Satisfaction of vascular access and quality of life in Peruvian patients on hemodialysis

Hidalgo Caro A.; Castillo Velarde E. · Revista Colombiana de Nefrologia (2024) · DOI: 10.22265/acnef.11.1.703

Resumen

Background: Currently, one in ten adults in the world has Chronic Kidney Disease (CKD). In Peru 19,197 patients have End Stage CKD and need sustained renal replacement therapy (RRT). Purpose: To analyze the association between satisfaction of vascular access, quality of life and type of vascular access in patients from the Hemodialysis Unit of the Hospital Guillermo Almenara Irigoyen in 2021, Lima, Peru. Methodology: Analytical and observational cross-sectional study. Two instruments, SF VAQ and SF 36 were used in 122 patients on RRT with hemodialysis. Pearson’s Chi square test and multivariate analysis were performed to assess statistical association. Results: 54 % of the patients were adult males (mean age: 57 years), 76 % had a catheter and 24 % had an arteriovenous fistula (AVF). There is a higher prevalence of dissatisfaction in patients who use a catheter compared to those who have an AVF (PR=7.17). Vascular access satisfaction was associated with age (p = 0.006) and type of access (p = 0.007). Quality of life (HRQoL) was excellent in physical function (30 %), physical role (46 %) and emotional role (52 %) and poor in bodily pain (29 %), and was also associated with the type of access (p=0.050) and hemoglobin level (p= 0.001). Conclusion: The satisfaction of patients on RRT in HD regarding the access they have and their HRQoL are associated with the type of vascular access. Catheter dependent patients are more dissatisfied than those with AVF in the general, social and complications domains.

Instituciones: Universidad Ricardo Palma