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    Title: A comparison of quality of life between patients treated with different dialysis modalities in Taiwan
    Authors: Hsu, Chu-Chun;Huang, Chiu-Ching;Chang, Yue-Cune;Chen, Jin-Shuen;Tsai, Wen-Chen;Wang, Kwua-Yun
    Date: 2020-01-06
    Issue Date: 2020-02-12 12:10:28 (UTC+8)
    Abstract: Purpose
    This study compared the quality of life (QOL) of hemodialysis (HD) and peritoneal dialysis
    (PD) patients in Taiwan.
    Methods
    This cross-sectional study recruited end-stage renal disease patients from 34 Taiwanese hospitals or clinics. Patient characteristics, diagnoses, and laboratory data were extracted from charts. The Chinese version of the Quality of Life Index–Dialysis version (QLI-D) was
    used. Multiple linear regression analysis showed the effects of dialysis modality on QOL. P<0.05 indicated statistical significance.
    Results
    In total, 600 HD and 387 PD patients were included. The mean health and functioning, social
    and economic, psychological/spiritual, and family subscale scores and total QOL scores
    were significantly lower in HD patients than PD patients. After adjusting for region, hospital
    level, age, education level, marital status, and Karnofsky Performance Scale, the total QOL
    was 2.81 points higher for PD patients than for HD patients visiting medical centers
    (p<0.001). The total QOL was 2.53 points lower in PD patients than in HD patients for those
    visiting clinics.
    Conclusion
    Compared to HD patients, PD patients had better QOL in Taiwanese medical centers. The current survey improves our understanding of the QOL of patients undergoing different dialysis modalities in Taiwan.
    Relation: PLoS One 15 (1), e0227297
    DOI: 10.1371/journal.pone.0227297
    Appears in Collections:[Graduate Institute & Department of Mathematics] Journal Article

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