A CROSS-SECTIONAL STUDY IN PATIENTS WITH PRE-DIALYSIS CHRONIC KIDNEY DISEASE: QUALITY OF LIFE AND RELATED FACTORS

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OBJECTIVE: The incidence and prevalence of patientswith chronic kidney disease (CKD) is increasing worldwide.It is often associated with a high prevalence of complicationsand worse quality of life. The main objective ofthis study is to evaluate quality of life (QOL) using thegeneric instrument short form-36 (SF-36) in patients withCKD and identify the possible influence of the degree ofrenal function, age, gender, education level, socioeconomicstatus, hemoglobin, albumin, HbA1c and 25 hydroxy vitamin D level on QOL.MATERIALS AND METHODS: For this cross-sectionalstudy, we included 211 CKD patients ( median age 56 ±13 years) admitted to the outpatient clinic of Antalya Research and Training Hospital Nephrology Unit betweenJanuary and June 2016. Participants completed the shortform-36 health survey (SF-36). Laboratory tests and clinicaland demographic data were obtained.RESULTS: The patients were classified into CKD stagesaccording to the CKD-EPI equation: 59,2% were in CKDStage 1-3 and 40,8% were in Stage 4-5. The patients inStage 4-5 had lower scores in physical aspects. Age influenceQOL negatively. CKD patients with higher hemoglobin,albumin and 25 hydroxy vitamin D levels has betterfunctional capacity and physical aspects. High HbA1c levelssignificantly associated with bad functional capacity.Education level and socioeconomic status is associated with QOL.CONCLUSIONS: Renal function, age, gender, educationlevel and socioeconomic status influenced QOL. To imroveQOL in CKD patients we need to focus on factors thatcan be changed, such as improving the hemoglobin, albumin,HbA1c and 25 hydroxy vitamin D levels.

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Chronic Kidney Disease , SF , 36 , quality of life

Kocatepe Medical Journal

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Kocatepe Medical Journal