Health-Related Quality of Life in Patients with Chronic Kidney Disease in Hemodialysis in Medellín (Colombia)

Purpose: Hemodialysis is a treatment that is essential for the survival of patients with terminal chronic kidney disease. However, it is highly invasive, non-curative, and physically, psychologi- cally, socially, and financially demanding, which has an impact on the patient’s health-related quality...

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Autores:: Higuita Gutiérrez, Luis Felipe
Velasco Castaño, Juan José
Jiménez Quiceno, Judy Natalia

Tipo de recurso:: Article of journal

Fecha de publicación:: 2019

Institución:: Universidad Cooperativa de Colombia

Repositorio:: Repositorio UCC

Idioma:

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repository_id_str
dc.title.spa.fl_str_mv	Health-Related Quality of Life in Patients with Chronic Kidney Disease in Hemodialysis in Medellín (Colombia)
title	Health-Related Quality of Life in Patients with Chronic Kidney Disease in Hemodialysis in Medellín (Colombia)
spellingShingle	Health-Related Quality of Life in Patients with Chronic Kidney Disease in Hemodialysis in Medellín (Colombia) EQ-5D-5L KDQOL-36 Internal consistency Disease burden EQ-5D-5L KDQOL-36 Internal consistency Disease burden
title_short	Health-Related Quality of Life in Patients with Chronic Kidney Disease in Hemodialysis in Medellín (Colombia)
title_full	Health-Related Quality of Life in Patients with Chronic Kidney Disease in Hemodialysis in Medellín (Colombia)
title_fullStr	Health-Related Quality of Life in Patients with Chronic Kidney Disease in Hemodialysis in Medellín (Colombia)
title_full_unstemmed	Health-Related Quality of Life in Patients with Chronic Kidney Disease in Hemodialysis in Medellín (Colombia)
title_sort	Health-Related Quality of Life in Patients with Chronic Kidney Disease in Hemodialysis in Medellín (Colombia)
dc.creator.fl_str_mv	Higuita Gutiérrez, Luis Felipe Velasco Castaño, Juan José Jiménez Quiceno, Judy Natalia
dc.contributor.author.none.fl_str_mv	Higuita Gutiérrez, Luis Felipe Velasco Castaño, Juan José Jiménez Quiceno, Judy Natalia
dc.subject.spa.fl_str_mv	EQ-5D-5L KDQOL-36 Internal consistency Disease burden
topic	EQ-5D-5L KDQOL-36 Internal consistency Disease burden EQ-5D-5L KDQOL-36 Internal consistency Disease burden
dc.subject.other.spa.fl_str_mv	EQ-5D-5L KDQOL-36 Internal consistency Disease burden
description	Purpose: Hemodialysis is a treatment that is essential for the survival of patients with terminal chronic kidney disease. However, it is highly invasive, non-curative, and physically, psychologi- cally, socially, and financially demanding, which has an impact on the patient’s health-related quality of life (HRQL). In Colombia, research from the point of view of patients undergoing hemodialysis is scarce. Patients and methods: We conducted a cross-sectional study involving 142 patients undergoing hemodialysis. We used an instrument that included the demographic and clinical information as well as the Charlson Comorbidity Index and Karnofsky Performance Status Scale. HRQL was assessed using EQ-5D-5L and KDQOL-36. The analysis was done using measures of central tendency for quantitative variables and relative frequencies for qualita- tive variables, in addition bivariate and multivariate regression analyses were conducted. Results: Based on the scores of the EQ-5D-5L scale, it was found that 14.5% subjects showed severe mobility problems, 5.8% were unable to bathe or dress by themselves, 12.9% were unable to perform usual activities, 13.5% were experiencing pain or discomfort (between strong and extreme), and 58.6% showed a certain degree of anxiety or depression. The KDQOL-36 scores were 67.4 ± 19.4 for the symptoms domain and 35.0 ± 27.5 for the disease burden domain. Results of the linear regression analysis showed that the main factors associated with HRQL were the Karnofsky Index and serum albumin levels (p < 0.05). Conclusion: The result of this study revealed the impact on the quality of life of Colombian patients undergoing hemodialysis with chronic kidney disease who were highly affected by the disease burden. KDQOL-36 has excellent properties of reliability, internal consistency, and discriminant power; thus, its use is recommended in subsequent studies to monitor HRQL in this population.
