Poor quality of life is associated with increased mortality in maintenance hemodialysis patients: A prospective cohort study

Despite all developments in hemodialysis (HD), the mortality rate is still apparently higher than that in the general population, and worse health-related quality of life (HRQOL) is associated with increased mortality. We prospectively investigated the mortality status of HD patients during a five-y...

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Main Authors: Ibrahim Guney, Huseyin Atalay, Yalcin Solak, Lutfullah Altintepe, H Zeki Tonbul, Suleyman Turk
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2012-01-01
Series:Saudi Journal of Kidney Diseases and Transplantation
Online Access:http://www.sjkdt.org/article.asp?issn=1319-2442;year=2012;volume=23;issue=3;spage=493;epage=499;aulast=Guney
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author Ibrahim Guney
Huseyin Atalay
Yalcin Solak
Lutfullah Altintepe
H Zeki Tonbul
Suleyman Turk
author_facet Ibrahim Guney
Huseyin Atalay
Yalcin Solak
Lutfullah Altintepe
H Zeki Tonbul
Suleyman Turk
author_sort Ibrahim Guney
collection DOAJ
description Despite all developments in hemodialysis (HD), the mortality rate is still apparently higher than that in the general population, and worse health-related quality of life (HRQOL) is associated with increased mortality. We prospectively investigated the mortality status of HD patients during a five-year period and the association between mortality, HRQOL, laboratory parameters and clinical and sociodemographic characteristics at baseline. At the end of the five years, 293 patients out of 420 patients were still on HD treatment and 127 patients died. Those who died had a higher mean age, lower mean values of serum creatinine and albumin, higher prevalence of diabetes mellitus, received more HD twice weekly for less than 4 h in almost all HD sessions and had lower HRQOL than the survivors. We conclude that age, comorbidity, HD sessions lasting less than 4 h, malnutrition [hypoalbuminemia, low body mass index (BMI)] and lower physical component scores of SF-36 survey (PCS) were associated with higher risk of death in the HD population.
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spelling doaj.art-34747bb466a54603ac39343391c910282022-12-22T02:52:18ZengWolters Kluwer Medknow PublicationsSaudi Journal of Kidney Diseases and Transplantation1319-24422012-01-0123349349910.4103/1319-2442.95764Poor quality of life is associated with increased mortality in maintenance hemodialysis patients: A prospective cohort studyIbrahim GuneyHuseyin AtalayYalcin SolakLutfullah AltintepeH Zeki TonbulSuleyman TurkDespite all developments in hemodialysis (HD), the mortality rate is still apparently higher than that in the general population, and worse health-related quality of life (HRQOL) is associated with increased mortality. We prospectively investigated the mortality status of HD patients during a five-year period and the association between mortality, HRQOL, laboratory parameters and clinical and sociodemographic characteristics at baseline. At the end of the five years, 293 patients out of 420 patients were still on HD treatment and 127 patients died. Those who died had a higher mean age, lower mean values of serum creatinine and albumin, higher prevalence of diabetes mellitus, received more HD twice weekly for less than 4 h in almost all HD sessions and had lower HRQOL than the survivors. We conclude that age, comorbidity, HD sessions lasting less than 4 h, malnutrition [hypoalbuminemia, low body mass index (BMI)] and lower physical component scores of SF-36 survey (PCS) were associated with higher risk of death in the HD population.http://www.sjkdt.org/article.asp?issn=1319-2442;year=2012;volume=23;issue=3;spage=493;epage=499;aulast=Guney
spellingShingle Ibrahim Guney
Huseyin Atalay
Yalcin Solak
Lutfullah Altintepe
H Zeki Tonbul
Suleyman Turk
Poor quality of life is associated with increased mortality in maintenance hemodialysis patients: A prospective cohort study
Saudi Journal of Kidney Diseases and Transplantation
title Poor quality of life is associated with increased mortality in maintenance hemodialysis patients: A prospective cohort study
title_full Poor quality of life is associated with increased mortality in maintenance hemodialysis patients: A prospective cohort study
title_fullStr Poor quality of life is associated with increased mortality in maintenance hemodialysis patients: A prospective cohort study
title_full_unstemmed Poor quality of life is associated with increased mortality in maintenance hemodialysis patients: A prospective cohort study
title_short Poor quality of life is associated with increased mortality in maintenance hemodialysis patients: A prospective cohort study
title_sort poor quality of life is associated with increased mortality in maintenance hemodialysis patients a prospective cohort study
url http://www.sjkdt.org/article.asp?issn=1319-2442;year=2012;volume=23;issue=3;spage=493;epage=499;aulast=Guney
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AT huseyinatalay poorqualityoflifeisassociatedwithincreasedmortalityinmaintenancehemodialysispatientsaprospectivecohortstudy
AT yalcinsolak poorqualityoflifeisassociatedwithincreasedmortalityinmaintenancehemodialysispatientsaprospectivecohortstudy
AT lutfullahaltintepe poorqualityoflifeisassociatedwithincreasedmortalityinmaintenancehemodialysispatientsaprospectivecohortstudy
AT hzekitonbul poorqualityoflifeisassociatedwithincreasedmortalityinmaintenancehemodialysispatientsaprospectivecohortstudy
AT suleymanturk poorqualityoflifeisassociatedwithincreasedmortalityinmaintenancehemodialysispatientsaprospectivecohortstudy