ≥ 60 years. Kuwaitis (P = -9.61, p = 0.057) scored on average 9.61 lower than non-Kuwaitis. Patients living with family/others (P = 13.02, p = 0.076) scored on average 13.02 higher than those living alone. Patients satisfied with their dialysis (P = 28.37, p = 0.001) scored on average 28.37 higher than non-satisfied patients. Performing dialysis at home (P = -15.52, p = 0.006) resulted in an average decrease of 15.52 in QOL compared with those in dialysis centers. Finally, patients with diabetes as the primary cause of ESRD (P = -9.8, p = 0.047) saw an average 9.8 decrease in QOL compared with patients with other ESRD causes. Gender, age, nationality, living status, satisfaction and place of dialysis, and causes of ESRD are independent predictors of QOL. Healthcare providers should pay more attention to females, those living alone, and those older than 60 years. Patients performing PD at home should have assistance from a nurse or health practitioner.

Quality of Life among Peritoneal and Hemodialysis Patients: A Cross-Sectional Study

“…Marital status was found to be related to the psychological and social domains [18]. Gender, age, ethnicity, social status, location and satisfaction post-dialysis, and causes of ESKD are all predictive factors of QoL [19].…”

Health-Related Quality of Life Sleep Score Predicts Transfer to Hemodialysis among Patients on Peritoneal Dialysis

“…Alternatively, the predictors of HRQOL and how to improve HRQOL in patients treated with PD have not been fully elucidated [ 21 , 22 ]. Overall, the sex of the patient affects the HRQOL subscales.…”

The relationship between serum vitamin D levels and health-related quality of life in peritoneal dialysis patients

“…Since ESRD affects patients' social, psychological, and financial status adversely, it also affects the quality of life [29,30]. Health-related quality of life is an important, sensitive, and reliable indicator of healthcare service quality [31]. KDQOL-36 is a general scale used to monitor ESRD patients by evaluating a patient's health and treatment efficacy, where a patient's well-being is expressed and rated by himself/herself [32].…”

“…In 2002 Clinical Practice Guidelines for Chronic Kidney Disease endorsed regular evaluation of impairment of functionality and well-being in CKD [37]. This questionnaire has been used in many studies [31][32][33]. In the DOPPS study, one of the most important ones among those studies, low KDQOL scores predicted the risk of death and hospitalization in dialysis patients [34].…”