title: Quality of life during hemodialysis and study dialysis treatment in patients referred to teaching hospitals in Urmia-Iran in 2007.
abstract: BACKGROUND
  Quality of life (QOL) assessment in patients on chronic Hemodialysis (HD) or peritoneal dialysis (PD) has rarely been carried out. The aim of this study was to assess the quality of life during hemodialysis and peritoneal dialysis treatment in patients referred to teaching hospitals in Urmia, Iran.
  
  
  METHODS
  All chronic HD and PD patients in Taleghani and Imam Khomeini Teaching Hospitals in Urmia were requested to fill in the validated with a health-related quality-of-life SF36 questionnaire for assessing health status in five dimensions and on a visual analogue scale, allowing computation of a predicted QOL value to be compared.
  
  
  RESULTS
  Of the 558 questionnaires distributed to chronic HD patients, 455 were returned (response rate 82%). Fifty out of 64 PD patients (78%) returned the questionnaires. The two groups were similar in age, gender and duration of dialysis treatment. Mean QOL was rated at 60±18 for HD and 61±19 for PD, for a mean predicted QOL value of 62±30 and 58±32(,) respectively. RESULTS of the five dimensions were similar in both groups, except for a greater restriction in usual activities for PD patients (p= 0.007). The highest scores were recorded for self-care, with 71% HD and 74% PD patients reporting no limitation, and the lowest scores for usual activities, with 14% HD and 23% PD patients reporting severe limitation. Experiencing pain/discomfort (for HD and PD) or anxiety/depression (for PD) had the highest impact on QOL.
  
  
  CONCLUSIONS
  The results show that QOL on PD was better, but such studies have not been performed in various areas in Iran and the results may be different because of the involvement of many factors such as geographical, socioeconomic and cultural items. More studies are required to verify the value of the SF36 measurements in predicting the clinical condition of patients with ESRD and their outcomes.
authors.affiliation: Faculty of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran.
authors.forename: Nader
authors.initials: N
authors.lastname: Aghakhani
authors.forename: Hamid
authors.initials: H
authors.lastname: Sharif Nia
authors.forename: Saeed
authors.initials: S
authors.lastname: Samad Zadeh
authors.forename: Vahid
authors.initials: V
authors.lastname: Toupchi
authors.forename: Saeed
authors.initials: S
authors.lastname: Toupchi
authors.forename: Narges
authors.initials: N
authors.lastname: Rahbar
keywords: Chronic renal failure; Hemodialysis; Peritoneal dialysis; Quality of life
references.citation: Health Econ. 2001 Jan;10(1):27-37
references.pmid: 11180567
references.citation: Nephrol Dial Transplant. 2002 Jan;17(1):86-92
references.pmid: 11773469
references.citation: Am J Kidney Dis. 2001 Jan;37(1):11-21
references.pmid: 11136162
references.citation: Am J Kidney Dis. 1997 Jul;30(1):140-55
references.pmid: 9214415
references.citation: Rheumatology (Oxford). 1999 Sep;38(9):807-13
references.pmid: 10515639
references.citation: Am J Kidney Dis. 2002 Jun;39(6):1236-44
references.pmid: 12046037
references.citation: Am J Kidney Dis. 2000 Feb;35(2):293-300
references.pmid: 10676729
references.citation: J Clin Epidemiol. 1997 Sep;50(9):1035-43
references.pmid: 9363038
references.citation: J Neurol Sci. 2001 Oct 15;191(1-2):87-93
references.pmid: 11676997
references.citation: Kidney Int. 2001 Apr;59(4):1599-613
references.pmid: 11260433
references.citation: Med Care. 1999 Jul;37(7):671-7
references.pmid: 10424638
references.citation: Nephrol Dial Transplant. 1999 May;14(5):1163-70
references.pmid: 10344356
references.citation: Perit Dial Int. 2000 Jan-Feb;20(1):69-75
references.pmid: 10716587
references.citation: Health Policy. 1996 Jul;37(1):53-72
references.pmid: 10158943
references.citation: J Am Soc Nephrol. 2001 Dec;12(12):2797-2806
references.pmid: 11729250
references.citation: Int J Artif Organs. 2000 Jul;23(7):423-8
references.pmid: 10941634
references.citation: Perit Dial Int. 2000 Sep-Oct;20(5):534-40
references.pmid: 11117244
references.citation: Am J Kidney Dis. 2000 Jan;35(1):69-79
references.pmid: 10620547
references.citation: Qual Life Res. 2000 Mar;9(2):195-205
references.pmid: 10983483