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논문 기본 정보

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저자정보
Lee Jeonghwan (Seoul Metropolitan Government Seoul National University Boramae Medical Center) Kim Yong Chul (Seoul National University College of Medicine) Kwon Soie (Seoul National University Hospital) 리려림 (서울특별시보라매병원) Oh Sohee (Medical Research Collaborating Center Seoul Metropolitan Government Seoul National University Boram) Kim Do Hyoung (Department of Internal Medicine Hallym University Kangnam Sacred Heart Hospital Seoul Republic of K) An Jung Nam (Department of Internal Medicine Hallym University Sacred Heart Hospital Anyang Republic of Korea) Cho Jang-Hee (Department of Internal Medicine Kyungpook National University Hospital School of Medicine Kyungpook) 김동기 (서울대학교) Kim Yong-Lim (Department of Internal Medicine Kyungpook National University Hospital School of Medicine Kyungpook) 오윤규 (서울대학교) Lim Chun Soo (Department of Internal Medicine Seoul Metropolitan Government Seoul National University Boramae Med) 김연수 (서울대학교) 이정표 (서울대학교)
저널정보
대한신장학회 Kidney Research and Clinical Practice Kidney Research and Clinical Practice Vol.39 No.4
발행연도
2020.1
수록면
426 - 440 (15page)

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Background: The effect of each health-related quality of life (HRQOL) component on hemodialysis prognosis has not been well studied. We aimed to investigate the clinical factors associated with HRQOL and the effect of HRQOL after dialysis initiation on long-term survival in an Asian population. Methods: A total of 568 hemodialysis patients were included from a nationwide prospective cohort study. HRQOL was evaluated using the Kidney Disease Quality of Life (KDQOL) Short FormTM 1.3 at 3 months after dialysis initiation. The effect of each KDQOL item score on mortality was analyzed. Multivariable Cox analysis was performed after adjusting for age, sex, modified Charlson comorbidity index, and causes of primary kidney disease. Results: Old age, diabetes mellitus, high comorbidities, and low serum albumin levels were associated with poor physical health status. Decreased urine output was associated with both poor physical and mental health status. The scores of 3 indices in the kidney disease domain (effect of kidney disease, social support, and dialysis staff encouragement) showed significant associations with mortality, as did the 3 indices (physical function, physical role limitation, and body pain) in the physical health domain. Neither the 4 indices in the mental health domain nor the mental composite score showed a significant association with mortality. However, a high physical composite score was associated with decreased overall patient mortality (P = 0.003). The effect of physical composite score on survival was prominent among young or middle-aged groups. Conclusion: Poor physical health status 3 months after hemodialysis start correlates significantly with overall mortality.
#Dialysis #Mental health #Mortality #Physical health #Quality of life

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참고문헌 (59)

참고문헌 신청
Demura S / 2003 / Relationships between depression, lifestyle and quality of life in the community dwelling elderly:a comparison between gender and age groups / J Physiol Anthropol Appl Human Sci 22:159~166 google schola Chen SS / 2016 / Health-related quality of life in end-stage renal disease patients: how often should we ask and what do we do with the answer? / Blood Purif 41:218~224 google schola Kalantar-Zadeh K / 2005 / Health related quality of life in patients with chronic kidney disease / Int Urol Nephrol 37:367~378 google schola Kalantar-Zadeh K / 2001 / Association among SF36 quality of life measures and nutrition, hospitalization, and mortality in hemodialysis / J Am Soc Nephrol 12:2797~2806 google schola Fukuhara S / 2003 / Healthrelated quality of life among dialysis patients on three continents : the Dialysis Outcomes and Practice Patterns Study / Kidney Int 64:1903~1910 google schola

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