Are both psychological and physical dimensions in health-related quality of life associated with mortality in hemodialysis patients: a 7-year Taiwan cohort study.

Abstract:

BACKGROUND:Psychological depression and physical disability are closely correlated in hemodialysis patients. A retrospective cohort study was conducted to examine the independent association of physical and psychological functioning with mortality in a hemodialysis cohort in Taiwan. METHODS:A total of 888 stable hemodialysis patients were included. Patients completed two questionnaires: the 36-item Short Form Health Survey Questionnaire (SF-36, Taiwan Standard Version 1.0) and the Beck Depression Inventory (BDI, Chinese Version). Mortality outcomes were recorded for a seven-year follow-up period. RESULTS:There were 303 deaths recorded. BDI scores were inversely related to all health-related quality of life (HRQoL) domains (p < 0.001). In the Cox-proportional hazard model, only poor physical dimension of HRQoL was independently associated with higher mortality. CONCLUSION:Poor physical dimension in HRQoL is a strong predictor of mortality among hemodialysis patients in Taiwan. Psychological depression is closely correlated with poor HRQoL but does not predict mortality.

journal_name

Blood Purif

journal_title

Blood purification

authors

Peng YS,Chiang CK,Hung KY,Chang CH,Lin CY,Yang CS,Chen TW,Hsia CC,Chen DL,Hsu WD,Chang CF,Wu KD,Lin RP,Tsai TJ,Chen WY

doi

10.1159/000319002

subject

Has Abstract

pub_date

2010-01-01 00:00:00

pages

98-105

issue

2

eissn

0253-5068

issn

1421-9735

pii

000319002

journal_volume

30

pub_type

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