Health-related Quality of life in Patients on Hemodialysis Compared to Peritoneal Dialysis: A cross-sectional Study

Azam Namdar; Mohammad Mehdi Naghizadeh; Fatemeh Namdar; Samiyeh Alizadeh; Ali  Montazeri

doi:10.18502/jabs.v13i3.13219

Azam Namdar Department of Community Medicine, School of Medicine, Fasa University of Medical Sciences, Fasa, Iran
Mohammad Mehdi Naghizadeh Non-Communicable Diseases Research Center, Fasa University of Medical Sciences, Fasa, Iran
Fatemeh Namdar Department of Parasitology and Mycology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
Samiyeh Alizadeh Pars Advanced and Minimally Invasive Medical Manners Research Center, Pars Hospital, Iran University of Medical Sciences, Tehran, Iran
Ali Montazeri Population Health Research Group, Health Metrics Research Center, Institute for Health Sciences Research, ACECR, Tehran, Iran

DOI: https://doi.org/10.18502/jabs.v13i3.13219

Keywords: Hemodialysis, Peritoneal dialysis, Health-related quality of life, End Stage Renal Diseases, The Short Form Health survey (SF-36)

Abstract

Background & Objective: Health-related quality of life (HRQoL) in patients with chronic renal diseases is an important factor for physicians to select a dialysis modality. The present study aimed to compare the HRQoL in hemodialysis (HD) and peritoneal dialysis (PD) patients.

Materials & Methods: In this cross-sectional study, a sample of HD patients and a sample of age- and sex-matched PD patients with at least six months dialysis were recruited. Then, the quality of life was assessed using the Short Form Health survey (SF-36). Demographic and disease-related information was also recorded. Then, data were analyzed using the SPSS software (ver. 21).

Results: Totally, 172 HD patients and 86 age- and sex-matched PD controls were entered into the study. Overall the PD patients had more dialysis per week (P < 0.001). Comparing quality of life between two groups showed significant differences in physical functioning, rolephysical, role-emotional and physical component summary observed (P < 0.05). In addition, role physical in HD patients and bodily pain in PD were the worst and best dimensions of quality of life, respectively.

Conclusion: The findings suggest that patients undergoing peritoneal dialysis had a better quality of life in most measures. It seems that we need to educate and encourage patients to choose peritoneal dialysis in order to enjoy a better quality of life.