publishDate	2019
dc.date.issued.none.fl_str_mv	2019-12-10
dc.date.accessioned.none.fl_str_mv	2020-01-20T23:52:07Z
dc.date.available.none.fl_str_mv	2020-01-20T23:52:07Z
dc.type.none.fl_str_mv	Artículo
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dc.type.coarversion.none.fl_str_mv	http://purl.org/coar/version/c_970fb48d4fbd8a85
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dc.identifier.issn.spa.fl_str_mv	1177-889X
dc.identifier.uri.spa.fl_str_mv	https://doi.org/10.2147/PPA.S229670
dc.identifier.uri.none.fl_str_mv	https://hdl.handle.net/20.500.12494/16172
dc.identifier.bibliographicCitation.spa.fl_str_mv	Higuita-Gutiérrez LF, Velasco Castaño JJ, Jiménez Quiceno JN. Health-Related Quality of Life in Patients with Chronic Kidney Disease in Hemodialysis in Medellín (Colombia). Patient Preference and Adherence 2019;13: 2061-2070
identifier_str_mv	1177-889X Higuita-Gutiérrez LF, Velasco Castaño JJ, Jiménez Quiceno JN. Health-Related Quality of Life in Patients with Chronic Kidney Disease in Hemodialysis in Medellín (Colombia). Patient Preference and Adherence 2019;13: 2061-2070
url	https://doi.org/10.2147/PPA.S229670 https://hdl.handle.net/20.500.12494/16172
dc.relation.isversionof.spa.fl_str_mv	https://www.dovepress.com/articles.php?article_id=50397
dc.relation.ispartofjournal.spa.fl_str_mv	Patient Preference And adherence
dc.relation.references.spa.fl_str_mv	Acuña L, Sánchez P, Soler LA, Alvis LF. Enfermedad renal en Colombia: prioridad para la gestión de riesgo. Rev Panam Salud Publica. 2016;40:16–22. Hill NR, Fatoba ST, Oke JL, et al. Global prevalence of chronic kidney disease–A systematic review and meta-analysis. PLoS One. 2016;11 (7):1–18. doi:10.1371/journal.pone.0158765 Jager KJ, Fraser SDS. The ascending rank of chronic kidney disease in the global burden of disease study. Nephrol Dial Transplant. 2017;32:121–128. doi:10.1093/ndt/gfw330. Global burden of disease. Global, regional and national age-sex specific all-cause and cause-specific mortality for 240 causes of death, 1990–2013: a systematic analysis for the global burden of disease study 2013. Lancet. 2015;385(9963):117–171. doi:10.1016/S0140-6736(14)61682-2 National institute of diabetes and digestive and kidney diseases. Kidney disease statistics for the United States. [On line]; 2018 September. Available from: https://www.niddk.nih.gov/health-informa tion/health-statistics/kidney-disease. Accessed November 29, 2019. Lopera-Medina MM. La enfermedad renal crónica en Colombia: necesidades en salud y respuesta del Sistema General de Seguridad Social en Salud Rev. Rev Gerencia Políticas salud. 2016;15(30):212–233. doi:10.11144/Javeriana.rgyps15-30.ercc González MC, Rosa G, Ferreiro A. El registro latinoamericano de diálisis y transplante renal: la importancia del desarrollo de los registros nacionales en latinoamérica. Nefrología Latinoamérica. 2017;14 (1):12–21. doi:10.1016/j.nefrol.2016.12.002 Contreras F, Esguerra G, Espinosa JC, Gutierrez C, Fajardo L. Calidad de vida y adhesión al tratamiento en pacientes con insuficiencia renal crónica en tratamiento de hemodiálisis. Univ Psychol. 2006;5(3):487– 499. Chaves K, Duarte A, Vesga J. Adaptación transcultural del cuestionario KDQOL SF 36 para evaluar calidad de vida en pacientes con enfermedad renal crónica en Colombia. Revista Med. 2013;21(2):34–42. Li PK T, Chow KM. Infectious complications in dialysis- epidemiology and outcomes. Nature Rev Nephrol. 