Predictors of quality of life among patients on dialysis in southern Brazil
CONTEXT AND OBJECTIVE: Quality of life (QoL) is considered important as an outcome measurement, especially for long-term diseases such as chronic renal failure. The present study searched for predictors of QoL in a sample of patients undergoing dialysis in southern Brazil. DESIGN AND SETTING: This w...
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Format: | Article |
Language: | English |
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Associação Paulista de Medicina
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Series: | São Paulo Medical Journal |
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Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802008000500002&lng=en&tlng=en |
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author | Maristela Bohlke Diego Leite Nunes Stela Scaglioni Marini Cleison Kitamura Marcia Andrade Maria Paula Ost Von-Gysel |
author_facet | Maristela Bohlke Diego Leite Nunes Stela Scaglioni Marini Cleison Kitamura Marcia Andrade Maria Paula Ost Von-Gysel |
author_sort | Maristela Bohlke |
collection | DOAJ |
description | CONTEXT AND OBJECTIVE: Quality of life (QoL) is considered important as an outcome measurement, especially for long-term diseases such as chronic renal failure. The present study searched for predictors of QoL in a sample of patients undergoing dialysis in southern Brazil. DESIGN AND SETTING: This was a cross-sectional study developed in three southern Brazilian dialysis facilities. METHODS: Health-related QoL of patients on hemodialysis or peritoneal dialysis was measured using the generic Short Form-36 (SF-36) health survey questionnaire. The results were correlated with sociodemographic, clinical and laboratory variables. The analysis was adjusted through multiple linear regression. RESULTS: A total of 140 patients were assessed: 94 on hemodialysis and 46 on peritoneal dialysis. The mean age was 54.2 ± 15.4 years, 48% were men and 76% were white. The predictors of higher (better) physical component summary in SF-36 were: younger age (β-0.16; 95% confidence interval, CI: -0.27 to -0.05), shorter time on dialysis (β-0.06; 95% CI: -0.09 to -0.02) and lower Khan comorbidity-age index (β 5.16; 95% CI: 1.7-8.6). The predictors of higher mental component summary were: being employed (β 8.4; 95% CI: 1.7-15.1), being married or having a marriage-like relationship (β 4.56; 95% CI: 0.9-8.2), being on peritoneal dialysis (β 4.9; 95% CI: 0.9-8.8) and not having high blood pressure (β 3.9; 95% CI: 0.3-7.6). CONCLUSIONS: Age, comorbidity and length of time on dialysis were the main predictors of physical QoL, whereas socioeconomic issues especially determined mental QoL. |
first_indexed | 2024-12-11T22:12:06Z |
format | Article |
id | doaj.art-8265ed9621c9485cb9eab0d0645a2244 |
institution | Directory Open Access Journal |
issn | 1806-9460 |
language | English |
last_indexed | 2024-12-11T22:12:06Z |
publisher | Associação Paulista de Medicina |
record_format | Article |
series | São Paulo Medical Journal |
spelling | doaj.art-8265ed9621c9485cb9eab0d0645a22442022-12-22T00:48:44ZengAssociação Paulista de MedicinaSão Paulo Medical Journal1806-9460126525225610.1590/S1516-31802008000500002S1516-31802008000500002Predictors of quality of life among patients on dialysis in southern BrazilMaristela Bohlke0Diego Leite Nunes1Stela Scaglioni Marini2Cleison Kitamura3Marcia Andrade4Maria Paula Ost Von-Gysel5Universidade Católica de PelotasUniversidade Católica de PelotasUniversidade Católica de PelotasUniversidade Católica de PelotasUniversidade Católica de PelotasUniversidade Católica de PelotasCONTEXT AND OBJECTIVE: Quality of life (QoL) is considered important as an outcome measurement, especially for long-term diseases such as chronic renal failure. The present study searched for predictors of QoL in a sample of patients undergoing dialysis in southern Brazil. DESIGN AND SETTING: This was a cross-sectional study developed in three southern Brazilian dialysis facilities. METHODS: Health-related QoL of patients on hemodialysis or peritoneal dialysis was measured using the generic Short Form-36 (SF-36) health survey questionnaire. The results were correlated with sociodemographic, clinical and laboratory variables. The analysis was adjusted through multiple linear regression. RESULTS: A total of 140 patients were assessed: 94 on hemodialysis and 46 on peritoneal dialysis. The mean age was 54.2 ± 15.4 years, 48% were men and 76% were white. The predictors of higher (better) physical component summary in SF-36 were: younger age (β-0.16; 95% confidence interval, CI: -0.27 to -0.05), shorter time on dialysis (β-0.06; 95% CI: -0.09 to -0.02) and lower Khan comorbidity-age index (β 5.16; 95% CI: 1.7-8.6). The predictors of higher mental component summary were: being employed (β 8.4; 95% CI: 1.7-15.1), being married or having a marriage-like relationship (β 4.56; 95% CI: 0.9-8.2), being on peritoneal dialysis (β 4.9; 95% CI: 0.9-8.8) and not having high blood pressure (β 3.9; 95% CI: 0.3-7.6). CONCLUSIONS: Age, comorbidity and length of time on dialysis were the main predictors of physical QoL, whereas socioeconomic issues especially determined mental QoL.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802008000500002&lng=en&tlng=enQuality of lifeEpidemiologic factorsEnd-stage renal diseaseDialysisRisk |
spellingShingle | Maristela Bohlke Diego Leite Nunes Stela Scaglioni Marini Cleison Kitamura Marcia Andrade Maria Paula Ost Von-Gysel Predictors of quality of life among patients on dialysis in southern Brazil São Paulo Medical Journal Quality of life Epidemiologic factors End-stage renal disease Dialysis Risk |
title | Predictors of quality of life among patients on dialysis in southern Brazil |
title_full | Predictors of quality of life among patients on dialysis in southern Brazil |
title_fullStr | Predictors of quality of life among patients on dialysis in southern Brazil |
title_full_unstemmed | Predictors of quality of life among patients on dialysis in southern Brazil |
title_short | Predictors of quality of life among patients on dialysis in southern Brazil |
title_sort | predictors of quality of life among patients on dialysis in southern brazil |
topic | Quality of life Epidemiologic factors End-stage renal disease Dialysis Risk |
url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802008000500002&lng=en&tlng=en |
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