The results of a multifactorial analysis to identify medical and social factors associated with the quality of life of patients with chronic kidney disease on hemodialysis


DOI: https://dx.doi.org/10.18565/nephrology.2024.2.5-12

Kotenko O.N., Abolyan L.V., Kuteinikov V.Yu., Arsanukaev I.M., Dorofeeva E.G., Vinogradov V.E.

1) Moscow City Scientific and Practical Center for Nephrology and Transplanted Kidney Pathology, City Clinical Hospital №52 of the Moscow Healthcare Department, Moscow, Russia; 2) Sechenov University, Moscow, Russia; 3) Russian University of Medicine, Moscow, Russia; 4) Research Institute of care Organization and Medical Management of the Moscow Healthcare Department, Moscow, Russia
Background. Chronic kidney disease (CKD) is one of the leading non-communicable diseases. Modern technologies of renal replacement therapy in end-stage CKD can increase the life expectancy of patients. Improving the quality of life of patients with CKD who are on long-term renal replacement therapy by hemodialysis is an important public health issue.
Objective. To carry out a multifactorial analysis to identify medical and social factors associated with the quality of life of patients with chronic kidney disease on hemodialysis.
Material and methods. To assess the medical and social characteristics of patients with CKD on hemodialysis, a specially designed questionnaire containing 21 questions was used. Patients' quality of life was assessed using the KDQOL-SF questionnaire. Statistical data processing was carried out using the SPSS program.25. A total of 723 patients with CKD receiving hemodialysis therapy in dialysis centers in Moscow participated in the study. Collection period: August-November 2021.
Results. Low indicators of the quality of life of patients were revealed. A set of seven significant medical and social factors associated with the values of the quality of life scales was established – age, gender, financial situation, living conditions, physical activity, smoking and duration of hemodialysis, their total contribution to the variance of the quality of life scales ranged from 7 to 23.5%.
Conclusion. It is important to take into account the identified medical and social factors associated with the quality of life of patients with CKD on hemodialysis when planning and evaluating medical and organizational measures aimed at improving the quality of life of this group of patients.

About the Autors


Kotenko Oleg N. – Dr.Sci. (Med.), Deputy Chief Physician for Nephrology, City Clinical Hospital №52 of the Moscow Healthcare Department, Chief External Expert in Nephrology of the Moscow Healthcare Department and North-West Federal Okrug. Address: 1231823 Moscow, Pekhotnaya st., 3; e-mail: olkotenko@yandex.ru. ORCID: 0000-0001-8264-7374.
Abolyan Liubov V. – Dr.Sci. (Med.), Professor at the Department of Public Health and Healthcare named after N.A. Semashko, Sechenov University. Address: 119992 Moscow, Building 2, 2 Bolshaya Pirogovskaya st.; e-mail: labolyan@mail.ru. ORCID: 0000-0002-7644-8771.
Vladislav Yu. Kuteinikov – Postgraduate Student at the Department of Public Health and Healthcare named after N.A. Semashko, Sechenov University. Address: 119992 Moscow, Building 2, 2 Bolshaya Pirogovskaya st.; e-mail: vladislav864vlad@list.ru. ORCID: 0000-0002-6299-4261.
Imam M. Arsanukaev – resident of the Urology Department, Russian University of Medicine. Address: 127006 Moscow, 4 Dolgorukovskaya st.; e-mail: aimamm0950@mail.ru. ORCID: 0000-0001-9922-4634.
Ekaterina G. Dorofeeeva – Nephrologist, Consultative and Diagnostic Nephrology Department, City Clinical Hospital №52 of the Moscow Healthcare Department. Address: 123182 Moscow, 3 Pekhotnaya st.; e-mail: egdorofeeva@bk.ru. ORCID: 0000-0002-8764-4495.
Vladimir E. Vinogradov – Head of the Consultative and Diagnostic Nephrology Department, City Clinical Hospital № 52 of the Moscow Healthcare Department, Specialist at the Organizational and Methodological Department for Nephrology, Research Institute of Healthcare Organization and Medical Management of the Moscow Healthcare Department. Address: 123182 Moscow, 3 Pekhotnaya st.; e-mail: vino-gradoff@yandex.ru. ORCID: 0000-0002-2499-4770.


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