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Health-related quality of life and health utility of Chinese patients undergoing nocturnal home haemodialysis in comparison with other modes of dialysis.
Nephrology (Carlton). 2019 Jun; 24(6):630-637.N

Abstract

BACKGROUND

To compare the health-related quality of life (HRQOL) and health utility of Chinese patients with end-stage renal disease (ESRD) undergoing nocturnal home haemodialysis (Home HD) against those patients undergoing other modes of dialysis.

METHODS

Chinese ESRD patients undergoing Home HD were recruited in renal specialist outpatient clinics at three public hospitals in Hong Kong. SF-12 Health Survey (SF-12) was used to measure HRQOL and generate the SF-6D heath utility score. Mean scores of SF-12 domains, physical and mental component summary and SF-6D health utility of 41 patients undergoing Home HD were compared with available scores of patients receiving other forms of dialysis, namely, peritoneal dialysis (PD) (n = 103), hospital in-centre HD (n = 135) or community in-centre HD (n = 118). Adjusted linear regression models were used to examine the impact of mode of dialysis on the HRQOL and health utility scores, accounting for the sociodemographic and clinical characteristics.

RESULTS

ESRD patients undergoing PD and community in-centre HD had better health utility, physical and mental component summary scores than the hospital in-centre HD. Adjusted analysis showed that hospital in-centre HD reported worse physical component summary and health utility scores when compared with PD and community in-centre HD.

CONCLUSION

HRQOL and health utility scores of patients undergoing Home HD were similar to those undergoing PD and community in-centre HD. Better physical aspects of HRQOL and health utility was observed in PD and community-based HD than hospital in-centre HD, providing evidence for the increase in capacity of non-hospital-based HD, which provided flexibility as well as patient centredness and empowerment in Hong Kong.

Authors+Show Affiliations

Department of Family Medicine and Primary Care, The University of Hong Kong, Hong Kong SAR, China.Department of Family Medicine and Primary Care, The University of Hong Kong, Hong Kong SAR, China. Bau Institute of Medical and Health Sciences Education, The University of Hong Kong, Hong Kong SAR, China.Department of Medicine and Geriatrics, Princess Margaret Hospital, Hong Kong SAR, China.Department of Medicine, Tung Wah Hospital, Hong Kong SAR, China.Department of Medicine, Tung Wah Hospital, Hong Kong SAR, China.Department of Medicine, The University of Hong Kong, Hong Kong SAR, China.Department of Medicine, Alice Ho Miu Ling Nethersole Hospital, Hong Kong SAR, China.Department of Medicine and Geriatrics, Princess Margaret Hospital, Hong Kong SAR, China.Department of Family Medicine and Primary Care, The University of Hong Kong, Hong Kong SAR, China.Department of Family Medicine and Primary Care, The University of Hong Kong, Hong Kong SAR, China.

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

29926521

Citation

Wong, Carlos K H., et al. "Health-related Quality of Life and Health Utility of Chinese Patients Undergoing Nocturnal Home Haemodialysis in Comparison With Other Modes of Dialysis." Nephrology (Carlton, Vic.), vol. 24, no. 6, 2019, pp. 630-637.
Wong CKH, Chen JY, Fung SKS, et al. Health-related quality of life and health utility of Chinese patients undergoing nocturnal home haemodialysis in comparison with other modes of dialysis. Nephrology (Carlton). 2019;24(6):630-637.
Wong, C. K. H., Chen, J. Y., Fung, S. K. S., Lo, W. K., Lui, S. L., Chan, T. M., Cheng, Y. L., Kong, I., Wan, E. Y. F., & Lam, C. L. K. (2019). Health-related quality of life and health utility of Chinese patients undergoing nocturnal home haemodialysis in comparison with other modes of dialysis. Nephrology (Carlton, Vic.), 24(6), 630-637. https://doi.org/10.1111/nep.13429
Wong CKH, et al. Health-related Quality of Life and Health Utility of Chinese Patients Undergoing Nocturnal Home Haemodialysis in Comparison With Other Modes of Dialysis. Nephrology (Carlton). 2019;24(6):630-637. PubMed PMID: 29926521.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Health-related quality of life and health utility of Chinese patients undergoing nocturnal home haemodialysis in comparison with other modes of dialysis. AU - Wong,Carlos K H, AU - Chen,Julie Y, AU - Fung,Samuel K S, AU - Lo,Wai Kei, AU - Lui,Sing Leung, AU - Chan,Tak Mao, AU - Cheng,Yuk Lun, AU - Kong,Irene, AU - Wan,Eric Y F, AU - Lam,Cindy L K, Y1 - 2019/04/24/ PY - 2018/06/17/accepted PY - 2018/6/22/pubmed PY - 2019/12/20/medline PY - 2018/6/22/entrez KW - dialysis KW - end-stage renal disease KW - nocturnal home haemodialysis KW - patient-reported outcome KW - quality of life SP - 630 EP - 637 JF - Nephrology (Carlton, Vic.) JO - Nephrology (Carlton) VL - 24 IS - 6 N2 - BACKGROUND: To compare the health-related quality of life (HRQOL) and health utility of Chinese patients with end-stage renal disease (ESRD) undergoing nocturnal home haemodialysis (Home HD) against those patients undergoing other modes of dialysis. METHODS: Chinese ESRD patients undergoing Home HD were recruited in renal specialist outpatient clinics at three public hospitals in Hong Kong. SF-12 Health Survey (SF-12) was used to measure HRQOL and generate the SF-6D heath utility score. Mean scores of SF-12 domains, physical and mental component summary and SF-6D health utility of 41 patients undergoing Home HD were compared with available scores of patients receiving other forms of dialysis, namely, peritoneal dialysis (PD) (n = 103), hospital in-centre HD (n = 135) or community in-centre HD (n = 118). Adjusted linear regression models were used to examine the impact of mode of dialysis on the HRQOL and health utility scores, accounting for the sociodemographic and clinical characteristics. RESULTS: ESRD patients undergoing PD and community in-centre HD had better health utility, physical and mental component summary scores than the hospital in-centre HD. Adjusted analysis showed that hospital in-centre HD reported worse physical component summary and health utility scores when compared with PD and community in-centre HD. CONCLUSION: HRQOL and health utility scores of patients undergoing Home HD were similar to those undergoing PD and community in-centre HD. Better physical aspects of HRQOL and health utility was observed in PD and community-based HD than hospital in-centre HD, providing evidence for the increase in capacity of non-hospital-based HD, which provided flexibility as well as patient centredness and empowerment in Hong Kong. SN - 1440-1797 UR - https://www.unboundmedicine.com/medline/citation/29926521/Health_related_quality_of_life_and_health_utility_of_Chinese_patients_undergoing_nocturnal_home_haemodialysis_in_comparison_with_other_modes_of_dialysis_ L2 - https://doi.org/10.1111/nep.13429 DB - PRIME DP - Unbound Medicine ER -