2012;8(2):77–88. doi:10.1038/nrneph.2011.194. Grupo de la OMS sobre la calidad de vida. La gente y la salud.¿Qué calidad de vida? Rev Inter Desarrollo Sanitario. 1996;17(4). World Health Organization. WHOQOL: measuring quality of life. [On line]; 2018 September. Available from: https://www.who.int/healthinfo/ survey/whoqol-qualityoflife/en/. Accessed November 29, 2019. Consiglio E, Belloso WH. Nuevos indicadores clínicos, la calidad de vida relacionada con la salud. Rev Medicina (Buenos Aires). 2003;63:172–178. Cardona JA, Higuita LF. Impacto del VIH/SIDA sobre la calidad de vida:metaanálisis 2002-2012. Rev Esp Salud Pública. 2014;88(1):87– 101. doi:10.4321/S1135-57272014000100006 Albañil T, Ramírez M, Crespo R. Análisis de la calidad de vida en pacientes en hemodiálisis ambulatoria y su relación con el nivel de dependencia. Enferm Nefrol. 2014;17(3):167–174. doi:10.4321/ S2254-28842014000300002 Hall RK, Luciano A, Pieper C, Colón-Emeric CS. Association of kidney disease quality of life (KDQOL-36) with mortality and hospitalization in older adults receiving hemodialysis. BMC Nephrol. 2018;19(11):2–9. doi:10.1186/s12882-017-0801-5 Zúñiga C, Dapueto J, Müller H, Kirsten L, Alid R, Ortiz L. Evaluación de la calidad de vida en pacientes en hemodiálisis crónica mediante el cuestionario “Kidney Disease Quality of Life (KDQOL-36)”. Rev Med Chile. 2009;137(2):200–207. doi:10.4067/ S0034-98872009000200003 Barros L, Herazo Y, Aroca G. Calidad de vida relacionada con la salud en pacientes con enfermedad renal crónica. Rev Fac Med. 2015;63(4):641–647. doi:10.15446/revfacmed.v63.n4.49805 Yepes CE, Jaramillo MM, Orozco BRO, et al. Calidad de vida en pacientes con enfermedad renal crónica sin diálisis ni trasplante de una muestra aleatoria de dos aseguradoras en salud. Medellín, Colombia, 2008. Nefrología. 2009;29(6):548–556. doi:10.3265/ Nefrologia.2009.29.6.5490.en.full Fondo Colombiano de enfermedades de alto costo. Situación de la enfermedad renal crónica, la hipertensión arterial y la diabetes mellitus en Colombia [Internet] Bogotá. Ministerio de Salud y protección social; 2017. revised en agosto del 2018, citado en agosto del 2018. Disponible en: https://cuentadealtocosto.org/site/images/ Publicaciones/Situacion_ERC_HA_DM_Colombia_2016.pdf Ramiarina RA, Ramiarina BL, Almeida RM, de Albuquerque WC. Comorbidity adjustment index for the International classification of diseases,10th revision. Rev Saúde Pública. 2008;42(4):590–597. doi:10.1590/S0034-89102008000400003 Puiggròs C, Lecha M, Rodríguez T, Pérez C, Planas M. El índice de Karnofsky como predictor de mortalidad de pacientes en nutrición enteral domiciliaria. Nutr.Hosp. 2009;24(2):154–160. EuroQol Research Foundation. EQ-5D-3L User Guide. Versión 5.1. Holanda: EuroQol Research Foundation; 2015 Thaweethamcharoen T, Srimongkol W, Noparatayaporn P, et al. Validity and reliability of KDQOL-36 in Thai kidney disease patient. Value Health Reg Issues. 2013;2(1):98–102. doi:10.1016/j. vhri.2013.02.011 Hays R, Kallich J, Mapes D, Coons S, Amin N, Carter W. Kidney Disease Quality of Life Short from (KDQOL-SFTM), Version 1.3:A Manual for Use and Scoring.1.3 Edition. Washington, DC: Rand; 1997. Cohen DE, Lee A, Sibbel S, Benner D, Brunelli SM, Tentori F. Use of the KDQOL-36™ for assessment of health-related quality of life among dialysis patients in the United States. BMC Nephrol. 2019;20 (1):112. doi:10.1186/s12882-019-1295-0 Tannor EK, Archer E, Kapembwa K, Van Schalkwyk SC, Davids MR. Quality of life in patients on chronic dialysis in South Africa: a comparative mixed methods study. BMC Nephrol. 2017;18(1):4. doi:10.1186/s12882-016-0425-1 Kim K, Kag GW, Woo J. The quality of life of hemodialysis patients is affected not only by medical but also psychosocial factors: a canonical correlation study. J Korean Med Sci. 2018;33(14):1–11. doi:10.3346/jkms.2018.33.e111 Sullivan JE, Choi NG, Vasquez CE. Psychosocial depression interventions for dialysis patients, with attention to Latinos: a scoping review. Res Social Work Pratice. 2019;20:10. doi:10.1177/ 1049731518820134 Ramakrishnan K, Bond TC, Claxton A, Kootsikas M, Agnese W, Sibble S. Clinical characteristics and outcomes of end-stage renal disease patients with self-reported pruritus symptoms. Int J Nephrol Renovasc Dis. 2014;7:1–12. doi:10.2147/IJNRD.S52985. Mathur VS, Lindberg J, Germain M. A longitudinal study of uremic pruritus in hemodialysis patients. Clin J Am Soc Nephrol. 2010;5 (8):1410–1419. doi:10.2215/CJN.00100110 Simonsen E, Komenda P, Lerner B, et al. Treatment of uremic pruritus: a systematic review. Am J Kidney Dis. 2017;70(5):638– 655. doi:10.1053/j.ajkd.2017.05.018 Kontodimopoulos N, Niakas D. Determining the basic psychometric properties of the Greek KDQOL-SFTM. Qual Life Res. 2005;14 (8):1967–1975. doi:10.1007/s11136-005-3868-6 Peipert JD, Bentler PM, Klicko K, Hays RD. Psychometric properties of the kidney disease Quality of Life 36-Item Short-Form Survey (KDQOL-36) in the United States. Am J Kidney Dis. 2018;71 (4):461–468. doi:10.1053/j.ajkd.2017.07.020 Wright LS, Wilson L. Quality of life and self-efficacy in three dialysis modalities: incenter hemodialysis, home hemodialysis, and home peritoneal dialysis. Nephrol Nurs J. 2015;42(5):463– 476. Fructuoso M, Castro R, Oliveira L, Prata C, Morgado T. Quality of life in chronic kidney disease. Rev Nefrología. 2011;31(1):91–96. doi:10.3265/Nefrologia.pre2010.Jul.10483 Zazzeroni L, Pasquinelli G, Nanni E, Cremonini V, Rubbi I. Comparison of quality of life in patients undergoing hemodialysis and peritoneal dialysis: a systematic review and meta-analysis. Kidney Blood Press Res. 2017;42(4):717–727. doi:10.1159/ 000484115 Chow SK, Tam BM. Is the kidney disease quality of life-36 (KDQOL-36) a valid instrument for Chinese dialysis patients? BMC Nephrol. 2014;15:199. doi:10.1186/1471-2369-15-199 Fukuhara S, Lopes AA, Bragg-Gresham JL, et al. Health-related quality of life among dialysis patients on three continents: the dialysis outcomes and practice patterns. Kidney Int. 2003;64(5):1903–1910. doi:10.1046/j.1523-1755.2003.00289.x Kutner N, Bowles T, Zhang R, Huang Y, Pastan S. Dialysis facility characteristics and variation in employment rates: a national study. Clin J Am Soc Nephrol. 2008;3(1):111–116. doi:10.2215/ CJN.02990707 Helanterä I, Haapio M, Koskinen P, Grönhagen-Riska C, Finne P. Employment of patients receiving maintenance dialysis and after kidney transplant: a cross-sectional study from Finland. Am J Kidney Dis. 2012;59(5):700–706. doi:10.1053/j.ajkd.2011.08.025 Lakshmi BS, Kumar ACV, Reddy H, et al. Employment status of patients receiving maintenance dialysis - peritoneal and hemodialysis: a cross-sectional study. Indian J Nephrol. 2017;27(5):384. doi:10.4103/ijn.IJN_151_16 Ohri-Vachaspati P, Sehgal AR. Quality of life implications of inadequate protein nutrition among hemodialysis patients. J Ren Nutr. 1999;9(1):9–13. doi:10.1016/S1051-2276(99)90016-X Baggott CR, Dodd M, Kennedy C, et al. An evaluation of the factors that affect the health-related quality of life of children following myelosuppressive chemotherapy. Support Care Cancer [En Linea]. 2011;19(3):353–361. doi:10.1007/s00520-010-0824-y Mohan A, Mohan C, Bhutani M, et al. Quality of life in newly diagnosed patients with lung cancer in a developing country: is it important? Eur J Cancer Care (Engl). 2006;15(3):293–298. doi:10.1111/j.1365-2354.2006.00654.x Arogundade FA, Zayed B, Daba M, Barsoum RS. Correlation between Karnofsky performance status scale and short-form health survey in patients on maintenance hemodialysis. J Natl Med Assoc. 2004;96(12):1661–1667. Chen JY, Choi EP, Wan EY, et al. Validation of the disease-specific components of the Kidney Disease Quality of Life-36 (KDQOL-36) in Chinese patients undergoing maintenance dialysis. PLoS One. 2016;11(5):1–13. doi:10.1371/journal.pone.0155188 Dehesa-López E, Correa-Rotter R, Olvera-Castillo D, González-Parra C, Baizabal-Olarte R, Orozco-Vega R. Transcultural adaptation and validation of the Mexican version of the kidney disease questionnaire KDQOL-SF36 version 1.3. Qual Life Res. 2017;26(1):193–198. doi:10.1007/s11136-016-1365-8
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spelling	Higuita Gutiérrez, Luis FelipeVelasco Castaño, Juan JoséJiménez Quiceno, Judy Natalia132020-01-20T23:52:07Z2020-01-20T23:52:07Z2019-12-101177-889Xhttps://doi.org/10.2147/PPA.S229670https://hdl.handle.net/20.500.12494/16172Higuita-Gutiérrez LF, Velasco Castaño JJ, Jiménez Quiceno JN. Health-Related Quality of Life in Patients with Chronic Kidney Disease in Hemodialysis in Medellín (Colombia). Patient Preference and Adherence 2019;13: 2061-2070Purpose: Hemodialysis is a treatment that is essential for the survival of patients with terminal chronic kidney disease. However, it is highly invasive, non-curative, and physically, psychologi- cally, socially, and financially demanding, which has an impact on the patient’s health-related quality of life (HRQL). In Colombia, research from the point of view of patients undergoing hemodialysis is scarce. Patients and methods: We conducted a cross-sectional study involving 142 patients undergoing hemodialysis. We used an instrument that included the demographic and clinical information as well as the Charlson Comorbidity Index and Karnofsky Performance Status Scale. HRQL was assessed using EQ-5D-5L and KDQOL-36. The analysis was done using measures of central tendency for quantitative variables and relative frequencies for qualita- tive variables, in addition bivariate and multivariate regression analyses were conducted. Results: Based on the scores of the EQ-5D-5L scale, it was found that 14.5% subjects showed severe mobility problems, 5.8% were unable to bathe or dress by themselves, 