Quality of life in adolescents with chronic kidney disease who initiate haemodialysis treatment

Abstract Background To describe the quality of life of adolescents initiating haemodialysis, to determine the factors associated with quality of life, and to assess coping strategies and their impact on quality of life. Methods All adolescents initiating haemodialysis between September 2013 and July...

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Main Authors: Stéphanie Clavé, Michel Tsimaratos, Mohamed Boucekine, Bruno Ranchin, Rémi Salomon, Olivier Dunand, Arnaud Garnier, Annie Lahoche, Marc Fila, Gwenaelle Roussey, Francoise Broux, Jérome Harambat, Sylvie Cloarec, Soraya Menouer, Georges Deschenes, Isabelle Vrillon, Pascal Auquier, Julie Berbis
Format: Article
Language:English
Published: BMC 2019-05-01
Series:BMC Nephrology
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12882-019-1365-3
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author Stéphanie Clavé
Michel Tsimaratos
Mohamed Boucekine
Bruno Ranchin
Rémi Salomon
Olivier Dunand
Arnaud Garnier
Annie Lahoche
Marc Fila
Gwenaelle Roussey
Francoise Broux
Jérome Harambat
Sylvie Cloarec
Soraya Menouer
Georges Deschenes
Isabelle Vrillon
Pascal Auquier
Julie Berbis
author_facet Stéphanie Clavé
Michel Tsimaratos
Mohamed Boucekine
Bruno Ranchin
Rémi Salomon
Olivier Dunand
Arnaud Garnier
Annie Lahoche
Marc Fila
Gwenaelle Roussey
Francoise Broux
Jérome Harambat
Sylvie Cloarec
Soraya Menouer
Georges Deschenes
Isabelle Vrillon
Pascal Auquier
Julie Berbis
author_sort Stéphanie Clavé
collection DOAJ
description Abstract Background To describe the quality of life of adolescents initiating haemodialysis, to determine the factors associated with quality of life, and to assess coping strategies and their impact on quality of life. Methods All adolescents initiating haemodialysis between September 2013 and July 2015 in French paediatric haemodialysis centres were included. Quality of life data were collected using the “Vécu et Santé Perçue de l’Adolescent et l’Enfant” questionnaire, and coping data were collected using the Kidcope questionnaire. Adolescent’s quality of life was compared with age- and sex-matched French control. Results Thirty-two adolescents were included. Their mean age was 13.9 ± 2.0 years. The quality of life score was lowest in leisure activities and highest in relationships with medical staff. Compared with the French control, index, energy-vitality, relationships with friends, leisure activities and physical well-being scores were significantly lower in haemodialysis population. In multivariate analyses, active coping was positively associated with quality of life and especially with energy-vitality, relationships with parents and teachers, and school performance. In contrast, avoidant and negative coping were negatively associated with energy-vitality, psychological well-being and body image for avoidant coping, and body image and relationships with medical staff for negative coping. Conclusions The quality of life of haemodialysis adolescents, and mainly the dimensions of leisure activities, physical well-being, relationships with friends and energy-vitality, were significantly altered compared to that of the French population. The impact of coping strategies on quality of life seems to be important. Given the importance of quality of life and coping strategies in adolescents with chronic disease, health care professionals should integrate these aspects into care management.
