The results of a multifactorial analysis to identify medical and social factors associated with the quality of life of patients with chronic kidney disease on hemodialysis

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Дәйексөз келтіру

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Аннотация

Background. Chronic kidney disease (CKD) is one of the leading non-communicable diseases. Modern technologies of renal replacement therapy in end-stage CKD can increase the life expectancy of patients. Improving the quality of life of patients with CKD who are on long-term renal replacement therapy by hemodialysis is an important public health issue.

Objective. To carry out a multifactorial analysis to identify medical and social factors associated with the quality of life of patients with chronic kidney disease on hemodialysis.

Material and methods. To assess the medical and social characteristics of patients with CKD on hemodialysis, a specially designed questionnaire containing 21 questions was used. Patients' quality of life was assessed using the KDQOL-SF questionnaire. Statistical data processing was carried out using the SPSS program.25. A total of 723 patients with CKD receiving hemodialysis therapy in dialysis centers in Moscow participated in the study. Collection period: August-November 2021.

Results. Low indicators of the quality of life of patients were revealed. A set of seven significant medical and social factors associated with the values of the quality of life scales was established – age, gender, financial situation, living conditions, physical activity, smoking and duration of hemodialysis, their total contribution to the variance of the quality of life scales ranged from 7 to 23.5%.

Conclusion. It is important to take into account the identified medical and social factors associated with the quality of life of patients with CKD on hemodialysis when planning and evaluating medical and organizational measures aimed at improving the quality of life of this group of patients.

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Авторлар туралы

Oleg Kotenko

Moscow City Scientific and Practical Center for Nephrology and Transplanted Kidney Pathology, City Clinical Hospital №52 of the Moscow Healthcare Department; Russian University of Medicine

Хат алмасуға жауапты Автор.
Email: olkotenko@yandex.ru
ORCID iD: 0000-0001-8264-7374

Dr.Sci. (Med.), Deputy Chief Physician for Nephrology, City Clinical Hospital №52 of the Moscow Healthcare Department, Chief External Expert in Nephrology of the Moscow Healthcare Department and North-West Federal Okrug

Ресей, Moscow; Moscow

Liubov Abolyan

Sechenov University

Email: abolyan_l_v@staff.sechenov.ru
ORCID iD: 0000-0002-7644-8771

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

Ресей, Moscow

Vladislav Kuteinikov

Sechenov University

Email: vladislav864vlad@list.ru
ORCID iD: 0000-0002-6299-4261

Postgraduate Student at the Department of Public Health and Healthcare named after N.A. Semashko

Ресей, Moscow

Imam Arsanukaev

Russian University of Medicine

Email: aimamm0950@mail.ru
ORCID iD: 0000-0001-9922-4634

resident of the Urology Department

Ресей, Moscow

Ekaterina Dorofeeeva

Moscow City Scientific and Practical Center for Nephrology and Transplanted Kidney Pathology, City Clinical Hospital №52 of the Moscow Healthcare Department

Email: egdorofeeva@bk.ru
ORCID iD: 0000-0002-8764-4495

Nephrologist, Consultative and Diagnostic Nephrology Department

Ресей, Moscow

Vladimir Vinogradov

Moscow City Scientific and Practical Center for Nephrology and Transplanted Kidney Pathology,
City Clinical Hospital №52 of the Moscow Healthcare Department; Research Institute of care Organization and Medical Management of the Moscow Healthcare Department

Email: vino-gradoff@yandex.ru
ORCID iD: 0000-0002-2499-4770

Head of the Consultative and Diagnostic Nephrology Department, City Clinical Hospital № 52 of the Moscow Healthcare Department, Specialist at the Organizational and Methodological Department for Nephrology, Research Institute of Healthcare Organization and Medical Management of the Moscow Healthcare Department

