Coping with fluid restriction and the quality of life in hemodialysis patients with very low or no daily urine output

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorSILVA, Luciana F.
dc.contributor.authorLOPES, Gildete B.
dc.contributor.authorCUNHA, Taline O.
dc.contributor.authorPROTASIO, Bruno M.
dc.contributor.authorPISONI, Ronald L.
dc.contributor.authorJAMES, Sherman A.
dc.contributor.authorLOPES, Antonio A.
dc.date.accessioned2015-02-06T19:52:29Z
dc.date.available2015-02-06T19:52:29Z
dc.date.issued2014
dc.description.abstractPurpose: Fluid restriction is crucial to prevent circulatory overload in maintenance hemodialysis (MHD) patients with very low urine volume, but fluid restriction may result in psychological distress. We studied MHD patients with urine volume <= 200 ml/day to investigate if their acceptance of fluid restriction was associated with their health-related quality of life (HRQOL). Methods: Cross-sectional study of 271 Brazilian adult MHD patients enrolled in the Prospective Study of the Prognosis of Chronic Hemodialysis Patients (PROHEMO). To assess the acceptance of fluid restriction, patients were asked about the extent of feeling bothered by living on this restriction. The KDQOL was used to determine HRQOL scores. Higher scores indicate better HRQOL with differences of >3.0 points considered clinically significant. Results: 52.4% reported being ""moderately to extremely"" bothered by fluid restriction and had lower scores for all HRQOL scales than patients less bothered by fluid restriction. The largest covariate-adjusted differences in HRQOL were 19.5 for emotional role (p<0.001), 15.1 for emotional well-being (p<0.001), and 14.1 for vitality (p<0.001). Adjusted differences were larger for mental component (7.53 points, p<0.001) than for physical component (2.07, p = 0.075) summaries. Conclusions: These results indicate that MHD patients with a lower level of acceptance of fluid restriction have poorer HRQOL, particularly in mental domains of HRQOL. The high prevalence of poor acceptance of fluid restriction in the present study underscores the need for interventions to improve acceptance of fluid restriction and determine if such interventions improve HRQOL of MHD patients with very low urine volume.
dc.description.indexMEDLINE
dc.description.sponsorshipBrazilian National Council for Scientific and Technological Development (CNPq) [484743/2006-6, 308068/2006-8]
dc.identifier.citationINTERNATIONAL JOURNAL OF ARTIFICIAL ORGANS, v.37, n.6, p.427-435, 2014
dc.identifier.doi10.5301/ijao.5000329
dc.identifier.eissn1724-6040
dc.identifier.issn0391-3988
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/8754
dc.language.isoeng
dc.publisherWICHTIG EDITORE
dc.relation.ispartofInternational Journal of Artificial Organs
dc.rightsrestrictedAccess
dc.rights.holderCopyright WICHTIG EDITORE
dc.subjectFluid restriction
dc.subjectEnd-stage renal disease
dc.subjectQuality of life
dc.subjectChronic dialysis
dc.subjectTreatment acceptance
dc.subject.otherinterdialytic weight-gain
dc.subject.otherkidney-disease
dc.subject.othermaintenance hemodialysis
dc.subject.otheracceptance
dc.subject.otherthirst
dc.subject.otherxerostomia
dc.subject.otherdepression
dc.subject.othersurvival
dc.subject.otheradherence
dc.subject.otherillness
dc.subject.wosEngineering, Biomedical
dc.subject.wosTransplantation
dc.titleCoping with fluid restriction and the quality of life in hemodialysis patients with very low or no daily urine output
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.affiliation.countryEstados Unidos
hcfmusp.affiliation.countryisous
hcfmusp.author.externalSILVA, Luciana F.:Univ Estado Bahia, Dept Life Sci, Salvador, BA, Brazil; Inst Nephrol & Dialysis INED, Dept Hemodialysis, Salvador, BA, Brazil
hcfmusp.author.externalLOPES, Gildete B.:Univ Fed Bahia, Ctr Clin Epidemiol & Evidence Based Med, BR-40110100 Salvador, BA, Brazil
hcfmusp.author.externalCUNHA, Taline O.:Univ Fed Bahia, Prof Edgard Santos Univ Hosp, Med Residency Program, BR-40110100 Salvador, BA, Brazil
hcfmusp.author.externalPISONI, Ronald L.:Arbor Res Collaborat Hlth, Ann Arbor, MI USA
hcfmusp.author.externalJAMES, Sherman A.:Duke Univ, Sanford Sch Publ Policy, Durham, NC USA
hcfmusp.author.externalLOPES, Antonio A.:Univ Fed Bahia, Ctr Clin Epidemiol & Evidence Based Med, BR-40110100 Salvador, BA, Brazil; Univ Fed Bahia, Sch Med Bahia, Dept Med, BR-40110100 Salvador, BA, Brazil
hcfmusp.citation.scopus6
hcfmusp.contributor.author-fmusphcBRUNO MENDONCA PROTASIO DA SILVA
hcfmusp.description.beginpage427
hcfmusp.description.endpage435
hcfmusp.description.issue6
hcfmusp.description.volume37
hcfmusp.origemWOS
hcfmusp.origem.scopus2-s2.0-84904205942
hcfmusp.origem.wosWOS:000343850600001
hcfmusp.publisher.cityMILAN
hcfmusp.publisher.countryITALY
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