Associations of Socio-Demographic, Clinical and Biochemical Parameters with Healthcare Cost, Health- and Renal-Related Quality of Life in Hemodialysis Patients: A Clinical Observational Study.
Associations of Socio-Demographic, Clinical and Biochemical Parameters with Healthcare Cost, Health- and Renal-Related Quality of Life in Hemodialysis Patients: A Clinical Observational Study.
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DOI：
10.3390/ijerph17186552
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发表时间：
2020-09-09
影响因子：
--
通讯作者：
Duong TV
中科院分区：
文献类型：
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作者：
Doan KVD;Nguyen HTM;Nguyen NTH;Dang KC;Yang SH;Duong TV
我们研究了与血液透析患者的医疗费用、健康相关生活质量（HRQOL）和肾脏疾病生活质量（KDQOL）相关的因素。我们于2019年1月至4月在血液透析中心对160名患者进行了横断面研究。评估了社会人口统计学、临床和实验室参数以及生活质量（QOL）（使用KDQOL-SF-v1.3）。每月医疗费用从医院信息系统中提取。医疗费用、HRQOL和KDQOL的平均值分别为9.4 ± 160万越南盾、45.1 ± 21.9越南盾和51.3 ± 13.0越南盾。在多变量分析中，血液透析年限较长的患者的医疗费用较高（回归系数（B）：0.74; 95%置信区间（95% CI）：0.25; 1.23），合并症（B：0.77; 95% CI：0.24; 1.31）;红细胞压积浓度较高的患者较低（B：-0.07; 95% CI：-0.13;-0.01）。生活在城市地区的患者（B：9.08; 95% CI：2.30; 15.85）的HRQOL较好;合并症患者（B：−14.20; 95% CI：−21.43; −6.97）和低白蛋白血症患者（B：−9.31; 95% CI：−16.58; −2.04）的HRQOL较差。受教育程度高的患者（B：5.38~6.29）KDQOL较好;合并症患者KDQOL较差（B：-6.17; 95%CI：-10.49;-1.85）。总之，较长的血液透析年份、合并症和较低的红细胞压积浓度与较高的医疗费用相关。居住在城市地区的患者有更好的HRQOL和更高的教育水平导致更好的KDQOL。合并症患者的HRQOL和KDQOL较低。营养不良患者的HRQOL较低。
We examined factors associated with healthcare cost, health-related quality of life (HRQOL), and kidney disease quality of life (KDQOL) in hemodialysis patients. We conducted a cross-sectional study on 160 patients from January to April 2019 at a hemodialysis center. Socio-demographic, clinical, and laboratory parameters and quality of life (QOL) (using KDQOL-SF-v1.3) were assessed. Monthly healthcare costs were extracted from the hospital information system. The means of healthcare cost, HRQOL, and KDQOL were VND 9.4 ± 1.6 million, VND 45.1 ± 21.9 and VND 51.3 ± 13.0, respectively. In the multivariate analysis, the healthcare cost was higher in patients with a longer hemodialysis vintage (regression coefficient (B): 0.74; 95% confidence interval (95% CI): 0.25; 1.23), comorbidity (B: 0.77; 95% CI: 0.24; 1.31); and lower in those with a higher hematocrit concentration (B: −0.07; 95% CI: −0.13; −0.01). Patients that lived in urban areas (B: 9.08; 95% CI: 2.30; 15.85) had a better HRQOL; those with a comorbidity (B: −14.20; 95% CI: −21.43; −6.97), and with hypoalbuminemia (B: −9.31; 95% CI: −16.58; −2.04) had a poorer HRQOL. Patients with a higher level of education (B: 5.38~6.29) had a better KDQOL; those with a comorbidity had a poorer KDQOL (B: −6.17; 95% CI: −10.49; −1.85). In conclusion, a longer hemodialysis vintage, a comorbidity and a lower hematocrit concentration were associated with higher healthcare costs. Patients who lived in urban areas had a better HRQOL and a higher level of education led to a better KDQOL. Patients with a comorbidity had a lower HRQOL and KDQOL. Malnourished patients had a lower HRQOL.
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影响因子：
3.6
作者：
Tran BX;Nguyen LH;Nong VM;Nguyen CT
通讯作者：
Nguyen CT
影响因子：
3.6
作者：
Chen, Julie Yun;Wan, Eric Yuk Fai;Lam, Cindy Lo Kuen
通讯作者：
Lam, Cindy Lo Kuen
DOI：
10.1080/21548331.2019.1682879
发表时间：
2019-10-20
期刊：
HOSPITAL PRACTICE
影响因子：
--
作者：
Dejvorakul, Sirikarn;Kumar, Ramesh;Somrongthong, Ratana
通讯作者：
Somrongthong, Ratana
影响因子：
6.3
作者：
Beberashvili, Ilia;Azar, Ada;Efrati, Shai
通讯作者：
Efrati, Shai
影响因子：
2.9
作者：
Eriksson JK;Neovius M;Jacobson SH;Elinder CG;Hylander B
通讯作者：
Hylander B