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Comparison of self-reported health-related quality of life between Taiwan hemodialysis and peritoneal dialysis patients: a multi-center collaborative study
Authors:Yu-Sen Peng  Chih-Kang Chiang  Kung-Yu Hung  Chung-Hsin Chang  Chien-Yu Lin  Chwei-Shiun Yang  Tzen-Wen Chen  Ching-Chih Hsia  Da-Lung Chen  Wen-Ding Hsu  Chao-Fu Chang  Kwan-Dun Wu  Ru-Ping Lin  Tun-Jun Tsai  Wang-Yu Chen
Affiliation:1. Department of Internal Medicine, Far Eastern Memorial Hospital, #21, Nan-Ya South Road, Sec. 2, Pan-Chiao City, Taipei County, Taiwan, ROC
2. Division of Nephrology, Department of Internal Medicine, National Taiwan University Hospital, #7, Chung-Shan South Road, Taipei City, 10016, Taiwan, ROC
3. Shin-Kong Wu Ho-Su Memorial Hospital, Taipei City, Taiwan, ROC
4. En Chu Kong Hospital, Shulin City, Taipei County, Taiwan, ROC
5. Cathay General Hospital, Taipei City, Taiwan, ROC
6. Taipei Medical University Hospital, Taipei City, Taiwan, ROC
7. Ren-Ai Branch, Taipei City Hospital, Taipei City, Taiwan, ROC
8. Zhong-Xiao Branch, Taipei City Hospital, Taipei City, Taiwan, ROC
9. Sanchong Branch, Taipei County Hospital, Sanchong City, Taipei County, Taiwan, ROC
10. Ho-Ping Branch, Taipei City Hospital, Taipei City, Taiwan, ROC
11. Da Chien General Hospital, Miaoli City, Miaoli County, Taiwan, ROC
Abstract:

Purpose

The maintenance of good health-related quality of life (HRQoL) is an important goal for end-stage renal disease (ESRD) patients. Whether hemodialysis (HD) and peritoneal dialysis (PD) have different impacts on HRQoL is a concern shared by both physicians and patients. A comparison study of HRQoL between Taiwanese HD and PD patients was conducted.

Methods

ESRD patients at 14 hospitals or dialysis centers in northern Taiwan were recruited in this cross-sectional study. The Chinese-language version of the 36-item Short Form Health Survey Questionnaire (SF-36, Taiwan Standard Version 1.0) was used to evaluate HRQoL. Ordinal regression analyses were used to explore the independent association between HRQoL scores and dialysis modality. By Bonferroni correction test, a P value of <0.005 was regarded as significant.

Results

A total of 866 HD patients and 301 PD patients were included. After adjusting for confounding factors, no difference in HRQoL was found among the entire cohort and the diabetic subgroup.

Conclusion

This study demonstrated that Taiwanese HD and PD patients had similar HRQoL. The current survey improves our understanding of the association of HRQoL with dialysis modality in Taiwan ESRD population.
Keywords:
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