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spelling doaj.art-a8cbb216e45a4bf1b6db584d35e9aa262022-12-21T20:31:22ZengBMCBMC Nephrology1471-23692019-05-0120111010.1186/s12882-019-1365-3Quality of life in adolescents with chronic kidney disease who initiate haemodialysis treatmentStéphanie Clavé0Michel Tsimaratos1Mohamed Boucekine2Bruno Ranchin3Rémi Salomon4Olivier Dunand5Arnaud Garnier6Annie Lahoche7Marc Fila8Gwenaelle Roussey9Francoise Broux10Jérome Harambat11Sylvie Cloarec12Soraya Menouer13Georges Deschenes14Isabelle Vrillon15Pascal Auquier16Julie Berbis17Department of Multidisciplinary Pediatrics, Hôpital de la Timone Enfant, Assistance Publique des Hôpitaux de MarseilleDepartment of Multidisciplinary Pediatrics, Hôpital de la Timone Enfant, Assistance Publique des Hôpitaux de MarseilleAix-Marseille Univ, School of medicine - La Timone Medical Campus, EA 3279: - CEReSS Health Service Research and Quality of Life CenterDepartment of Pediatric Nephrology, Hôpital Femme Mere Enfant, Hospices Civils de LyonDepartment of Pediatric Nephrology, Assistance Publique des Hôpitaux de Paris, University Hospital Necker-Enfants MaladesDepartment of Pediatrics, Hôpital Félix Guyon, University Hospital La RéunionDepartment of Pediatric Nephrology, Children Hospital ToulouseDepartment of Pediatric Nephrology, Jeanne de Flandre Hospital, University Hospital of LilleDepartment of Pediatric Nephrology, hôpital Arnaud-de-Villeneuve, University Hospital of MontpellierDepartment of Pediatrics, University Hospital of NantesDepartment of Pediatrics, Pediatric Nephrology and Hemodialysis Unit, University Hospital Charles NicolleDepartment of Pediatrics, Hôpital Pellegrin-Enfants, University Hospital of BordeauxDepartment of Pediatric Nephrology and Hemodialysis, Clocheville Hospital, University Hospital of ToursDepartment of Pediatrics 1, University Hospital of Strasbourg, Hôpital de HautepierreDepartment of Pediatric Nephrology, Assistance publique des Hôpitaux de Paris, University Hospital Robert DebréDepartment of Pediatric Nephrology, Hôpital d’Enfants BraboisAix-Marseille Univ, School of medicine - La Timone Medical Campus, EA 3279: - CEReSS Health Service Research and Quality of Life CenterAix-Marseille Univ, School of medicine - La Timone Medical Campus, EA 3279: - CEReSS Health Service Research and Quality of Life CenterAbstract Background To describe the quality of life of adolescents initiating haemodialysis, to determine the factors associated with quality of life, and to assess coping strategies and their impact on quality of life. Methods All adolescents initiating haemodialysis between September 2013 and July 2015 in French paediatric haemodialysis centres were included. Quality of life data were collected using the “Vécu et Santé Perçue de l’Adolescent et l’Enfant” questionnaire, and coping data were collected using the Kidcope questionnaire. Adolescent’s quality of life was compared with age- and sex-matched French control. Results Thirty-two adolescents were included. Their mean age was 13.9 ± 2.0 years. The quality of life score was lowest in leisure activities and highest in relationships with medical staff. Compared with the French control, index, energy-vitality, relationships with friends, leisure activities and physical well-being scores were significantly lower in haemodialysis population. In multivariate analyses, active coping was positively associated with quality of life and especially with energy-vitality, relationships with parents and teachers, and school performance. In contrast, avoidant and negative coping were negatively associated with energy-vitality, psychological well-being and body image for avoidant coping, and body image and relationships with medical staff for negative coping. Conclusions The quality of life of haemodialysis adolescents, and mainly the dimensions of leisure activities, physical well-being, relationships with friends and energy-vitality, were significantly altered compared to that of the French population. The impact of coping strategies on quality of life seems to be important. Given the importance of quality of life and coping strategies in adolescents with chronic disease, health care professionals should integrate these aspects into care management.http://link.springer.com/article/10.1186/s12882-019-1365-3End-stage renal diseaseAdolescentsInitiating haemodialysisQuality of lifeCoping strategiesBayesian models
spellingShingle Stéphanie Clavé
Michel Tsimaratos
Mohamed Boucekine
Bruno Ranchin
Rémi Salomon
Olivier Dunand
Arnaud Garnier
Annie Lahoche
Marc Fila
Gwenaelle Roussey
Francoise Broux
Jérome Harambat
Sylvie Cloarec
Soraya Menouer
Georges Deschenes
Isabelle Vrillon
Pascal Auquier
Julie Berbis
Quality of life in adolescents with chronic kidney disease who initiate haemodialysis treatment
BMC Nephrology
End-stage renal disease
Adolescents
Initiating haemodialysis
Quality of life
Coping strategies
Bayesian models
title Quality of life in adolescents with chronic kidney disease who initiate haemodialysis treatment
title_full Quality of life in adolescents with chronic kidney disease who initiate haemodialysis treatment
title_fullStr Quality of life in adolescents with chronic kidney disease who initiate haemodialysis treatment
title_full_unstemmed Quality of life in adolescents with chronic kidney disease who initiate haemodialysis treatment
title_short Quality of life in adolescents with chronic kidney disease who initiate haemodialysis treatment
title_sort quality of life in adolescents with chronic kidney disease who initiate haemodialysis treatment
topic End-stage renal disease
Adolescents
Initiating haemodialysis
Quality of life
Coping strategies
Bayesian models
url http://link.springer.com/article/10.1186/s12882-019-1365-3
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