Quality of Life of Patients on Maintenance Hemodialysis in Relation to Hemoglobin Level: A Multicenter Study from a Developing Country

Saha, Shudhanshu Kumar; Masur, Mohammad Abul; Choudhury, Sohel Reza; Khan, Arshad; Iqbal, Masud; Choudhury, Ayub Ali; Islam, Rafi Nazrul; Iqbal, Sarwar

doi:10.3329/birdem.v7i3.33780

Cited by 3 publications

(4 citation statements)

References 17 publications

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“…This study explored that mean (±SD) score of overall HRQOL was 47.07 (±14.89) which was higher (53.8472±13.60) in KDCS followed by MCS (45.9986±21.06) and PCS (41.3501±14.92). A study using the same scale found the mean score of overall HRQOL was 50.0±17.0 [24]. This is little more than the finding of the present study.…”

Section: Discussioncontrasting

confidence: 54%

Nutritional Status and Health Related Quality of Life Of Chronic Kidney Disease Patients

Bashar

Haque

Islam

2022

JOPSOM

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Background: Chronic kidney disease is a steadily growing health problem. Malnutrition is common in this irreversible state of kidney failure. The CKD along with malnutrition adversely affect the HRQOL of the patients. This study was conducted to assess the association between nutritional status and HRQOL of CKD patients. Methods: This cross-sectional study was conducted among 220 CKD patients at Gonoshasthaya Dialysis Centre in Dhaka of Bangladesh during the period from July 2019 to June 2020. Data were collected purposively by using a semi-structured questionnaire with face to face interview, physical examinations and review of medical records. Results: In this study, majority of the patients were male (67.7%) and mean (±SD) age was 47.59±12.51 years. The patients were higher in proportion (60.0%) in stage 5. Mean (±SD) duration of CKD was 3.8 (±1.83) years. Based on SGA score, majority of the patients (81.8%) were mild to moderately malnourished while 5.5% were severely malnourished. Overall mean (±SD) score of HRQOL was 47.07 (±14.89). The score was higher (53.84±13.60) in KDCS followed by MCS (45.99±21.06) and PCS (41.35±14.92). Mean (±SD) score of HRQOL was 33.27±9.80, 45.67±14.26 and 61.96±9.16 in severely malnourished, mild to moderately malnourished and well-nourished patients respectively (F = 24.191, p < .001). Correlation between mean score of HRQOL and SGA score was positively significant (r= .709, p<.001). Age, income, family member, duration of CKD, hemoglobin, serum albumin and SGA score together accounted for 65.6% variability of HRQOL score (R2 = 0.656, adjusted R2 = 0.645, (F= 57.829, p <.001) with the SGA score recording a higher beta value (beta = 0.474, p <.001). Conclusion: The study found, most of the patients were malnourished with a low level of HRQOL score. Correlation between the mean score of HRQOL and SGA score was significant and strongly positive. JOPSOM 2021; 40(2): 44-51

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Section: Discussioncontrasting

confidence: 54%

Nutritional Status and Health Related Quality of Life Of Chronic Kidney Disease Patients

Bashar

Haque

Islam

2022

JOPSOM

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“…17 Previous study by Saha SK et al, comprising 135 dialysis patients from 3 centers of Dhaka city, which reported better HRQOL life among Haemoglobin>11gm/dL. 10 Other studies evaluating HRQOL in CKD patients with clinico-demographic factors showed, impact of factors like Diabetes Mellitus, Cardiovascular Disease , age, hepatitis C virus positivity , female gender, socio economic condition , malnutrition, inflammation and residual renal function . 14,[18][19][20][21] Lower PCS and MCS were found in females in comparison to male in our study, which were the similar findings in other studies.…”

Section: Discussionmentioning

confidence: 96%

“…And at the end, they found better HRQOL scores in erythropoietin only group. 10 But their study did not evaluate the influencing factors for HRQOL. For a better understanding of the influencing factors for HRQOL, this study aims to evaluate the influence of socio demographic and clinical parameters on the quality of life in ESRD patients.…”

Section: Introductionmentioning

confidence: 99%

Physical Health Versus Mental Health in Haemodialysis Patient: Assessment of Health-Related Quality of Life- A Single Centre Experience

