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Quality of Life Research
Published in: Quality of Life Research 2/2012

Open Access 01-03-2012

Differences in quality of life of hemodialysis patients between dialysis centers

Authors: Albert H. A. Mazairac, Muriel P. C. Grooteman, Peter J. Blankestijn, E. Lars Penne, Neelke C. van der Weerd, Claire H. den Hoedt, Marinus A. van den Dorpel, Erik Buskens, Menso J. Nubé, Piet M. ter Wee, G. Ardine de Wit, Michiel L. Bots

Published in: Quality of Life Research | Issue 2/2012

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Abstract

Purpose

Hemodialysis patients undergo frequent and long visits to the clinic to receive adequate dialysis treatment, medical guidance, and support. This may affect health-related quality of life (HRQOL). Although HRQOL is a very important management aspect in hemodialysis patients, there is a paucity of information on the differences in HRQOL between centers. We set out to assess the differences in HRQOL of hemodialysis patients between dialysis centers and explore which modifiable center characteristics could explain possible differences.

Methods

This cross-sectional study evaluated 570 hemodialysis patients from 24 Dutch dialysis centers. HRQOL was measured with the Kidney Disease Quality Of Life-Short Form (KDQOL-SF).

Results

After adjustment for differences in case-mix, three HRQOL domains differed between dialysis centers: the physical composite score (PCS, P = 0.01), quality of social interaction (P = 0.04), and dialysis staff encouragement (P = 0.001). These center differences had a range of 11–21 points on a scale of 0–100, depending on the domain. Two center characteristics showed a clinical relevant relation with patients’ HRQOL: dieticians’ fulltime-equivalent and the type of dialysis center.

Conclusion

This study showed that clinical relevant differences exist between dialysis centers in multiple HRQOL domains. This is especially remarkable as hemodialysis is a highly standardized therapy.
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Metadata
Title
Differences in quality of life of hemodialysis patients between dialysis centers
Authors
Albert H. A. Mazairac
Muriel P. C. Grooteman
Peter J. Blankestijn
E. Lars Penne
Neelke C. van der Weerd
Claire H. den Hoedt
Marinus A. van den Dorpel
Erik Buskens
Menso J. Nubé
Piet M. ter Wee
G. Ardine de Wit
Michiel L. Bots
Publication date
01-03-2012
Publisher
Springer Netherlands
Published in
Quality of Life Research / Issue 2/2012
Print ISSN: 0962-9343
Electronic ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-011-9942-3

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