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Kidney Week

Abstract: PO0848

Objective Evaluation of Quality-of-Life Assessment as Predictors of Overall Health in Hemodialysis Patients in KSA

Session Information

Category: Dialysis

  • 701 Dialysis: Hemodialysis and Frequent Dialysis

Authors

  • Dridi, Afef, DaVita KSA, Riyadh, Saudi Arabia
  • Halawani, Laila, DaVita KSA, Riyadh, Saudi Arabia
  • Sabri, Ayman, DaVita KSA, Riyadh, Saudi Arabia
Background

Dialysis effect on a patient's quality of life (QoL) is associated with death in regular hemodialysis (HD) patients and is a marker of wellbeing. In addition to clincal outcome measures QoL is influenced by socioeconomic status and education. Our aim was to explore the QoL in HD patients in population of prevalent HD patients in KSA.

Methods

The study consisted of 1032 patients undergoing HD in 17 centers. Data were collected by the completion of a specially designed questionnaire The Kidney Disease Quality of Life-Short Form (KDQOL-SF™) Arabic version 1.3 for assessing QoL.

Results


The study included 1032 patients (527 [51%] males and 505 [49%] females) with mean age 54.1 (±16.6) years and undergoing HD for 57.9 (±65.3) months. Multiple logistic regression analysis was done to identify parameters that independently associated with QoL.
Lowest score was for the “burden of kidney disease” 33.1 (±23.4). Both “Physical Health Composite” (PHC) and “Mental health composite” (MHC) scores were poor as well, 36.5 (±8.7) and 42.0 (±8.7) respectively. “Patient satisfaction” and “Dialysis staff encouragement” scores were relatively higher 71.5 (±22.7) and 84.4 (±18.8) respectively.
Age, duration of HD, cardiac comorbidity and abnormal phosphorus level were significant negative predictors for “overall health” scores while education and home medications’ count were significant negative predictors for that domain. Abnormal phosphorus level and longer durations on HD treatment were significant negative predictors for “overall health”, “MHC”, “Burden of kidney disease” and perceived “Dialysis staff encouragement” scores. Age, female gender and hypoalbuminemia were significant negative predictors of “PHC” sores. Controlling serum phosphorus level and albumin might predict better QoL.

Conclusion

Misconceptions about QoL still represent a substantial barrier among HD patients. Most are educated about fundamental clinical outcomes after initiation of dialysis. In our study, Patients on hemodialysis have a poor QoL score. Different sociodemographic and clinical characteristics affect scores. Initiatives to promote and improve onboarding dialysis education and knowledge about QoL are needed to improve the low QoL in Saudi Arabia. Such patients may benefit from efforts on the part of the health care provider to support patient QoL as part of the monthly care plan.