2077/2012 - FATORES ASSOCIADOS A QUALIDADE DE VIDA DE PACIENTES EM TERAPIA RENAL SUBSTITUTIVA NO BRASIL FACTORS RELATED TO QUALITY OF LIFE IN PATIENTS IN RENAL REPLACEMENT THERAPY IN BRAZIL
A doença renal crônica terminal constitui grave problema de saúde pública e vem apresentando prevalência crescente. O estudo do impacto das terapias renais substitutivas (TRS) na qualidade de vida (QV) tem se tornado cada vez mais importante. O objetivo deste estudo foi avaliar a QV de pacientes em TRS e os fatores a ela associados. Foram entrevistados 3036 pacientes em TRS no Brasil com relação a aspectos socioeconômicos, demográficos, clínicos e QV. Os pacientes foram selecionados de forma aleatória após processo de amostragem por conglomerado em dois níveis: serviços de saúde e pacientes. A QV foi medida pelo Eq5D. O instrumento permite a medida indireta da QV e o cálculo da utilidade, além da medida direta da QV pela escala visual analógica (EVA). Observou-se que pacientes transplantados possuem melhor QV e que os aspectos mais comprometidos são dor/desconforto e ansiedade/depressão. Os principais fatores associados a QV são idade, sexo feminino, variáveis associadas a condição clínica do paciente, como necessidade de internação e presença de comorbidades, a classe social e variáveis associadas ao serviço de saúde utilizado. A correlação entre EVA e a utilidade calculada foi moderada e as 5 questões do Eq5D explicam 43% da variabilidade da EVA. A utilidade calculada pode ser utilizada em avaliações de custo-utilidade.
Palavras-chave:
Diálises
Transplante
EQ5D
Qualidade de vida
Abstract:
End-stage renal disease (ESRD) is a serious public health problem and has shown increasing prevalence. The study of the impact of renal replacement therapy (RRT) in quality of life (QoL) has become increasingly important. The aim of this study was to evaluate the QoL of patients on RRT and associated factors. We interviewed 3036 patients on RRT in Brazil in relation to socioeconomic, demographic, clinical and QoL. Patients were randomly selected after cluster sampling process into two levels: health services and patients. QOL was measured by Eq5D. The instrument allows the indirect measurement of QoL and utility calculation, beyond the direct measure of QoL by a visual analog scale (VAS). It was observed that transplant patients have better QOL and which aspects are most committed pain / discomfort and anxiety / depression. The main factors associated with QOL are age, female gender, variables associated with the clinical condition of the patient, as the need for hospitalization and presence of comorbidities, social class and variables associated with health service use. The correlation between VAS and utility calculated was moderate and the 5 questions Eq5D explain 43% of the variability of EVA. The calculated value can be used in cost-utility analysis.
FACTORS RELATED TO QUALITY OF LIFE IN PATIENTS IN RENAL REPLACEMENT THERAPY IN BRAZIL
Resumo (abstract):
End-stage renal disease (ESRD) is a serious public health problem and has shown increasing prevalence. The study of the impact of renal replacement therapy (RRT) in quality of life (QoL) has become increasingly important. The aim of this study was to evaluate the QoL of patients on RRT and associated factors. We interviewed 3036 patients on RRT in Brazil in relation to socioeconomic, demographic, clinical and QoL. Patients were randomly selected after cluster sampling process into two levels: health services and patients. QOL was measured by Eq5D. The instrument allows the indirect measurement of QoL and utility calculation, beyond the direct measure of QoL by a visual analog scale (VAS). It was observed that transplant patients have better QOL and which aspects are most committed pain / discomfort and anxiety / depression. The main factors associated with QOL are age, female gender, variables associated with the clinical condition of the patient, as the need for hospitalization and presence of comorbidities, social class and variables associated with health service use. The correlation between VAS and utility calculated was moderate and the 5 questions Eq5D explain 43% of the variability of EVA. The calculated value can be used in cost-utility analysis.
Alvares, J., Almeida, A.M., Szuster, D.A.C., Gomes, I.C., Andrade, E.I G, Acurcio, F.A., Cherchiglia, M. L.. FATORES ASSOCIADOS A QUALIDADE DE VIDA DE PACIENTES EM TERAPIA RENAL SUBSTITUTIVA NO BRASIL. Cien Saude Colet [periódico na internet] (2013/jan). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/fatores-associados-a-qualidade-de-vida-de-pacientes-em-terapia-renal-substitutiva-no-brasil/12089?id=12089