12.9% were unable to perform usual activities, 13.5% were experiencing pain or discomfort (between strong and extreme), and 58.6% showed a certain degree of anxiety or depression. The KDQOL-36 scores were 67.4 ± 19.4 for the symptoms domain and 35.0 ± 27.5 for the disease burden domain. Results of the linear regression analysis showed that the main factors associated with HRQL were the Karnofsky Index and serum albumin levels (p < 0.05). Conclusion: The result of this study revealed the impact on the quality of life of Colombian patients undergoing hemodialysis with chronic kidney disease who were highly affected by the disease burden. KDQOL-36 has excellent properties of reliability, internal consistency, and discriminant power; thus, its use is recommended in subsequent studies to monitor HRQL in this population.https://scienti.minciencias.gov.co/cvlac/visualizador/generarCurriculoCv.do?cod_rh=0001501791http://scienti.colciencias.gov.co:8081/cvlac/visualizador/generarCurriculoCv.do?cod_rh=0001501791https://orcid.org/0000-0003-1361-3124https://orcid.org/0000-0002-9183-1912https://scienti.minciencias.gov.co/gruplac/jsp/visualiza/visualizagr.jsp?nro=00000000011355luis.higuita@campusucc.edu.co2061-2070Universidad Cooperativa de Colombia, Facultad de Ciencias de la Salud, Medicina, Medellín y EnvigadoMedicinaMedellínhttps://www.dovepress.com/articles.php?article_id=50397Patient Preference And adherenceAcuña L, Sánchez P, Soler LA, Alvis LF. Enfermedad renal en Colombia: prioridad para la gestión de riesgo. Rev Panam Salud Publica. 2016;40:16–22.Hill NR, Fatoba ST, Oke JL, et al. Global prevalence of chronic kidney disease–A systematic review and meta-analysis. PLoS One. 2016;11 (7):1–18. doi:10.1371/journal.pone.0158765Jager KJ, Fraser SDS. The ascending rank of chronic kidney disease in the global burden of disease study. Nephrol Dial Transplant. 2017;32:121–128. doi:10.1093/ndt/gfw330.Global burden of disease. Global, regional and national age-sex specific all-cause and cause-specific mortality for 240 causes of death, 1990–2013: a systematic analysis for the global burden of disease study 2013. Lancet. 2015;385(9963):117–171. doi:10.1016/S0140-6736(14)61682-2National institute of diabetes and digestive and kidney diseases. Kidney disease statistics for the United States. [On line]; 2018 September. Available from: https://www.niddk.nih.gov/health-informa tion/health-statistics/kidney-disease. Accessed November 29, 2019.Lopera-Medina MM. La enfermedad renal crónica en Colombia: necesidades en salud y respuesta del Sistema General de Seguridad Social en Salud Rev. Rev Gerencia Políticas salud. 2016;15(30):212–233. doi:10.11144/Javeriana.rgyps15-30.erccGonzález MC, Rosa G, Ferreiro A. El registro latinoamericano de diálisis y transplante renal: la importancia del desarrollo de los registros nacionales en latinoamérica. Nefrología Latinoamérica. 2017;14 (1):12–21. doi:10.1016/j.nefrol.2016.12.002Contreras F, Esguerra G, Espinosa JC, Gutierrez C, Fajardo L. Calidad de vida y adhesión al tratamiento en pacientes con insuficiencia renal crónica en tratamiento de hemodiálisis. Univ Psychol. 2006;5(3):487– 499.Chaves K, Duarte A, Vesga J. Adaptación transcultural del cuestionario KDQOL SF 36 para evaluar calidad de vida en pacientes con enfermedad renal crónica en Colombia. Revista Med. 2013;21(2):34–42.Li PK T, Chow KM. Infectious complications in dialysis- epidemiology and outcomes. Nature Rev Nephrol. 