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AlRowaie F, Alaryni A, AlGhamdi A, Alajlan R, Alabdullah R, Alnutaifi R, Alnutaifi R, Aldakheelallah A, Alshabanat A, Bin Shulhub A, Moazin O, Qutob R, Alsolami E, Hakami O. Quality of Life among Peritoneal and Hemodialysis Patients: A Cross-Sectional Study. Clin Pract 2023; 13:1215-1226. [PMID: 37887085 PMCID: PMC10605737 DOI: 10.3390/clinpract13050109] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2023] [Revised: 09/16/2023] [Accepted: 09/25/2023] [Indexed: 10/28/2023] Open
Abstract
BACKGROUND The quality of life (QoL) of patients with end-stage kidney disease (ESKD) who undergo dialysis is a reliable predictor of their long-term survival. Hemodialysis is the most common form of kidney replacement therapy for ESKD, followed by peritoneal dialysis. This study aimed to identify the factors affecting QoL in ESKD patients treated with peritoneal dialysis (PD) or hemodialysis (HD) in Riyadh, Saudi Arabia. METHODS A cross-sectional study was conducted between June and July 2021 to assess the QoL of patients with ESKD who underwent peritoneal dialysis and hemodialysis. Patients who had been on dialysis for at least one year were included. The Arabic version of the Quality of Life Index-Dialysis (QLI-D) version III was used to measure the QoL. RESULTS A total of 210 patients completed the questionnaire. The overall QLI score was 21.73 ± 4.2, with subscales for health and functioning (20.35 ± 5.2), social and economic (20.20 ± 4.8), psychological/spiritual (23.94 ± 4.9), and family (24.95 ± 4.5). The QLI scores for PD and HD patients were 21.80 ± 4.4 and 21.72 ± 4.1, respectively. SOCSUB (p = 0.031) was significantly associated with group and income, whereas QLI (p = 0.003), HFSUB (p = 0.013), SOCSUB (p = 0.002), and PSPSUB (p = 0.003) were significantly correlated with group and years of dialysis. CONCLUSION The study found that patients were most satisfied with their family, health and functioning, and social/economic subscales. Income and years of dialysis were found to be predictive factors of QoL. Overall, peritoneal patients in this study demonstrated a better QoL than HD patients.
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Affiliation(s)
- Fadel AlRowaie
- Nephrology Department, King Fahad Medical City, Riyadh 12231, Saudi Arabia;
| | - Abdullah Alaryni
- College of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh 11623, Saudi Arabia; (A.A.); (A.A.); (R.A.); (R.A.); (A.A.); (A.A.); (A.B.S.); (O.M.); (R.Q.); (O.H.)
| | - Abdullah AlGhamdi
- College of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh 11623, Saudi Arabia; (A.A.); (A.A.); (R.A.); (R.A.); (A.A.); (A.A.); (A.B.S.); (O.M.); (R.Q.); (O.H.)
| | - Renad Alajlan
- College of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh 11623, Saudi Arabia; (A.A.); (A.A.); (R.A.); (R.A.); (A.A.); (A.A.); (A.B.S.); (O.M.); (R.Q.); (O.H.)
| | - Razan Alabdullah
- College of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh 11623, Saudi Arabia; (A.A.); (A.A.); (R.A.); (R.A.); (A.A.); (A.A.); (A.B.S.); (O.M.); (R.Q.); (O.H.)
| | - Raed Alnutaifi
- College of Medicine, King Saud University, Riyadh 11451, Saudi Arabia;
| | - Raneem Alnutaifi
- College of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh 11623, Saudi Arabia; (A.A.); (A.A.); (R.A.); (R.A.); (A.A.); (A.A.); (A.B.S.); (O.M.); (R.Q.); (O.H.)
| | - Amani Aldakheelallah
- College of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh 11623, Saudi Arabia; (A.A.); (A.A.); (R.A.); (R.A.); (A.A.); (A.A.); (A.B.S.); (O.M.); (R.Q.); (O.H.)
| | - Alanoud Alshabanat
- College of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh 11623, Saudi Arabia; (A.A.); (A.A.); (R.A.); (R.A.); (A.A.); (A.A.); (A.B.S.); (O.M.); (R.Q.); (O.H.)
| | - Abdullah Bin Shulhub
- College of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh 11623, Saudi Arabia; (A.A.); (A.A.); (R.A.); (R.A.); (A.A.); (A.A.); (A.B.S.); (O.M.); (R.Q.); (O.H.)
