Quality of Life Research

, Volume 23, Issue 8, pp 2247–2256 | Cite as

Patient’s response to a simple question on recovery after hemodialysis session strongly associated with scores of comprehensive tools for quality of life and depression symptoms

  • Gildete Barreto Lopes
  • Luciana Ferreira Silva
  • Gustavo Behrens Pinto
  • Luiz Fernando Catto
  • Marcia Tereza Silva Martins
  • Margarida Maria Dantas Dutra
  • Antonio Alberto Lopes



Many maintenance hemodialysis patients do not feel well after the hemodialysis session and need a time to recover. The main objective of the study was to investigate whether a simple question about the need of some time to recover from hemodialysis was associated with scores of comprehensive tools of depression symptoms and health-related quality of life (HRQOL).


Cross-sectional evaluation of 800 Brazilian patients enrolled in the Prospective Study of the Prognosis of Chronic Hemodialysis Patients (PROHEMO). The KDQOL-SF was used for HRQOL and the 20-item CES-D and BDI for depression symptoms. Linear and logistic models were used for multivariable adjustments.


Patients who reported some time to recover (30 %) had significantly (P < 0.001) higher depression symptoms scores (mean difference = 4.75 for CES-D and 4.48 for BDI). HRQOL scores were, in general, lower for patients who referred a time to recover, with mean differences larger than 4.0 (P < 0.05) both for physical and mental components. Strong associations of needing a time to recover and lower scores of several kidney disease-targeted HRQOL components were also observed. Differences in depression symptoms and HRQOL were largely reduced after adjustments for symptoms (muscle pain/cramps, faintness, fatigue, nausea/vomiting).


The results support the validity of a simple question on post-hemodialysis recovery as a proxy for scores of complex instruments for depression symptoms and HRQOL. The results suggest that the poorer HRQOL and higher depression probability in patients who need a time to recover from hemodialysis could be partially explained by the presence of hemodialysis-related symptoms.


Depression symptoms Hemodialysis Quality of life Recovery time Dialysis 


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Copyright information

© Springer International Publishing Switzerland 2014

Authors and Affiliations

  • Gildete Barreto Lopes
    • 1
  • Luciana Ferreira Silva
    • 2
    • 3
  • Gustavo Behrens Pinto
    • 1
  • Luiz Fernando Catto
    • 1
  • Marcia Tereza Silva Martins
    • 4
  • Margarida Maria Dantas Dutra
    • 5
  • Antonio Alberto Lopes
    • 1
    • 6
  1. 1.Núcleo de Epidemiologia Clínica e Medicina Baseada em EvidênciasHospital Universitário Professor Edgard Santos, Universidade Federal da BahiaSalvadorBrazil
  2. 2.Instituto de Nefrologia e Diálise (INED)SalvadorBrazil
  3. 3.Departamento de Ciências da VidaUniversidade do Estado da BahiaSalvadorBrazil
  4. 4.Clínica do Rim e Hipertensão ArterialSalvadorBrazil
  5. 5.Clínica NEPHRONSalvadorBrazil
  6. 6.Departamento de Medicina Interna e Apoio Diagnóstico, Faculdade de Medicina da BahiaUniversidade Federal da BahiaSalvadorBrazil

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