An Assessment of the Quality of Life of Children Receiving Different Treatments for End-stage Renal Disease PDF Download

Author: Maurice Emile Le Vois
Publisher:
ISBN:
Category : Kidneys
Languages : en
Pages : 636

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Author: Maurice Emile LeVois
Publisher:
ISBN:
Category :
Languages : en
Pages : 297

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Author: Pak-Chiu Tong
Publisher: Open Dissertation Press
ISBN: 9781361300299
Category :
Languages : en
Pages :

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This dissertation, "Translation and Validation of the Hong Kong Chinese Version of the Pediatric Quality of Life InventoryTM (PedsQLTM) End-stage Renal Disease Module" by Pak-chiu, Tong, 湯伯朝, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: Objective The goal of this study is to report on the linguistic validation and reliability of the Hong Kong Chinese version of the Pediatric Quality of Life Inventory(TM) (PedsQL(TM)) End-stage Renal Disease Module for Children with end-stage renal disease (ESRD) in Hong Kong, and its use to assess health-related quality of life (HRQOL) in end-stage renal disease children receiving different treatment modalities: peritoneal dialysis, haemodialysis and renal transplantation. Methods In part 1, forward and backward translations following a stringent validation protocol produced the Chinese translation version. Content validity of the translated instrument was assessed. In part 2, internal consistency and reliability of the questionnaire was evaluated by 38 pairs of parents and children with end-stage renal disease aged 5 to 18. The data was further analysed according to different treatment modalities. Results The translated Hong Kong Chinese version of the Pediatric Quality of Life Inventory (TM) (PedsQL(TM)) End-stage Renal Disease Module (PedsQL(TM) 3.0 ESRD Module-HKC) was found to have good content validity and was acceptable to most patients and parents. Internal consistency was excellent (Cronbach's α = 0.91 in Patient version and = 0.94 in Parent version). Test-retest reliability, determined with the intraclass correlation coefficients, was excellent (0.89 in Patient version and 0.93 in Parent version). It was found that there was significant better HRQOL in patient received renal transplantation compared with Dialysis (peritoneal dialysis or haemodialysis, p=0.006.) Conclusions This study suggested good content validity, internal consistency, and reliability of the Chinese version of the Pediatric Quality of Life Inventory (TM) (PedsQL(TM)) End-stage Renal Disease Module (PedsQL(TM) 3.0 ESRD Module-HKC). It opened a new dimension of health care assessment for end-stage renal disease children in Hong Kong. Transplantation was reported to have a significant better quality of life score. Further studies with larger samples should be performed to confirm the psychometric properties of this translated instrument. DOI: 10.5353/th_b4842574 Subjects: Quality of life Kidneys - Diseases - Patients Children - Diseases

Author: Julien Hogan
Publisher:
ISBN:
Category :
Languages : en
Pages : 0

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Renal transplantation is nowadays recognized as the treatment of choice for end-stage renal disease in children and young adults. It is associated with improved survival, better quality of life and better long-term cost-effectiveness. However, many questions remain considering the optimal management of the patients before transplantation, during the transplantation process and after transplantation. We aim to analyze the care and treatment received by children with chronic kidney diseases, to detect potential disparities in patients' management and to provide useful tools to help decision-making and treatment planning.We used several data sources including the French renal replacement therapy (RRT) registry (REIN), the European RRT registry (ESPN/ERA-EDTA) and the French National medico-administrative Hospital Discharge database (PMSI).First, we focused on medical and non-medical factors that may induce disparity and found that besides medical factors, female gender was associated with a delayed access to renal transplantation and especially to preemptive transplantation. This might be partially explained by a faster decline of renal function in girls that remains to be explored. Aside for patients' characteristics, we found that centers' practices strongly impact patients' trajectories. It is a main factor both in the choice of the first modality of RRT (hemodialysis or peritoneal dialysis) and in the access to renal transplantation especially through a faster access to the renal transplant waiting list.Then, we focused on the subgroup of the younger patients starting RRT before 2 years old, whose management is particularly challenging. We confirmed the great improvement in the care of those patients with only extrarenal comorbidities being still associated with a poorer survival. Considering renal transplant survival, we assess the importance of a matching in height between the donor and the recipient with an optimal donor/recipient height ratio between 1.4 and 1.8 and the importance of HLA matching especially in class 2. We aim to combine those risk factors in a prediction tool to help clinicians in their choices and will perform an external validation of this tool on another cohort.Based on the hospital discharge data, we studied post-transplant complications requiring a hospitalization and found that infections are the main cause of hospitalization post-transplant, far more frequent than graft rejection or cancer.Finally, given the longevity of children undergoing kidney transplantation, most pediatric recipients will inevitably develop graft failure, requiring a return to dialysis or a second transplant so that one should consider the complete trajectory of the patients and try to maximize the time spent with a functioning transplant and minimize the time spent on dialysis. We developed a simulation tool allowing us to test modifications of treatment strategies (e.i: increase in transplantation from living-donor kidney or in preemptive transplantation, better HLA-matching at first transplantation) and their effect on patients' trajectories. This tool will be further implemented to answer more complex questions on specific subgroups of patients.

