Self-rated health and functioning in patients with chronic renal disease

Chronic renal disease is associated with high morbidity and mortality and with considerable economic costs, and it has an extensive influence on patients' everyday lives. The aim of this study was to investigate self-rated health and functioning in patients with chronic renal disease which may serve as a baseline for continuous monitoring of self-rated health and functioning.

A total of 227 patients aged 18 years or older with chronic renal disease in predialysis and haemodialysis treatment participated in a cross-sectional study. The study included a questionnaire and data from hospital records, a laboratory register and the Danish National Patient Registry.

Self-rated health and functioning were lower among study participants than in the general Danish population. Among patients below the age of 65 years, 57% of those who were in predialysis and 16% of those receiving haemodialysis treatment were employed. Predictors of disability were haemodialysis, being diagnosed with diabetes, and increasing age. A total of 33% received community home help services, 25% primary nursing and 10% community rehabilitation services.

In this study information about self-rated health and functioning was collected among patients with chronic renal disease; this information may supplement continuously collected clinical data on patients who are in active treatment for chronic renal failure. Data from this study can form the basis for planning and for quality control intervention aimed at maintaining or improving functioning in patients with chronic renal disease.