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Psychosocial factors and quality of life in young hemodialysis patients with low comorbidity.
J Nephrol. 2003 Nov-Dec; 16(6):886-94.JN

Abstract

BACKGROUND

The current predominance of older patients, diabetic patients and high-comorbidity patients among the hemodialysis (HD) population has probably influenced the definition of the effects of renal disease on health-related quality of life (HRQOL), and these effects can be different in the patient subgroup without these characteristics. This multicenter study aimed to assess HRQOL in non-diabetic HD patients, aged < 65 yrs and with low comorbidity, and to study the effects of the demographic, clinical and psychosocial characteristics on their HRQOL.

METHODS

117 patients from 43 Spanish HD centers participated in the study. Patients completed the Kidney Disease Quality of Life Short-Form questionnaire (KDQOL-SF) and screening for depressive symptoms, anxiety symptoms and social support. Various sociodemographic and clinical variables were also recorded.

RESULTS

HD patients' HRQOL showed a profile similar to that of the general HD population, with low physical health scores, but normal mental health scores. Multivariate analysis demonstrated that gender, older age, non-working status, low social support and low levels of hemoglobin (Hb), Kt/V or protein catabolic rate (PCR), had a negative effects, but these effects were of relatively small magnitude and appeared only in some scales. The most important independent predictors of HRQOL were anxiety state and depressive symptoms.

CONCLUSIONS

In non-diabetic HD patients, aged < or = 65 yrs and with low comorbidity, psychological factors (anxiety state and depressive symptoms) are crucial HRQOL determinants. These variables should be considered when assessing HRQOL in HD patients with these demographic and clinical characteristics.

Authors+Show Affiliations

Department of Clinical Psychology and Psychobiology, Psychology Faculty, Santiago de Compostela, Spain. lbolanosc@senefro.orgNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

14736017

Citation

Vázquez, Isabel, et al. "Psychosocial Factors and Quality of Life in Young Hemodialysis Patients With Low Comorbidity." Journal of Nephrology, vol. 16, no. 6, 2003, pp. 886-94.
Vázquez I, Valderrábano F, Jofré R, et al. Psychosocial factors and quality of life in young hemodialysis patients with low comorbidity. J Nephrol. 2003;16(6):886-94.
Vázquez, I., Valderrábano, F., Jofré, R., Fort, J., López-Gómez, J. M., Moreno, F., & Sanz-Guajardo, D. (2003). Psychosocial factors and quality of life in young hemodialysis patients with low comorbidity. Journal of Nephrology, 16(6), 886-94.
Vázquez I, et al. Psychosocial Factors and Quality of Life in Young Hemodialysis Patients With Low Comorbidity. J Nephrol. 2003 Nov-Dec;16(6):886-94. PubMed PMID: 14736017.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Psychosocial factors and quality of life in young hemodialysis patients with low comorbidity. AU - Vázquez,Isabel, AU - Valderrábano,Fernando, AU - Jofré,Rosa, AU - Fort,Joan, AU - López-Gómez,Juan M, AU - Moreno,Fuensanta, AU - Sanz-Guajardo,Dámaso, AU - ,, PY - 2004/1/23/pubmed PY - 2004/4/2/medline PY - 2004/1/23/entrez SP - 886 EP - 94 JF - Journal of nephrology JO - J Nephrol VL - 16 IS - 6 N2 - BACKGROUND: The current predominance of older patients, diabetic patients and high-comorbidity patients among the hemodialysis (HD) population has probably influenced the definition of the effects of renal disease on health-related quality of life (HRQOL), and these effects can be different in the patient subgroup without these characteristics. This multicenter study aimed to assess HRQOL in non-diabetic HD patients, aged < 65 yrs and with low comorbidity, and to study the effects of the demographic, clinical and psychosocial characteristics on their HRQOL. METHODS: 117 patients from 43 Spanish HD centers participated in the study. Patients completed the Kidney Disease Quality of Life Short-Form questionnaire (KDQOL-SF) and screening for depressive symptoms, anxiety symptoms and social support. Various sociodemographic and clinical variables were also recorded. RESULTS: HD patients' HRQOL showed a profile similar to that of the general HD population, with low physical health scores, but normal mental health scores. Multivariate analysis demonstrated that gender, older age, non-working status, low social support and low levels of hemoglobin (Hb), Kt/V or protein catabolic rate (PCR), had a negative effects, but these effects were of relatively small magnitude and appeared only in some scales. The most important independent predictors of HRQOL were anxiety state and depressive symptoms. CONCLUSIONS: In non-diabetic HD patients, aged < or = 65 yrs and with low comorbidity, psychological factors (anxiety state and depressive symptoms) are crucial HRQOL determinants. These variables should be considered when assessing HRQOL in HD patients with these demographic and clinical characteristics. SN - 1121-8428 UR - https://www.unboundmedicine.com/medline/citation/14736017/Psychosocial_factors_and_quality_of_life_in_young_hemodialysis_patients_with_low_comorbidity_ L2 - https://medlineplus.gov/kidneyfailure.html DB - PRIME DP - Unbound Medicine ER -