Ресей, Moscow; Moscow

Әдебиет тізімі

  1. Устранение пробелов в лечении почек: воплощение того, что мы знаем, в то, что мы делаем. Перевод на русский язык Е.В. Паршиной под ред. Е.В. Захаровой. Нефрология и диализ. 2024;26(1):9–22. doi: 10.28996/2618-9801-2024-1-9-22. [Closing gaps in kidney treatment: Translating what we know into what we do. Translated into Russian by E.V. Parshina, edited by E.V. Zakharova. Nephrology and dialysis. 2024;26(1):9–22. doi: 10.28996/2618-9801-2024-1-9-22 (In Russ.)].
  2. GBD Chronic Kidney Disease Collaboration. Global, regional, and national burden of chronic kidney disease, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet. 2020;395(10225):709–33. doi: 10.1016/S0140-6736(20)30045-3.
  3. Borg R., Carlson N., Sondergaard J., et al. The Growing Challenge of Chronic Kidney Disease: An Overview of Current Knowledge. Int. J. Nephrol. 2023;2023:9609266. doi: 10.1155/2023/9609266.
  4. Schatell D., Thompson N., Oberley E. Life Options Patient Opinion Study identifies keys to a long life for dialysis patients. Nephrol. News Issues. 1999;13(4):24–6.
  5. Абаева О.П., Романов С.В., Рябова Е.Н. Качество жизни пациентов, перенесших операцию по трансплантации почки и печени. Профилактическая медицина. 2020;23(1):121–26. doi: 10.17116/profmed202023011121. [ Abaeva O.P., Romanov S.V., Ryabova E.N. The quality of life of patients who underwent kidney and liver transplantation surgery. Preventive medicine. 2020;23(1):121–26. doi: 10.17116/profmed202023011121 (In Russ.)].
  6. Clark-Cutaia M.N., Rivera E., Iroegbu C., et al. Exploring the Evidence: Symptom Burden in Chronic Kidney Disease. Nephrol. Nurs. J. 2022;49(3):227–55.
  7. Keivan S., Shariati A., Miladinia M., Haghighizadeh M.H. Role of self-management program based on 5A nursing model in quality of life among patients undergoing hemodialysis: a Randomized Clinical Trial. BMC. Nephrol. 2023;24(1):58. doi: 10.1186/s12882-023-03108-2.
  8. Новик А.А., Ионова Т.И. Руководство по исследованию качества жизни в медицине М., 2021. [Novik A.A., Ionova T.I. Guidelines for the study of quality of life in medicine M., 2021 (In Russ.)].
  9. Evangelidis N., Tong A., Manns B., et al. Standardized Outcomes in Nephrology–Hemodialysis (SONG-HD) Initiative. Developing a Set of Core Outcomes for Trials in Hemodialysis: An International Delphi Survey. Am. J. Kidney Dis. 2017;70(4):464–75. doi: 10.1053/j.ajkd.2016.11.029.
  10. Васильева И.А. Факторы, ассоциированные с качеством жизни на додиализных стадиях хронической болезни почек. Обзор литературы. Нефрология и диализ. 2022;24(3):457–72. doi: 10.28996/2618-9801-2022-3-457-472 [Vasilyeva I.A. Factors associated with the quality of life in the predialysis stages of chronic kidney disease. Literature review. Nephrology and dialysis. 2022;24(3):457–72. doi: 10.28996/2618-9801-2022-3-457-472 (In Russ.)].
  11. Котенко О.Н., Абольян Л.В., Кутейников В.Ю., и др. Комплексная оценка качества жизни и медико-социальных характеристик пациентов с хронической болезнью почек V стадии на гемодиализе. Нефрология и диализ. 2023;25(3):383–93. doi: 10.28996/2618-9801-2023-3-383-393. [Kotenko O.N., Abolyan L.V., Kuteynikov V.Yu., et al. Comprehensive assessment of the quality of life and medical and social characteristics of patients with chronic stage V kidney disease on hemodialysis. Nephrology and dialysis. 2023;25(3):383–93. doi: 10.28996/2618-9801-2023-3-383-393 (In Russ.)].
  12. Кутейников В.Ю., Абольян Л.В. Исследование качества жизни у пациентов с хронической болезнью почек на заместительной почечной терапии методом гемодиализа: монография. М., 2024. 100 с. ISBN 978-5-9500996-2-5. [Kuteynikov V.Yu., Abolyan L.V. Study of the quality of life in patients with chronic kidney disease on renal replacement therapy by hemodialysis: monograph. M., 2024. 100 p. ISBN 978-5-9500996-2-5 (In Russ.)].
  13. Васильева И.А., Смирнов А.В. Оценка качества жизни больных на гемодиализе при помощи опросника KDQOL-SFTM. Нефрология. 2018;22(5):58–63. doi: 10.24884/1561-6274-2018-22-5-58-63. [Vasilyeva I.A., Smirnov A.V. Assessment of the quality of life of patients on hemodialysis using the KDQOL-SFTM questionnaire. Nephrology. 2018;22(5):58–63. doi: 10.24884/1561-6274-2018-22-5-58-63 (In Russ.)].
