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    Impact of Sleep and Dialysis Mode on Quality of Life in a Mexican Population

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    Author
    Quan, Stuart F
    Affiliation
    University of Arizona College of Medicine
    Issue Date
    2019-05-03
    Keywords
    sleep disorders
    end stage renal disease
    dialysis
    health-related quality of life
    
    Metadata
    Show full item record
    Publisher
    Arizona Thoracic Society
    Citation
    Reynaga-Ornelas L, Baldwin CM, Arcoleo K, Quan SF. Impact of sleep and dialysis mode on quality of life in a Mexican population. Southwest J Pulm Crit Care. 2019;18(5):122-34.
    Journal
    Southwest Journal of Pulmonary and Critical Care
    Rights
    © the author(s). The Southwest Journal of Pulmonary and Critical Care is an open access journal which means that all content is freely available without charge to the user or his/her institution. Users are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles in this journal without asking permission from the publisher or the author.
    Collection Information
    This item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.
    Abstract
    Background: Health-related quality of life (HR-QOL) is reduced with end-stage renal disease (ESRD) but little is known about the impact of sleep disorders, dialysis modality and demographic factors on HR-QOL of Mexican patients with ESRD. Methods: 121 adults with ESRD were enrolled from 4 dialysis units in the state of Guanajuato, Mexico, stratified by unit and dialysis modality (hemodialysis [HD], continuous ambulatory peritoneal dialysis [CAPD] and automated peritoneal dialysis [APD]). Analysis included clinical information and data from the Sleep Heart Health Study Sleep Habits Questionnaire, the Medical Outcomes Study (MOS) short form (SF-36) HR-QOL measure and Epworth Sleepiness Scale. Results: Overall, sleep symptoms and disorders were common (e.g., 37.2% insomnia). SF-36 scores were worse versus US and Mexican norms. HD patients reported better, while CAPD patients poorer HR-QOL for Vitality. With multivariate modelling dialysis modality, sleep disorders as a group and lower income were significantly associated with poorer overall SF-36 and mental health HR-QOL. Overall and Mental Composite Summary models showed HR-QOL was significantly better for both APD and HD with small to moderate effect sizes. Cost-effectiveness analysis demonstrated an advantage for APD. Conclusions: Mexican ESRD patients have reduced HR-QOL, and sleep disorders may be an important driver of this finding. APD should be the preferred mode of dialysis in Mexico.
    Note
    Open access journal
    ISSN
    2160-6773
    DOI
    10.13175/swjpcc017-19
    Version
    Final published version
    Sponsors
    Financial support was provided to Dr. Reynaga-Ornelas by the Bardewick Scholarship from Arizona State University and the PROMEP Scholarship from the University of Guanajuato. Dr. Quan was partially supported by AG009975 from the National Institute of Aging.
    Additional Links
    http://www.swjpcc.com/sleep/2019/5/3/impact-of-sleep-and-dialysis-mode-on-quality-of-life-in-a-me.html
    ae974a485f413a2113503eed53cd6c53
    10.13175/swjpcc017-19
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    UA Faculty Publications

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