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Women on hemodialysis have lower self-reported health-related quality of life scores but better survival than men.
MedLine Citation:
PMID:  22641579     Owner:  NLM     Status:  Publisher    
Background: Hemodialysis patients suffer from poor quality of life and survival. A retrospective cohort study was performed to examine the sex differences in self-reported quality of life and mortality in a Taiwanese hemodialysis cohort. Methods: A total of 816 stable hemodialysis patients were included. Patients completed two questionnaires: the 36-item Short Form Health Survey Questionnaire (SF-36, Taiwan Standard Version 1.0) to assess health-related quality of life (HRQoL) and the Beck Depression Inventory (BDI, Chinese Version) to assess depressive mood. Mortality outcomes were recorded for a seven-year follow-up period. Results: After adjustment for confounding factors, women had significantly higher BDI scores (P=.003), lower physical functioning (P<.001), bodily pain (P<.001), mental health (P=0007), and physical component scale (PCS) scores (P<.001). There were 284 deaths recorded. In the Cox-proportional hazard model, women had significantly lower mortality than men (P<.001). Conclusions: Women on hemodialysis had more depression-related symptoms and poor self-reported HRQoL, but better survival than men. The sex difference in psychological and HRQoL issues deserves greater concern because this relates to clinical care and further study.
Yu-Sen Peng; Jenq-Wen Huang; Kuan-Yu Hung; Bing-Shi Lin; 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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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-5-15
Journal Detail:
Title:  Journal of nephrology     Volume:  -     ISSN:  1724-6059     ISO Abbreviation:  -     Publication Date:  2012 May 
Date Detail:
Created Date:  2012-5-29     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9012268     Medline TA:  J Nephrol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  0     Citation Subset:  -    
Division of Nephrology, Department of Internal Medicine, Far Eastern Memorial Hospital, New Taipei City - Taiwan.
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