| | - Othillah Moazin
- College of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh 11623, Saudi Arabia; (A.A.); (A.A.); (R.A.); (R.A.); (A.A.); (A.A.); (A.B.S.); (O.M.); (R.Q.); (O.H.)
| | - Rayan Qutob
- College of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh 11623, Saudi Arabia; (A.A.); (A.A.); (R.A.); (R.A.); (A.A.); (A.A.); (A.B.S.); (O.M.); (R.Q.); (O.H.)
| | - Enad Alsolami
- Department of Internal Medicine, College of Medicine, University of Jeddah, Jeddah P.O. Box 45311, Saudi Arabia;
| | - Osamah Hakami
- College of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh 11623, Saudi Arabia; (A.A.); (A.A.); (R.A.); (R.A.); (A.A.); (A.A.); (A.B.S.); (O.M.); (R.Q.); (O.H.)
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Health-Related Quality of Life Sleep Score Predicts Transfer to Hemodialysis among Patients on Peritoneal Dialysis. Healthcare (Basel) 2022; 10:healthcare10061030. [PMID: 35742081 PMCID: PMC9222522 DOI: 10.3390/healthcare10061030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2022] [Revised: 05/27/2022] [Accepted: 05/31/2022] [Indexed: 12/04/2022] Open
Abstract
Despite the superiority of peritoneal dialysis (PD) over hemodialysis (HD) regarding health-related quality of life (HRQOL), the specific HRQOL domain(s) that predict unplanned HD transfer remains uncertain. In this cohort study, we assessed the HRQOL of 50 outpatients undergoing PD using the Japanese version 1.3 Kidney Disease Quality of Life-Short Form from March 2017 to March 2018 and prospectively analyzed the association of each HRQOL component with HD transfer until June 2021. During the follow-up (41.5 (13.0–50.1) months), 21 patients were transferred to HD. In a multivariate Cox proportional hazards model adjusted for age, sex, PD vintage, urine output, Charlson comorbidity index, and incremental shuttle walking test, a higher sleep score was significantly associated with lower HD transfer rates (HR 0.70 per 10, p = 0.01). An adjusted subdistribution hazard model where elected transition to HD, death, and transplantation were considered competing events of unintended HD transfer that showed sleep score as an exclusive predictor of HD transfer (HR 0.70 per 10, p = 0.002). Our results suggest that sleep score among the HRQOL subscales is instrumental in predicting HD transfer in patients undergoing PD.
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Yuksel E, Aydin E. The relationship between serum vitamin D levels and health-related quality of life in peritoneal dialysis patients. Int Urol Nephrol 2021; 54:927-936. [PMID: 34292490 DOI: 10.1007/s11255-021-02951-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2021] [Accepted: 07/07/2021] [Indexed: 12/12/2022]
Abstract
INTRODUCTION We aimed to investigate the relationship between Vitamin D level and quality of life in patients undergoing peritoneal dialysis as renal replacement therapy. METHODS 50 peritoneal dialysis patients aged between 18 and 73 years were included in this study. KDQOL-36 questionnaire was applied to rate the quality of life of the patients. This questionnaire consisted of 36 questions divided into five subscales. The patients were divided into two groups according to serum vitamin D levels. Patients with a serum 25(OH) D level < 20 ng/mL were identified as vitamin D deficiency group and those with a serum 25(OH)D level ≥ 20 ng/mL were identified as normal vitamin D group. RESULTS The patients had a mean age of 41.16 ± 16.05 years, 56% of them were females. The mean 25(OH) D levels of patients with 25 (OH) D levels < 20 ng/mL and those with ≥ 20 ng/mL were 10.50 ± 4.62 ng/mL and 25.55 ± 4.11 ng/mL, respectively. We found that all subscales of KDQOL-36 were lower with statistically significance in the group with Vitamin D (Vit-D) deficiency. Hemoglobin level was detected as independent risk factor for Symptom and problem list subscales and SF-12 physical component summary subscale (PCS) (P = 0.029, P = 0.047). Vit-D deficiency was detected as independent risk factors for kidney disease burden subscale and PCS (P = 0.035, P = 0.019). Hypertension was detected as independent risk factor for kidney disease burden subscale (P = 0.015). CONCLUSION Our study is the first to investigate the relationship between serum Vit-D level and quality of life by KDQOL-36 scale in peritoneal dialysis patients. We revealed that patients with low Vit-D levels had worse quality of life in all subscales.
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Affiliation(s)
- Enver Yuksel
- Department of Nephrology, Gazi Yasargil Training and Research Hospital, Diyarbakır, Turkey.
| | - Emre Aydin
- School of Medicine, Department of Nephrology, University of Dicle, Diyarbakır, Turkey
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