Quality of Life Among Diabetic and Non-diabetic Patients on Maintenance Haemodialysis

Gumprecht, Jakub; Żełobowska, Katarzyna; Gosek, Katarzyna; Żywiec, Joanna; Adamski, M; Grzeszczak, W

doi:10.1055/s-0029-1192023

Cited by 17 publications

(31 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…All these problems limit daily activities and work capacity, lead to dependence on anti-diabetes drugs and disturbed sleep because of pain which affects physical health. A similar pattern of poor QOL has been reported in other studies (30,31). Furthermore, in the present study, QOL was markedly affected in patients with concomitant diabetes and hypertension compared with patients with diabetes alone because of the additional complications imposed by hypertension.…”

Section: Discussionsupporting

confidence: 91%

Assessment of the quality of life in patients on haemodialysis in Iraq

Alhajim¹

2017

East Mediterr Health J

View full text Add to dashboard Cite

Évaluation de la qualité de vie des patients sous hémodialyse en IraqRÉSUMÉ L'existence d'une maladie rénale chronique nécessite la mise en place d'une thérapie de remplacement rénal à vie, ce qui peut grandement impacter la qualité de vie des patients. La présente étude transversale avait pour objectif d'évaluer la qualité de vie des patients sous hémodialyse, ainsi que les facteurs de détérioration de la qualité de vie, à l'unité de dialyse de l'hôpital général de Bassora. Au total, 104 patients atteints de maladie rénale en phase terminale et sous hémodialyse ont été inclus à l'étude. Les données ont été collectées à l'aide du questionnaire d'évaluation de la qualité de vie de l'Organisation mondiale de la Santé. Des données sociodémographiques et cliniques ont également été recueillies. Sur les 104 patients, 57 % étaient des hommes, 73 % étaient âgés de plus de 45 ans, 87 % étaient issus de milieux socio-économiques moyen et faible, 70 % étaient sous dialyse depuis plus d'un an, 74 % disposaient d'un abord vasculaire de type fistule artério-veineuse, 34 % souffraient de diabète et 48 % avaient contracté le virus de l'hépatite. Tous les domaines de la qualité de vie (santé physique, psychologique, relations sociales et environnement) étaient affectés, le domaine physique étant celui le plus impacté. Un âge plus avancé, un statut socio-économique inférieur, une durée prolongée de la dialyse, un abord vasculaire par cathéter central, le fait d'être diabétique et d'avoir une sérologie positive au virus de l'hépatite étaient associés de façon significative à une diminution de la qualité de vie (p < 0,05). ABSTRACT Chronic kidney disease requires life-long renal replacement therapy, which can greatly impair the quality of life (QOL) of patients. This cross-sectional study aimed to assess the QOL of patients on haemodialysis, and the factors affecting it, at the dialysis unit of Basra General Hospital. A total of 104 patients with end-stage renal disease on haemodialysis were included. Data were collected using the World Health Organization QOL questionnaire. Sociodemographic and clinical data were also collected. Of the 104 patients, 57% were male, 73% were older than 45 years, 87% were of middle and low socioeconomic status, 70% had been on dialysis for more than 1 year, 74% had arteriovenous fistula vascular access, 34% had diabetes and 48% were positive for hepatitis virus. All domains of QOL (physical health, psychological, social relationships and environment) were affected; the physical domain was the most severely affected. Older age, lower socioeconomic status, longer duration of dialysis, central line vascular access, having diabetes and positive hepatitis serology were significantly associated with lower QOL (P < 0.05). ‫العراق‬ ‫يف‬ ‫الكلوي‬ ‫الغسيل‬ ‫ملرىض‬ ‫احلياة‬ ‫جودة‬ ‫تقييم‬

show abstract

Section: Discussionsupporting

confidence: 91%

Assessment of the quality of life in patients on haemodialysis in Iraq

Alhajim¹

2017

East Mediterr Health J

View full text Add to dashboard Cite

show abstract

“…Not surprisingly, lower HRQOL indicated the more underlying comorbidities which independently and significantly affected outcome of HD patients with diabetes. Other studies have shown reduced health perceived physical aspects per se or both physical and mental aspects in HD diabetic patients (34,35). In the same way, most studies have reported that PCS is the predictor of mortality in HD diabetics while the minority has observed the further impact of MCS on patient outcome (34,36,37).…”

