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Kutner, Nancy G.; Devins, Gerald M.

doi:10.1023/a:1008384814079

Cited by 44 publications

(5 citation statements)

References 16 publications

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“…In line with previous findings, non-White patients experience lower fatigue and are less likely to experience an increase in fatigue over time in this patient population (Jhamb et al, 2009(Jhamb et al, , 2011Kutner & Devins, 1998;Kutner et al, 2000Kutner et al, , 2005, possibly as a result of cultural differences in perception of the illness and treatment (Unruh et al, 2004), variations in coping styles employed (Bhui et al, 2011;Prelow et al, 2000;Triandis et al, 1984), or due to stigma associated with disclosing distress and maladjustment (Cooper-Patrick et al, 1997;de Crane & Spielberger, 1981;Thompson et al, 2004). Education and health literacy are also likely to be important confounders here.…”

Section: Discussionsupporting

confidence: 85%

A prospective study of fatigue trajectories among in‐centre haemodialysis patients

Picariello

Norton

Moss‐Morris

et al. 2019

British J Health Psychol

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Objectives. Fatigue is common and debilitating among dialysis patients. The aim of this study was to understand the longitudinal trajectory of fatigue and consider sociodemographic, clinical, and psychological factors that are related to variation in fatigue levels over time.Design. A prospective study of fatigue with yearly assessments over 3 years among prevalent in-centre haemodialysis (HD) patients.Methods. Fatigue severity was measured using the Chalder Fatigue Questionnaire and fatigue-related functional impairment using the Work and Social Adjustment Scale. The trajectories of fatigue outcomes were examined using piecewise growth models, using length of time on dialysis as time. Sociodemographic, clinical, and psychological predictors of fatigue were assessed using linear growth models, using follow-up time.Results. One hundred and seventy-four prevalent HD patients completed baseline measures, 118 at 12 months, 84 at 24 months, and 66 at 36 months. Fatigue severity scores decreased by 0.15 each year. Fatigue-related functional impairment increased by 1.17 each year. In adjusted linear growth models, non-white ethnicity was a significant predictor of lower initial fatigue severity (B = À2.95, 95% CI À5.51 to À0.40) and a greater reduction in fatigue severity of 1.60 each year (95% CI 0.35-2.36). A one-point increase in damage beliefs was associated with a 0.36 increase in fatigue-related functional impairment each year (95% CI À0.61 to À0.01).Conclusion. Damage beliefs predicted an increase in fatigue-related functional impairment over time. However, the data strongly suggested that fatigue outcomes vary by length of time on dialysis.

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Section: Discussionsupporting

confidence: 85%

A prospective study of fatigue trajectories among in‐centre haemodialysis patients

Picariello

Norton

Moss‐Morris

et al. 2019

British J Health Psychol

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“…As the model included adjustment for patient's weight, these associations were independent of the gender and race weight differences. The association of race [27,28,29,30,31] and gender [32,33,34,35] with QOL in HD patients have long been noted. These may be secondary to spiritual beliefs [28], social factors [31,] psychological factors [29,34,35], how different genders or ethnic groups perceive their health level, or to different health expectations [30].…”

Section: Discussionmentioning

confidence: 99%

Higher Ultrafiltration Rate Is Associated with Longer Dialysis Recovery Time in Patients Undergoing Conventional Hemodialysis

et al. 2017

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Background: Increased mortality and morbidity are reported in association with high ultrafiltration rate (UFR) and with long dialysis recovery time (DRT). We studied the association between UFR and DRT. Methods: This is a cross-sectional, observational study was conducted. Patients on thrice-weekly hemodialysis (HD) with self-reported DRT between August and December 2014 were included. We examined the association of 30-day average UFR with recovery time. Results: The total number of patients included in this study was 2,689. DRT in categories of immediate recovery, >0-≤2, >2-≤6, >6-≤12, and >12 h, were reported in 27, 28, 17, 9, and 20% of the patients respectively. In multivariable analysis, longer DRT was associated with female gender, non-black race, higher body weight, lower serum albumin, chronic heart failure, cerebrovascular disease, missed dialysis sessions, higher pre-dialysis systolic blood pressure, and larger UF volume. Compared to UFR of <10, UFR ≥13 mL/kg/h was associated with longer DRT, OR of 1.16 (95% CI 0.99-1.36), and 1.28 (95% CI 1.06-1.54) in the unadjusted and the adjusted analyses respectively. Intradialytic hypotension was also associated with longer DRT in the unadjusted (per 10% higher frequency, OR 1.04 [95% CI 1.01-1.07]) and adjusted analyses (OR 1.03 [95% CI 1.00-1.07]). Conclusion: Long recovery time is common after HD. Rapid fluid removal is associated with longer DRT.

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“…Several studies involving patients who receive HEMO in the USA found that African Americans reported higher SF-36 total scores than white Americans. [28323334] Variation across cultures may illustrate disparities in the management of disease in different countries. [24] The differences in the findings with regard to the ethnicity variable could stem from possible inadequate sensitivity of SF-36 to the effect of differences on QOL.…”

Section: Discussionmentioning

confidence: 99%

Quality of life in dialysis patients from the United Arab Emirates

Ayoub

Hijjazi

2013

J Fam Community Med

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Background:The quality of life (QOL) has emerged as an important parameter for evaluating the quality of health-care for patients with renal failure. The literature suggests that many factors impact QOL. The QOL of dialysis patients in the United Arab Emirates (UAE) has not been studied before. This research examined the QOL of patients in the UAE on dialysis using two QOL tools.Materials and Methods:A descriptive comparative survey design was used to study 161 dialysis patients. The participants completed the 36-Item Short Form Health Survey (SF-36) and the QOL index dialysis version tool. Comparative analyses of the results for both tools were done using descriptive statistics. Multiple linear regression analysis determines the effect of the variables on the QOL scores.Results:The questionnaires return rate was 93%. The overall QOL for dialysis patients was rated low when self-assessed using the SF-36 (58.9) compared to QOL index (77.2). The multiple regression analysis revealed that having a chronic illness had the strongest impact on the total scores of both tools. The comparison between the statistically significant variables for both samples revealed contradictory results from the two tools used. This meant that the two tools measured QOL differently.Conclusion:The two QOL tools scores impacted very differently on most socio-demographic variables on the two samples. More studies are required to explore the concept of QOL in the Arab dialysis population.

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Untitled

Cited by 44 publications

References 16 publications

A prospective study of fatigue trajectories among in‐centre haemodialysis patients

A prospective study of fatigue trajectories among in‐centre haemodialysis patients

Higher Ultrafiltration Rate Is Associated with Longer Dialysis Recovery Time in Patients Undergoing Conventional Hemodialysis

Quality of life in dialysis patients from the United Arab Emirates

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