title: Factors affecting the quality of life of haemodialysis patients from Romania: a multicentric study.
abstract: BACKGROUND
  The quality of life (QoL) is an important predictor of outcome in end-stage renal disease (ESRD) patients. Therefore, QoL needs to be regularly assessed in this setting. Our study describes QoL, as well as demographic and clinical variables associated with QoL in chronic haemodialysis (HD) patients in Romania.
  
  
  METHODS
  All prevalent chronic HD patients (N = 709; mean age 51.7 +/- 12.6 years) in 12 dialysis centres from the three main regions of Romania were included in the study. Six hundred and six of these completed the Short-Form Health Survey (SF-36) and the Kidney Disease Quality of Life Questionnaire-Short Form (KDQOL-SF).
  
  
  RESULTS
  The mean physical component summary (PCS) score was 46.3 +/- 19.2, and the mean mental component summary (MCS) score was 55.1 +/- 19.3. These figures were lower than those previously described in non-dialysis age-matched Romanian individuals. The mean kidney disease summary component (KDSC) score was 68.3 +/- 11.3, similar to other studies. The worst dimension of QoL was work, whereas the best ones were cognitive function and quality of social interaction. We found older age, female gender, lower socio-economic status and higher educational level to be associated with lower QoL scores.
  
  
  CONCLUSIONS
  The QoL of HD patients in Romania is lower than that in the general population. Our results suggest that at least one-third of these patients might be considered for rehabilitation therapy, in order to try and prevent complications and mortality.
authors.affiliation: Nephrocare Dialysis Center, Iaşi, Romania. ancagusbeth@yahoo.com
authors.forename: Anca
authors.initials: A
authors.lastname: Seica
authors.forename: Liviu
authors.initials: L
authors.lastname: Segall
authors.forename: Constantin
authors.initials: C
authors.lastname: Verzan
authors.forename: Nina
authors.initials: N
authors.lastname: Văduva
authors.forename: Maria
authors.initials: M
authors.lastname: Madincea
authors.forename: Simona
authors.initials: S
authors.lastname: Rusoiu
authors.forename: Sorina
authors.initials: S
authors.lastname: Cristea
authors.forename: Maria
authors.initials: M
authors.lastname: Stefan
authors.forename: Daniela
authors.initials: D
authors.lastname: Serbănescu
authors.forename: Petronela
authors.initials: P
authors.lastname: Morosanu
authors.forename: Luminita
authors.initials: L
authors.lastname: Grăjdeanu
authors.forename: Roxana
authors.initials: R
authors.lastname: Andronache
authors.forename: Maria
authors.initials: M
authors.lastname: Nechita
authors.forename: Dorina
authors.initials: D
authors.lastname: Dragoş
authors.forename: Anca
authors.initials: A
authors.lastname: Dronca
authors.forename: Paul
authors.initials: P
authors.lastname: Gusbeth-Tatomir
authors.forename: Gabriel
authors.initials: G
authors.lastname: Mircescu
authors.forename: Adrian
authors.initials: A
authors.lastname: Covic
mesh_terms: D000328:Adult; D004522:Educational Status; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000523:psychology / Q000534:rehabilitation / Q000628:therapy; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D006435:Renal Dialysis / Q000009:adverse effects / Q000523:psychology*; D012383:Romania; D012923:Social Class; D011795:Surveys and Questionnaires