Health-related quality of life and all-cause mortality in patients with diabetes on dialysis

This study tests the hypotheses that health-related quality of life (HRQOL) in prevalent dialysis patients with diabetes is lower than in dialysis patients without diabetes, and is at least as poor as diabetic patients with another severe complication, i.e. foot ulcers. This study also explores the...

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Bibliographic Details
Published in:BMC nephrology 2012-08, Vol.13 (1), p.78-78, Article 78
Main Authors: Osthus, Tone Britt Hortemo, von der Lippe, Nanna, Ribu, Lis, Rustøen, Tone, Leivestad, Torbjørn, Dammen, Toril, Os, Ingrid
Format: Article
Language:English
Subjects:
Analysis
Coronary heart disease
Diabetes
Diabetic foot
Diabetic Nephropathies - mortality
Diabetic Nephropathies - rehabilitation
Diabetics
Dialysis
Female
Foot Ulcers
Health
Health aspects
Hemodialysis patients
Humans
Incidence
Male
Medical research
Medicine, Experimental
Middle Aged
Mortality
Nephrology
Norway
Norway - epidemiology
Patient outcomes
Peritoneal dialysis
QOL
Quality of Life
Renal Dialysis - mortality
Risk Assessment
Surveys
Survival Analysis
Survival Rate
Treatment Outcome
Type 2 diabetes
Ulcers
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Summary:This study tests the hypotheses that health-related quality of life (HRQOL) in prevalent dialysis patients with diabetes is lower than in dialysis patients without diabetes, and is at least as poor as diabetic patients with another severe complication, i.e. foot ulcers. This study also explores the mortality risk associated with diabetes in dialysis patients. HRQOL was assessed using the Short Form-36 Health Survey (SF-36), in a cross-sectional study of 301 prevalent dialysis patients (26% with diabetes), and compared with diabetic patients not on dialysis (n = 221), diabetic patients with foot ulcers (n = 127), and a sample of the general population (n = 5903). Mortality risk was assessed using a Kaplan-Meier plot and Cox proportional hazards analysis. Self-assessed vitality, general and mental health, and physical function were significantly lower in dialysis patients with diabetes than in those without. Vitality (p = 0.011) and general health (p
ISSN:1471-2369
1471-2369
DOI:10.1186/1471-2369-13-78