The associations of social support and other psychosocial factors with mortality and quality of life in the dialysis outcomes and practice patterns study
This study aimed to investigate the influence of social support and other psychosocial factors on mortality, adherence to medical care recommendations, and physical quality of life among hemodialysis patients. Data on 32,332 hemodialysis patients enrolled in the Dialysis Outcomes and Practice Patter...
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| Published in: | Clinical journal of the American Society of Nephrology Vol. 6; no. 1; p. 142 |
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| Main Authors: | , , , , , , , , , , , |
| Format: | Journal Article |
| Language: | English |
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01.01.2011
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| ISSN: | 1555-905X, 1555-905X |
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| Abstract | This study aimed to investigate the influence of social support and other psychosocial factors on mortality, adherence to medical care recommendations, and physical quality of life among hemodialysis patients.
Data on 32,332 hemodialysis patients enrolled in the Dialysis Outcomes and Practice Patterns Study (1996 to 2008) in 12 countries were analyzed. Social support and other psychosocial factors related to ESRD and its treatment were measured by patient self-reports of health interference with social activities, isolation, feeling like a burden, and support from family and dialysis staff. Cox regression and logistic regression were used to examine associations of baseline social support and other psychosocial factors with all-cause mortality and with other measured outcomes at baseline, adjusting for potential confounders.
Mortality was higher among patients reporting that their health interfered with social activities, were isolated, felt like a burden, and were dissatisfied with family support. Poorer family support and several psychosocial measures also were associated with lower adherence to the prescribed hemodialysis length and the recommended weight gain between sessions. Some international differences were observed. Poorer self-reported social support and other psychosocial factors were associated with poor physical quality of life.
Poorer social support and other psychosocial factors are associated with higher mortality risk, lower adherence to medical care, and poorer physical quality of life in hemodialysis patients. More research is needed to assess whether interventions to improve social support and other psychosocial factors will lengthen survival and enhance quality of life. |
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| AbstractList | This study aimed to investigate the influence of social support and other psychosocial factors on mortality, adherence to medical care recommendations, and physical quality of life among hemodialysis patients.
Data on 32,332 hemodialysis patients enrolled in the Dialysis Outcomes and Practice Patterns Study (1996 to 2008) in 12 countries were analyzed. Social support and other psychosocial factors related to ESRD and its treatment were measured by patient self-reports of health interference with social activities, isolation, feeling like a burden, and support from family and dialysis staff. Cox regression and logistic regression were used to examine associations of baseline social support and other psychosocial factors with all-cause mortality and with other measured outcomes at baseline, adjusting for potential confounders.
Mortality was higher among patients reporting that their health interfered with social activities, were isolated, felt like a burden, and were dissatisfied with family support. Poorer family support and several psychosocial measures also were associated with lower adherence to the prescribed hemodialysis length and the recommended weight gain between sessions. Some international differences were observed. Poorer self-reported social support and other psychosocial factors were associated with poor physical quality of life.
