Are both psychological and physical dimensions in health-related quality of life associated with mortality in hemodialysis patients: A 7-year Taiwan cohort study

Yu Sen Peng, Chih Kang Chiang, Kung Yu Hung, Chung Hsin Chang, Chien Yu Lin, Chwei Shiun Yang, Tzen Wen Chen, Ching Chih Hsia, Da Lung Chen, Wen Ding Hsu, Chao Fu Chang, Kwan Dun Wu, Ru Ping Lin, Tun Jun Tsai, Wang Yu Chen

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12 Citations (Scopus)

Abstract

Background: Psychological depression and physical disability are closely correlated in hemodialysis patients. A retrospective cohort study was conducted to examine the independent association of physical and psychological functioning with mortality in a hemodialysis cohort in Taiwan. Methods: A total of 888 stable hemodialysis patients were included. Patients completed two questionnaires: the 36-item Short Form Health Survey Questionnaire (SF-36, Taiwan Standard Version 1.0) and the Beck Depression Inventory (BDI, Chinese Version). Mortality outcomes were recorded for a seven-year follow-up period. Results: There were 303 deaths recorded. BDI scores were inversely related to all health-related quality of life (HRQoL) domains (p <0.001). In the Cox-proportional hazard model, only poor physical dimension of HRQoL was independently associated with higher mortality. Conclusion: Poor physical dimension in HRQoL is a strong predictor of mortality among hemodialysis patients in Taiwan. Psychological depression is closely correlated with poor HRQoL but does not predict mortality.

Original languageEnglish
Pages (from-to)98-105
Number of pages8
JournalBlood Purification
Volume30
Issue number2
DOIs
Publication statusPublished - Sep 2010

Keywords

  • Depression
  • Disability physical
  • Health-related quality of life
  • Hemodialysis
  • Taiwan

ASJC Scopus subject areas

  • Nephrology
  • Hematology

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    Peng, Y. S., Chiang, C. K., Hung, K. Y., Chang, C. H., Lin, C. Y., Yang, C. S., Chen, T. W., Hsia, C. C., Chen, D. L., Hsu, W. D., Chang, C. F., Wu, K. D., Lin, R. P., Tsai, T. J., & Chen, W. Y. (2010). Are both psychological and physical dimensions in health-related quality of life associated with mortality in hemodialysis patients: A 7-year Taiwan cohort study. Blood Purification, 30(2), 98-105. https://doi.org/10.1159/000319002