Differences in health-related quality of life and treatment preferences among black and white patients with end-stage renal disease
Differences in health-related quality of life and treatment preferences among black and white patients with end-stage renal disease
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DOI：
10.1023/b:qure.0000031350.56924.cc
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发表时间：
2004-08-01
影响因子：
3.5
通讯作者：
Ayanian, JZ
中科院分区：
文献类型：
--
作者：
Hicks, LRS;Cleary, PD;Ayanian, JZ
背景：在接受终末期肾病（ESRD）透析的患者中，与健康相关的生活质量（HRQL）的种族差异，以及这种差异如何与肾移植偏好相关，我们所知相对较少。方法：我们调查了1392例患者，年龄18-54岁，在美国4个地区开始透析后大约10个月。分析的HRQL指标包括整体健康、情绪健康、身体活动、能量水平、社会活动以及ESRD对日常生活的影响。我们还研究了HRQL的测量是否与患者对肾移植的种族偏好有关。结果：在调整社会经济和临床特征后，黑人女性和男性报告的整体健康状况分别优于白人女性和男性。黑人女性报告的能量水平比白人女性高，黑人男性报告的ESRD对日常生活的负面影响比白人男性小。与体育锻炼水平相似的白人男性相比，体育锻炼水平高的黑人男性更不愿意接受移植手术。结论：接受透析的黑人患者报告的HRQL优于白人患者，即使在控制了潜在的混杂因素后也是如此。男性肾移植偏好的种族差异可能与他们的身体活动水平有关。
Background: Relatively little is known about racial differences in health-related quality of life (HRQL) among patients receiving dialysis for end-stage renal disease (ESRD) or how such differences may relate to preferences for renal transplantation. Methods: We surveyed 1392 patients, ages 18-54 approximately 10 months after they initiated dialysis in 4 regions of the United States. The HRQL measures analyzed were overall health, emotional health, physical activity, energy level, social activity, and effect of ESRD on daily life. We also examined whether the measures of HRQL were associated with patients' preferences for renal transplantation by race. Results: After adjustment for socioeconomic and clinical characteristics, Black women and men reported better overall health than White women and men, respectively. Black women reported higher energy levels than White women, and Black men reported less negative effects of ESRD on daily life compared to White men. Black men with high levels of physical activity were less likely to be certain about preferring a transplant than White men with similar levels of physical activity. Conclusions: Black patients receiving dialysis reported better HRQL than White patients, even after controlling for potential confounders. Racial differences in preferences for renal transplantation among men may be associated with their levels of physical activity.