Abstract
PurposeThis study compared the quality of life (QOL) of hemodialysis (HD) and peritoneal dialysis (PD) patients in Taiwan.MethodsThis cross-sectional study recruited end-stage renal disease patients from 34 Taiwanese hospitals or clinics. Patient characteristics, diagnoses, and laboratory data were extracted from charts. The Chinese version of the Quality of Life Index–Dialysis version (QLI-D) was used. Multiple linear regression analysis showed the effects of dialysis modality on QOL. P<0.05 indicated statistical significance.ResultsIn total, 600 HD and 387 PD patients were included. The mean health and functioning, social and economic, psychological/spiritual, and family subscale scores and total QOL scores were significantly lower in HD patients than PD patients. After adjusting for region, hospital level, age, education level, marital status, and Karnofsky Performance Scale, the total QOL was 2.81 points higher for PD patients than for HD patients visiting medical centers (p<0.001). The total QOL was 2.53 points lower in PD patients than in HD patients for those visiting clinics.ConclusionCompared to HD patients, PD patients had better QOL in Taiwanese medical centers. The current survey improves our understanding of the QOL of patients undergoing different dialysis modalities in Taiwan.
Highlights
Patients with end-stage renal disease (ESRD) should undergo renal replacement therapy (RRT)
The mean health and functioning, social and economic, psychological/spiritual, and family subscale scores and total quality of life (QOL) scores were significantly lower in HD patients than peritoneal dialysis (PD) patients
The current survey improves our understanding of the QOL of patients undergoing different dialysis modalities in Taiwan
Summary
Patients with end-stage renal disease (ESRD) should undergo renal replacement therapy (RRT). HD is typically performed three times a week using a dialysis machine in an outpatient facility under the supervision of nurses. PD is performed either by the manual exchange of dialysis fluid 4 times a day (continuous ambulatory peritoneal dialysis, CAPD) or by using a machine that automatically fills and drains the peritoneum while the patient is asleep (automated peritoneal dialysis, APD). These dialysis modalities profoundly influence patients’ lives
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