Section: Discussionmentioning

confidence: 87%

Clinical outcomes and quality of life in hemodialysis diabetic patients versus non-diabetics

Soleymanian¹,

Kokabeh²,

Ramaghi³

et al. 2016

J Nephropathol

View full text Add to dashboard Cite

BackgroundDiabetes is the leading cause of end stage renal disease (ESRD) worldwide.ObjectivesWe compared the clinical outcomes in diabetic patients on hemodialysis (HD) with non-diabetics.Patients and MethodsAdult maintenance HD patients (N= 532) from 9 HD facilities were enrolled to this prospective cohort study in September 2012. Causes of death, hospitalization, and HD exit were recorded in a median 28 months follow up period.ResultsForty-one percent of patients were diabetic. Diabetic patients compared to non-diabetics had significantly higher age (62.2 ± 11.2 versus 53.1 ± 16.7 years), lower dialysis duration (median: 23 versus 30 months), more cardiovascular comorbidities (64% versus 28%) , higher C-reactive protein (CRP) levels (median: 3.80 versus 2.25 mg/L), lower serum albumin (3.86 ± 0.35 versus 3.93 ± 0.35 g/dL), lower intact parathyroid hormone (iPTH) (median: 272 versus 374 ρg/mL), higher serum triglyceride (167 ± 91 versus 139 ± 67 mg/dL) and low density lipoprotein (LDL) (82.5 ± 24.5 versus 77.5 ± 23.8 mg/dL), and worse short form health survey (SF36) score (45.7 ± 20.9 versus 52.7 ± 20.5). Annual admission rate was higher in diabetics (median: 0.86 versus 0.43) and diabetic foot involved 16% of their admissions. Transplantation rate was 4 and 9 per 100 patient years in diabetics and non-diabetics, respectively. Death rate was two folds higher in diabetics (24 versus 12 per 100 patient years). Cardiovascular diseases ( ± infections/other causes) comprised 80.5% of death in diabetics and 54.5% in non-diabetics. In Cox regression proportional hazard multivariate analysis, hazard risk of death in diabetics was 1.9 times higher than non-diabetics.ConclusionsClinical outcomes and health related quality of life (HRQOL) are much worse in diabetic compared to non-diabetic HD patients mainly due to more frequent of cardiovascular diseases (CVDs).

show abstract

“…However, very few studies have been performed that investigated which physical and psychosocial problems would be more associated with diabetes patients with nephropathy, and whether these problems would differ between patients with HD and those without HD [5,6].…”

Section: Introductionmentioning

confidence: 99%

Identification of physical and psychosocial problems associated with diabetic nephropathy using the International Classification of Functioning, Disability and Health Core Set for Diabetes Mellitus

et al. 2015

View full text Add to dashboard Cite

show abstract

Quality of Life Among Diabetic and Non-diabetic Patients on Maintenance Haemodialysis

Abstract: To improve diabetic haemodialysis patients' quality of life, physical activity should be incorporated to the routine dialysis care and health care professionals should support them more intensively.

Cited by 17 publications

References 16 publications

Assessment of the quality of life in patients on haemodialysis in Iraq

Assessment of the quality of life in patients on haemodialysis in Iraq

Clinical outcomes and quality of life in hemodialysis diabetic patients versus non-diabetics

Identification of physical and psychosocial problems associated with diabetic nephropathy using the International Classification of Functioning, Disability and Health Core Set for Diabetes Mellitus

Contact Info

Product

Resources

About