Vascular access type, health-related quality of life, and depression in hemodialysis patients: a preliminary report

Purpose: Arteriovenous fistulas (AVF) are the vascular access of choice for hemodialysis (HD) compared with arteriovenous grafts (AVG) and central venous catheters (CVC). In spite of increasing recognition of importance of a patient's perception of health-related quality of life (HRQOL) and depression, few studies have assessed the association of vascular access type with HRQOL and depression. The purpose of our study was to examine HRQOL and depression among patients with different vascular access. Methods: Severity of symptoms of depression and HRQOL were assessed by Beck Depression Inventory (BDI) and Short Form-36 (SF-36), respectively. Vascular access was reported as one of three options; AVF, AVG, and CVC. Results: In total, 136 patients were included; 104 had AVF, 15 had AVG, and 17 had CVC. BDI and HRQOL parameters differed among patients with different vascular access types. In post hoc analysis, BDI and HRQOL subscales were not different between patients with AVF and AVG. Patients with CVC had lower physical functioning (P:.001), role-physical limitation (P:.015), general health perception (P:.017), vitality (P:.010), social functioning (P:.004), role-emotional (P:.008), mental health (P:.001), physical component summary score (P:.017), and mental component summary score (P:.006) when compared to patients with AVF. Patients with CVC had lower physical functioning (P:.044), role-emotional (P:.044) and mental health scores (P:.04) when compared to patients with AVG. Conclusions: Having a CVC may negatively influence HRQOL in HD patients. Vascular access type does not seem to be related to depressed mood in HD.

Yazar Afsar, Baris
Elsurer, Rengin
Covic, Adrian
Kanbay, Mehmet
Yayın Türü Article
Tek Biçim Adres https://hdl.handle.net/20.500.12628/3769
Tek Biçim Adres 10.5301/jva.5000032
Konu Başlıkları Depression
Hemodialysis
Quality of life
Vascular access
Koleksiyonlar Araştırma Çıktıları | WoS | Scopus | TR-Dizin | PubMed | SOBİAD
PubMed İndeksli Yayınlar Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu
Dergi Adı JOURNAL OF VASCULAR ACCESS
Dergi Cilt Bilgisi 13
Dergi Sayısı 2
Sayfalar 215 - 220
Yayın Yılı 2012
Eser Adı
[dc.title]
Vascular access type, health-related quality of life, and depression in hemodialysis patients: a preliminary report
Yazar
[dc.contributor.author]
Afsar, Baris
Yazar
[dc.contributor.author]
Elsurer, Rengin
Yazar
[dc.contributor.author]
Covic, Adrian
Yazar
[dc.contributor.author]
Kanbay, Mehmet
Yayın Yılı
[dc.date.issued]
2012
Yayıncı
[dc.publisher]
SAGE PUBLICATIONS LTD
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
Purpose: Arteriovenous fistulas (AVF) are the vascular access of choice for hemodialysis (HD) compared with arteriovenous grafts (AVG) and central venous catheters (CVC). In spite of increasing recognition of importance of a patient's perception of health-related quality of life (HRQOL) and depression, few studies have assessed the association of vascular access type with HRQOL and depression. The purpose of our study was to examine HRQOL and depression among patients with different vascular access. Methods: Severity of symptoms of depression and HRQOL were assessed by Beck Depression Inventory (BDI) and Short Form-36 (SF-36), respectively. Vascular access was reported as one of three options; AVF, AVG, and CVC. Results: In total, 136 patients were included; 104 had AVF, 15 had AVG, and 17 had CVC. BDI and HRQOL parameters differed among patients with different vascular access types. In post hoc analysis, BDI and HRQOL subscales were not different between patients with AVF and AVG. Patients with CVC had lower physical functioning (P:.001), role-physical limitation (P:.015), general health perception (P:.017), vitality (P:.010), social functioning (P:.004), role-emotional (P:.008), mental health (P:.001), physical component summary score (P:.017), and mental component summary score (P:.006) when compared to patients with AVF. Patients with CVC had lower physical functioning (P:.044), role-emotional (P:.044) and mental health scores (P:.04) when compared to patients with AVG. Conclusions: Having a CVC may negatively influence HRQOL in HD patients. Vascular access type does not seem to be related to depressed mood in HD.
Açıklama
[dc.description]
WOS: 000309414500014
Açıklama
[dc.description]
PubMed: 22139743
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
eng
Konu Başlıkları
[dc.subject]
Depression
Konu Başlıkları
[dc.subject]
Hemodialysis
Konu Başlıkları
[dc.subject]
Quality of life
Konu Başlıkları
[dc.subject]
Vascular access
Haklar
[dc.rights]
info:eu-repo/semantics/closedAccess
ISSN
[dc.identifier.issn]
1129-7298
ISSN
[dc.identifier.issn]
1724-6032
İlk Sayfa Sayısı
[dc.identifier.startpage]
215
Son Sayfa Sayısı
[dc.identifier.endpage]
220
Dergi Adı
[dc.relation.journal]
JOURNAL OF VASCULAR ACCESS
Dergi Sayısı
[dc.identifier.issue]
2
Dergi Cilt Bilgisi
[dc.identifier.volume]
13
Tek Biçim Adres
[dc.identifier.uri]
https://dx.doi.org/10.5301/jva.5000032
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/3769
Görüntülenme Sayısı ( Şehir )
Görüntülenme Sayısı ( Ülke )
Görüntülenme Sayısı ( Zaman Dağılımı )
Görüntülenme
25
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
06 Şubat 2024 19:24
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Tıklayınız
patients access depression vascular health different functioning compared physical mental role-emotional Patients assessed Vascular perception component summary subscales analysis differed between related depressed parameters negatively limitation social vitality general role-physical influence scores Conclusions Having Purpose
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