2012;8(2):77–88. doi:10.1038/nrneph.2011.194.Grupo de la OMS sobre la calidad de vida. La gente y la salud.¿Qué calidad de vida? Rev Inter Desarrollo Sanitario. 1996;17(4).World Health Organization. WHOQOL: measuring quality of life. [On line]; 2018 September. Available from: https://www.who.int/healthinfo/ survey/whoqol-qualityoflife/en/. Accessed November 29, 2019.Consiglio E, Belloso WH. Nuevos indicadores clínicos, la calidad de vida relacionada con la salud. Rev Medicina (Buenos Aires). 2003;63:172–178.Cardona JA, Higuita LF. Impacto del VIH/SIDA sobre la calidad de vida:metaanálisis 2002-2012. Rev Esp Salud Pública. 2014;88(1):87– 101. doi:10.4321/S1135-57272014000100006Albañil T, Ramírez M, Crespo R. Análisis de la calidad de vida en pacientes en hemodiálisis ambulatoria y su relación con el nivel de dependencia. Enferm Nefrol. 2014;17(3):167–174. doi:10.4321/ S2254-28842014000300002Hall RK, Luciano A, Pieper C, Colón-Emeric CS. Association of kidney disease quality of life (KDQOL-36) with mortality and hospitalization in older adults receiving hemodialysis. BMC Nephrol. 2018;19(11):2–9. doi:10.1186/s12882-017-0801-5Zúñiga C, Dapueto J, Müller H, Kirsten L, Alid R, Ortiz L. Evaluación de la calidad de vida en pacientes en hemodiálisis crónica mediante el cuestionario “Kidney Disease Quality of Life (KDQOL-36)”. Rev Med Chile. 2009;137(2):200–207. doi:10.4067/ S0034-98872009000200003Barros L, Herazo Y, Aroca G. Calidad de vida relacionada con la salud en pacientes con enfermedad renal crónica. Rev Fac Med. 2015;63(4):641–647. doi:10.15446/revfacmed.v63.n4.49805Yepes CE, Jaramillo MM, Orozco BRO, et al. Calidad de vida en pacientes con enfermedad renal crónica sin diálisis ni trasplante de una muestra aleatoria de dos aseguradoras en salud. Medellín, Colombia, 2008. Nefrología. 2009;29(6):548–556. doi:10.3265/ Nefrologia.2009.29.6.5490.en.fullFondo Colombiano de enfermedades de alto costo. 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Value Health Reg Issues. 2013;2(1):98–102. doi:10.1016/j. vhri.2013.02.011Hays R, Kallich J, Mapes D, Coons S, Amin N, Carter W. Kidney Disease Quality of Life Short from (KDQOL-SFTM), Version 1.3:A Manual for Use and Scoring.1.3 Edition. Washington, DC: Rand; 1997.Cohen DE, Lee A, Sibbel S, Benner D, Brunelli SM, Tentori F. Use of the KDQOL-36™ for assessment of health-related quality of life among dialysis patients in the United States. BMC Nephrol. 2019;20 (1):112. doi:10.1186/s12882-019-1295-0Tannor EK, Archer E, Kapembwa K, Van Schalkwyk SC, Davids MR. Quality of life in patients on chronic dialysis in South Africa: a comparative mixed methods study. BMC Nephrol. 2017;18(1):4. doi:10.1186/s12882-016-0425-1Kim K, Kag GW, Woo J. The quality of life of hemodialysis patients is affected not only by medical but also psychosocial factors: a canonical correlation study. J Korean Med Sci. 2018;33(14):1–11. doi:10.3346/jkms.2018.33.e111Sullivan JE, Choi NG, Vasquez CE. 