Evidence map›Paper›PMID 37580140›Full record

ArticleNephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association2024

Health-related quality of life and symptom burden in patients on haemodialysis.

Mathijs van Oevelen, Anna A Bonenkamp, Anita van Eck van der Sluijs, Willem Jan W Bos, Caroline E Douma, Marjolijn van Buren, Yvette Meuleman, Friedo W Dekker, Brigit C van Jaarsveld, Alferso C Abrahams and 1 more

Registry-linked trialAbstract read
In one paragraph

Article in Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07186361 (Remote Symptom Assessment And Management Via Mobile App For Adults With Chronic Kidney Disease Living In Vietnam), which is not on this map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT07186361 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Remote Symptom Assessment And Management Via Mobile App For Adults With Chronic Kidney Disease Living In Vietnam

TypeinterventionalSponsorGriffith UniversityRan2025 to 2027Enrolled60ConditionsChronic Kidney DiseaseArmsSymptom Assessment and Management Program (SAM-CKD) which is delivered via Smart Kidney mobile app
3 · Its place in the literature

Who cites it

20 citing papers in PubMed.

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  9. Dual trajectories of capacity management behavior and quality of life in hemodialysis patients: a longitudinal study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Mathijs van OevelenDepartment of Internal Medicine, Leiden University Medical Center, Leiden, The Netherlands.ORCID 0000-0002-7459-9656
Anna A BonenkampDepartment of Internal Medicine, Jeroen Bosch Hospital, 's Hertogenbosch, The Netherlands.
Anita van Eck van der SluijsDepartment of Nephrology and Hypertension, University Medical Center Utrecht, Utrecht, The Netherlands.
Willem Jan W BosDepartment of Internal Medicine, Leiden University Medical Center, Leiden, The Netherlands.
Caroline E DoumaDepartment of Internal Medicine, Spaarne Gasthuis, Hoofddorp, The Netherlands.
Marjolijn van BurenDepartment of Internal Medicine, Leiden University Medical Center, Leiden, The Netherlands.
Yvette MeulemanDepartment of Clinical Epidemiology, Leiden University Medical Center, Leiden, The Netherlands.ORCID 0000-0002-9891-2109
Friedo W DekkerDepartment of Clinical Epidemiology, Leiden University Medical Center, Leiden, The Netherlands.
Brigit C van JaarsveldDepartment of Nephrology, Amsterdam Cardiovascular Sciences, Amsterdam University Medical Center, Amsterdam, The Netherlands.
Alferso C AbrahamsDepartment of Nephrology and Hypertension, University Medical Center Utrecht, Utrecht, The Netherlands.
DOMESTICO study group

Funding

AlnylamAstraZenecaBaxterBayerCablon MedicalCSL BehringDirincoDutch Kidney FoundationEurocept HomecareFresenius Medical Care DeutschlandNetherlands Organisation for Health Research and DevelopmentNovartis
6 · The paper itself

Abstract

backgroundPatients on haemodialysis (HD) generally experience poor health-related quality of life (HRQoL) and a broad range of physical and mental symptoms, but it is unknown whether this differs between younger and older patients. We aimed to describe the trajectories of HRQoL and symptom burden of patients <70 and ≥70 years old and to assess the impact of symptom burden on HRQoL.

methodsIn incident Dutch HD patients, HRQoL and symptoms were measured with the 12-item Short Form Health Survey and Dialysis Symptom Index. We used linear mixed models for examining the trajectories of HRQoL and symptom burden during the first year of dialysis and linear regression for the impact of symptom burden on HRQoL.

resultsIn 774 patients, the trajectories of physical HRQoL, mental HRQoL and symptom burden were stable during the first year of dialysis. Compared with patients <70 years of age, patients ≥70 years reported similar physical HRQoL {mean difference -0.61 [95% confidence interval (CI) -1.86-0.63]}, better mental HRQoL [1.77 (95% CI 0.54-3.01)] and lower symptom burden [-2.38 (95% CI -5.08-0.32)]. With increasing symptom burden, physical HRQoL declined more in older than in younger patients (β = -0.287 versus -0.189, respectively; P-value for interaction = .007). For mental HRQoL, this decrease was similar in both age groups (β = -0.295 versus -0.288, P = .847).

conclusionOlder HD patients generally experience a better mental HRQoL and a (non-statistically significant) lower symptom burden compared with younger patients. Their physical HRQoL declines more rapidly with increasing symptom burden.

Indexed as

Kidney Failure, ChronicRenal DialysisAgedHealth SurveysHumansQuality of LifeSymptom Burdenageingdialysisend-stage renal diseasekidney failurepatient-reported outcomes

Identifiers

PMID37580140
PMCPMC10899770

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.