Quality of Life and Health Status among those receiving Renal Replacement Therapy in Trinidad and Tobago. West Indies.

Abstract Background A cross sectional study was conducted over a 1-year period in order to evaluate quality of life and health state for patients receiving renal replacement therapy in a resource constrained Caribbean island of Trinidad and Tobago. Methods Five hundred and thirty patients were enlisted in the study. For those who had received renal transplants (n=100) and for those on peritoneal dialysis (n=80), all were included. Among the 1000-odd patients who were receiving haemodialysis 350 were studied using convenience sampling. To be included, one had to be on renal replacement therapy for 3 months or more and at least 18 years of age. The Kidney Disease Quality of Life (KDQOL-36) and the EuroQol (EQ-5D-3L) instruments were administered after demographic data were collected. Transplant recipients were further evaluated with the Kidney Transplant Questionnaire (KTQ). Inferential analysis of data included 95% confidence intervals, hypothesis testing, multiple regression and analysis of variance. SPSS24, STATA14 and MINITAB18 were used. Results Of the 530 patients, 52.5% were male and 37.5% were in the 56-65 years age group. Hypertension (68.9%) and type 2 diabetes mellitus (50.5%) were reported as the main causes of kidney disease. The KDQOL-36 domain scores and significantly associated variables included modality of renal replacement (p=0.000), age (p=0.001), Charlson’s Comorbidity Index (p=0.001), income (p=0.000) and employment status (p=0.000). Transplant patients performed the best in the KDQOL-36. The mean visual analogue scale and index scores from the EQ-5D-3L were highest among renal transplant recipients (p=0.000). Conclusion Renal transplant recipients enjoy the best quality of life and health state among patients on renal replacement therapy in Trinidad and Tobago.

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QUALITY OF LIFE IN RENAL TRANSPLANT RECIPIENTS

Nephrology (Saint-Petersburg) ◽

10.24884/1561-6274-2018-22-4-74-80 ◽

2018 ◽

Vol 22 (4) ◽

pp. 74-80

Author(s):

I. A. Vasilieva

Keyword(s):

Quality Of Life ◽

Renal Replacement Therapy ◽

Kidney Disease ◽

Replacement Therapy ◽

Short Form ◽

Renal Transplant Recipients ◽

Transplant Recipients ◽

Kidney Transplant Recipients ◽

Assess Quality

THE AIM. To assess quality of life (QOL) in kidney transplant recipients (KTR) using the Kidney Disease Quality of Life Short Form (KDQOL-SFTM) questionnaire which includes specific for renal replacement therapy questions, and to compare QOL of KTR and hemodialysis (HD) patients.PATIENTS AND METHODS. 41 KTR and 142 HD patients were included in the study. The KDQOL-SF questionnaire was used for QOL evaluation.RESULTS. Compared with HD patients, KTR scored higher on the majority of self-assessed physical health parameters (Physical Functioning, Pain, General Health, Physical Component Summary). Significant differences were observed for two of the five scales representing psychosocial component of QOL – Vitality and Social Functioning. Overall health rating was also higher in KTR. These patients were frustrated by the burden of kidney disease and its limiting impact on daily activities to a lesser degree. The frequency of patients’ complaints decreased. 39% of HD patients reported being bothered by itchy skin, among KTR – only 8%. Soreness in muscles bothered 44% of HD patients and 22% of KTR, numbness in hands or feet – 33% of HD patients and 13% of KTR. Limited ability to travel was bothersome for 75% of HD patients and 42% of KTR. 38% of KTR, and 29% of HD patients were employed.CONCLUSION. As far as we know, the presented study is the first in our country to report about QOL in KTR where QOL was measured using a questionnaire containing items specific for renal replacement therapy. It was shown that KTR scored higher than HD patients on the majority of KDQOL-SF scales.

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Quality of Life and Health Status among those receiving Renal Replacement Therapy in Trinidad and Tobago. West Indies.

