Abstract
Purpose
The maintenance of good health-related quality of life (HRQoL) is an important goal for end-stage renal disease (ESRD) patients. Whether hemodialysis (HD) and peritoneal dialysis (PD) have different impacts on HRQoL is a concern shared by both physicians and patients. A comparison study of HRQoL between Taiwanese HD and PD patients was conducted.
Methods
ESRD patients at 14 hospitals or dialysis centers in northern Taiwan were recruited in this cross-sectional study. The Chinese-language version of the 36-item Short Form Health Survey Questionnaire (SF-36, Taiwan Standard Version 1.0) was used to evaluate HRQoL. Ordinal regression analyses were used to explore the independent association between HRQoL scores and dialysis modality. By Bonferroni correction test, a P value of <0.005 was regarded as significant.
Results
A total of 866 HD patients and 301 PD patients were included. After adjusting for confounding factors, no difference in HRQoL was found among the entire cohort and the diabetic subgroup.
Conclusion
This study demonstrated that Taiwanese HD and PD patients had similar HRQoL. The current survey improves our understanding of the association of HRQoL with dialysis modality in Taiwan ESRD population.
Similar content being viewed by others
References
Mozes, B., Shabtai, E., & Zucker, D. (1997). Differences in quality of life among patients receiving dialysis replacement therapy at seven medical centers. Journal of Clinical Epidemiology, 50, 1035–1043.
Diaz-Buxo, J. A., Lowrie, E. G., Lew, N. L., Zhang, H., & Lazarus, J. M. (2000). Quality-of-life evaluation using Short Form 36: Comparison in hemodialysis and peritoneal dialysis patients. American Journal of Kidney Diseases, 35, 293–300.
Wasserfallen, J. B., Halabi, G., Saudan, P., Perneger, T., Feldman, H. I., Martin, P. Y., et al. (2004). Quality of life on chronic dialysis: Comparison between haemodialysis and peritoneal dialysis. Nephrology, Dialysis, Transplantation, 19, 1594–1599.
Kutner, N. G., Zhang, R., Barnhart, H., & Collins, A. J. (2005). Health status and quality of life reported by incident patients after 1 year on haemodialysis or peritoneal dialysis. Nephrology, Dialysis, Transplantation, 20, 2159–2167.
Cukor, D., Cohen, S. D., Peterson, R. A., & Kimmel, P. L. (2007). Psychosocial aspects of chronic disease: ESRD as a paradigmatic illness. Journal of the American Society of Nephrology, 18, 3042–3055.
Kao, T. W., Chen, P. C., Hsieh, C. J., Chiang, H. W., Tsang, L. Y., Yang, I. F., et al. (2009). Correlations between spiritual beliefs and health-related quality of life of chronic hemodialysis patients in Taiwan. Artificial Organs, 33, 576–579.
Bakewell, A. B., Higgins, R. M., & Edmunds, M. E. (2001). Does ethnicity influence perceived quality of life of patients on dialysis and following renal transplant? Nephrology, Dialysis, Transplantation, 16, 1395–1401.
Unruh, M., Miskulin, D., Yan, G., Hays, R. D., Benz, R., Kusek, J. W., et al. (2004). HEMO Study Group. Racial differences in health-related quality of life among hemodialysis patients. Kidney International, 65, 1482–1491.
U.S. Renal Data System, USRDS 2009 Annual Data Report: Atlas of End-Stage Renal Disease in the United States, National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD, 2009.
Yu, J., Coons, S. J., Draugalis, J. R., Ren, X. S., & Hays, R. D. (2003). Equivalence of Chinese and US-English versions of the SF-36 Health Survey. Quality of Life Research, 12, 449–457.
Lowire, E. G., Curtin, R. B., LePain, N., & Schatell, D. (2003). Medical outcomes study short form-36: A consistent and powerful predictor of morbidity and mortality in dialysis patients. American Journal of Kidney Diseases, 41, 1286–1292.
Mapes, D. L., Lopes, A. A., Satayathum, S., McCullough, K. P., Goodkin, D. A., Locatelli, F., et al. (2003). Health-related quality of life as a predictor of mortality and hospitalization: The Dialysis Outcomes and Practice Patterns Study (DOPPS). Kidney International, 64, 339–349.
Ware, J. E., & Sherbourne, C. D. (1992). The MOS 36-item short-form health survey (SF-36): Conceptual framework and item selection. Medical Care, 30, 473–483.
Chiang, C. K., Peng, Y. S., Chiang, S. S., Yang, C. S., He, Y. H., Hung, K. Y., et al. (2004). Health-related quality of life of hemodialysis patients in Taiwan: A multicenter study. Blood Purification, 22, 490–498.
