title: Quality of life in chronic renal patients on hemodialysis or peritoneal dialysis: a comparative study in a referral service of Curitiba - PR.
abstract: BACKGROUND
  Chronic kidney disease (CKD) compromises the health and routine of the patient. On the fifth stage of CKD, the patient becomes eligible to start renal replacement therapy: hemodialysis (HD), peritoneal dialysis (PD) or kidney transplantation. The type of CKD treatment is essential to improving quality of life of the patient.
  
  
  OBJECTIVE
  To compare the quality of life of CKD stage 5 patients who perform HD and home PD.
  
  
  METHODS
  Cross-sectional study with data collection, by convenience, through the application of socioeconomic and KDQOL SF-36 questionnaires in HD and PD patients of the Pro-Renal Foundation and satellite clinics in Curitiba-PR.
  
  
  RESULTS
  The sample was 338 patients, 222 HD and 116 PD. Average age: 54.4 years for HD group (± 15.28) and 58.00 for the DP group (± 13.99). The variables: work status (p < 0.05), encouragement by dialysis staff (p < 0.01) and patient satisfaction (p < 0.001) were in favor of DP; while physical functioning (p < 0.05) and emotional function (p < 0.01) were to HD.
  
  
  CONCLUSIONS
  Objectively, PD was more favorable regarding quality of life, for the large number of items with significant results when compared to HD. However, the two variables of greatest significance found in HD (physical functioning and emotional functioning) ended up having a much greater impact on well-being and daily-life of the patient in the environment external to the clinic than those who were higher in DP, making HD the most favorable for patient quality of life.
authors.affiliation: Universidade Positivo, Brazil.
authors.forename: Fernanda Aguiar
authors.initials: FA
authors.lastname: Gonçalves
authors.affiliation: Universidade Positivo, Brazil.
authors.forename: Ingrid Fernandes
authors.initials: IF
authors.lastname: Dalosso
authors.affiliation: Universidade Positivo, Brazil.
authors.forename: Jéssica Maria Camargo
authors.initials: JM
authors.lastname: Borba
authors.affiliation: Universidade Positivo, Brazil.
authors.forename: Juliana
authors.initials: J
authors.lastname: Bucaneve
authors.affiliation: Universidade Positivo, Brazil.
authors.forename: Nayra Maria Prado
authors.initials: NM
authors.lastname: Valerio
authors.affiliation: Universidade Positivo, Brazil.
authors.forename: Cristina Terumy
authors.initials: CT
authors.lastname: Okamoto
authors.affiliation: Fundação Pró-Renal, Curitiba, PR, Brazil.
authors.forename: Sergio Gardano Elias
authors.initials: SG
authors.lastname: Bucharles
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D010530:Peritoneal Dialysis; D011788:Quality of Life; D012017:Referral and Consultation; D006435:Renal Dialysis; D055815:Young Adult