https://repositorio.ufba.br/handle/ri/15558
Tipo: | Artigo de Periódico |
Título: | Factors associated with health-related quality of life among hemodialysis patients in the DOPPS |
Título(s) alternativo(s): | Quality of Life Research |
Autor(es): | Lopes, Antonio Alberto da Silva Bragg Gresham, Jennifer L. Goodkin, David A. Fukuhara, Shunichi Mapes, Donna L. Young, Eric W. Gillespie, Brenda W. |
Autor(es): | Lopes, Antonio Alberto da Silva Bragg Gresham, Jennifer L. Goodkin, David A. Fukuhara, Shunichi Mapes, Donna L. Young, Eric W. Gillespie, Brenda W. |
Abstract: | Objective: To identify modifiable factors associated with health-related quality of life (HRQOL) among chronic hemodialysis patients. Methods: Analysis of baseline data of 9,526 hemodialysis patients from seven countries enrolled in phase I of the Dialysis Outcomes and Practice Patterns Study (DOPPS). Using the Kidney Disease Quality of Life Short Form (KDQOL-SFTM), we determined scores for 8 generic scale summaries derived from these scales, i.e., the physical component summary [PCS] and mental component summary [MCS], and 11 kidney disease-targeted scales. Regression models were used to adjust for differences in comorbidities and sociodemographic and treatment factors. The Benjamin-Hochberg procedure was used to correct P-values for multiple comparisons. Results: Unemployment and psychiatric disease were independently and significantly associated with lower scores for all generic and several kidney disease-targeted HRQOL measures. Several other comorbidities, lower educational level, lower income, and hypoalbuminemia were also independently and significantly associated with lower scores of PCS and/or MCS and several generic and kidney disease-targeted scales. Hemodialysis by catheter was associated with significantly lower PCS scores, partially explained by the correlation with covariates. Conclusion: Associations of poorer HRQOL with preventable or controllable factors support a greater focus on psychosocial and medical interventions to improve the well-being of hemodialysis patients. |
Palavras-chave: | DOPPS End-stage renal disease (ESRD) Hemodialysis KDQOL-SF Outcomes |
Tipo de Acesso: | Acesso Aberto |
URI: | http://repositorio.ufba.br/ri/handle/ri/15558 |
Data do documento: | 2007 |
Aparece nas coleções: | Artigo Publicado em Periódico (Faculdade de Medicina) |
Arquivo | Descrição | Tamanho | Formato | |
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art%3A10.1007%2Fs11136-006-9143-7.pdf | 187,28 kB | Adobe PDF | Visualizar/Abrir |
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