Predictors of quality of life among patients on dialysis in southern Brazil.
OBJECTIVE
Quality of life (QoL) is considered important as an outcome measurement, especially for long-term diseases such as chronic renal failure. The present study searched for predictors of QoL in a sample of patients undergoing dialysis in southern Brazil.


METHODS
This was a cross-sectional study developed in three southern Brazilian dialysis facilities.


METHODS
Health-related QoL of patients on hemodialysis or peritoneal dialysis was measured using the generic Short Form-36 (SF-36) health survey questionnaire. The results were correlated with sociodemographic, clinical and laboratory variables. The analysis was adjusted through multiple linear regression.


RESULTS
A total of 140 patients were assessed: 94 on hemodialysis and 46 on peritoneal dialysis. The mean age was 54.2 +/- 15.4 years, 48% were men and 76% were white. The predictors of higher (better) physical component summary in SF-36 were: younger age (beta-0.16; 95% confidence interval, CI: -0.27 to -0.05), shorter time on dialysis (beta-0.06; 95% CI: -0.09 to -0.02) and lower Khan comorbidity-age index (beta 5.16; 95% CI: 1.7-8.6). The predictors of higher mental component summary were: being employed (beta 8.4; 95% CI: 1.7-15.1), being married or having a marriage-like relationship (beta 4.56; 95% CI: 0.9-8.2), being on peritoneal dialysis (beta 4.9; 95% CI: 0.9-8.8) and not having high blood pressure (beta 3.9; 95% CI: 0.3-7.6).


CONCLUSIONS
Age, comorbidity and length of time on dialysis were the main predictors of physical QoL, whereas socioeconomic issues especially determined mental QoL.
Bohlke
Maristela
M
Health School, Universidade Católica de Pelotas. mbohlke@conesul.com.br
Nunes
Diego Leite
DL
Marini
Stela Scaglioni
SS
Kitamura
Cleison
C
Andrade
Marcia
M
Von-Gysel
Maria Paula Ost
MP
D000368:Aged; D001938:Brazil; D003430:Cross-Sectional Studies; D005260:Female; D006304:Health Status; D006801:Humans; D007676:Kidney Failure, Chronic / Q000523:psychology* / Q000628:therapy; D016014:Linear Models; D008297:Male; D008875:Middle Aged; D010530:Peritoneal Dialysis; D011788:Quality of Life; D006435:Renal Dialysis / Q000523:psychology*; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires