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Peer-reviewed Lead author Corresponding author International journal
Jan 17, 2020

Health-related quality of life on combination therapy with peritoneal dialysis and hemodialysis in comparison with hemodialysis and peritoneal dialysis: A cross-sectional study

Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
  • Mototsugu Tanaka
  • Yoshitaka Ishibashi
  • Yoshifumi Hamasaki
  • Yuka Kamijo
  • Mayumi Idei
  • Takuya Kawahara
  • Takahiro Nishi
  • Michio Takeda
  • Hiroshi Nonaka
  • Masaomi Nangaku
  • Naobumi Mise
  • Display all

Volume
40
Number
5
First page
462
Last page
469
Language
English
Publishing type
Research paper (scientific journal)
DOI
10.1177/0896860819894066
Publisher
SAGE Publications

Background: The health-related quality of life (HRQOL) of dialysis patients has not been well examined, especially in combination therapy with peritoneal dialysis and hemodialysis (PD+HD) patients. We compared the HRQOL of PD+HD patients with that of HD and PD patients.
Methods: A multicenter, cross-sectional study was conducted on 36 PD+HD, 103 HD, and 90 PD patients in Japan who completed the Kidney Disease Quality of Life Short Form 36, version 1.3. HRQOL scores were summarized into physical- (PCS), mental- (MCS), role/social- (RCS), and kidney disease component summaries (KDCS).
Results: Of the PD+HD patients, 31 (86%) transferred from PD and 5 (14%) transferred from HD. They had the longest dialysis vintage and the smallest urine volume. PCS, MCS, and KDCS HRQOL scores of PD+HD patients were comparable with those of HD and PD patients. However, the RCS score for PD+HD was significantly higher than that for HD (p = 0.020) and comparable with that for PD. PD+HD and PD were associated with significantly higher RCS scores than HD after adjusting for age, gender, diabetic nephropathy, dialysis vintage, ischemic heart disease, and peripheral arterial disease.
Conclusions: For RCS, HRQOL in PD+HD patients was better than that in HD and comparable with that in PD patients, whereas the PCS, MCS, and KDCS HRQOL scores of PD+HD patients were comparable with those of HD and PD patients.

Link information
DOI
https://doi.org/10.1177/0896860819894066
URL
http://journals.sagepub.com/doi/pdf/10.1177/0896860819894066
URL
http://journals.sagepub.com/doi/full-xml/10.1177/0896860819894066
ID information
  • DOI : 10.1177/0896860819894066
  • ISSN : 0896-8608
  • eISSN : 1718-4304
  • ORCID - Put Code : 69504282

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