Health-related quality of life, depression and mortality in peritoneal dialysis patients in Turkey: seven-year experience of a center

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dc.contributor.authorTurkmen, Kultigin
dc.contributor.authorGuney, Ibrahim
dc.contributor.authorYazici, Raziye
dc.contributor.authorArslan, Sevket
dc.contributor.authorAltintepe, Lutfullah
dc.contributor.authorYeksan, Mehdi
dc.date.accessioned2024-02-23T14:34:36Z
dc.date.available2024-02-23T14:34:36Z
dc.date.issued2014
dc.departmentNEÜen_US
dc.description.abstractIntroduction: Impairment of health-related quality of life (HRQoL) and being in a depressive mood were found to be associated with increased mortality in peritoneal dialysis (PD) patients. We aimed to investigate the association between HRQoL, depression, other factors and mortality in PD patients. Materials and methods: Totally 171 PD patients were included and followed for 7 years in this prospective study. Results: Of 171 PD patients, 45 (26.3%) deceased, 18 (10.5%) maintained on PD, 87 (50.9%) shifted to hemodialysis (HD) and 21 (12.3%) underwent transplantation. The most common cause of death was cardiovascular disease (32, 71.1%) followed by infection (6, 13.3%), cerebrovascular accident (5, 11.2%). The etiology of patients who shifted to HD was PD failure (41, 47.1%), peritonitis (33, 37.9%), leakage (6, 6.9%), catheter dysfunction (3, 3.4%), self willingness (4, 4.6%). Non-survivors were older than survivors (56.6 +/- 15.0 vs. 43.6 +/- 14.6, p = 0.003). There were also statistically significant difference in terms of albumin, residual urine, presence of diabetes and co-morbidity. When the groups were compared regarding HRQoL scores, non-survivors had lower physical functioning (p<0.001), role-physical (p = 0.0045), general health (p = 0.004), role-emotional (p = 0.011), physical component scale (PCS) (p = 0.004), mental component scale (MCS) (p = 0.029). Age, presence of residual urine, diabetes, albumin, PCS and MCS were entered in regression analysis. Decrease of 1 g/dL of albumin and being diabetic were found to be the independent predictors of mortality. Conclusions: Diabetes and hypoalbuminemia but not HRQOL scores were associated with higher mortality in PD patients after 7 years of following period.en_US
dc.identifier.doi10.3109/0886022X.2014.899874
dc.identifier.endpage864en_US
dc.identifier.issn0886-022X
dc.identifier.issn1525-6049
dc.identifier.issue6en_US
dc.identifier.pmid24655076en_US
dc.identifier.scopus2-s2.0-84903308143en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage859en_US
dc.identifier.urihttps://doi.org/10.3109/0886022X.2014.899874
dc.identifier.urihttps://hdl.handle.net/20.500.12452/15661
dc.identifier.volume36en_US
dc.identifier.wosWOS:000337949800005en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherInforma Healthcareen_US
dc.relation.ispartofRenal Failureen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectDepressionen_US
dc.subjectDiabetesen_US
dc.subjectHealth-Related Quality Of Lifeen_US
dc.subjectHypoalbuminemiaen_US
dc.subjectMortalityen_US
dc.subjectPeritoneal Dialysisen_US
dc.titleHealth-related quality of life, depression and mortality in peritoneal dialysis patients in Turkey: seven-year experience of a centeren_US
dc.typeArticleen_US

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