Assessing and improving the health-related quality of life of patients with esrd

ABSTRACT Impairment of the health-related quality of life (HRQOL) of patients with end-stage renal disease (ESRD) is now well documented. These impairments involve a wide variety of domains

and can be assessed using an array of well-validated instruments. Incorporation of at least some of these instruments into routine patient care is important in order to measure the physical

and psychological impact of a disease and its treatment on the HRQOL of patients. How this implementation can be achieved in a practical way is, however, a challenge. As more research

focuses on improving the HRQOL of patients with ESRD, the systematic evaluation of HRQOL and incorporation into patient care is becoming increasingly important. Whether strategies to improve

the HRQOL of patients will translate into improved patient outcomes—as evidenced by reduced mortality and hospitalizations—and lower costs, remains to be determined. KEY POINTS * The

assessment of health-related quality of life provides important information about patients with end-stage renal disease (ESRD) * Routine assessment of patient-reported outcomes (PROs) should

be incorporated into the standard care of patients with ESRD * Improvements in PROs can result from various interventions, such as treatment of depression and alterations in the dialysis

therapy regimen * Whether treatment algorithms designed to improve PROs will reduce rates of mortality and hospitalization remains to be determined Access through your institution Buy or

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RAPID DECLINE IN KIDNEY FUNCTION IS ASSOCIATED WITH RAPID DETERIORATION OF HEALTH-RELATED QUALITY OF LIFE IN CHRONIC KIDNEY DISEASE Article Open access 31 January 2023 HEALTH-RELATED

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Genet._ 12, 301–311 (2009). Article  PubMed  PubMed Central  Google Scholar  Download references AUTHOR INFORMATION AUTHORS AND AFFILIATIONS * Yale University School of Medicine, New Haven,

06510, CT, USA Fredric O. Finkelstein & Susan H. Finkelstein * Yale–New Haven Hospital, 20 York Street, New Haven, 06510, CT, USA Kelli L. Arsenault, Ana Taveras & Kwabena Awuah

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this author inPubMed Google Scholar * Ana Taveras View author publications You can also search for this author inPubMed Google Scholar * Kwabena Awuah View author publications You can also

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contributed equally to discussion of content for the article, researching data to include in the manuscript, and reviewing and editing of the manuscript before submission. CORRESPONDING

AUTHOR Correspondence to Fredric O. Finkelstein. ETHICS DECLARATIONS COMPETING INTERESTS F. Finkelstein is a consultant and has received grant or research support from Amjen. He is on the

speakers bureau for Baxter and is a consultant for NxStage Medical. F. Finkelstein, K. L. Arsenault, A. Taveras and K. Awuah are affiliated with New Haven Home Dialysis, which is owned by

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