  14. Наследов А. SPSS 19: профессиональный статистический анализ данных. Москва [и др.]: Питер, 2011. 399 с. ISBN 978-5-459-00344-4. [Heritov A. SPSS 19: professional statistical data analysis. Moscow [et al.]: St. Petersburg, 2011. 399 p. ISBN 978-5-459-00344-4 (In Russ.)].
  15. Akbari R., Baee M., Ghadimi R., et al. Comparison of Health-promoting Behaviors, Anxiety, and Depression Between Hemodialysis Patients and Healthy Controls During the COVID-19 Pandemic. Shiraz E-Med. J. 2024;25(1):e139666. doi: 10.5812/semj-139666.
  16. Fletcher B.R., Damery S., Aiyegbusi O.L., et al. Symptom burden and health-related quality of life in chronic kidney disease: A global systematic review and meta-analysis. PLoS Med. 2022;19(4):e1003954. doi: 10.1371/journal.pmed.1003954.
  17. Васильева, И.А., Бабарыкина Е.В., Добронравов В.А. Социально-демографические характеристики и качество жизни больных на гемодиализе. Нефрология. 2012;1(4):55–61. [Vasilyeva, I.A., Babarykina E.V., Dobronravov V.A. Socio-demographic characteristics and quality of life of patients on hemodialysis. Nephrology. 2012;1(4):55–61 (In Russ.)].
  18. Штыпина, Л.Н., Шаповалова М.А., Симонов С.Н., Баранов А.В. Качество жизни пациентов, находящихся на гемодиализе (результаты собственных исследований и зарубежный опыт). Медицина и физическая культура: наука и практика. 2021;3(10):47–55. doi: 10.20310/2658-7688-2021-3-2(10)-47-55. [Shtypina, L.N., Shapovalova M.A., Simonov S.N., Baranov A.V. The quality of life of patients undergoing hemodialysis (the results of their own research and foreign experience). Medicine and physical education: science and practice. 2021;3(10):47–55. doi: 10.20310/2658-7688-2021-3-2(10)-47-55 (In Russ.)].
  19. Kefale B., Alebachew M., Tadesse Y., Engidawork E. Quality of life and its predictors among patients with chronic kidney disease: A hospital-based cross sectional study. PLoS One. 2019;14(2):e0212184. doi: 10.1371/journal.pone.0212184.
  20. El-Habashi A.F., El-Agroudy A.E., Jaradat A., et al. Quality of life and its determinants among hemodialysis patients: A single-center study. Saudi J. Kidney Dis. Transpl. 2020;31(2):460–72. doi: 10.4103/1319-2442.284022.
  21. Cai X., Zeng D., Deng J. A systematic review and meta-analysis of the efficacy of aerobic exercise combined with resistance training on maintenance hemodialysis patients. Ann. Palliat. Med. 2022;11(4):1360–68. doi: 10.21037/apm-22-226.
  22. Pereira A.B.N., Santana L.L., Rocha L.B., et al. Physical Exercise Affects Quality of Life and Cardiac Autonomic Modulation in Patients With Chronic Kidney Failure Submitted to Hemodialysis: A Randomized Clinical Trial. Percept. Mot. Skills. 2022;129(3):696–713. doi: 10.1177/00315125221085811.
  23. Zhang F., Bai Y., Zhao X., et al. Therapeutic effects of exercise interventions for patients with chronic kidney disease: an umbrella review of systematic reviews and meta-analyses. BMJ. Open. 2022;12:e054887. Doi: 10.1136/ bmjopen-2021-054887.
  24. Evangelidis N., Craig J., Bauman A., et al. Lifestyle behaviour change for preventing the progression of chronic kidney disease: a systematic review. BMJ. Open. 2019;28;9(10):e031625. doi: 10.1136/bmjopen-2019-031625.
  25. Wu P.Y., Chao C.T., Chan D.C., et al. Contributors, risk associates, and complications of frailty in patients with chronic kidney disease: a scoping review. Ther. Adv. Chronic. Dis. 2019;5(10):2040622319880382. doi: 10.1177/2040622319880382.
  26. Modi G.K., Yadav A.K., Ghosh A., et al. Nonmedical Factors and Health-Related Quality of Life in CKD in India. Clin. J. Am. Soc. Nephrol. 2020;15(2):191–99. doi: 10.2215/CJN.06510619.
  27. Вишняк Д.А., Малашенко С.М. Оценка качества жизни пациентов на программном гемодиализе: фокус на северный регион. Нефрология. 2020;24(4):73–9. doi: 10.36485/1561-6274-2020-24-4-73-79. [Vishnyak D.A., Malashenko S.M. Assessment of the quality of life of patients on programmed hemodialysis: focus on the northern region. Nephrology. 2020;24(4):73–9. doi: 10.36485/1561-6274-2020-24-4-73-79 (In Russ.)].

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2. Figure. Average values ​​of specific and general scales for assessing the quality of life of patients with CKD on HD (points)

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