Evidence map›Paper›PMID 42389545›Full record

ArticleJournal of nutrition and metabolism2026

Determinants of Quality of Life Among Hemodialysis Patients: Roles of Associated Comorbidities, Smoking, Climate Change, and Residence.

Amany Gomaa Atia, Hani Jameel Hamad, Mohamed Ali Elsayed, Huda Badr Abd Elhamed, Hanaa Elsayed Elsayed Mohamed, Shimaa Galal El Sayed

Abstract read
In one paragraph

Article in Journal of nutrition and metabolism, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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

6 authors.

Amany Gomaa AtiaDepartment of Physical Therapy for Surgery, Faculty of Physical Therapy, Sinai University, Ismailia, Egypt, su.edu.eg.ORCID https://orcid.org/0009-0004-5573-3858
Hani Jameel HamadDepartment of Clinical Nutrition and Dietetics, Faculty of Allied Medical Sciences, Philadelphia University, Amman, 19392, Jordan, philau.edu.ORCID https://orcid.org/0000-0002-7308-0852
Mohamed Ali ElsayedDepartment of Physical Therapy, Faculty of Allied Medical Sciences, Philadelphia University, Amman, Jordan, philau.edu.ORCID https://orcid.org/0009-0006-4485-2282
Huda Badr Abd ElhamedDepartment of Musculoskeletal Disorders and Its Surgery, Faculty of Physical Therapy, Cairo University, Giza, Egypt, cu.edu.eg.ORCID https://orcid.org/0009-0005-7135-5321
Hanaa Elsayed Elsayed MohamedDepartment of Physical Therapy for Internal Medicine and Geriatrics, Innovation University, sharkia, Egypt.ORCID https://orcid.org/0009-0001-5784-2343
Shimaa Galal El SayedDepartment of Physical Therapy for Surgery, Faculty of Physical Therapy, Ahram Canadian University, Giza, Egypt, acu.edu.eg.ORCID https://orcid.org/0009-0004-8244-5157

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Problem considered: Hemodialysis patients with end-stage renal disease (ESRD) frequently experience impaired health-related quality of life (HRQoL) due to multifactorial influences, including comorbidities, environmental stressors, and lifestyle factors. Hence, this study aimed at evaluating the determinants of HRQoL of hemodialysis patients, with a focus on the roles of comorbidities, cigarette smoking, environmental exposure, and residential setting. Methods: A cross-sectional observational study of 84 adult (ranging in age from 18 to 65 years) patients undergoing maintenance hemodialysis was conducted at Hehia Hospital in Egypt for one year, extending from May 2024 to May 2025. The study sample consisted predominantly of middle-aged to older adults (mean age 55.33 ± 12 years), with a majority being male (64.3%), having primary education or less (46.4%), and residing in rural areas (83.3%). The HRQoL was assessed using the Kidney Disease Quality of Life Short Form (KDQOL-SF). Sociodemographic, clinical, and environmental data were collected. Univariate and multivariate regression analyses were conducted to identify significant predictors of the overall QoL of hemodialysis patients with ESRD. Results: Multivariate analysis revealed that educational attainment ( Conclusion: The HRQoL of hemodialysis patients is adversely affected by smoking, pain, stress, educational background, comorbid diseases, and climate exposure. These findings underscore the need for holistic, patient-centered interventions that incorporate smoking cessation, psychosocial support, and environmental adaptations to improve the well-being of this vulnerable population.

Indexed as

climate changeEgypthemodialysisquality of lifesmoking

Identifiers

PMID42389545
PMCPMC13320374

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Registered trials

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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.