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. 2013 Sep;5(4):901-12.
doi: 10.5812/numonthly.12485. Epub 2013 Aug 18.

Health-related quality of life in hemodialysis patients: an Iranian multi-center study

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Health-related quality of life in hemodialysis patients: an Iranian multi-center study

Zohreh Rostami et al. Nephrourol Mon. 2013 Sep.

Abstract

Background: The effectiveness of health care and health policy developments are often determined by health-related quality of life (HRQOL) assessment.

Objectives: The objective of this study was to explore the potential corresponding factors and traditional biomarkers of HRQOL in a large number of Iranian hemodialysis patients.

Patients and methods: A total of 6,930 chronic hemodialysis (HD) patients enrolled. KDCS-SF version 1.3 questionnaire was used to assess the health related quality of life (HRQOL). We pooled PCS, MCS and KDCS scores with random effect model from 19 similar studies performed between 1996 and 2010.

Results: The mean age was 54.4 ± 17.1 years. Mean PCS, MCS and KDCS scores obtained for the study cohort were 40.79 ± 20.10, 47.79 ± 18.31 and 57.97 ± 11.70, respectively; the total score of SF-36 plus KDCS was 51.12 ± 13.41 as well. The most common primary known disease was hypertension (31.9%) and the second etiology was diabetes (25.5%). In multilevel logistic regression, Kt/V between 1 and 1.2 and PCS, KDCS more than 50 were considered as a significant reduction in the risk of hospitalization.

Conclusions: This study showed that PCS and MCS score were slightly more than overall results while KDCS was slightly less than overall results. In addition, dialysis adequacy with Kt/V between 1 and 1.2 is associated with lower rate of hospitalization.

Keywords: Kidney Diseases; Mental Status Schedule; Quality of Life; Renal Dialysis.

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Figures

Figure 1.
Figure 1.. Overall Mean Age of Pooled Data
Figure 2.
Figure 2.. Overall Mean PCS Score From Pooled Data
Overall Mean PCS Score From Pooled Data
Figure 3 .
Figure 3 .. Overall Mean MCS Score From Pooled Data
Figure 4.
Figure 4.. Overall Mean KDCS Score From Data

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