MP715TRAJECTORIES OF MULTIDIMENSIONAL QUALITY OF LIFE AMONG PATIENTS RECEIVING CHRONIC DIALYSIS

  • Song M
  • Ward S
  • Paul S
  • et al.
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Abstract

INTRODUCTION AND AIMS: Dialysis patients must receive an invasive therapy every day or every other day to sustain life, but there has been inadequate attention paid to patient-reported multidimensional quality of life over time in this population. The purpose of the study was to examine trajectories of physical functioning, symptoms, cognitive functioning, and spiritual well-being in dialysis patients for 12 months. METHODS: In this longitudinal observation study, 227 patients on chronic dialysis recruited from 12 clinics completed hour-long monthly measures of physical functioning, physical and emotional symptoms, cognitive functioning, and spiritual well-being for 12 months. Sessions were conducted by phone on a non-dialysis day if patients were on hemodialysis (n=216, 95.2%). Mean patient age was 59 years (Sδ=12.6) and they had been on dialysis for M=4.3 years (Sδ=5.3). 74% (n=168) were African Americans. Baseline Charlson Comorbidity Index (CCI) score was M=7.3 (Sδ=2.1). Linear mixed models were used in analysis. RESULTS: Patient-reported physical functioning, symptoms, cognitive functioning, and spiritual wellbeing fluctuated severely from month to month. Activities of Daily Living (ADL) gradually worsened over time (p=.035) while Instrumental ADL was unchanged. Moderate to severe pain remained unchanged (n=129, 56.8%) while fatigue slightly improved over time (p

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Song, M.-K., Ward, S., Paul, S., Gilet, C., & Hladik, J. (2017). MP715TRAJECTORIES OF MULTIDIMENSIONAL QUALITY OF LIFE AMONG PATIENTS RECEIVING CHRONIC DIALYSIS. Nephrology Dialysis Transplantation, 32(suppl_3), iii696–iii696. https://doi.org/10.1093/ndt/gfx180.mp715

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