Qualité de vie des personnes en insuffisance rénale chronique terminale en France en 2011

Abstract : Objective – To estimate the quality of life (QOL) of patients with end-stage renal disease (dialysis or transplant). Methods – Cross-sectional survey by self-administered questionnaire conducted in 2011 in patients over 18 years old followed in one of the 21 regions participating in the network REIN (Renal Epidemiology and Information Network) in 2009. Patients were selected randomly after stratification on their age and region. QOL was measured using the MOS SF-36 generic questionnaire and specific questionnaires, the KDQOL for dialysis patients and the RETRANSQOL for transplanted patients. Results – 1,251 dialysis patients and 1,658 transplanted patients participated in the survey. QOL scores were higher (from 10 to 30.6 points) in transplant patients than in dialysis patients, and in all dimensions of the MOS SF36, with regional differences. In transplanted patients, these scores tended to be closer to those of the general population. Dialysis patients registered on the waiting list for transplantation had a better QOL than dialysis patients not enrolled for all dimensions, with differences ranging from 3.9 (general vitality dimension) to 7.5 (physical functioning). Similarly, preemptive transplanted patients reported better QOL than non-preemptive patients, with differences ranging from 4.2 points (mental health) to 8.5 (limitations due to physical condition). Conclusion – The results of these studies on QOL give clinicians arguments in favor of transplantation. Clinicians can inform their patients that when transplantation is feasible and when associated pathologies are comparable, life after transplantation is of better quality, mainly because of an increase in their physical abilities, a reduction of physical limitations and an improvement of their social relations.
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Submitted on : Tuesday, June 5, 2018 - 4:21:03 PM
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Elodie Speyer, Serge Briançon, Christian Jacquelinet, Davy Beauger, Christian Baudelot, et al.. Qualité de vie des personnes en insuffisance rénale chronique terminale en France en 2011. Bulletin Epidémiologique Hebdomadaire - BEH, Saint-Maurice (Val de Marne) : Institut de veille sanitaire, 2014, pp.623-630. ⟨hal-01808427⟩

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