ORIGINAL ARTICLE
Year : 2020  |  Volume : 7  |  Issue : 1  |  Page : 63-66

Impact of vascular access type on health-related quality of life in patients undergoing hemodialysis: A cross-sectional observational study


Department of Urology, Muljibhai Patel Urological Hospital, Nadiad, Gujarat, India

Correspondence Address:
Dr. Parag Sonawane
Department of Urology, Muljibhai Patel Urological Hospital, Nadiad, Gujarat
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijves.ijves_47_19

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Objective: Patients undergoing hemodialysis (HD) have a poor health-related quality of life (HRQoL). HRQoL may differ across geography and ethnicity. This study aimed to compare HRQoL in patients undergoing HD by arteriovenous fistula (AVF) and central venous catheter (CVC) in a cohort of Indian population. Methods: This was a cross-sectional observational study conducted between March 2016 and June 2016. All patients undergoing HD (more than 2 months) who had vascular access using AVF or CVC were eligible to participate in the study. Sociodemographic characteristics were noted, and HRQoL was assessed using the Short Form 36 questionnaire. Results: A total of 58 patients were included in this study, 31 in CVC group and 27 in AVF group, without any crossover. The mean (standard deviation) age was 47.4 (18.1), and the median (range) duration of HD was 14 months (2 months–120 months).Overall, patients who underwent AVF for vascular access had significantly (P < 0.05) higher HRQoL score than those who underwent CVC. There was no significant difference of HRQoL score for majority of the parameters for sex and age, for all the parameters for duration of HD. Conclusions: Overall, results showed that patients who had vascular access using AVF showed better HRQoL as compared to CVC in patients with HD.


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