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Abstract: PUB102

Predictors of Health-Related Quality of Life in Hemodialysis: A Systematic Ambulatory Report

Session Information

Category: Dialysis

  • 801 Dialysis: Hemodialysis and Frequent Dialysis

Authors

  • Hernández-Estrada, Sergio, Medica Santa Carmen, Ciudad de México, Mexico
  • Solis Vargas, Edgar, Medica Santa Carmen, Ciudad de México, Mexico
  • Ardavin Ituarte, Juan M., Medica Santa Carmen, Ciudad de México, Mexico
  • Pineirua, Alicia, Medica Santa Carmen, Ciudad de México, Mexico
  • Rosales, Carlos Iván, Medica Santa Carmen, Ciudad de México, Mexico
  • Rivas Sánchez, Luis Ángel, Medica Santa Carmen, Ciudad de México, Mexico
  • Torres, Luis Miguel, Medica Santa Carmen, Ciudad de México, Mexico
  • Vicencio Ronson, Franklin Augusto, Medica Santa Carmen, Ciudad de México, Mexico
  • Pablo Vázquez, Claudia, Medica Santa Carmen, Ciudad de México, Mexico
  • Grijalva, Perla L, Medica Santa Carmen, Ciudad de México, Mexico
  • Gonzalez-Toledo, Rafael, Medica Santa Carmen, Ciudad de México, Mexico

Group or Team Name

  • Médica Santa Carmen.
Background

Health-related quality of life (HRQoL) is a fundamental outcome in hemodialysis (HD) care, closely linked to patient morbidity and mortality. The Kidney Disease Quality of Life Short Form (KDQOL-SF v1.3) is a validated instrument that captures patient-reported outcome measures (PROMs), supporting personalized nephrology care.

Methods

We conducted a cross-sectional study in 405 prevalent HD patients from a Mexican kidney care network. Demographic, clinical, and biochemical data were collected along with KDQOL-SF v1.3 scores. Descriptive statistics and multiple linear regression analyses were performed.

Results

Mean age was 52 years; 56% were male. Most patients (72%) received HD three times per week; 35% had sessions >180 minutes. Diabetes and hypertension were present in 43% and 87% of patients, respectively. The overall KDQoL score was 66.6 ± 14.2, with physical component summary (PCS) and mental component summary (MCS) scores of 41 and 48.6. In adjusted models, longer HD duration, male sex, higher albumin, and younger age were associated with higher PCS scores. Longer HD, phosphorus increase and lower interdialytic weight gain (IDWG) were associated with higher MCS scores.

Conclusion

Longer HD duration, male sex, higher albumin, phosphorus levels and lower IDWG positively influenced HRQoL. PROMs may support individualized care strategies in Mexican HD populations.

Digital Object Identifier (DOI)