Abstract
BackgroundKidney failure with replacement therapy and hemodialysis are associated with a decrease in quality of life (QOL). Self-reported QOL symptoms are not always prioritized by the medical team, potentially leading to conflicting priorities with patients. Electronic patient-reported outcome measures (ePROMs) allow physicians to better identify these symptoms. The objective was to describe the prevalence of symptoms self-reported by hemodialysis (HD) patients.MethodsA multicenter cross-sectional study was conducted in three HD centers. Patients were included if they were 18 years old or over treated with HD for at least 3 months in a center. Data were collected by the patient via a self-administered ePROMs questionnaire. Data included patient characteristics, post-dialysis fatigue and intensity, recovery time after a session, perceived stress, impaired sleep the day before the dialysis session, current state of health and the change from the past year. A multivariate analysis was conducted to identify relations between symptoms.ResultsIn total, we included 173 patients with a mean age of 66.2 years, a mean ± SD hemodialysis duration of 48.9 ± 58.02 months. The prevalence of fatigue was 72%. 66% had a high level of stress (level B or C). Recovery time was more than 6 h after a HD session for 25% of patients and 78% declared they had a better or unchanged health status than the previous year. Sleep disturbance was associated with cardiovascular comorbidities (OR 5.08 [95% CI, 1.56 to 16.59], p = 0.007).ConclusionsFatigue and stress were the main symptoms reported by HD patients. The patient’s care teams should better consider these symptoms.
Highlights
Kidney failure with replacement therapy and hemodialysis are associated with a decrease in quality of life (QOL)
Full list of author information is available at the end of the article
Patients treated with hemodialysis have a high symptomatic burden impacting their quality of life (QoL), which include pain, fatigue and stress [2]
Summary
Kidney failure with replacement therapy and hemodialysis are associated with a decrease in quality of life (QOL). Guerraoui et al BMC Nephrol (2021) 22:357 These symptoms are, not always considered as a priority focus by the medical team caring for such patients and are not routinely collected despite their relevance to patients [3, 4]. The lack of physician focus on QoL may lead to conflicting medical and treatment priorities between a patient and their care team and potentially lead to undiagnosed and untreated symptoms. This is especially apparent for patients on maintenance dialysis [5,6,7]. The secondary objective was to explore predictive factors of the presence of the patient reported symptoms
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