Abstract

The aim of this study was to assess the quality of life (QoL) in end-stage renal disease (ESRD) patients undergoing hemodialysis and to examine the clinical and demographic attributes associated with it.This is a multicenter, cross-sectional study, conducted in 2018, in which 367 patients with ESRD undergoing hemodialysis were recruited. Data were collected through a two-part anon-ymous, self-completed questionnaire. The first part contained questions regarding demographic, social, and clinical information, and the Greek version of Missoula–Vitas Quality of Life Index-15 (MVQoL-15) scale was used to assess QoL. Descriptive and inferential statistical methods were applied. All reported p-values were two-tailed, and the statistical significance level was set at 0.05. Of the study participants, 62.1% were male, with a mean age of 61.80 ±15.11. Of the participants, 67.3% were living in urban areas and 59.1% were married. The majority of the Hemodialysis (HD) patients evaluated possessively all the domains of MVQoL except the wellbeing Domain. QoL was found to be influenced, among others, by age (0.001), occupation (0.002), education (0.003), and additional health problems (<0.001). The role of patient characteristics in QoL is an area of interest, and early and proper intervention is important to enhance QoL.

Highlights

  • The number of patients with chronic kidney disease (CKD) is increasing dramatically

  • Hemodialysis patients account for 88%, and the remaining 12% undergo other forms of renal replacement therapy

  • A total of 367 patients with end-stage renal disease (ESRD) undergoing hemodialysis thrice a week were recruited. This accounts for approximately 3.5% of the patients undergoing hemodialysis in Greece

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Summary

Introduction

The number of patients with chronic kidney disease (CKD) is increasing dramatically. It is estimated that more than 1.4 million people worldwide are undergoing a renal replacement procedure with an annual increase of 8%. Patients on dialysis visit dialysis centers thrice a week for 3–4 h per session, which can affect both their professional and personal lives [2]. Every patient with CKD requires a personalized treatment plan to ensure their survival and a satisfactory standard of living. Hemodialysis patients account for 88%, and the remaining 12% undergo other forms of renal replacement therapy. They visit the nearest artificial kidney unit, morning or afternoon. Changes are needed both at the professional level as well as with regard to eating and entertainment ­habits. As the kidney function decreases, patients needs are increasing and changing [3]

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