In Palestinian patients on haemodialysis, older age, multiple co-morbidities, and a higher number of chronic medications were significantly associated with lower health-related quality of life.
Cross-Sectional (n=267)
Yes
What factors are associated with health-related quality of life in patients on haemodialysis?
In Palestinian hemodialysis patients, health-related quality of life is significantly impaired and negatively associated with older age, multiple comorbidities, and polypharmacy.
BACKGROUND: Haemodialysis (HD) is a life-sustaining treatment for patients with end-stage renal disease (ESRD). HD can bring about significant impairment in health-related quality of life (HRQOL) and outcomes. Therefore, we sought to describe the patterns of HRQOL and determine the independent factors associated with poor HRQOL in Palestinian patients on HD. METHODS: A multicenter cross-sectional study was performed from June 2014 to January 2015 using the EuroQOL-5 Dimensions instrument (EQ-5D-5L) for the assessment of HRQOL. ESRD patients undergoing HD in all dialysis centres in the West Bank of Palestine were approached and recruited for this study. Multiple linear regression was carried out to identify factors that were significantly associated with HRQOL. RESULTS: Two hundred and sixty-seven patients were participated in the current study giving response rate of 96 %. Overall, 139 (52.1 %) were male, and the mean ± standard deviation age was 53.3 ± 16.2 years. The reported HRQOL as measured by mean EQ-5D-5L index value and Euro QOL visual analogue scale (EQ-VAS) score was 0.37 ± 0.44 and 59.38 ± 45.39, respectively. There was a moderate positive correlation between the EQ-VAS and the EQ-5D-5L index value (r = 0.42, p < 0.001). The results of multiple linear regression showed a significant negative association between HRQOL with age, total number of chronic co-morbid diseases and the total number of chronic medications. However, a significant positive association was found between HRQOL with male gender, university education level and patients who live in village. CONCLUSION: Our results provided insight into a number of associations between patient variables and their HRQOL. Healthcare providers should be aware of low HRQOL among patients with no formal education, female gender, patient's residents of refugee camps, multiple co-morbid diseases, multiple chronic medications, and elderly patients to improve their quality of life.
Zyoud et al. (2016) conducted a cross-sectional in End-stage renal disease (ESRD) on haemodialysis (n=267). Socio-demographic and clinical factors was evaluated on Health-related quality of life (EQ-5D-5L index value). In Palestinian patients on haemodialysis, older age, multiple co-morbidities, and a higher number of chronic medications were significantly associated with lower health-related quality of life.