Analysis of quality of life in patients with chronic kidney disease on dialysis therapy from a patient-centered healthcare perspective

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Abstract

Background. The concept of health-related quality of life (QOL) as a key factor in patient-physician interaction is relevant for making management decisions to optimize medical care for nephrology patients from a patient-centered healthcare perspective.

Objective. Assessment and comparison of the QOL of patients with chronic kidney disease (CKD) on hemodialysis (HD) and peritoneal dialysis (PD) using a patient-centered approach to selecting and evaluating the effectiveness of medical care for this category of patients at the regional level of the Russian Federation.

Material and methods. Data were collected at the Moscow City Scientific and Practical Center for Nephrology and Transplanted Kidney Pathology of the Moscow Healthcare Department. The medical and social characteristics and health-related QOL of patients with CKD on HD and PD were examined. QOL was assessed using the KDQOL-SF™ v.1.3 questionnaire for dialysis patients. An analysis of the QOL dynamics of HD patients before and after their inclusion in the Telenephrocenter remote monitoring program was conducted, as well as a comparative analysis of the QOL of HD patients and PD patients included in the Telenephrocenter program. The study included 163 HD patients and 50 PD patients. The study was conducted from December 2023 to June 2024. Statistical analysis was performed using IBM SPSS.25 software.

Results. Patients with CKD on dialysis have low QOL. Differences in medical and social characteristics were identified between patients on HD and PD. Implementation of the Telenephrocenter program resulted in improved QOL among HD patients 3 and 6 months after program implementation. Patients on PD had better QOL indicators related to self-assessment of the physical component of health, while patients on HD had better indicators related to the psychological and social components of health.

Conclusion. Assessing the QOL of patients with CKD on dialysis is an important component of modern clinical trials conducted to optimize medical care for nephrology patients from a patient-centered perspective.

About the authors

Oleg N. Kotenko

Hospital No. 52, Moscow Healthcare Department; Pirogov Russian National Research Medical University

Author for correspondence.
Email: olkotenko@yandex.ru
ORCID iD: 0000-0001-8264-7374
SPIN-code: 8288-1016
Scopus Author ID: 57192109595

Dr.Sci. (Med.), Deputy Chief Physician for Nephrology, Moscow Regional Research Center, Hospital No. 52, Moscow Healthcare Department, Moscow City Scientific and Practical Center for Nephrology and Transplanted Kidney Pathology; Chief External Expert in Nephrology of the Moscow Healthcare Department and Northwestern Federal District, Pirogov Russian National Research Medical University

Russian Federation, Moscow; Moscow

Ekaterina G. Dorofeeva

Hospital No. 52, Moscow Healthcare Department

Email: olkotenko@yandex.ru
ORCID iD: 0000-0002-8764-4495
Scopus Author ID: 58289278300

Nephrologist, Consultative and Diagnostic Nephrology Department, Moscow City Scientific and Practical Center for Nephrology and Transplanted Kidney Pathology

Russian Federation, Moscow

Liubov V. Abolyan

Sechenov First Moscow State Medical University (Sechenov University)

Email: abolyan_l_v@staff.sechenov.ru
ORCID iD: 0000-0002-7644-8771
SPIN-code: 5048-0170
Scopus Author ID: 21733637200

Dr.Sci. (Med.), Professor, N.A. Semashko Department of Public Health and Healthcare

Russian Federation, Moscow

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