Comparison of quality of life and causes of hospitalization between hemodialysis and peritoneal dialysis patients in ChinaReportar como inadecuado

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Health and Quality of Life Outcomes

, 5:49

First Online: 02 August 2007Received: 25 April 2007Accepted: 02 August 2007


BackgroundHemodialysis HD and peritoneal dialysis PD are important renal replacement treatment in end stage renal disease ESRD, but the comparison of quality of life QOL and causes of hospitalisation between the two modalities in China is lacking. In the present study, we compared the two modalities in a multi-center study.

Subjects and methodsSix hundred and fifty four HD and 408 PD patients were investigated from 10 hospitals in China from Sept, 2004 to Jan, 2005. Among the HD patients, there were 360 males and 294 females with a mean age of 57.22 ± 12.49 years 18–88 y. Among PD patients, there were 165 males and 243 females, with a mean age of 61.59 ± 12.65 years 22–89 y. Health related 36 items short form questionnaires SF-36 were used to assess the quality of life. Hospitalisation data were collected and analyzed.

ResultsSF-36 domains of Body Pain BP, General Health GH, Role-Emotional RE, Social Functioning SF, Vitality VT and Mental Health MH were all significantly higher in the PD patients as compared to the HD patients although there was no significant difference in Physical Functioning PF and Role-Physical RP between the two groups. The two most common causes of hospitalisation in HD patients were cardiovascular disease 39.8% and pulmonary infection 21.3%, while they were infectious peritonitis 47.6% and cardiovascular disease 31.9% in PD patients. The ever hospitalised patients had lower SF-36 scores in the domains of PF, BP, GH, RE, SF, VT and MH as compared to those of non-hospitalised patients.

ConclusionOur study indicated that with the current practice in China, PD patients may enjoy better quality of life than their HD counterparts. Our results also showed that the most common cause of hospitalisation was cardiovascular disease in HD patients and peritonitis in PD patients.

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Autor: Ai-Hua Zhang - Li-Tao Cheng - Ning Zhu - Ling-Hua Sun - Tao Wang


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