Qader

Mottaleb

Shetu

et al. 2022

Bangladesh J Med Sci

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Objectives: Assessment of health related quality of life (HRQOL) is an essential part of evaluation of end stage renal disease (ESRD) as we have conducted this study on haemodialysis patients to see the HRQOL and to asses and compare the parameters which influence physical and mental health. Materials and Methods: This was a single centre study on haemodialysis patients using Short Form 36 (SF-36) of Kidney Disease Quality of Life (KDQOL). All the eight domains of HRQOL were assessed individually as well as summary scores for mental health (MCS Mental composite summary) and physical health (PCS Physical composite summary) were also evaluated. The questionnaire was completed by patient themselves and the clinical data was extracted from the medical records with prior consent from the patient. Results and discussion: The study participants showed a female predominance of 66% with a lower PCS and MCS scores among female participants in comparison to their male counterparts. Overall summary scores showed a lower PCS (38.71±8.15) than MCS (42.79±11.6) which reflects better mental health than physical health in the study population. A multiple regression analysis showed, the presence of residual renal function (β= -0.421, p= 0.02), duration of dialysis (β= 0.405, p= 0.03) and haemoglobin less than 12g/dL (β= 0.379, p= 0.02) were significant predictors of MCS. Conclusion: HRQOL in haemodialysis patients are influenced by socio-demographic as well as clinical parameters. In our population, kidney disease affects physical health more than mental health and the reasons are multifactorial. Bangladesh Journal of Medical Science Vol. 21(1) 2022 Page : 90-95

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“…In this study, anaemia and a high daily pill burden were independently associated with impaired functional status. Saha et al found a positive correlation between higher haemoglobin levels and better quality of life [ 25 ], while correction of anaemia, even sub-optimally by the use of EPO improved physical function and energy [ 26 ]. The association with a high daily pill burden may be explained by the fact that patients with an impaired functional status usually have multiple comorbidities and may therefore have multiple drug prescriptions.…”

Section: Discussionmentioning

confidence: 99%

Functional status and caregiver burden of patients on maintenance haemodialysis in Cameroon: a two-centre cross-sectional study

Mambap

Abong²,

Mahamat³

et al. 2022

BMC Nephrol

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Background Data on the functional status (FS) of patients on maintenance haemodialysis (MHD) and their caregiver burden (CGB) in SSA where patients have fewer weekly dialysis sessions and pay out-of-pocket for dialysis-related costs is sparse. Objectives To assess the functional status of Patients on MHD in Cameroon, and the burden of their Caregivers, and to determine the factors associated with functional status impairment (FSI), and high caregiver burden (HCGB). Methods We consecutively enrolled patients on MHD at the Bamenda Regional, and Yaounde General Hospitals over a period of 3 months. We included patients on MHD for ≥ 3 months and their caregivers. Patients and/or caregivers with documented dementia were excluded. Through a face-to-face interview, FS was assessed by combining self-reports of 8 instrumental, and 5 basic activities of daily living using the Lawton-Brody and the Katz (LBKQ) scales, and CGB was assessed using the Zarit Caregiver Burden Scale (ZCGBS). We defined functional status impairment (FSI) as a score ≥ 1 on the LBKQ scale, and a high CGB as a ZCGBS score ≥ 41. Data were analysed using the IBM-SPSS version 26.0 Results A total of 115 patients and 51 caregivers (CGs) were enrolled. The mean age of the patients was 46.9 ± 15.0 years, and 54.8% (n = 63) were males, whereas the mean age of the CGs was 38.30 ± 13.10 years with 72.5% (n = 39) being females. A total of 90 (78.3%) patients had functional status impairment (FSI), while 78.4% (n = 40) of caregivers experienced a burden (41.2% classified as moderate, and 37.2% as high). Anaemia (aOR = 9.2, CI = 3.9–29.4, p < 0.001), and a high daily pill burden (aOR = 4.4, CI = 1.1–18.5, p = 0.043) were independently associated with FSI, while age of caregiver ≥ 45 years (aOR 9.9, CI = 1.7–56.8, P = 0.01) was independently associated with a high CGB. There was a strong positive correlation between FS and CGB. Conclusion There is a high prevalence of functional status impairment in patients on maintenance haemodialysis in Cameroon, resulting in high a physical and psychological burden on their caregivers.

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Quality of Life of Patients on Maintenance Hemodialysis in Relation to Hemoglobin Level: A Multicenter Study from a Developing Country

Cited by 3 publications

References 17 publications

Nutritional Status and Health Related Quality of Life Of Chronic Kidney Disease Patients

Nutritional Status and Health Related Quality of Life Of Chronic Kidney Disease Patients

Physical Health Versus Mental Health in Haemodialysis Patient: Assessment of Health-Related Quality of Life- A Single Centre Experience

Functional status and caregiver burden of patients on maintenance haemodialysis in Cameroon: a two-centre cross-sectional study

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