Short Daily versus Conventional Hemodialysis Quality of Life: A Cross-Sectional Multicentric Study in Spain
2009; Karger Publishers; Volume: 28; Issue: 3 Linguagem: Inglês
10.1159/000227784
ISSN1421-9735
AutoresJanet Puñal-Riobóo, Eduardo Sánchez, Alberto Ruano‐Raviña, Leonor Varela‐Lema, D. Sánchez-Guisande, L. González-Rodríguez, Azael J. Herrero, Guillermina Barril, Francisco Maduell, Joaquín Sánchez-Covisa, A Otero, M. Auxiliadora Bajo, Rosa Sánchez,
Tópico(s)Health Systems, Economic Evaluations, Quality of Life
Resumo<i>Background:</i> End-stage renal disease is a major health problem worldwide nowadays. Although conventional hemodialysis is the most widely used modality, short daily hemodialysis has been proposed as a more physiologic treatment. The objective of this article is to compare the quality of life of patients on each hemodialysis modality. <i>Methods:</i> A multicentric cross-sectional study was performed in 9 Spanish hospitals. Patients treated for at least 3 months with conventional or short daily hemodialysis were included and quality of life measured using the Euroqol-5D quality of life questionnaire. Bayesian models were used for analyzing quality of life results. <i>Results:</i> Ninety-three patients were included, 27 were on daily hemodialysis and 66 on conventional hemodialysis. All models demonstrated a better quality of life for daily hemodialysis versus conventional hemodialysis. Only 14% of the patients on conventional hemodialysis were willing to change to a daily schedule. <i>Conclusions:</i> Short daily hemodialysis shows a better quality of life than conventional hemodialysis with all Bayesian approaches considered.
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