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Short daily versus conventional hemodialysis quality of life: a cross-sectional multicentric study in Spain
J Puñal Rioboó1, E Sánchez-Iriso, A Ruano-Ravina
1Galician Agency for Health Technology Assessment, Galician Department of Health, Santiago de Compostela, Spain.
Background:
End-stage renal disease is a major health problem worldwide nowadays. Although conventional hemodialysis is the most widely used modality, short daily hemodialysis has been proposed as a more physiologic treatment. The objective of this article is to compare the quality of life of patients on each hemodialysis modality.
Methods:
A multicentric cross-sectional study was performed in 9 Spanish hospitals. Patients treated for at least 3 months with conventional or short daily hemodialysis were included and quality of life measured using the Euroqol-5D quality of life questionnaire. Bayesian models were used for analyzing quality of life results.
Results:
Ninety-three patients were included, 27 were on daily hemodialysis and 66 on conventional hemodialysis. All models demonstrated a better quality of life for daily hemodialysis versus conventional hemodialysis. Only 14% of the patients on conventional hemodialysis were willing to change to a daily schedule.
Conclusions:
Short daily hemodialysis shows a better quality of life than conventional hemodialysis with all Bayesian approaches considered.
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