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Identification of palliative care needs in hemodialysis patients: An update

Published online by Cambridge University Press:  02 July 2021

Ylian Serina Liem ,
Inge Eidemak ,
Sille Larsen ,
Per Sjøgren ,
Stig Molsted ,
Jonas Sørensen Open the ORCID record for Jonas Sørensen [Opens in a new window] ,
Louise Laursen  and
Geana Paula Kurita Open the ORCID record for Geana Paula Kurita [Opens in a new window]
Ylian Serina Liem*
Affiliation:
Department of Nephrology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark
Inge Eidemak
Affiliation:
Section of Palliative Medicine, Department of Oncology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark
Sille Larsen
Affiliation:
Section of Palliative Medicine, Department of Oncology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark
Per Sjøgren
Affiliation:
Section of Palliative Medicine, Department of Oncology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
Stig Molsted
Affiliation:
Department of Clinical Research, Nordsjællands Hospital, Hillerød, Denmark
Jonas Sørensen
Affiliation:
Section of Palliative Medicine, Department of Oncology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark
Louise Laursen
Affiliation:
Section of Palliative Medicine, Department of Oncology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark
Geana Paula Kurita
Affiliation:
Section of Palliative Medicine, Department of Oncology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark Multidisciplinary Pain Centre, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark
*
Author for correspondence: Ylian Serina Liem, Department of Nephrology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark. E-mail: ylian.serina.liem@regionh.dk
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Abstract

Objective

End-stage kidney disease and hemodialysis (HD) treatment are associated with a high symptom burden in many patients. This study aimed at updating patient-reported outcomes concerning quality of life, fatigue, anxiety, and depression in HD patients treated in a single center in order to assess the need for palliative care provision.

Method

A cross-sectional design, in which a sample of patients treated at a single HD department (Rigshospitalet, Denmark) between January and June 2019, was analyzed using the Kidney Disease Quality of Life Short Form, the Multidimensional Fatigue Inventory, and the Hospital Anxiety and Depression Scale. In addition, we compared the results with previously published data from the same department (2000) and with an age- and sex-matched sample from the Danish general population (1997/2014). Chi-square and t-tests were used for comparisons.

Results

Screened patients = 242, included = 141, analyzed = 131 (70.2% male, mean age = 61.3 years). HD patients reported low scores for quality of life, high scores for fatigue, and approximately 30% had anxiety/depression. Regarding quality of life, they had significantly lower scores on general health (P ≤ 0.000), vitality (P = 0.009), social functioning (P = 0.001), mental health (P = 0.007), and mental component (P = 0.005) compared with former data of HD patients. Moreover, they reported significantly poorer quality of life and worse fatigue compared with the general Danish population.

Significance of results

In the patients undergoing HD, quality of life was poor and worsened when compared with former HD patients’ data. Additionally, fatigue, depression, and anxiety in HD patients were prevalent. A clear need for palliative care provision was observed.

Keywords

DepressionFatigueHemodialysisPalliative careQuality of life
Type
Original Article
Information
Palliative & Supportive Care , Volume 20 , Issue 4 , August 2022 , pp. 505 - 511
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Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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