Short daily versus conventional hemodialysis quality of life: a cross-sectional multicentric study in Spain.
BACKGROUND
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.


METHODS
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.


RESULTS
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.


CONCLUSIONS
Short daily hemodialysis shows a better quality of life than conventional hemodialysis with all Bayesian approaches considered.
Puñal Rioboó
J
J
Galician Agency for Health Technology Assessment, Galician Department of Health, Santiago de Compostela, Spain.
Sánchez-Iriso
E
E
Ruano-Ravina
A
A
Varela Lema
M L
ML
Sánchez-Guisande
D
D
González-Rodríguez
L
L
Herrero
J A
JA
Barril
G
G
Maduell
F
F
Hernández
J
J
Otero
A
A
Bajo
M A
MA
Sánchez
R
R
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001499:Bayes Theorem; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D006435:Renal Dialysis; D013030:Spain; D011795:Surveys and Questionnaires