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Abstract: SA-PO786

Quality of Sexual Life in ESRD Patients

Session Information

Category: Dialysis

  • 601 Standard Hemodialysis for ESRD


  • Li, Nien-Chen, Fresenius Medical Care, Waltham, Massachusetts, United States
  • Ofsthun, Norma J., Fresenius Medical Care North America, Waltham, Massachusetts, United States
  • Maddux, Franklin W., Fresenius Medical Care, Waltham, Massachusetts, United States
  • Eneanya, Nwamaka Denise, Massachusetts General Hospital, Boston, Massachusetts, United States

Sexual dysfunction is a highly prevalent problem for patients (pts) undergoing dialysis. This study investigated associations of QSL with quality of life (QOL) for different ESRD modalities.


In Jan14-Aug16, we administered KDQOL surveys to ascertain the effect of kidney disease on quality of sexual life (QSL) (scaled from “not at all bothered” to “extremely bothered”) among a national cohort of dialysis patients, The sample consisted of 184,986 prevalent pts aged 18-85. Logistic model was used to derive odds ratios (ORs) of bothered sexual life (SexL) for age, gender, race, marital status, dialysis modality (PD vs. HD), QOL (physical component summary [PCS] and mental component summary [MCS]). Since demographics were not matched between PD and HD pts, the model was weighted by propensity scores.


Mean age at survey was 60.8 (±14.0) yr; 57% males; 60% Whites; and 41% married. Pts aged 30-64 were most bothered in SexL with OR=1.32 (95% CL 1.23-1.41, p<.001) and 1.95 (1.90-1.99, p<.001) when compared to those aged 18-29 and 65-85, respectively. Males had 2.5X higher odds of having bothersome SexL than women (p<.001). Married pts were 60% more likely to have bothersome SexL than unmarried (p<.001). PD pts were 46% more likely to be bothered in SexL than HD pts (p<.001). For every 1 SD reduction in PCS and MCS, the odds of having bothered SexL increased by 39% and 72%.


We demonstrated that PD pts were more subject to lower QSL than HD pts. Lower QSL was associated with lower QOL physically and mentally. Male middle-aged, and married pts had the most bothersome QSL. Sexual educational programs and interventions should be developed to improve QSL for ESRD pts.


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