Health Related Quality of Life in Patients Receiving Continuous Ambulatory Peritoneal Dialysis

Authors

  • Palash Kumar Deb Nath Assistant Professor, Department of Nephrology, Mugda Medical College, Dhaka-1214.
  • Md Masud Iqbal Professor and Head, Department of Nephrology, National Institute of Kidney Diseases and Urology (NIKDU), Dhaka-1207.
  • Sarwar Iqbal Professor and Head, Department of Nephrology, BIRDEM General Hospital, Dhaka-1000.
  • Kazi Shahnoor Alam Professor and Head, Department of Nephrology, National Institute of Kidney Diseases and Urology (NIKDU), Dhaka-1207.
  • Mohammed Rashed Anwar Associate Professor, Department of Nephrology, Mugda Medical College, Dhaka-1214.
  • Md Farhad Hasan Chowdhury Assistant Professor, Department of Nephrology, Mugda Medical College, Dhaka-1214.
  • Momtaz Hossain Assistant Professor, Department of Nephrology, Mugda Medical College, Dhaka-1214.
  • Satyajit Kumar Saha Assistant Director, Mugda Medical College Hospital, Dhaka-1214.
  • Md Afzalul Bashar Registrar, Department of Nephrology, Shaheed Sheikh Abu Naser Specialized Hospital, Khulna-9100.
  • Md Sorowar Hossain Dialysis Medical Officer, National Institute of Kidney Diseases and Urology (NIKDU), Dhaka-1207.

DOI:

https://doi.org/10.3329/mumcj.v5i1.71294

Keywords:

Mental composite score, physical composite score, quality of life, continuous ambulatory peritoneal dialysis, end stage renal disease

Abstract

Background: Health related quality of life (HRQoL) covers the impact of the disease or medical actions on the physical symptoms, functional status, and mental and social functioning. The KDQOL is a kidney disease–speciûc HRQoL instrument used in research.

Objective: To observe the quality of life parameters in patients on continuous ambulatory peritoneal dialysis (CAPD).

Methods: This cross-sectional study was carried out in three tertiary renal care hospital. Total 40 CAPD patient were selected as cases and 40 healthy individuals were included as controls. A semi-structured questionnaire was developed in English and translated to Bangla. The questionnaire contained questions related to: 1) KDQoL-36 developed by RAND; 2) Clinical and 3) laboratory parameters. Different clinical and laboratory parameters were evaluated. Quality of life (QOL) parameters were assessed by KDQOL-SF-36(V-1.3) questionnaire. The scoring procedure for the KDQOL-SF-36 first transforms the raw precoded numeric values of items to a 0-100 possible range. Higher transformed scores better quality of life.

Results: Mean age of the study subjects was 55±11and control 56±11years (p=.0.664). They were also matched for sex and BMI. The main primary disease responsible for ESRD was diabetic nephropathy (57.5%), followed by glomerulonephritis and hypertensive nephropathy. Mean haemoglobin of the study subjects was 8.1±1.4 g/dl, albumin 3.1±1.4 g/dl and Kt/V 1.8±0.3. Mean physical composite score (PCS) calculated by KDQOL-SF-36 in CAPD and control group were 44±15 and 79±12 (p<0.001) and mean mental composite score (MCS) were 45±17 and 80±10 (p<0.001). When QOL parameters were compared between two groups according to Kt/V d”1.7 and >1.7 showed most of the scores were higher in Kt/V >1.7.

Conclusion: Quality of life parameters among patients on CAPD were good; hence, it can be a viable option for ESRD patients in Bangladesh.

Mugda Med Coll J. 2022; 5(1): 14-18

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Published

2022-01-31

How to Cite

Nath, P. K. D. ., Iqbal, M. M. ., Iqbal, S. ., Alam, K. S. ., Anwar, M. R. ., Chowdhury, M. F. H. ., Hossain, M. ., Saha, S. K. ., Bashar, M. A. ., & Hossain, M. S. . (2022). Health Related Quality of Life in Patients Receiving Continuous Ambulatory Peritoneal Dialysis. Mugda Medical College Journal, 5(1), 14–18. https://doi.org/10.3329/mumcj.v5i1.71294

Issue

Vol. 5 No. 1 (2022)

Section

Original Article

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