Miskulin, D. C., Meyer, K. B., Athienites, N. V., Martin, A. A., Terrin, N., Marsh, J. V., et al. (2002). Comorbidity and other factors associated with modality selection in incident dialysis patients: The CHOICE Study. Choices for Healthy Outcomes in Caring for End-Stage Renal Disease. American Journal of Kidney Diseases, 39, 324–326.
Mau, L. W., Chiu, H. C., Chang, P. Y., Hwang, S. C., & Hwang, S. J. (2008). Health-related quality of life in Taiwanese dialysis patients: Effects of dialysis modality. Kaohsiung Journal of Medical Sciences, 24, 453–460.
The Taiwan National Health Insurance Statistics of Quality in Dialysis Therapy, 2007.
Sitter, T., & Sauter, M. (2005). Impact of glucose in peritoneal dialysis: Saint or sinner? Peritoneal Dialysis International, 25, 415–425.
Wu, H. Y., Hung, K. Y., Huang, J. W., Chen, Y. M., Tsai, T. J., & Wu, K. D. (2008). Initial glucose load predicts technique survival in patients on chronic peritoneal dialysis. American Journal of Nephrology, 28, 765–771.
Nakamoto, H., Imai, H., Kawanishi, H., Nakamoto, M., Minakuchi, J., Kumon, S., et al. (2002). Effect of diabetes on peritoneal function assessed by personal dialysis capacity test in patients undergoing CAPD. American Journal of Kidney Diseases, 40, 1045–1054.
Caskey, F. J., Roderick, P., Steenkamp, R., Nitsch, D., Thomas, K., Ansell, D., et al. (2006). Social deprivation and survival on renal replacement therapy in England and Wales. Kidney International, 70, 2134–2140.
Lo, W. K., Li, F. K., Choy, C. B., Cheng, S. W., Chu, W. L., Ng, S. Y., et al. (2001). A retrospective survey of attitudes toward acceptance of peritoneal dialysis in Chinese end-stage renal failure patients in Hong Kong—From a cultural point of view. Peritoneal Dialysis International, 21(suppl 3), S318–S321.
Verger, C., Duman, M., Durand, P. Y., Veniez, G., Fabre, E., & Ryckelynck, J. P. (2007). Influence of autonomy and type of home assistance on the prevention of peritonitis in assisted automated peritoneal dialysis patients. An analysis of data from the French Language Peritoneal Dialysis Registry. Nephrology, Dialysis, Transplantation, 22, 1218–1223.
Vonesh, E. F., Snyder, J. J., Foley, R. N., & Collins, A. J. (2004). The differential impact of risk factors on mortality in hemodialysis and peritoneal dialysis. Kidney International, 66, 2389–2401.
Wu, A. W., Fink, N. E., Marsh-Manzi, J. V., Meyer, K. B., Finkelstein, F. O., Chapman, M. M., et al. (2004). Changes in quality of life during hemodialysis and peritoneal dialysis treatment: Generic and disease specific measures. Journal of the American Society of Nephrology, 15, 743–753.
Merkus, M. P., Jager, K. J., Dekker, F. W., De Haan, R. J., Boeschoten, E. W., & Krediet, R. T. (1999). Quality of life over time in dialysis: The Netherlands Cooperative Study on the Adequacy of Dialysis. NECOSAD study group. Kidney International, 56, 720–728.
Korevaar, J. C., Jansen, M. A., Merkus, M. P., Dekker, F. W., Boeschoten, E. W., & Krediet, R. T. (2000). Quality of life in predialysis end-stage renal disease patients at the initiation of dialysis therapy. The NECOSAD Study Group. Peritoneal Dialysis International, 20, 69–75.
Korevaar, J. C., Feith, G. W., Dekker, F. W., van Manen, J. G., Boeschoten, E. W., Bossuyt, P. M., et al. (2003). NECOSAD Study Group Study Group. Effect of starting with hemodialysis compared with peritoneal dialysis in patients new on dialysis treatment: A randomized controlled trial. Kidney International, 64, 2222–2228.
Acknowledgments
The authors would like to thank the Ta-Tung Kidney Foundation and the Mrs. Hsiu-Chin Lee Kidney Research Fund for grant support of this study.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Peng, YS., Chiang, CK., Hung, KY. et al. Comparison of self-reported health-related quality of life between Taiwan hemodialysis and peritoneal dialysis patients: a multi-center collaborative study. Qual Life Res 20, 399–405 (2011). https://doi.org/10.1007/s11136-010-9755-9
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11136-010-9755-9