Patient-reported outcome measures in hemodialysis patients: results of the first multicenter cross-sectional ePROMs study in France
Abstract Background Kidney failure with replacement therapy and hemodialysis are associated with a decrease in quality of life (QOL). Self-reported QOL symptoms are not always prioritized by the medical team, potentially leading to conflicting priorities with patients. Electronic patient-reported ou...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-10-01
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| Series: | BMC Nephrology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12882-021-02551-3 |
| _version_ | 1818938217691348992 |
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| author | Abdallah Guerraoui Mathilde Prezelin-Reydit Anne Kolko Marie Lino-Daniel Charlotte Dumas de Roque Pablo Urena Philippe Chauveau Catherine Lasseur Julie Haesebaert Agnes Caillette-Beaudoin |
| author_facet | Abdallah Guerraoui Mathilde Prezelin-Reydit Anne Kolko Marie Lino-Daniel Charlotte Dumas de Roque Pablo Urena Philippe Chauveau Catherine Lasseur Julie Haesebaert Agnes Caillette-Beaudoin |
| author_sort | Abdallah Guerraoui |
| collection | DOAJ |
| description | Abstract Background Kidney failure with replacement therapy and hemodialysis are associated with a decrease in quality of life (QOL). Self-reported QOL symptoms are not always prioritized by the medical team, potentially leading to conflicting priorities with patients. Electronic patient-reported outcome measures (ePROMs) allow physicians to better identify these symptoms. The objective was to describe the prevalence of symptoms self-reported by hemodialysis (HD) patients. Methods A multicenter cross-sectional study was conducted in three HD centers. Patients were included if they were 18 years old or over treated with HD for at least 3 months in a center. Data were collected by the patient via a self-administered ePROMs questionnaire. Data included patient characteristics, post-dialysis fatigue and intensity, recovery time after a session, perceived stress, impaired sleep the day before the dialysis session, current state of health and the change from the past year. A multivariate analysis was conducted to identify relations between symptoms. Results In total, we included 173 patients with a mean age of 66.2 years, a mean ± SD hemodialysis duration of 48.9 ± 58.02 months. The prevalence of fatigue was 72%. 66% had a high level of stress (level B or C). Recovery time was more than 6 h after a HD session for 25% of patients and 78% declared they had a better or unchanged health status than the previous year. Sleep disturbance was associated with cardiovascular comorbidities (OR 5.08 [95% CI, 1.56 to 16.59], p = 0.007). Conclusions Fatigue and stress were the main symptoms reported by HD patients. The patient’s care teams should better consider these symptoms. |
| first_indexed | 2024-12-20T06:04:21Z |
| format | Article |
| id | doaj.art-49dd0c4fbb0943e8a8c7d18548099d09 |
| institution | Directory Open Access Journal |
| issn | 1471-2369 |
| language | English |
| last_indexed | 2024-12-20T06:04:21Z |
| publishDate | 2021-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Nephrology |
| spelling | doaj.art-49dd0c4fbb0943e8a8c7d18548099d092022-12-21T19:50:51ZengBMCBMC Nephrology1471-23692021-10-012211810.1186/s12882-021-02551-3Patient-reported outcome measures in hemodialysis patients: results of the first multicenter cross-sectional ePROMs study in FranceAbdallah Guerraoui0Mathilde Prezelin-Reydit1Anne Kolko2Marie Lino-Daniel3Charlotte Dumas de Roque4Pablo Urena5Philippe Chauveau6Catherine Lasseur7Julie Haesebaert8Agnes Caillette-Beaudoin9Calydial Dialysis Department, Calydial, CH Vienne Lucien Hussel, Lucien Hussel HospitalAURAD-AquitaineAssociation pour l’Utilisation du Rein Artificiel en région Parisienne (AURA) ParisCalydial Dialysis Department, Calydial, CH Vienne Lucien Hussel, Lucien Hussel HospitalAURAD-AquitaineAssociation pour l’Utilisation du Rein Artificiel en région Parisienne (AURA) ParisAURAD-AquitaineAURAD-AquitaineUniversité Lyon, Université Claude Bernard Lyon 1, RESHAPE INSERM U1290Calydial Dialysis Department, Calydial, CH Vienne Lucien Hussel, Lucien Hussel HospitalAbstract Background Kidney failure with replacement therapy and hemodialysis are associated with a decrease in quality of life (QOL). Self-reported QOL symptoms are not always prioritized by the medical team, potentially leading to conflicting priorities with patients. Electronic patient-reported outcome measures (ePROMs) allow physicians to better identify these symptoms. The objective was to describe the prevalence of symptoms self-reported by hemodialysis (HD) patients. Methods A multicenter cross-sectional study was conducted in three HD centers. Patients were included if they were 18 years old or over treated with HD for at least 3 months in a center. Data were collected by the patient via a self-administered ePROMs questionnaire. Data included patient characteristics, post-dialysis fatigue and intensity, recovery time after a session, perceived stress, impaired sleep the day before the dialysis session, current state of health and the change from the past year. A multivariate analysis was conducted to identify relations between symptoms. Results In total, we included 173 patients with a mean age of 66.2 years, a mean ± SD hemodialysis duration of 48.9 ± 58.02 months. The prevalence of fatigue was 72%. 66% had a high level of stress (level B or C). Recovery time was more than 6 h after a HD session for 25% of patients and 78% declared they had a better or unchanged health status than the previous year. Sleep disturbance was associated with cardiovascular comorbidities (OR 5.08 [95% CI, 1.56 to 16.59], p = 0.007). Conclusions Fatigue and stress were the main symptoms reported by HD patients. The patient’s care teams should better consider these symptoms.https://doi.org/10.1186/s12882-021-02551-3Chronic kidney diseaseFatigueHemodialysisQuality of lifePatient reported outcomePROMs |
| spellingShingle | Abdallah Guerraoui Mathilde Prezelin-Reydit Anne Kolko Marie Lino-Daniel Charlotte Dumas de Roque Pablo Urena Philippe Chauveau Catherine Lasseur Julie Haesebaert Agnes Caillette-Beaudoin Patient-reported outcome measures in hemodialysis patients: results of the first multicenter cross-sectional ePROMs study in France BMC Nephrology Chronic kidney disease Fatigue Hemodialysis Quality of life Patient reported outcome PROMs |
| title | Patient-reported outcome measures in hemodialysis patients: results of the first multicenter cross-sectional ePROMs study in France |
| title_full | Patient-reported outcome measures in hemodialysis patients: results of the first multicenter cross-sectional ePROMs study in France |
| title_fullStr | Patient-reported outcome measures in hemodialysis patients: results of the first multicenter cross-sectional ePROMs study in France |
| title_full_unstemmed | Patient-reported outcome measures in hemodialysis patients: results of the first multicenter cross-sectional ePROMs study in France |
| title_short | Patient-reported outcome measures in hemodialysis patients: results of the first multicenter cross-sectional ePROMs study in France |
| title_sort | patient reported outcome measures in hemodialysis patients results of the first multicenter cross sectional eproms study in france |
| topic | Chronic kidney disease Fatigue Hemodialysis Quality of life Patient reported outcome PROMs |
| url | https://doi.org/10.1186/s12882-021-02551-3 |
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