Poorer social support and other psychosocial factors are associated with higher mortality risk, lower adherence to medical care, and poorer physical quality of life in hemodialysis patients. More research is needed to assess whether interventions to improve social support and other psychosocial factors will lengthen survival and enhance quality of life. This study aimed to investigate the influence of social support and other psychosocial factors on mortality, adherence to medical care recommendations, and physical quality of life among hemodialysis patients.BACKGROUND AND OBJECTIVESThis study aimed to investigate the influence of social support and other psychosocial factors on mortality, adherence to medical care recommendations, and physical quality of life among hemodialysis patients.Data on 32,332 hemodialysis patients enrolled in the Dialysis Outcomes and Practice Patterns Study (1996 to 2008) in 12 countries were analyzed. Social support and other psychosocial factors related to ESRD and its treatment were measured by patient self-reports of health interference with social activities, isolation, feeling like a burden, and support from family and dialysis staff. Cox regression and logistic regression were used to examine associations of baseline social support and other psychosocial factors with all-cause mortality and with other measured outcomes at baseline, adjusting for potential confounders.DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTSData on 32,332 hemodialysis patients enrolled in the Dialysis Outcomes and Practice Patterns Study (1996 to 2008) in 12 countries were analyzed. Social support and other psychosocial factors related to ESRD and its treatment were measured by patient self-reports of health interference with social activities, isolation, feeling like a burden, and support from family and dialysis staff. Cox regression and logistic regression were used to examine associations of baseline social support and other psychosocial factors with all-cause mortality and with other measured outcomes at baseline, adjusting for potential confounders.Mortality was higher among patients reporting that their health interfered with social activities, were isolated, felt like a burden, and were dissatisfied with family support. Poorer family support and several psychosocial measures also were associated with lower adherence to the prescribed hemodialysis length and the recommended weight gain between sessions. Some international differences were observed. Poorer self-reported social support and other psychosocial factors were associated with poor physical quality of life.RESULTSMortality was higher among patients reporting that their health interfered with social activities, were isolated, felt like a burden, and were dissatisfied with family support. Poorer family support and several psychosocial measures also were associated with lower adherence to the prescribed hemodialysis length and the recommended weight gain between sessions. Some international differences were observed. Poorer self-reported social support and other psychosocial factors were associated with poor physical quality of life.Poorer social support and other psychosocial factors are associated with higher mortality risk, lower adherence to medical care, and poorer physical quality of life in hemodialysis patients. More research is needed to assess whether interventions to improve social support and other psychosocial factors will lengthen survival and enhance quality of life.CONCLUSIONSPoorer social support and other psychosocial factors are associated with higher mortality risk, lower adherence to medical care, and poorer physical quality of life in hemodialysis patients. More research is needed to assess whether interventions to improve social support and other psychosocial factors will lengthen survival and enhance quality of life. |
| Author | Robinson, Bruce M Mapes, Donna Untas, Aurélie Rayner, Hugh Morgenstern, Hal Rascle, Nicole Thumma, Jyothi Combe, Christian Fukuhara, Shunichi Lopes, Antonio A Akizawa, Tadao Pisoni, Ronald L |
| Author_xml | – sequence: 1 givenname: Aurélie surname: Untas fullname: Untas, Aurélie organization: Laboratoire de Psychologie Santé et Qualité de Vie EA 4139, Université de Bordeaux, Bordeaux, France – sequence: 2 givenname: Jyothi surname: Thumma fullname: Thumma, Jyothi – sequence: 3 givenname: Nicole surname: Rascle fullname: Rascle, Nicole – sequence: 4 givenname: Hugh surname: Rayner fullname: Rayner, Hugh – sequence: 5 givenname: Donna surname: Mapes fullname: Mapes, Donna – sequence: 6 givenname: Antonio A surname: Lopes fullname: Lopes, Antonio A – sequence: 7 givenname: Shunichi surname: Fukuhara fullname: Fukuhara, Shunichi – sequence: 8 givenname: Tadao surname: Akizawa fullname: Akizawa, Tadao – sequence: 9 givenname: Hal surname: Morgenstern fullname: Morgenstern, Hal – sequence: 10 givenname: Bruce M surname: Robinson fullname: Robinson, Bruce M – sequence: 11 givenname: Ronald L surname: Pisoni fullname: Pisoni, Ronald L – sequence: 12 givenname: Christian surname: Combe fullname: Combe, Christian |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/20966121$$D View this record in MEDLINE/PubMed |
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| SubjectTerms | Adult Aged Cohort Studies Female Humans Logistic Models Male Middle Aged Patient Compliance Prospective Studies Quality of Life Renal Dialysis - mortality Renal Dialysis - psychology Serum Albumin - analysis Social Support |
| Title | The associations of social support and other psychosocial factors with mortality and quality of life in the dialysis outcomes and practice patterns study |
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