Quality of life of chronic kidney disease patients on renal replacement therapy

Milovanov, Yuriy; Dobrosmyslov, I A; Milоvаnova, Svetlana; Taranova, Marina; Milоvаnоvа, Ludmilа; Фомин, В В; Kozlov, Vasiliy

doi:10.26442/terarkh201890689-91

Cited by 7 publications

(8 citation statements)

References 4 publications

(9 reference statements)

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“…Considering OHRQoL to be a part of HRQoL [7,8,47], an interrelationship between these parameters seems plausible in patients under RRT. It is known that general HRQoL is reduced in patients under RRT, especially those under HD [4][5][6]. Therefore, impairment of HRQoL, and in consequence OHRQoL, is conceivable, although it cannot be strongly confirmed by available studies.…”

Section: Discussionmentioning

confidence: 98%

“…The improvements in therapeutic measures during RRT and the decrease in mortality might lead to a change in the major challenge of care for these patients; thus, patient-related outcomes such as improving patients' well-being and quality of life are of increasing importance [1,3,4]. It is known that healthrelated quality of life (HRQoL) is often reduced by RRT, especially for HD [4][5][6].…”

Section: Introductionmentioning

confidence: 99%

“…Patients undergoing HD are frequently affected by depressive disorders [14]. Related to the emotional burden, depression and anxiety, the overall HRQoL of the patients is reduced [4][5][6]. Accordingly, a negative effect of disease-related parameters and general emotional well-being on OHRQoL could be relevant.…”

Section: Introductionmentioning

confidence: 99%

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Oral health-related quality of life in adult patients with end-stage kidney diseases undergoing renal replacement therapy – a systematic review

Schmalz

Patschan

et al. 2020

BMC Nephrol

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Background: The oral health of patients undergoing renal replacement therapy (RRT) is insufficient. Poor oral health and its components can affect the oral health-related quality of life (OHRQoL) of these patients. The aim of this systematic review was to assess the OHRQoL of adult patients under RRT. Methods: A systematic literature search was performed using the terms: dialysis OR "renal disease" OR kidney OR "renal failure" OR "kidney transplantation" OR hemodialysis OR "peritoneal dialysis" OR "renal replacement therapy" AND "oral health-related quality of life", complemented by manual search. Clinical studies including adults (age ≥ 18 years) that were published between 2009 and 2019 were included in qualitative analysis. Results: Twelve out of 20 studies were included in the qualitative analysis. The majority (11/12 studies) included patients undergoing haemodialysis (HD), with a sample size between 47 and 512 participants. Two studies included patients after kidney transplantation. Only one-quarter of the investigations included a healthy control group. The overall OHRQoL was found to be reduced. The majority of studies found relationships between OHRQoL and different oral health parameters. Furthermore, several relationships between OHRQoL and general quality of life as well as disease related parameters including age, gender, diabetes, blood parameters and dialysis duration were found. OHRQoL subscales psychological/psychosocial impairment and pain were predominantly affected. Conclusions: Patients under RRT suffer from a reduced OHRQoL, which is potentially influenced by oral health and disease related parameters. Interdisciplinary dental care is needed and should consider both physical and psychosocial issues.

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Section: Discussionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Oral health-related quality of life in adult patients with end-stage kidney diseases undergoing renal replacement therapy – a systematic review

Schmalz

Patschan

et al. 2020

BMC Nephrol

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“…8 Other research has shown that the introduction of home dialysis, erythropoietin and vitamin D made the quality of life of dialysis patients comparable to kidney transplant recipients. 50 This study shows that biological factors like comorbidities and socioeconomic influences affect a patient's quality of life. Peritoneal dialysis is an alternative option to transplantation in our resource-limited setting as it still provides a good quality of life for patients.…”

Section: Contributions To Literaturementioning

confidence: 93%

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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“…8 Other research has shown that the introduction of home dialysis, erythropoietin and vitamin D made quality of life of dialysis patients comparable with kidney transplant recipients. 50 This study shows that biological factors like comorbidities and socioeconomic influences affect a patient's quality of life. Peritoneal dialysis is an alternative option to transplantation in our resourcelimited setting as it still provides a good quality of life for patients.…”

Section: Contributions To Literaturementioning

confidence: 93%

Quality of Life and Health Status among those receiving Renal Replacement Therapy in Trinidad and Tobago. West Indies.

Sanchez

Teelucksingh

Ali

et al. 2021

Preprint

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Purpose:The determinants of quality of life for patients on renal replacement therapy vary across the world. In this cross sectional study, the factors accounting for a good quality of life in the resource-constrained twin-island of Trinidad and Tobago will be explored.Patients and methods:Five hundred and fifty three patients met inclusion criteria for the study. From the 103 patients receiving renal transplants, 100 participated and among the 84 on peritoneal dialysis, 80 took part in the study. Among the 1000-odd patients who were receiving hemodialysis, 350 were studied using convenience sampling. To be included, one had to be on renal replacement therapy for 3 months or more and at least 18 years of age. The Kidney Disease Quality of Life (KDQOL-36) and the EuroQol (EQ-5D-3L) instruments were administered after demographic data was collected. Transplant recipients were further evaluated with the Kidney Transplant Questionnaire (KTQ). Inferential analysis of data included 95% confidence intervals, ordinary least squares regression, analysis of variance, pairwise correlation and Pearson’s bivariate analysis. SPSS24, STATA14 and MINITAB18 were used.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 performed the best in the KDQOL-36 and EQ-5D-3L. Patients on peritoneal dialysis had a better quality of life than hemodialysis patients. Increasing patients’ access to renal transplantation or peritoneal dialysis will markedly improve health status for the number of years on renal replacement therapy. Among patients on hemodialysis, an arteriovenous fistula or graft significantly impacted on 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. Given the limitations in resources, patients on peritoneal dialysis also enjoy a good quality of life while the presence of an arteriovenous fistula or graft improved quality of life scores for those receiving hemodialysis. Policies should be implemented to achieve an acceptable quality of life for all patients receiving renal replacement therapy.

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Quality of life of chronic kidney disease patients on renal replacement therapy

Cited by 7 publications

References 4 publications

Oral health-related quality of life in adult patients with end-stage kidney diseases undergoing renal replacement therapy – a systematic review

Oral health-related quality of life in adult patients with end-stage kidney diseases undergoing renal replacement therapy – a systematic review

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

Quality of Life and Health Status among those receiving Renal Replacement Therapy in Trinidad and Tobago. West Indies.

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