Factors associated with health-related quality of life in hemodialysis patients in a Peruvian hospital: A cross-sectional study

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Published on 25 de marzo de 2025 | http://doi.org/10.5867/medwave.2025.02.2915

Factors associated with health-related quality of life in hemodialysis patients in a Peruvian hospital: A cross-sectional study

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Factors associated with HRQOL and its dimensions in patients with CKD.

	Physical function			Mental health			Pain			Vitality			Physical role			Social function			Overall health			Emotional role			Total score
	X	SD	p	X	SD	p	X	SD	p	X	SD	p	X	SD	p	X	SD	p	X	SD	p	X	SD	p	X	SD	p
Depression																					0.225			0.960			0.655
			0.805			0.717			0.067			0.842			0.783			0.316	51.3	20.2		41	38.9		52	10.5
Low	56.2	14.5		69.2	18.7		61.3	23.9		47.3	20		30.8	29.1		49	23.6		42	14.4		44	38.2		52	13.4
Medium	60.2	23.3		68.6	16.7		67.2	24		45.6	24.4		26	27.5		56.5	25		42.1	18.3		41.3	41.8		49	17.2
High	56.6	25.8		65.3	22.3		51.4	30.7		48.9	23.2		24.3	31.4		45.8	31.4				0.089			0.837			0.048
Income			0.131			0.105			0.493			0.204			0.494			0.149	38.3	18.8		40	41.9		45.4	14.9
< VM	51.3	24.4		61.5	20		56.2	29.2		43.6	22		21.8	24.9		41.1	28.9		43.9	16.2		43.3	39.3		52.7	15.8
VM	60.7	22.6		71.2	19.2		59.8	28.5		50.3	23.8		26.7	31.4		52.5	28.5		49.7	17.3		47.1	40.9		55.4	15.1
> VM	63.5	22		71.3	22.6		49.4	28.2		55	22		32.4	38.3		55.1	27.3				0.791			0.038			0.885
Nutritional status			0.501			0.359			0.070			0.663			0.424			0.322	43.2	18.7		34.8	44.2		49.7	16.5
Malnutrition	58.6	28.7		63.6	22		45.5	30.8		51.4	14.5		33	35.7		43.2	24.9		42.8	16.6		38.5	36.4		50	14.6
Risk of malnutrition	58.9	20.4		66.4	19.3		62.2	25.6		46.1	23.1		23.3	25.5		49.5	26.5		46.4	21.1		66.7	39.2		52.1	16.9
Normal	50.7	26.4		73.4	20.3		58.2	32.5		48.2	32.2		23.2	34.6		58	40.3				0.717			0.553			0.496
Educational level			0.99			0.783			0.815			0.011			0.902			0.114	40.4	19.9		40.7	38.9		50.7	15.7
Primary or lower																			44.2	17.4		36.6	36.9		47.8	11.9
58.1	21.8		67.6	21.8		54.7	31.1		52.8	24.3		23.6	26.4		57.6	32.4		40.4	44.3	17.2		47	43.1		52.1	17.4
Secondary	57.1	23.6		64.8	15.5		56.2	26.6		37.9	20.9		25	28.1		41.1	23.8				0.649			0.497			0.663
Higher	57.7	24.9		68.1	22.9		59.5	29.7		53.2	21.7		27.2	32.9		51.9	29.7		44	18.2		40.2	39.3		49.8	13.9
Employment			0.890			0.629			0.977			0.745			0.149			0.641	42.1	16.5		46.7	41.9		51.4	18.6
No	57.8	21.3		66.2	20.1		57.3	28.5		47.2	20.8		22.8	26.7		50.2	28.2				0.741			0.664			0.956
Yes	57	28.9		68.5	20.8		57.5	29.5		49	27.9		33	35.9		47	30.7		42.7	17.2		43.2	39.6		50.2	15.1
Years on dyalisis			0.809			0.232			0.641			0.345			0.468			0.573	46.5	19.6		33.3	38.5		50.1	13.5
≤ 5	58	22.9		65	20.2		57	28.7		48.5	22.5		24.8	29.3		50.9	27.3		46.3	24.6		50	57.7		52.5	26.5
6 to 10	57.7	25.6		74.5	17.6		62.5	28.2		40.4	25		25	28.9		42.3	30				0.854			0.036			0.702
11 to 15	50	34.6		74	26.4		47.5	33.8		57.5	22.5		43.8	42.7		43.8	51.5		43.8	17.8		32.5	35.3		51	15.2
Hours of sleep			0.528			0.374			0.341			0.623			0.977			0.072	43.1	17.8		50.4	42.2		49.7	15.5
< 6 hrs	59.3	19.9		68.9	21.2		60.5	28.7		49	22.1		25.6	30.4		55.2	27				0.181			0.231			0.723
≥ 6 hrs	56.1	26.5		65	19.4		54.6	28.6		46.6	23.8		25.8	29.5		44.1	29.6		41	17.9		37	37.1		49.7	13.7
Age (years)			0.560			0.684			0.061			0.594			0.969			0.128	46	17.3		47.3	42.6		50.9	16.9
< 65	59	24.7		66	16.9		62.9	26.5		46.4	22.9		25.8	30.2		44.7	26				0.245			0.313			0.574
≥ 65	56	22.5		67.7	23.3		51.5	29.9		49.1	23.1		25.6	29.6		54.1	30.9		46.7	18.6		35.7	37.3		48.9	11.1
Sex																			42	17.2		45	41.1		50.9	16.9

CKD, chronic kidney disease. HRQOL, health-related quality of life.SD, standard deviation. VM, vital minimum..

Notes: Data from patients treated at the Ramiro Prialé National Hospital, 2022.

Comparisons between categories of independent variables. P values were calculated using F tests for variance analysis.

Source: prepared by the authors based on the results of the study.