Identification of palliative care needs in hemodialysis patients: An update
Research output: Contribution to journal › Journal article › Research › peer-review
Standard
Identification of palliative care needs in hemodialysis patients : An update. / Liem, Ylian Serina; Eidemak, Inge; Larsen, Sille; Sjogren, Per; Molsted, Stig; Sorensen, Jonas; Laursen, Louise; Kurita, Geana Paula.
In: Palliative and Supportive Care, Vol. 20, No. 4, 2022, p. 505-511.Research output: Contribution to journal › Journal article › Research › peer-review
Harvard
APA
Vancouver
Author
Bibtex
}
RIS
TY - JOUR
T1 - Identification of palliative care needs in hemodialysis patients
T2 - An update
AU - Liem, Ylian Serina
AU - Eidemak, Inge
AU - Larsen, Sille
AU - Sjogren, Per
AU - Molsted, Stig
AU - Sorensen, Jonas
AU - Laursen, Louise
AU - Kurita, Geana Paula
N1 - Publisher Copyright: Copyright © The Author(s), 2021. Published by Cambridge University Press.
PY - 2022
Y1 - 2022
N2 - Objective End-stage kidney disease and hemodialysis (HD) treatment are associated with a high symptom burden in many patients. This study aimed at updating patient-reported outcomes concerning quality of life, fatigue, anxiety, and depression in HD patients treated in a single center in order to assess the need for palliative care provision. Method A cross-sectional design, in which a sample of patients treated at a single HD department (Rigshospitalet, Denmark) between January and June 2019, was analyzed using the Kidney Disease Quality of Life Short Form, the Multidimensional Fatigue Inventory, and the Hospital Anxiety and Depression Scale. In addition, we compared the results with previously published data from the same department (2000) and with an age-and sex-matched sample from the Danish general population (1997/2014). Chi-square and t-tests were used for comparisons. Results Screened patients = 242, included = 141, analyzed = 131 (70.2% male, mean age = 61.3 years). HD patients reported low scores for quality of life, high scores for fatigue, and approximately 30% had anxiety/depression. Regarding quality of life, they had significantly lower scores on general health (P ≤ 0.000), vitality (P = 0.009), social functioning (P = 0.001), mental health (P = 0.007), and mental component (P = 0.005) compared with former data of HD patients. Moreover, they reported significantly poorer quality of life and worse fatigue compared with the general Danish population. Significance of results In the patients undergoing HD, quality of life was poor and worsened when compared with former HD patients' data. Additionally, fatigue, depression, and anxiety in HD patients were prevalent. A clear need for palliative care provision was observed.
AB - Objective End-stage kidney disease and hemodialysis (HD) treatment are associated with a high symptom burden in many patients. This study aimed at updating patient-reported outcomes concerning quality of life, fatigue, anxiety, and depression in HD patients treated in a single center in order to assess the need for palliative care provision. Method A cross-sectional design, in which a sample of patients treated at a single HD department (Rigshospitalet, Denmark) between January and June 2019, was analyzed using the Kidney Disease Quality of Life Short Form, the Multidimensional Fatigue Inventory, and the Hospital Anxiety and Depression Scale. In addition, we compared the results with previously published data from the same department (2000) and with an age-and sex-matched sample from the Danish general population (1997/2014). Chi-square and t-tests were used for comparisons. Results Screened patients = 242, included = 141, analyzed = 131 (70.2% male, mean age = 61.3 years). HD patients reported low scores for quality of life, high scores for fatigue, and approximately 30% had anxiety/depression. Regarding quality of life, they had significantly lower scores on general health (P ≤ 0.000), vitality (P = 0.009), social functioning (P = 0.001), mental health (P = 0.007), and mental component (P = 0.005) compared with former data of HD patients. Moreover, they reported significantly poorer quality of life and worse fatigue compared with the general Danish population. Significance of results In the patients undergoing HD, quality of life was poor and worsened when compared with former HD patients' data. Additionally, fatigue, depression, and anxiety in HD patients were prevalent. A clear need for palliative care provision was observed.
KW - Depression
KW - Fatigue
KW - Hemodialysis
KW - Palliative care
KW - Quality of life
U2 - 10.1017/S1478951521001036
DO - 10.1017/S1478951521001036
M3 - Journal article
C2 - 34210382
AN - SCOPUS:85135202187
VL - 20
SP - 505
EP - 511
JO - Palliative & Supportive Care
JF - Palliative & Supportive Care
SN - 1478-9515
IS - 4
ER -
ID: 323573360