ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2016
Change in quality of life and one-year mortality risk in maintenance dialysis patients.
Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- Influence of Social Support and Quality of Life on Mortality Among Patients Undergoing Hemodialysis.The journal of nursing research : JNR · 2026Article
- Health-related quality of life in nondialysis CKD patients: a comprehensive description of five-year trajectories among the CKD-REIN cohort.BMC nephrology · 2026Article
- Interaction between anxiety, depression, and low resilience predicts poor prognosis in patients with chronic kidney disease.World journal of psychiatry · 2025Article
- Measuring the perceived wellbeing of hemodialysis patients: A Mind Genomics cartography.PloS one · 2024Article
- Patient-focused outcomes after initiation of dialysis for ESRD: mortality, hospitalization and functional impairment.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2023Observational
- Impact of frequent intradialytic hypotension on quality of life in patients undergoing hemodialysis.BMC nephrology · 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
- Health-related quality of life and long-term mortality in young and middle-aged hemodialysis patients.International urology and nephrology · 2021Observational
- Physical performance and health-related quality of life among older adults on peritoneal dialysis: a cross-sectional study.International urology and nephrology · 2021Article
- Association between health-related hope and adherence to prescribed treatment in CKD patients: multicenter cross-sectional study.BMC nephrology · 2020Article
- Religion, Spirituality, and Risk of End-Stage Kidney Disease Among Adults of Low Socioeconomic Status in the Southeastern United States.Journal of health care for the poor and underserved · 2020Article
- A population-based measure of chronic disease severity for health planning and evaluation in the United States.AIMS public health · 2020Article
- Integrating a Medical Home in an Outpatient Dialysis Setting: Effects on Health-Related Quality of Life.Journal of general internal medicine · 2019Article
- Treating symptoms to improve the quality of life in patients on chronic hemodialysis.International urology and nephrology · 2019Article
- Health-Related Quality of Life of Economically Disadvantaged African American Older Adults: Age and Gender Differences.International journal of environmental research and public health · 2019Article
- Article
- Implementing an arts-based intervention for patients with end-stage kidney disease whilst receiving haemodialysis: a feasibility study protocol.Pilot and feasibility studies · 2019Article
- Quality of Life-Repeated Measurements Are Needed In Dialysis Patients.Open access Macedonian journal of medical sciences · 2018Article
- A single question regarding mobility in the World Health Organization quality of life questionnaire predicts 3-year mortality in patients receiving chronic hemodialysis.Scientific reports · 2017Article
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3 authors.
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Abstract
backgroundQuality of life (QOL) is an important metric of high-quality dialysis care. QOL is commonly measured by the Short Form 36 Questionnaire (SF-36), which provides two summary scores: a mental component score (MCS) and a physical component score (PCS). Poor QOL is associated with mortality in dialysis patients. Small studies show that changes in QOL also predicts mortality. We investigated whether changes in QOL over time are associated with mortality in a large cohort of maintenance hemodialysis patients.
methodsThis retrospective study was conducted in 1017 outpatient dialysis facilities. Over 10,000 hemodialysis patients completed two SF-36 surveys. We compared 1-year morality rates in those whose MCS or PCS increased or decreased ±5 vs. those whose did not.
resultsFor those who completed two surveys, mean score for PCS was unchanged, whereas MCS increased slightly (48.6 vs. 48.9, p = 0.05). Individual patients, however, showed marked variation. On the second survey, more than half of patients demonstrated a ± 5 point change in the PCS and/or MCS. After multivariate adjustment, a ≥ 5 decrease in MCS was associated with an increase in mortality (HR = 1.33, 95 % CI 1.18, 1.50).
conclusionsClinicians should be aware that many patients experience a significant change in both the MCS and PCS on dialysis. A MCS decrease of ≥5 was associated with increased mortality. More study is needed to determine whether this is a causal relationship. Physicians should evaluate root causes and seek to mitigate declines in QOL whenever possible.
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