Quality of life in primary caregivers of patients in peritoneal dialysis and hemodialysis

Peritoneal dialysis (PD) is gaining track as an efficient/affordable therapy in poor settings. Yet, there is little data regarding differences in quality of life (QoL) of primary caregivers (PCG) of patients in PD and hemodialysis (HD). To compare the QoL of PCG of patients in PD and HD from an uppe...

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Veröffentlicht in:Brazilian Journal of Nephrology 2021-10, Vol.43 (4), p.486-494
Hauptverfasser: Monárrez-Espino, Joel, Delgado-Valles, José Alberto, Ramírez-García, Gastón
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container_end_page 494
container_issue 4
container_start_page 486
container_title Brazilian Journal of Nephrology
container_volume 43
creator Monárrez-Espino, Joel
Delgado-Valles, José Alberto
Ramírez-García, Gastón
description Peritoneal dialysis (PD) is gaining track as an efficient/affordable therapy in poor settings. Yet, there is little data regarding differences in quality of life (QoL) of primary caregivers (PCG) of patients in PD and hemodialysis (HD). To compare the QoL of PCG of patients in PD and HD from an upper middle-income population in a Mexican city. Cross-sectional study was carried out with PCG of patients in PD (n=42) and HD (n=95) from 4 hospitals (response rate=70.2%). The SF 36-item QoL questionnaire, the Zarit burden interview, and the Goldberg anxiety/depression scale were used. Mean normalized scores for each QoL domain were compared by dialysis type. Adjusted odds were computed using logistic regression to determine the probability of low QoL (
doi_str_mv 10.1590/2175-8239-JBN-2020-0229
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Yet, there is little data regarding differences in quality of life (QoL) of primary caregivers (PCG) of patients in PD and hemodialysis (HD). To compare the QoL of PCG of patients in PD and HD from an upper middle-income population in a Mexican city. Cross-sectional study was carried out with PCG of patients in PD (n=42) and HD (n=95) from 4 hospitals (response rate=70.2%). The SF 36-item QoL questionnaire, the Zarit burden interview, and the Goldberg anxiety/depression scale were used. Mean normalized scores for each QoL domain were compared by dialysis type. Adjusted odds were computed using logistic regression to determine the probability of low QoL (&lt;70% of maximum possible score resulting from the added scores of the 8 dimensions). The PD group had higher mean scores for emotional role functioning (+10.6; p=0.04), physical functioning (+9.2; p=0.002), bodily pain (+9.2; p=0.07), social functioning (+5.7; p=0.25), and mental health (+1.3; p=0.71); the HD group had higher scores for physical role functioning (+7.9, p=0.14), general health perception (+6.1; p=0.05), and vitality (+3.3; p=0.36). A non-significant OR was seen in multivariate regression (1.51; 95% CI 0.43-5.31). Zarit scores were similar, but workload levels were lower in the PD group (medium/high: PD 7.2%, HD 14.8%). Anxiety (HD 50.5%, PD 19%; p&lt;0.01) and depression (HD 49.5%, PD 16.7%; p&lt;0.01) were also lower in the PD group. Adjusted analysis showed no differences in the probability of low QoL between the groups. 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The PD group had higher mean scores for emotional role functioning (+10.6; p=0.04), physical functioning (+9.2; p=0.002), bodily pain (+9.2; p=0.07), social functioning (+5.7; p=0.25), and mental health (+1.3; p=0.71); the HD group had higher scores for physical role functioning (+7.9, p=0.14), general health perception (+6.1; p=0.05), and vitality (+3.3; p=0.36). A non-significant OR was seen in multivariate regression (1.51; 95% CI 0.43-5.31). Zarit scores were similar, but workload levels were lower in the PD group (medium/high: PD 7.2%, HD 14.8%). Anxiety (HD 50.5%, PD 19%; p&lt;0.01) and depression (HD 49.5%, PD 16.7%; p&lt;0.01) were also lower in the PD group. Adjusted analysis showed no differences in the probability of low QoL between the groups. 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subjects Caregivers
Cross-Sectional Studies
Humans
Kidney Failure, Chronic - therapy
Mexico
Original
Peritoneal Dialysis
Quality of Life
Renal Dialysis
title Quality of life in primary caregivers of patients in peritoneal dialysis and hemodialysis
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