Quality of life scores should be compared before and after patients have undergone dialysis

Abstract

lettersQuality of life scores should be compared before and after patients have undergone dialysis Hakan Sarlak, Sait Demirkol, Sevket Balta, Mustafa Cakar, Omer Kurt, and Muharram Akhan Hakan Sarlak Department of Internal Medicine, Gulhane Medical Academy, Ankara, Turkey Search for more papers by this author , Sait Demirkol Department of Cardiology, Gulhane Medical Academy, Ankara, Turkey Search for more papers by this author , Sevket Balta Department of Cardiology, Gulhane Medical Academy, Ankara, Turkey Search for more papers by this author , Mustafa Cakar Department of Internal Medicine, Gulhane Medical Academy, Ankara, Turkey Search for more papers by this author , Omer Kurt Department of Internal Medicine, Gulhane Medical Academy, Ankara, Turkey Search for more papers by this author , and Muharram Akhan Department of Internal Medicine, Gulhane Medical Academy, Ankara, Turkey Search for more papers by this author Published Online::3 Oct 2013https://doi.org/10.5144/0256-4947.2013.510aSectionsPDF ToolsAdd to favoritesDownload citationTrack citations ShareShare onFacebookTwitterLinked InRedditEmail AboutIntroductionTo the Editor: We intentionally read the article “Quality of life (QoL) in hemodialysis and peritoneal dialysis patients in Saudi” written by Wakeel et al with great interest.1 They concluded that the quality of life (QoL) was better among peritoneal dialysis (PD) than hemodialysis (HD) patients in all domains except physical domain. PD patients spent more quality time and were more satisfied than HD patients.1In the last years, advances in dialysis procedures and new guidelines to treat the chronic renal failure patients have improved their treatment and prolonged their lives. At the same time, the concept of health-related quality of life (HRQoL) strengthened as a new goal to be achieved. The current dialysis guidelines enforce treatments to achieve similar outcomes in the long run, independently of the choice of dialysis treatment.2 Manns et al. in their study concluded that there was no significant difference in HRQoL for prevalent end-stage renal disease patients treated with HD or PD.3 In another study, Wu et al. concluded that that PD did not seem to produce a better QoL than HD for patients who imitated renal replacement therapy. 4 Ginieri-Coccossis. et al. in their study concluded that the results provided evidence that patients in HD treatment modality, particularly those with many years of treatment, experienced a more compromised QoL in comparison to PD patients.5 The results may change due to sociodemographic characteristics of patients. We think that the comparison of the two groups could be more meaningful if the QoL is measured before and after patients are undergone dialysis. Another point of discussion could be that the variations in study results may vary upon longer follow-up durations of these patients.ARTICLE REFERENCES:1. Al Wakeel Jamal, Al Harbi Ali, Bayoumi Magda, Al-Suwaida Karaem, Al Ghonaim Mohammed, Mishkirye Adel. "Quality of life in hemodialysis and peritoneal dialysis patients in Saudi Arabia" . Ann Saudi Med. 2012; 32(6):570-574. Google Scholar2. Arenas Valquiria Greco, Barros Luciene Fatima Neves Monteiro, Lemos Francine Barros. "Quality of Life: Comparison between patients on automated peritoneal dialysis and patients on hemodialysis" . Acta Paul Enferm. 2009; 22(Especial-Nefrologia)535-9. Google Scholar3. Manns B, Johnson JA, Taub K, Mortis G, Ghali WA, Donaldson C. "Quality of life in patients treated with hemodialysis or peritoneal dialysis: what are the important determinants?" Clin Nephrol. 2003; 60(5):341-51. Google Scholar4. Wu AW, Fink NE, Marsh-Manzi JV, Meyer KB, Finkelstein FO, Chapman MM, Powe NR. "Changes in quality of life during hemodialysis and peritoneal dialysis treatment: generic and disease spesific measures" . J Am Soc Nephrol. 2004; 15(3):743-53. Google Scholar5. Ginieri-Coccossis M, Theofilou P, Synodinou C, Tomaras V, Soldatos C. "Quality of life, mental health and health beliefs in hemodialysis and peritoneal dialysis patients: Investigating differences in early and later years of current treatment" . BMC Nephrology. 2008November149-14. Google Scholar Previous article Next article FiguresReferencesRelatedDetails Volume 33, Issue 5September-October 2013 Metrics History Published online3 October 2013 InformationCopyright © 2013, Annals of Saudi MedicineThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.PDF download