ArticleClinical journal of the American Society of Nephrology : CJASN2011
Quality-of-life and mortality in hemodialysis patients: roles of race and nutritional status.
Article in Clinical journal of the American Society of Nephrology : CJASN, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01415570 (Malnutrition, Diet and Racial Disparities in Chronic Kidney Disease), which is not on this map. Cited by 56 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Malnutrition, Diet and Racial Disparities in Chronic Kidney Disease (CKD) - A Prospective Data Collection Study
Who cites it
56 citing papers in PubMed.
- Health-Related Social Needs Are Associated with Lower Self-Reported Quality of Life in Patients on Hemodialysis.Clinical journal of the American Society of Nephrology : CJASN · 2026Article
- Association of Conicity Index and Abdominal Volume Index with Handgrip Strength and Quality of Life in Hemodialysis Patients: Evidence from a Cross-Sectional Study.International journal of preventive medicine · 2026Article
- Assessment of nutritional status and quality of life among hemodialysis patients in Aswan.BMC nephrology · 2025Article
- Article
- Assessing pain levels and quality of life in peritoneal dialysis patients: a cross-sectional study.BMC nephrology · 2025Article
- Assessment of nutritional status and associated factors among hemodialysis patients in Isfahan, Iran.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2025Article
- The Surprise Question in Hemodialysis, Frailty, Nutrition, Patient-reported Quality of Life, and All-Cause Mortality: The Osaka Dialysis Complication Study (ODCS).Kidney medicine · 2024Article
- Health-Related Quality of Life Scores and Values as Predictors of Mortality: A Scoping Review.Journal of general internal medicine · 2023Article
- Impact of frequent intradialytic hypotension on quality of life in patients undergoing hemodialysis.BMC nephrology · 2023Article
- Association of Hyperkalemia and Hypokalemia with Patient Characteristics and Clinical Outcomes in Japanese Hemodialysis (HD) Patients.Journal of clinical medicine · 2023Article
- Vitamin D level, pain severity and quality of life among hemodialysis patients: a cross-sectional study.Scientific reports · 2023Article
- The impact of quality of life measured by WHOQOL-BREF on mortality in maintenance hemodialysis patients: a single center retrospective cross-sectional study.Journal of Yeungnam medical science · 2023Article
- Nutritional status, symptom burden, and predictive validity of the Pt-Global web tool/PG-SGA in CKD patients: A hospital based cross sectional study.PLOS global public health · 2023Article
- Assessment of the Nutritional Status and Quality of Life in Chronic Kidney Disease and Kidney Transplant Patients: A Comparative Analysis.Nutrients · 2022Article
- Is malnutrition a determining factor of health-related quality of life in hemodialysis patients? A cross-sectional design examining relationships with a comprehensive assessment of nutritional status.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022Article
- Health-related quality of life and long-term mortality in young and middle-aged hemodialysis patients.International urology and nephrology · 2021Observational
- Health-related quality of life associated with risk of death in Brazilian dialysis patients: an eight-year cohort.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021Observational
- Examining the relationship between nutrition, quality of life, and depression in hemodialysis patients.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021Article
- Impact of health-related quality of life on survival after dialysis initiation: a prospective cohort study in Korea.Kidney research and clinical practice · 2020Article
- Hemodialysis-Nutritional Flaws in Diagnosis and Prescriptions. Could Amino Acid Losses be the Sharpest "Sword of Damocles"?Nutrients · 2020Review
Corrections and comments
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Authors and funding
11 authors.
Funding
Abstract
BACKGROUND AND
objectivesMaintenance hemodialysis (MHD) patients often have protein-energy wasting, poor health-related quality of life (QoL), and high premature death rates, whereas African-American MHD patients have greater survival than non-African-American patients. We hypothesized that poor QoL scores and their nutritional correlates have a bearing on racial survival disparities of MHD patients. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: We examined associations between baseline self-administered SF36 questionnaire-derived QoL scores with nutritional markers by multivariate linear regression and with survival by Cox models and cubic splines in the 6-year cohort of 705 MHD patients, including 223 African Americans.
resultsWorse SF36 mental and physical health scores were associated with lower serum albumin and creatinine levels but higher total body fat percentage. Spline analyses confirmed mortality predictability of worse QoL, with an almost strictly linear association for mental health score in African Americans, although the race-QoL interaction was not statistically significant. In fully adjusted analyses, the mental health score showed a more robust and linear association with mortality than the physical health score in all MHD patients and both races: death hazard ratios for (95% confidence interval) each 10 unit lower mental health score were 1.12 (1.05-1.19) and 1.10 (1.03-1.18) for all and African American patients, respectively.
conclusionsMHD patients with higher percentage body fat or lower serum albumin or creatinine concentration perceive a poorer QoL. Poor mental health in all and poor physical health in non-African American patients correlate with mortality. Improving QoL by interventions that can improve the nutritional status without increasing body fat warrants clinical trials.
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