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Longitudinal patterns of health-related quality of life and dialysis modality: a national cohort study
BACKGROUND: Health-related quality of life (HrQoL) varies among dialysis patients. However, little is known about the association of dialysis modality with HrQoL over time. We describe longitudinal patterns of HrQoL among chronic dialysis patients by treatment modality. METHODS: National retrospecti...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6325821/ https://www.ncbi.nlm.nih.gov/pubmed/30621634 http://dx.doi.org/10.1186/s12882-018-1198-5 |
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author | Eneanya, Nwamaka D. Maddux, Dugan W. Reviriego-Mendoza, Marta M. Larkin, John W. Usvyat, Len A. van der Sande, Frank M. Kooman, Jeroen P. Maddux, Franklin W. |
author_facet | Eneanya, Nwamaka D. Maddux, Dugan W. Reviriego-Mendoza, Marta M. Larkin, John W. Usvyat, Len A. van der Sande, Frank M. Kooman, Jeroen P. Maddux, Franklin W. |
author_sort | Eneanya, Nwamaka D. |
collection | PubMed |
description | BACKGROUND: Health-related quality of life (HrQoL) varies among dialysis patients. However, little is known about the association of dialysis modality with HrQoL over time. We describe longitudinal patterns of HrQoL among chronic dialysis patients by treatment modality. METHODS: National retrospective cohort study of adult patients who initiated in-center dialysis or a home modality (peritoneal or home hemodialysis) between 1/2013 and 6/2015. Patients remained on the same modality for the first 120 days of the first two years. HrQoL was assessed by the Kidney Disease and Quality of Life-36 (KDQOL) survey in the first 120 days of the first two years after dialysis initiation. Home modality patients were matched to in-center patients in a 1:5 fashion. RESULTS: In-center (n=4234) and home modality (n=880) patients had similar demographic and clinical characteristics. In-center dialysis patients had lower mean KDQOL scores across several domains compared to home modality patients. For patients who remained on the same modality, there was no change in HrQoL. However, there were trends towards clinically meaningful changes in several aspects of HrQoL for patients who switched modalities. Specifically, physical functioning decreased for patients who switched from home to in-center dialysis (p< 0.05). CONCLUSIONS: Among a national cohort of chronic dialysis patients, there was a trend towards different patterns of HrQoL life that were only observed among patients who changed modality. Patients who switched from home to in-center modalities had significant lower physical functioning over time. Providers and patients should be mindful of HrQoL changes that may occur with dialysis modality change. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12882-018-1198-5) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-6325821 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-63258212019-01-11 Longitudinal patterns of health-related quality of life and dialysis modality: a national cohort study Eneanya, Nwamaka D. Maddux, Dugan W. Reviriego-Mendoza, Marta M. Larkin, John W. Usvyat, Len A. van der Sande, Frank M. Kooman, Jeroen P. Maddux, Franklin W. BMC Nephrol Research Article BACKGROUND: Health-related quality of life (HrQoL) varies among dialysis patients. However, little is known about the association of dialysis modality with HrQoL over time. We describe longitudinal patterns of HrQoL among chronic dialysis patients by treatment modality. METHODS: National retrospective cohort study of adult patients who initiated in-center dialysis or a home modality (peritoneal or home hemodialysis) between 1/2013 and 6/2015. Patients remained on the same modality for the first 120 days of the first two years. HrQoL was assessed by the Kidney Disease and Quality of Life-36 (KDQOL) survey in the first 120 days of the first two years after dialysis initiation. Home modality patients were matched to in-center patients in a 1:5 fashion. RESULTS: In-center (n=4234) and home modality (n=880) patients had similar demographic and clinical characteristics. In-center dialysis patients had lower mean KDQOL scores across several domains compared to home modality patients. For patients who remained on the same modality, there was no change in HrQoL. However, there were trends towards clinically meaningful changes in several aspects of HrQoL for patients who switched modalities. Specifically, physical functioning decreased for patients who switched from home to in-center dialysis (p< 0.05). CONCLUSIONS: Among a national cohort of chronic dialysis patients, there was a trend towards different patterns of HrQoL life that were only observed among patients who changed modality. Patients who switched from home to in-center modalities had significant lower physical functioning over time. Providers and patients should be mindful of HrQoL changes that may occur with dialysis modality change. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12882-018-1198-5) contains supplementary material, which is available to authorized users. BioMed Central 2019-01-08 /pmc/articles/PMC6325821/ /pubmed/30621634 http://dx.doi.org/10.1186/s12882-018-1198-5 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Eneanya, Nwamaka D. Maddux, Dugan W. Reviriego-Mendoza, Marta M. Larkin, John W. Usvyat, Len A. van der Sande, Frank M. Kooman, Jeroen P. Maddux, Franklin W. Longitudinal patterns of health-related quality of life and dialysis modality: a national cohort study |
title | Longitudinal patterns of health-related quality of life and dialysis modality: a national cohort study |
title_full | Longitudinal patterns of health-related quality of life and dialysis modality: a national cohort study |
title_fullStr | Longitudinal patterns of health-related quality of life and dialysis modality: a national cohort study |
title_full_unstemmed | Longitudinal patterns of health-related quality of life and dialysis modality: a national cohort study |
title_short | Longitudinal patterns of health-related quality of life and dialysis modality: a national cohort study |
title_sort | longitudinal patterns of health-related quality of life and dialysis modality: a national cohort study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6325821/ https://www.ncbi.nlm.nih.gov/pubmed/30621634 http://dx.doi.org/10.1186/s12882-018-1198-5 |
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