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Psychometric properties of the kidney disease Quality of Life 36-Item Short-Form Survey (KDQOL-36) in the United States. Am J Kidney Dis. 2018;71 (4):461–468. doi:10.1053/j.ajkd.2017.07.020Wright LS, Wilson L. Quality of life and self-efficacy in three dialysis modalities: incenter hemodialysis, home hemodialysis, and home peritoneal dialysis. Nephrol Nurs J. 2015;42(5):463– 476.Fructuoso M, Castro R, Oliveira L, Prata C, Morgado T. Quality of life in chronic kidney disease. Rev Nefrología. 2011;31(1):91–96. doi:10.3265/Nefrologia.pre2010.Jul.10483Zazzeroni L, Pasquinelli G, Nanni E, Cremonini V, Rubbi I. Comparison of quality of life in patients undergoing hemodialysis and peritoneal dialysis: a systematic review and meta-analysis. Kidney Blood Press Res. 2017;42(4):717–727. doi:10.1159/ 000484115Chow SK, Tam BM. Is the kidney disease quality of life-36 (KDQOL-36) a valid instrument for Chinese dialysis patients? BMC Nephrol. 2014;15:199. doi:10.1186/1471-2369-15-199Fukuhara S, Lopes AA, Bragg-Gresham JL, et al. Health-related quality of life among dialysis patients on three continents: the dialysis outcomes and practice patterns. Kidney Int. 2003;64(5):1903–1910. doi:10.1046/j.1523-1755.2003.00289.xKutner N, Bowles T, Zhang R, Huang Y, Pastan S. Dialysis facility characteristics and variation in employment rates: a national study. Clin J Am Soc Nephrol. 2008;3(1):111–116. doi:10.2215/ CJN.02990707Helanterä I, Haapio M, Koskinen P, Grönhagen-Riska C, Finne P. Employment of patients receiving maintenance dialysis and after kidney transplant: a cross-sectional study from Finland. Am J Kidney Dis. 2012;59(5):700–706. doi:10.1053/j.ajkd.2011.08.025Lakshmi BS, Kumar ACV, Reddy H, et al. Employment status of patients receiving maintenance dialysis - peritoneal and hemodialysis: a cross-sectional study. Indian J Nephrol. 2017;27(5):384. doi:10.4103/ijn.IJN_151_16Ohri-Vachaspati P, Sehgal AR. Quality of life implications of inadequate protein nutrition among hemodialysis patients. J Ren Nutr. 1999;9(1):9–13. doi:10.1016/S1051-2276(99)90016-XBaggott CR, Dodd M, Kennedy C, et al. An evaluation of the factors that affect the health-related quality of life of children following myelosuppressive chemotherapy. Support Care Cancer [En Linea]. 2011;19(3):353–361. doi:10.1007/s00520-010-0824-yMohan A, Mohan C, Bhutani M, et al. Quality of life in newly diagnosed patients with lung cancer in a developing country: is it important? Eur J Cancer Care (Engl). 2006;15(3):293–298. doi:10.1111/j.1365-2354.2006.00654.xArogundade FA, Zayed B, Daba M, Barsoum RS. Correlation between Karnofsky performance status scale and short-form health survey in patients on maintenance hemodialysis. J Natl Med Assoc. 2004;96(12):1661–1667.Chen JY, Choi EP, Wan EY, et al. Validation of the disease-specific components of the Kidney Disease Quality of Life-36 (KDQOL-36) in Chinese patients undergoing maintenance dialysis. PLoS One. 2016;11(5):1–13. doi:10.1371/journal.pone.0155188Dehesa-López E, Correa-Rotter R, Olvera-Castillo D, González-Parra C, Baizabal-Olarte R, Orozco-Vega R. Transcultural adaptation and validation of the Mexican version of the kidney disease questionnaire KDQOL-SF36 version 1.3. 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Health-Related Quality of Life in Patients with Chronic Kidney Disease in Hemodialysis in Medellín (Colombia)

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