Comparison of quality of life in end‐stage renal disease patients undergoing hemodialysis and peritoneal dialysis in a Moroccan city. Issue 1 (26th October 2021)

• Record Type: Journal Article
• Authors: Chrifi Alaoui, Amina; Touti, Wiam; Al Borgi, Yassine; Sqalli Houssaini, Tarik; El Rhazi, Karima
• Is Part Of: Seminars in dialysis. Volume 35:Issue 1(2022)
• Page Start: 50
• Page End: 57
• Publication Date: 2021-10-26
• Subjects: Hemodialysis -- Periodicals; Dialysis -- Periodicals; Renal Dialysis -- Periodicals; 617.461059
• DOI: 10.1111/sdi.13034
• Languages: English
• ISSNs: 0894-0959

Abstract

Abstract: Purpose: End‐stage renal disease patients (ESRD) generally complain about a poor quality of life (QOL). The current study aims to describe and compare ESRD patients' QOL according to dialysis modalities (hemodialysis [HD] and peritoneal dialysis [PD]). Methods: This is a cross‐sectional study, conducted in dialysis facilities of a Moroccan university hospital, during October 2018. All adult ESRD patients, treated either by HD or PD for more than 3 months and agreeing to participate, were included. Medical data were collected using a questionnaire, whereas the QOL data were collected using the Kidney Disease Quality of Life Short Form (KDQOL SF v 1.3) scale previously validated in dialectal Arabic. The patients' characteristics and QOL data were compared between dialysis modalities (HD vs. PD), using a linear regression, before and after adjustment on several demographic and medical factors as well as a propensity score created to reduce the effect of confounding factors related to the choice of the treatment. Results: Out of the 91 included patients (50.5% of men, median age 52.0 (IQR [36.5; 62.0]) years), 71 were on HD and 20 were on PD. The highest subscale score, for all participants, was the social support's one with a median of 83.3 (IQR [66.7; 100]), and the lowest one was the kidney disease burden with a median of 25.0 (IQR [0.00; 46.9]). The univariate analysis showed that the Physical Component Score (PCS), the cognitive function, and the dialysis staff encouragement were better in PD patients ( p = 0.03, p = 0.04, and p = 0.007, respectively), while the multiple linear regression indicates that the PCS, the dialysis Staff encouragement, and the patient's satisfaction subscores decreased within patients on HD compared with those on PD ( p = 0.01, p = 0.03, and p = 0.02, respectively) and that the burden of the kidney disease and the work status subscores increased within patients on HD against those on PD ( p = 0.007 and p = 0.04, respectively). Conclusion: This study showed a significant difference between dialysis modalities in some sides of quality of life.