Elsevier

Transplantation Proceedings

Volume 39, Issue 10, December 2007, Pages 3047-3053
Transplantation Proceedings

Kidney transplantation
Candidate
Quality of Life in Hemodialysis, Peritoneal Dialysis, and Transplantation Patients

https://doi.org/10.1016/j.transproceed.2007.09.030Get rights and content

Abstract

Quality of life (QOL) has recently been explored as one of the main outcomes of renal replacement therapy. In this study, we sought to compare three groups of patients—hemodialysis, peritoneal dialysis, and transplantation—with regard to QOL.

Methods

Seventy-five hemodialysis, 41 peritoneal dialysis and 20 transplant patients were given Patient Information Form, Short Form Health Survey 36, Beck Depression Inventory, and State-Trait Anxiety Inventory.

Results

The QOL scores of the three groups were similar and lower than the normal Turkish population. Depression and anxiety levels had significant and negative effects on QOL of hemodialysis and peritoneal dialysis, but not transplant patients. In a multiple regression analysis, being male, being older than 46 years, living with family, having middle-higher income, having renal disease for a longer time, having a longer period of dialysis treatment, having comorbid illness, having not enough illness knowledge, and having higher levels of depression and of anxiety significantly correlated with a worse quality of life.

Conclusions

The three forms of renal replacement therapy did not differ with regard to QOL. Among the factors that seem to affect QOL, psychological status and treatment/illness knowledge had the most significant correlation. The underlying mechanisms need to be clarified.

Section snippets

Samples and Setting

This study was conducted in collaboration of Psychiatry and Nephrology Department of Gazi University Hospital, which is one of the three largest university hospitals in the capital city of Turkey during January 2004 to January 2007. Some of the data of this study was presented as a poster presentation at 40th National Psychiatry Congress of Turkey in 2004. The samples included three patient groups.

Results

Three patient groups showed similar sociodemographic features (Table 1). The mean age of the transplantation patients was significantly lower than the hemodialysis patients and peritoneal dialysis patients: 33.15 ± 10.61, 46.91 ± 15.77, 46.15 ± 15.29 years, respectively (P = .001). The three groups did not differ significantly with regard to the mean duration of renal disease: 80.38 ± 84.18 months for hemodialysis, 92.70 ± 96.78 months for peritoneal, 105.70 ± 71.97 months for transplant

Discussion

Although this study was performed in only one center, sociodemographic and clinical features and depression, anxiety, and QOL scores of our sample showed similar results with other Turkish centers.20, 21, 22 Overall, QOL scores of these patients were significantly lower than the normal Turkish population. Transplant recipients demonstrated the best QOL scores, and hemodialysis, the worst ones. However, contrary to our hypothesis, the three patient groups did not significantly differ with regard

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