A comparison of quality of life between patients treated with different dialysis modalities in Taiwan

• Published in: PloS one Vol. 15; no. 1; p. e0227297
• Main Authors: Hsu, Chu-Chun, Huang, Chiu-Ching, Chang, Yue-Cune, Chen, Jin-Shuen, Tsai, Wen-Chen, Wang, Kwua-Yun
• Format: Journal Article
• Language: English
• Published: United States Public Library of Science 06.01.2020; Public Library of Science (PLoS)
• Subjects: Aged; Care and treatment; Chronic kidney failure; Comparative analysis; Cross-Sectional Studies; Diabetes; Dialysis; End-stage renal disease; Female; Health; Health care facilities; Hemodialysis; Hemoglobin; Hospitals; Humans; Internal medicine; Karnofsky Performance Status; Kidney diseases; Kidney Failure, Chronic - complications; Kidney Failure, Chronic - diagnosis; Kidney Failure, Chronic - therapy; Laboratories; Male; Marital status; Marriage; Medical prognosis; Medical research; Medicine and Health Sciences; Middle Aged; Nephrology; Nursing schools; Patients; People and Places; Peritoneal dialysis; Peritoneal Dialysis - adverse effects; Peritoneum; Personal health; Personal information; Physical Sciences; Prospective Studies; Quality of Life; Questionnaires; Regression analysis; Renal Dialysis - adverse effects; Research and Analysis Methods; Researchers; Social Sciences; Statistical analysis; Studies; Surveys and Questionnaires; Taiwan; Taiwan; China
• ISSN: 1932-6203; 1932-6203
• DOI: 10.1371/journal.pone.0227297

This study compared the quality of life (QOL) of hemodialysis (HD) and peritoneal dialysis (PD) patients in Taiwan. This cross-sectional study recruited end-stage renal disease patients from 34 Taiwanese hospitals or clinics. Patient characteristics, diagnoses, and laboratory data were extracted from charts. The Chinese version of the Quality of Life Index-Dialysis version (QLI-D) was used. Multiple linear regression analysis showed the effects of dialysis modality on QOL. P<0.05 indicated statistical significance. In total, 600 HD and 387 PD patients were included. The mean health and functioning, social and economic, psychological/spiritual, and family subscale scores and total QOL scores were significantly lower in HD patients than PD patients. After adjusting for region, hospital level, age, education level, marital status, and Karnofsky Performance Scale, the total QOL was 2.81 points higher for PD patients than for HD patients visiting medical centers (p<0.001). The total QOL was 2.53 points lower in PD patients than in HD patients for those visiting clinics. Compared to HD patients, PD patients had better QOL in Taiwanese medical centers. The current survey improves our understanding of the QOL of patients undergoing different dialysis modalities in Taiwan.