PHS100 - The Quality Of Life And Work Ability In Patients With Chronic Kidney Disease In Urban China

Abstract

Chronic kidney disease (CKD) has been a leading public health problem. The purpose of this study was to evaluate QOL and work ability of patients with chronic kidney disease in China. We recruited 401 patients diagnosed with chronic kidney disease with 281 patients in 3-4 stage of CKD and 120 patients in the 5th stage of CKD in Beijing, Shanghai, Guangzhou and Chengdu between November 2012 and December2012. Patients or their carers were interviewed about quality of life by using EQ-5D and absenteeism from work in the past year. We use UK weight to estimate utility(EQ-5D index score) of patients with CKD in urban China. Among 401 patients with CKD, 56.4% were male and the mean age was 58.0±15.7 years. 94.3% patients in 3-4 stage of CKD and 98.2% patients in the 5th stage of CKD have at least one kind of health insurance. The average EQ-5D index score of patients in 3-4 stage of CKD was 0.8986, 0.7733 and 0.7088 were for patients in the 5th stage of CKD with hemodialysis and for patients with peritoneal dialysis, respectively. For patients under 60 years old, The fulltime work proportion of patients in 3-4 stage of CKD (31.9%) was higher than those in the 5th stage of CKD, and the fulltime work proportion of patients with peritoneal dialysis (20.6%) was higher than those with hemodialysis (3.8%). The quality of life and work ability for patients in the 5th stage of CKD are rather low. The prevention to delay the time of dialysis could improve patients’ quality of life and work ability.