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Assessment of health status in chronic hemodialysis patients.
J Nephrol. 2003 Mar-Apr; 16(2):252-9.JN

Abstract

BACKGROUND

We compared three ways of assessing health status in chronic hemodialysis patients: generic questionnaire compared with population norms, disease-specific questionnaire, and open questions.

METHODS

Hemodialysis patients (n=83) treated in Geneva canton, Switzerland, answered the Kidney Disease Quality of Life (KDQOL-SF) questionnaire, which combines 12 disease-specific scales with the generic Short-Form 36 (SF36) health survey, and open questions about the most disturbing and most positive aspects of having end-stage renal disease. SF36 scores were compared with those of the general population, and generic health scales were correlated with dialysis-specific scales.

RESULTS

Hemodialysis patients had significantly lower scores than general population controls on 7 of 8 SF36 scales, especially physical functioning (-1.2 standard deviation (SD) units, p<0.001) and general health (-1.2 SD, p<0.001), but their mental health was similar (-0.2 SD, p=0.13). All 12 KDQOL dialysis-specific scores correlated significantly with the SF36 mental summary score, but only 6 correlated significantly with the SF36 physical summary score. Open comments suggested that dialysis itself is the chief problem confronting dialysis patients, but also that the predicament of end-stage renal disease may have a positive impact on the lives of some patients.

CONCLUSIONS

While physical problems are the biggest difference between dialysis patients and controls, disease-specific scales and open comments highlighted the importance of psychosocial and treatment-related problems among hemodialysis patients. Generic and disease-specific questionnaires, and open comments provide different information about the health status of dialysis patients.

Authors+Show Affiliations

Division of Nephrology, Quality Care Unit, Geneva University Hospitals, CH-1211 Geneva 14, Switzerland. thomas.perneger@hcuge.chNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

12768073

Citation

Perneger, Thomas V., et al. "Assessment of Health Status in Chronic Hemodialysis Patients." Journal of Nephrology, vol. 16, no. 2, 2003, pp. 252-9.
Perneger TV, Leski M, Chopard-Stoermann C, et al. Assessment of health status in chronic hemodialysis patients. J Nephrol. 2003;16(2):252-9.
Perneger, T. V., Leski, M., Chopard-Stoermann, C., & Martin, P. Y. (2003). Assessment of health status in chronic hemodialysis patients. Journal of Nephrology, 16(2), 252-9.
Perneger TV, et al. Assessment of Health Status in Chronic Hemodialysis Patients. J Nephrol. 2003 Mar-Apr;16(2):252-9. PubMed PMID: 12768073.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Assessment of health status in chronic hemodialysis patients. AU - Perneger,Thomas V, AU - Leski,Michel, AU - Chopard-Stoermann,Catherine, AU - Martin,Pierre-Yves, PY - 2002/08/16/received PY - 2003/01/07/accepted PY - 2002/12/18/revised PY - 2003/5/28/pubmed PY - 2003/8/21/medline PY - 2003/5/28/entrez SP - 252 EP - 9 JF - Journal of nephrology JO - J Nephrol VL - 16 IS - 2 N2 - BACKGROUND: We compared three ways of assessing health status in chronic hemodialysis patients: generic questionnaire compared with population norms, disease-specific questionnaire, and open questions. METHODS: Hemodialysis patients (n=83) treated in Geneva canton, Switzerland, answered the Kidney Disease Quality of Life (KDQOL-SF) questionnaire, which combines 12 disease-specific scales with the generic Short-Form 36 (SF36) health survey, and open questions about the most disturbing and most positive aspects of having end-stage renal disease. SF36 scores were compared with those of the general population, and generic health scales were correlated with dialysis-specific scales. RESULTS: Hemodialysis patients had significantly lower scores than general population controls on 7 of 8 SF36 scales, especially physical functioning (-1.2 standard deviation (SD) units, p<0.001) and general health (-1.2 SD, p<0.001), but their mental health was similar (-0.2 SD, p=0.13). All 12 KDQOL dialysis-specific scores correlated significantly with the SF36 mental summary score, but only 6 correlated significantly with the SF36 physical summary score. Open comments suggested that dialysis itself is the chief problem confronting dialysis patients, but also that the predicament of end-stage renal disease may have a positive impact on the lives of some patients. CONCLUSIONS: While physical problems are the biggest difference between dialysis patients and controls, disease-specific scales and open comments highlighted the importance of psychosocial and treatment-related problems among hemodialysis patients. Generic and disease-specific questionnaires, and open comments provide different information about the health status of dialysis patients. SN - 1121-8428 UR - https://www.unboundmedicine.com/medline/citation/12768073/Assessment_of_health_status_in_chronic_hemodialysis_patients_ L2 - https://medlineplus.gov/kidneyfailure.html DB - PRIME DP - Unbound Medicine ER -