title: Quality of life and correlation with musculoskeletal problems, hand disability and depression in patients with hemodialysis.
abstract: OBJECTIVE
  The aims of this study were to assess the health-related quality of life (HRQOL) in patients with hemodialysis using the Kidney Disease Quality of Life (KDQOL™) and to determine its relationships with conventional clinical measures, musculoskeletal problems, hand disability and depression.
  
  
  METHODS
  This study was conducted in our tertiary hospital's dialysis unit. Fifty patients under hemodialysis treatment were included in the study. HRQOL, disability, pain and depression were assessed using KDQOL-36, Duruoz hand index (DHI), visual analog scale (VAS) and Beck Depression Inventory (BDI).
  
  
  RESULTS
  It was seen that all of the patients included had one or more musculoskeletal problems, the most common of which were muscle cramps, myalgias and arthralgias. Depression was the second most common accompanying disease. It was also seen that older patients had much poorer physical functioning scores, DHI scores and BDI scores than younger patients. DHI score was found to be significantly lower in men than in women. Educational level, presence of arthrosis, myalgia, bone pain, arthralgia, CTS, VAS-hand and VAS-upper extremities scales, DHI and BDI scores significantly affected both physical and mental areas of KDQOL-36, whereas age, shoulder periarthritis, mobilization scores and presence of hypertension only had effects on physical areas.
  
  
  CONCLUSIONS
  Physical functioning depends mainly on the age, severity of comorbid conditions, depression, locomotor findings and hand disability of hemodialysis patients. The KDQOL-36 is related to the clinical status and functional ability of hemodialysis patients and it can be used as a sensitive health status measure for clinical evaluation.
authors.affiliation: PMR Department, Atatürk Educational and Research Hospital, Ankara, Turkey.
authors.forename: Fatma
authors.initials: F
authors.lastname: Fidan
authors.affiliation: PMR Department, Atatürk Educational and Research Hospital, Ankara, Turkey.
authors.forename: Berat Meryem
authors.initials: BM
authors.lastname: Alkan
authors.affiliation: PMR Department, Atatürk Educational and Research Hospital, Ankara, Turkey.
authors.forename: Aliye
authors.initials: A
authors.lastname: Tosun
authors.affiliation: Nephrology Department, Atatürk Educational and Research Hospital, Ankara, Turkey.
authors.forename: Alparslan
authors.initials: A
authors.lastname: Altunoğlu
authors.affiliation: PMR Department, Atatürk Educational and Research Hospital, Ankara, Turkey.
authors.forename: Özge
authors.initials: Ö
authors.lastname: Ardıçoğlu
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D003863:Depression / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology / Q000523:psychology; D004185:Disability Evaluation; D005260:Female; D006225:Hand / Q000503:physiopathology*; D006304:Health Status; D006801:Humans; D007676:Kidney Failure, Chronic / Q000503:physiopathology / Q000523:psychology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D059352:Musculoskeletal Pain / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology / Q000523:psychology; D010147:Pain Measurement; D011788:Quality of Life; D006435:Renal Dialysis / Q000009:adverse effects*; D011795:Surveys and Questionnaires; D016896:Treatment Outcome
keywords: Duruoz hand index; Kidney Disease Quality of Life (KDQOL-36); hemodialysis