Author: Anita E. Molzahn
Publisher: Anna
ISBN: 9780976812548
Category : Diabete
Languages : en
Pages : 0

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First edition edited by Janel Parker in 1998

Author: Maha N. Haddad
Publisher: Springer
ISBN: 3319972200
Category : Medical
Languages : en
Pages : 283

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End-stage renal disease is a devastating diagnosis to the patient, family and their care provider. This book covers all aspects of chronic kidney disease from a general description to its psychological impact on the adolescent and lastly its progression to end-stage and dialysis. It details the important aspects of the patient’s journey from diagnosis to their final destination including transplant and discussion of the medications used. It includes chapters on important etiologies of chronic kidney disease in adolescence, addressing the particular challenges a provider may be faced with in caring for this age group, and finally transition of their care to adult care providers. Written by experts in the field of pediatrics and nephrology Adolescents with Chronic Kidney Disease is the definitive resource in diagnosing and transitioning patients with chronic kidney disease.

Author: Institute of Medicine (U.S.). Committee for the Study of the Medicare End-Stage Renal Disease Program
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 448

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Since 1972, many victims of endstage renal disease (ESRD) have received treatment under a unique Medicare entitlement. This book presents a comprehensive analysis of the federal ESRD program: who uses it, how well it functions, and what improvements are needed. The book includes recommendations on patient eligibility, reimbursement, quality assessment, medical ethics, and research needs. Kidney Failure and the Federal Government offers a wealth of information on these and other topics: The ESRD patient population. Dialysis and transplantation providers. Issues of patient access and availability of treatment. Ethical issues related to treatment initiation and termination. Payment policies and their relationship to quality of care. This book will have a major impact on the future of the ESRD program and will be of interest to health policymakers, nephrologists and other individual providers, treatment site administrators, and researchers.

Author: Lidwien Anne Tjaden
Publisher:
ISBN: 9789402801941
Category :
Languages : en
Pages : 0

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"This thesis addresses to what extent end stage renal disease (ESRD) and its treatment affects quality of life and social functioning in paediatric patients. Special emphasis is placed on the role of demographic and medical factors. Secondly, we studied the very long-term psychosocial outcomes of almost 30 years of renal replacement therapy (RRT) in adult patients with paediatric onset of ESRD. Finally, this thesis describes the influence of racial background on medical outcomes among children with ESRD in Europe. We aimed: 1. to provide an overview of the current knowledge on health related quality of life (HRQoL) in children with ESRD and to evaluate different methods used to measure HRQoL in this specific patient group. 2. to assess the impact of ESRD and its treatment on the lives of children with ESRD, using different questionnaires (i.e. utility based questionnaires and generic instruments). Special emphasis was put on the role of demographic and medical factors associated with HRQoL. 3. to study the impact of 30 years of RRT since childhood on HRQoL and socioprofessional functioning in adulthood. 4. to investigate the association between ethnic background and important treatment outcomes among European children with ESRD."--Samenvatting auteur.

Author: Bradley A Warady
Publisher: Springer Science & Business Media
ISBN: 1461407214
Category : Medical
Languages : en
Pages : 816

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Since the inaugural publication of Pediatric Dialysis in 2004, a wide range of advances have taken place in dialysis-related care, leading to a wealth of new knowledge in the field. Pediatric Dialysis, Second Edition brings this knowledge together to provide the most comprehensive source of state-of-the-art information on the dialysis of infants, children and adolescents. With new chapters, updated chapters and references, and contemporary, unique perspectives from authors who are leaders in the global pediatric nephrology community, Pediatric Dialysis, Second Edition is, once again, an authoritative reference that will facilitate best practices in both acute and chronic dialysis. Experienced clinicians and trainees alike will find Pediatric Dialysis, Second Edition not only another valuable contribution to the literature but an indispensable guide to managing their pediatric patients on dialysis.

Author: Paraskevi Theofilou
Publisher: Bentham Science Publishers
ISBN: 1608057356
Category : Medical
Languages : en
Pages : 258

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With an increase of the population of elderly people in modern society due to advances in medicine and healthcare facilities, there is also an increase in the incidence and duration of chronic illnesses. Similarly, advanced age is considered a significant determinant of depression and poor quality of life. Additionally, the provision of therapies relevant to chronic diseases addresses the issues beyond the concept of cure, bringing to the center the need for a dignified quality of life of patients. An increased interest in quality of life is observed in patients who suffer from chronic diseases, including those with end-stage kidney disease (ESKD). End-stage kidney disease patients have a high burden of disease affecting their quality of life and dramatically shortening their life expectancy. Therefore, exploring quality of life issues among such patients becomes an essential task in the management of this population. This volume is written by researchers with a well-rounded understanding of the characteristics and impact of ESKD and provides a penetrating practical discussion to date of alternative approaches for comprehensively measuring the burden of end-stage kidney disease. Outcomes Assessment in End-Stage Kidney Disease focuses on the impact of this complex and exacting condition on patients and those that care for them. It also examines the economic impact of ESKD and the healthcare policy implications of this disease. It also brings comprehensive and thoughtful insights into the issues confronted by patients with ESKD to readers interested in nursing or medical caregiving, geriatrics and health psychology.