Orly Romano-Zelekha1, Eliezer Golan2,3,4, Anneke Ifrah5, Talia Weinstein4,6, Tamy Shohat5,7. 1. Israel Center for Disease Control, Ministry of Health, Tel Hashomer, 52621, Israel. orly.romano@moh.health.gov.il. 2. Hemodialysis Unit, Meir Medical Center, Kfar Saba, Israel. 3. Israel Renal Registry, ISNH, Tel Hashomer, Israel. 4. Sourasky Medical Center Tel-Aviv, Tel-Aviv, Israel. 5. Israel Center for Disease Control, Ministry of Health, Tel Hashomer, 52621, Israel. 6. The Israeli Society of Nephrology and Hypertension, Tel-Aviv, Israel. 7. Department of Epidemiology and Preventive Medicine, Sackler School of Medicine, Tel Aviv University, Tel-Aviv, Israel.
Abstract
PURPOSE: Higher health-related quality of life (HRQOL) in dialysis patients has been associated with fewer hospitalizations and lower mortality. Since Arab patients on dialysis have better survival rates than Jewish patients, we hypothesized that they would have higher HRQOL. We also studied the impact of several risk factors on HRQOL in each population. METHODS: Based on a national dialysis registry, patients from 64 hemodialysis units were recruited to participate. Patients who consented were interviewed face-to-face, using the Kidney Disease Quality of Life Short Form (KDQOL-SF36) questionnaire. RESULTS: Five hundred and fifty-eight (50.6%) Jewish and 544 (49.4%) Arab patients participated in the study. For Arab patients mean crude scores for the "mental component summary" and KDQOL scores were significantly lower than for Jewish patients [31.6 (95% Cl 30.0-33.3) vs. 38.0 (95% Cl 36.1-39.9), p < 0.0001 and 55.6 (95% Cl 54.5-56.7) vs. 59.8 (95% Cl 58.6-60.9), p < 0.0001, respectively]. Much lower scores were observed for Arabs in the "emotional role" and "work status" subscales. The two populations had similar general health assessments and albumin level. For both, HRQOL was positively associated with higher educational level, higher albumin level, and dialysis connection by fistula or graft; and negatively associated with low income and diabetes. HRQOL was negatively associated with previous cerebrovascular accident among Arabs and with female gender among Jews. CONCLUSIONS: Differences between Jews and Arabs in subscales related to psychosocial factors suggest that cultural differences in the perceptions of sickness and health may be relevant here. Future studies should explore such possibility and focus on the large gap in the "work status" subscale.
PURPOSE: Higher health-related quality of life (HRQOL) in dialysis patients has been associated with fewer hospitalizations and lower mortality. Since Arab patients on dialysis have better survival rates than Jewish patients, we hypothesized that they would have higher HRQOL. We also studied the impact of several risk factors on HRQOL in each population. METHODS: Based on a national dialysis registry, patients from 64 hemodialysis units were recruited to participate. Patients who consented were interviewed face-to-face, using the Kidney Disease Quality of Life Short Form (KDQOL-SF36) questionnaire. RESULTS: Five hundred and fifty-eight (50.6%) Jewish and 544 (49.4%) Arab patients participated in the study. For Arab patients mean crude scores for the "mental component summary" and KDQOL scores were significantly lower than for Jewish patients [31.6 (95% Cl 30.0-33.3) vs. 38.0 (95% Cl 36.1-39.9), p < 0.0001 and 55.6 (95% Cl 54.5-56.7) vs. 59.8 (95% Cl 58.6-60.9), p < 0.0001, respectively]. Much lower scores were observed for Arabs in the "emotional role" and "work status" subscales. The two populations had similar general health assessments and albumin level. For both, HRQOL was positively associated with higher educational level, higher albumin level, and dialysis connection by fistula or graft; and negatively associated with low income and diabetes. HRQOL was negatively associated with previous cerebrovascular accident among Arabs and with female gender among Jews. CONCLUSIONS: Differences between Jews and Arabs in subscales related to psychosocial factors suggest that cultural differences in the perceptions of sickness and health may be relevant here. Future studies should explore such possibility and focus on the large gap in the "work status" subscale.
Entities:
Keywords:
Arabs; End-stage renal disease; Health-related quality of life (HRQOL); Hemodialysis; Jews; KDQOL-SF36; Quality of life
Authors: Jeffrey Perl; Angelo Karaboyas; Hal Morgenstern; Ananda Sen; Hugh C Rayner; Raymond C Vanholder; Christian Combe; Takeshi Hasegawa; Fredric O Finkelstein; Antonio A Lopes; Bruce M Robinson; Ronald L Pisoni; Francesca Tentori Journal: Nephrol Dial Transplant Date: 2017-03-01 Impact factor: 5.992
Authors: Jonas Preposi Cruz; Paolo C Colet; Nahed Alquwez; Ergie P Inocian; Raid Salman Al-Otaibi; Sheikh Mohammed Shariful Islam Journal: Hemodial Int Date: 2016-06-21 Impact factor: 1.812
Authors: Antonio Alberto Lopes; Jennifer L Bragg-Gresham; Sudtida Satayathum; Keith McCullough; Trinh Pifer; David A Goodkin; Donna L Mapes; Eric W Young; Robert A Wolfe; Philip J Held; Friedrich K Port Journal: Am J Kidney Dis Date: 2003-03 Impact factor: 8.860
Authors: Samar Abd ElHafeez; Sunny A Sallam; Zahira M Gad; Carmine Zoccali; Claudia Torino; Giovanni Tripepi; Hala S ElWakil; Noha M Awad Journal: BMC Nephrol Date: 2012-12-13 Impact factor: 2.388
Authors: Marc M Saad; Youssef El Douaihy; Christine Boumitri; Chetana Rondla; Elias Moussaly; Magda Daoud; Suzanne E El Sayegh Journal: Int J Nephrol Renovasc Dis Date: 2015-09-03