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Quality of Life and Mental Health Related to Timing, Frequency and Dose of Hemodialysis
Author(s) -
Cohen Scott D.,
Kimmel Paul L.
Publication year - 2013
Publication title -
seminars in dialysis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.899
H-Index - 78
eISSN - 1525-139X
pISSN - 0894-0959
DOI - 10.1111/sdi.12124
Subject(s) - medicine , dialysis , quality of life (healthcare) , hemodialysis , population , mental health , end stage renal disease , intensive care medicine , disease , psychiatry , nursing , environmental health
The perceived quality of life ( QOL ) and mental health of dialysis patients can have a significant impact on clinical outcomes in the end‐stage renal disease ( ESRD ) population. There is growing interest in increasing dialysis frequency, dose and duration to achieve more adequate dialysis clearance, particularly of middle molecules. Over the past decade, there has been an interest in earlier initiation of dialysis; however, the results of the IDEAL study call this practice into question, and showed no difference in QOL scores between the early‐start and later start dialysis patients. There are inconsistent results regarding the impact of increased dialysis frequency and dose on patients' perceived health‐related QOL ( HRQOL ). Some studies of daily nocturnal dialysis patients show a positive impact on QOL , while others show no significant difference. The disparate outcomes may be partly related to differences in the demographic characteristics of the study populations and the specific questionnaires used to measure HRQOL . Additional research is necessary to determine whether changes in dialysis frequency, timing, and dose can positively or negatively impact patients' perceptions of their QOL and mental health.