Is health-related quality of life associated with adequacy of hemodialysis in chronic kidney disease patients?
Open accessAbstract
Introduction: Monitoring Health Related Quality of Life (HRQoL) in different stages of chronic kidney disease is advised by all nephrology societies. We aimed to study the relation between quality of life and dialysis adequacy. Methods: One hundred patients (51% males), on regular hemodialysis 3/week for > 6 months in two hospitals were included. Single pool Kt/V was used to assess dialysis adequacy. Patients were grouped into 3 divisions according to Kt/v: Group A > 1.5 (n = 24), group B 1.2–1.5 (n = 54) and group C < 1.2 (n = 22). KDQOL-SF™ questionnaire was used to study quality of life in our groups. Group C was reassessed after 3 months of improving Kt/v. Results: Mean values were: Kt/V (1.48 ± 0.41), Cognitive Function (84.27 ± 9.96), Work status (30.00 ± 33.33), Energy (45.70 ± 13.89), Physical Function and Role limitations due to physical function (45.30 ± 12.39 and 31.25 ± 19.26, respectively). Group A had significantly higher scores of KDQOL-SF except Role limitations due to Physical Function. All subscales improved in group C after Kt/v improvement except 3 subscales, namely, work status, patient satisfaction and role limitation due to physical and emotional functions. Conclusion: Inadequate HD badly affects quality of life and improving adequacy refines many components of quality of life.
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At present, the urea clearance index (Kt/V) is commonly used to evaluate dialysis adequacy for haemodialysis patients.
“At present, the urea clearance index (Kt/V) is commonly used to evaluate the dialysis adequacy for haemodialysis patients (Hasan et al., 2021), so in this study, the compliance rate of Kt/V was included as an outcome indicator.”
From Construction of haemodialysis nursing‐sensitive quality indicators based on Donabedian theory: A Delphi method study (2023) · cites this paper as Hasan et al., 2021
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Chen, L., Zhang, Y., Li, C., Li, Q., & He, L. (2023) · Nursing Open · doi:10.1002/nop2.1349 · Cited by 28 · see citing works
“At present, the urea clearance index (Kt/V) is commonly used to evaluate the dialysis adequacy for haemodialysis patients (Hasan et al., 2021), so in this study, the compliance rate of Kt/V was included as an outcome indicator.”
Method
- Authors
- Hasan, L. M., Shaheen, D. A. H., El Kannishy, G. A. H., Sayed-Ahmed, N. A. H., & Abd El Wahab, A. M.
- Affiliations
- Mansoura University Hospital (EG)
- Mansoura University (EG)
- Venue
- BMC Nephrology
- Published
- 2021-10-07
- Volume
- 22
- Issue
- 1
- Pages
- 334-334
- ISSN
- 1471-2369 (ISSN-L)
- PMC
- PMC8499489
- OpenAlex
- W3201880179
- Cited by
- 29
- References
- 0
- Citations by year
- 2026: 5 · 2025: 7 · 2024: 6 · 2023: 6 · 2022: 4 · 2021: 1
- FWCI
- 2.91
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- BMC Nephrology (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, other-oa)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Nephrology › Dialysis and Renal Disease Management
- Health Sciences › Medicine › Nephrology › Parathyroid Disorders and Treatments
- Health Sciences › Health Professions › Emergency Medical Services › Central Venous Catheters and Hemodialysis
- Keywords
- health-related quality of life, hemodialysis adequacy, chronic kidney disease, single-pool Kt/V, KDQOL-SF, role limitations, physical function, employment status, patient satisfaction
- MeSH terms
- Female, Renal Dialysis, Humans, Male, Middle Aged, Quality of Life, Renal Insufficiency, Chronic
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