Format

Send to

Choose Destination
BMC Nephrol. 2018 Jan 15;19(1):11. doi: 10.1186/s12882-017-0801-5.

Association of Kidney Disease Quality of Life (KDQOL-36) with mortality and hospitalization in older adults receiving hemodialysis.

Author information

1
Durham VA Geriatric Research, Education and Clinical Center, 508 Fulton Street, Durham, NC, 27705, USA. rasheeda.stephens@dm.duke.edu.
2
Duke University Medical Center, Division of Nephrology, Department of Medicine, Box DUMC 2747, 2424 Erwin Road Suite 605, Durham, NC, 27710, USA. rasheeda.stephens@dm.duke.edu.
3
Duke University Medical Center, Division of Geriatrics, Department of Medicine, Box DUMC 3003, Durham, NC, 27710, USA.
4
Duke University, Department of Biostatistics and Bioinformatics, Box DUMC 2721, 2424 Erwin Road, Suite 1102, Durham, NC, 27710, USA.
5
Durham VA Geriatric Research, Education and Clinical Center, 508 Fulton Street, Durham, NC, 27705, USA.

Abstract

BACKGROUND:

For older adults receiving dialysis, health-related quality of life is not often considered in prognostication of death or future hospitalizations. To determine if routine health-related quality of life measures may be useful for prognostication, the objective of this study is to determine the extent of association of Kidney Disease Quality of Life (KDQOL-36) subscales with adverse outcomes in older adults receiving dialysis.

METHODS:

This is a longitudinal study of 3500 adults aged ≥75 years receiving dialysis in the United States in 2012 and 2013. We used Cox and Fine and Gray models to evaluate the association of KDQOL-36 subscales with risk of death and hospitalization. We adjusted for sociodemographic variables, hemodialysis access type, laboratory values, and Charlson index.

RESULTS:

Three thousand one hundred thirty-two hemodialysis patients completed the KDQOL-36. From KDQOL-36 completion date in 2012, 880 (28.1%) died and 2023 (64.6%) had at least one hospitalization over a median follow-up of 512 and 203 days, respectively. Cohort members with a SF-12 physical component summary (PCS) in the lowest quintile had an increased adjusted risk of death [hazard ratio (HR), 1.55, 95% confidence interval (CI) 1.19-2.03] and hospitalization (HR, 1.29, 95% CI 1.09-1.54) compared with those with scores in the highest quintile. Cohort members with a SF-12 mental component summary in the lowest quintile had an increased risk of hospitalization (HR, 1.39, 95% CI 1.17-1.65) compared with those in the highest quintile. In adjusted analyses, there was no association between the symptoms of kidney disease, effects of kidney disease, and burden of kidney disease subscales with time to death or first hospitalization. Competing risk models showed similar HRs.

CONCLUSIONS:

Among the KDQOL-36 subscales, the SF-12 PCS demonstrates the strongest association with both death and future hospitalizations in older adults receiving hemodialysis Further research is needed to assess the value this subscale may add to prognostication.

KEYWORDS:

Competing risks; Geriatric nephrology; Health-related quality of life; Prognostication; SF-12

PMID:
29334904
PMCID:
PMC5769495
DOI:
10.1186/s12882-017-0801-5
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for BioMed Central Icon for PubMed Central
Loading ...
Support Center