ASN's Mission

ASN leads the fight to prevent, treat, and cure kidney diseases throughout the world by educating health professionals and scientists, advancing research and innovation, communicating new knowledge, and advocating for the highest quality care for patients.

learn more

Contact ASN

1401 H St, NW, Ste 900, Washington, DC 20005

email@asn-online.org

202-640-4660

The Latest on Twitter

Kidney Week

Abstract: SA-PO786

Quality of Sexual Life in ESRD Patients

Session Information

Category: Dialysis

  • 601 Standard Hemodialysis for ESRD

Authors

  • 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
Background

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.

Methods

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.

Results

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%.

Conclusion

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.

Funding

  • Commercial Support