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Background: Assessment of Quality of Life (QOL) among patients undergoing dialysis has become important with the increase in demand. Patients undergoing dialysis have limited mobility, deranged family and social life and decreased financial autonomy, all of which affect their quality of life. Hence, the study aims to assess QOL and its associated factors along with their out of pocket expenditure for seeking care. Methods: A cross-sectional analytical study was conducted among 140 patients undergoing dialysis in a tertiary health care hospital in South India. Data on Socio-demography, history of co-morbid condition and duration and type of dialysis were collected before the start of the procedure. QOL was assessed using World Health Organization Quality of life (WHOQOL-BREF) Questionnaire. Out of Pocket Expenditure (OOPE) was assessed using a pre-tested structured questionnaire with the recall period of past 1 month (expenditure incurred during OPD, follow up, duration they spend in JIPMER for treatment during each visit, food, wages lost, travel expenditure to reach JIPMER and any other medical and non-medical cost). Domain scores and total expenditure were summarized as median (IQR). Results: Quality of Life scores reported in Physical domain, Psychological domain, Social domain, Environment Domain were 13(6-19), 19(13-25), 56 (44-75), 13(6-19) respectively. Total cost incurred per month for a patient undergoing dialysis in INR was 4300 (2400-7200). Conclusion: Patients undergoing dialysis had low QOL in all four domains in spite of a longer life. The direct non-medical costs incurred by the patients were huge.

journal of urology and renal diseases

Quality of Life and its Associated Factors among Patients Undergoing Dialysis in a Tertiary Care Hospital, Puducherry, South India - A Cross-Sectional Analytical Study