serval:BIB_E1D689FA3C8F
Quality of life on chronic dialysis: comparison between haemodialysis and peritoneal dialysis
10.1093/ndt/gfh175
000221868600040
15004254
Wasserfallen
J. B.
author
Halabi
G.
author
Saudan
P.
author
Perneger
T.
author
Feldman
H. I.
author
Martin
P. Y.
author
Wauters
J. P.
author
article
2004-06
Nephrology, Dialysis, Transplantation
0931-0509
journal
19
6
1594-9
BACKGROUND: Quality of life (QOL) assessment in patients on chronic haemodialysis (HD) or peritoneal dialysis (PD) has only rarely been carried out with the generic Euroqol-5D questionnaire. METHODS: All chronic HD and PD patients in the 19 centres of western Switzerland were requested to fill in the validated Euroqol-5D generic QOL questionnaire, assessing health status in five dimensions and on a visual analogue scale, allowing computation of a predicted QOL value, to be compared with the value measured on the visual analogue scale. RESULTS: Of the 558 questionnaires distributed to chronic HD patients, 455 were returned (response rate 82%). Fifty of 64 PD patients (78%) returned the questionnaire. The two groups were similar in age, gender and duration of dialysis treatment. Mean QOL was rated at 60+/-18% for HD and 61+/-19% for PD, for a mean predicted QOL value of 62+/-30 and 58+/-32% respectively. Results of the five dimensions were similar in both groups, except for a greater restriction in usual activities for PD patients (P = 0.007). The highest scores were recorded for self-care, with 71% HD and 74% PD patients reporting no limitation, and the lowest scores for usual activities, with 14% HD and 23% PD patients reporting severe limitation. Experiencing pain/discomfort (for HD and PD) or anxiety/depression (for PD) had the highest impact on QOL. CONCLUSIONS: QOL was equally diminished in HD and PD patients. The questionnaire was well accepted and performed well. Improvement could be achievable in both groups if pain/discomfort and anxiety/depression could be more effectively treated.
Health Status Indicators
Humans
*Peritoneal Dialysis
*Quality of Life
Questionnaires
*Renal Dialysis
60_published
true
Comparative Study
Journal Article
Research Support, Non-U.S. Gov't --- Old month value: Jun
University of Lausanne
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