Abstract: FR-PO665
Quality of Life and Emotional Distress Changes Between Peritoneal Dialysis Patients Versus Hemodialysis Patients and Their Families
Session Information
- Dialysis: Peritoneal Dialysis - II
October 26, 2018 | Location: Exhibit Hall, San Diego Convention Center
Abstract Time: 10:00 AM - 12:00 PM
Category: Dialysis
- 703 Dialysis: Peritoneal Dialysis
Authors
- Hiramatsu, Takeyuki, Konan Kosei Hospital, Konan Aichi, Japan
- Okumura, Shota, Konan Kosei Hospital, Konan Aichi, Japan
- Asano, Yuko, Konan Kosei Hospital, Konan Aichi, Japan
- Mabuchi, Masatsuna, Konan Kosei Hospital, Konan Aichi, Japan
- Suzuki, Katsuhiko, Konan Kosei Hospital, Konan Aichi, Japan
- Iguchi, Daiki, Konan Kosei Hospital, Konan Aichi, Japan
- Furuta, Shinji, Konan Kosei Hospital, Konan Aichi, Japan
Background
In Japan, hemodialysis (HD) is the most popular modality for the end stage renal disease (ESRD) patients. While, the number of peritoneal dialysis (PD) patients accounts for 2.8%. We investigated the reason of low PD penetration through the prospective assessment of quality of life(QOL) and emotional distress(ED) of patients and their families.
Methods
Fifty one incident patients (31 PD, 20 HD) were recruited. The SF-36 and CES-D were assessed in all patients and their families at the start of dialysis and every year for 2 years.
Results
The background characteristic was similar between two groups. The CES-D in PD was not changed, but was significantly increased in HD at 2 years. As for families, the CES-D results showed the same trend as patient’s. Summary of physical components and role of social components (RS) in SF-36 at 2 years in PD but not in HD revealed significant improvement,. The summary of mental components (MC) were not changed in both groups. But MC in PD were significantly higher than that in HD at 2 years. The summary of RS was significantly improved at 2 years in PD and retained higher than that in HD. In the family’s test, all SF-36 scores were not changed in PD, but MC was decreased in HD, followed significant lower at 2 years than in PD.
Conclusion
In this study, PD provided better QOL and ED due to preservation of residual renal function and lesser hospital visiting. However, HD is more prevalent in Japan instead of burdening the families. It might be considered that most Japanese tend to or depend on others and select HD modality. Moreover, ESRD patients were not well educated according to PD. Finally, it is important to inform patients of PD where PD provides better QOL and better effect on emotional change.
table 1: QOL and ED change
| PD (n=31) | HD (n=20) | ||||||
| at baseline | after 12 months | after 24 months | at baseline | after 12 months | after 24 months | ||
| Patient | CES-D | 11.9 ± 6.8 | 12.6 ± 7.5 | 13.8 ± 9.3 | 13.8 ± 9.3 | 13.4 ± 4.5 | 16.4 ± 6.2＊ |
| Physical component summary | 38.2 ± 15.0 | 43.5 ± 13.0 | 45.8 ± 10.6＊ | 32.1 ± 9.8 | 31.6 ± 12.9 | 25.8 ± 14.6＊ ,† | |
| Mental component summary | 47.8 ± 8.8 | 49.1 ± 8.1 | 51.8 ± 8.1 | 51.6 ± 4.7 | 52.4 ± 8.9 | 50.8 ± 7.4 | |
| Role of social role component summary | 39.9 ± 13.0 | 43.3 ± 2.0 | 47.3 ± 10.5＊ | 39.3 ± 12.2 | 38.4 ± 10.1 | 36.1 ± 10.8 | |
| Family | CES-D | 8.6 ± 3.6 | 9.2 ± 3.2 | 8.8 ± 3.0 | 8.3 ± 2.2 | 8.6 ± 2.9 | 10.3 ± 3.2＊ |
| Physical component summary | 49.0 ± 9.7 | 50.5 ± 10.5 | 48.0 ± 10.2 | 58.1 ± 6.4 | 57.8 ± 5.0 | 58.2 ± 5.0 | |
| Mental component summary | 50.2 ± 9.3 | 54.6 ± 7.3 | 52.3 ± 6.3 † | 48.9 ± 9.9 | 49.5 ± 9.8 | 45.8 ± 11.3 | |
| Role of social role component summary | 44.6 ± 14.5 | 41.8 ± 13.7 | 42.7 ± 12.9 † | 51.2 ± 11.1 | 44.2 ± 12.5 | 39.0 ± 11.6＊ | |
＊: p<0.05 vs at baseline, †: P<0.05 vs group HD