10.21203/rs.3.rs-19194/v2 ◽

2021 ◽

Author(s):

Sharlene Maria Sanchez ◽

Surujpal Teelucksingh ◽

Ronan Ali ◽

Henry Bailey ◽

George Legall

Keyword(s):

Quality Of Life ◽

Peritoneal Dialysis ◽

Health Status ◽

Renal Replacement Therapy ◽

Kidney Disease ◽

Trinidad And Tobago ◽

Replacement Therapy ◽

Arteriovenous Fistula ◽

Transplant Recipients

Abstract Purpose:The determinants of quality of life for patients on renal replacement therapy vary across the world. In this cross sectional study, the factors accounting for a good quality of life in the resource-constrained twin-island of Trinidad and Tobago will be explored.Patients and methods:Five hundred and fifty three patients met inclusion criteria for the study. From the 103 patients receiving renal transplants, 100 participated and among the 84 on peritoneal dialysis, 80 took part in the study. Among the 1000-odd patients who were receiving hemodialysis, 350 were studied using convenience sampling. To be included, one had to be on renal replacement therapy for 3 months or more and at least 18 years of age. The Kidney Disease Quality of Life (KDQOL-36) and the EuroQol (EQ-5D-3L) instruments were administered after demographic data was collected. Transplant recipients were further evaluated with the Kidney Transplant Questionnaire (KTQ). Inferential analysis of data included 95% confidence intervals, ordinary least squares regression, analysis of variance, pairwise correlation and Pearson’s bivariate analysis. SPSS24, STATA14 and MINITAB18 were used.Results:Of the 530 patients, 52.5% were male, 37.5% were in the 56-65 years age group and 51.3% were of Indo-Trinbagonian descent. Hypertension (25.5%) and type 2 diabetes mellitus (62.0%) were reported as the main causes of kidney disease in the dialysis group. In the transplant category, chronic glomerulonephritis (45%) was the main aetiology of kidney disease. The KDQOL-36 domain scores and significantly associated variables included modality of renal replacement, Charlson’s Comorbidity Index, ethnicity, income and employment status. Transplant patients performed the best in the KDQOL-36 and EQ-5D-3L. Patients on peritoneal dialysis had a better quality of life than hemodialysis patients. Increasing patients’ access to renal transplantation or peritoneal dialysis will markedly improve health status for the number of years on renal replacement therapy. Among patients on hemodialysis, an arteriovenous fistula or graft significantly impacted on quality of life.Conclusion:Renal transplant recipients enjoy the best quality of life and health state among patients on renal replacement therapy in Trinidad and Tobago. Given the limitations in resources, patients on peritoneal dialysis also enjoy a good quality of life while the presence of an arteriovenous fistula or graft improved quality of life scores for those receiving hemodialysis. Policies should be implemented to achieve an acceptable quality of life for all patients receiving renal replacement therapy.

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Quality of life of chronic kidney disease patients on renal replacement therapy

Terapevticheskii arkhiv ◽

10.26442/terarkh201890689-91 ◽

2018 ◽

Vol 90 (6) ◽

pp. 89-91

Author(s):

Yu S Milovanov ◽

I A Dobrosmyslov ◽

S Yu Milovanova ◽

M V Taranova ◽

L Yu Milovanova ◽

...

Keyword(s):

Quality Of Life ◽

Chronic Kidney Disease ◽

Renal Replacement Therapy ◽

Kidney Disease ◽

Replacement Therapy ◽

Transplant Recipients ◽

Kidney Transplant Recipients ◽

Active Metabolites ◽

Home Dialysis

The study demonstrated the results of the comparative analysis of various types of renal replacement therapy effects on the quality of life patients with terminal stage of chronic kidney disease on the basis of standardized questionnaires. It has been shown that the quality of life is significantly improved after a kidney transplantation. At the same time, it has also been found that the introduction of home dialysis, epoetins, active metabolites of vitamin D, calcimimetics in the clinic care expanded the opportunities for the labor rehabilitation of the dialysis patients and made their quality of life comparable with the same of the kidney transplant recipients.

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