Skip to main content

Research Repository

Advanced Search

Quality of life among caregivers of people with end-stage kidney disease managed with dialysis or comprehensive conservative care

Shah, Karan K.; Murtagh, Fliss E.M.; McGeechan, Kevin; Crail, Susan M.; Burns, Aine; Morton, Rachael L.

Authors

Karan K. Shah

Kevin McGeechan

Susan M. Crail

Aine Burns

Rachael L. Morton



Abstract

BACKGROUND: To measure health-related and care-related quality of life among informal caregivers of older people with end-stage kidney disease (ESKD), and to determine the association between caregiver quality of life and care recipient's treatment type. METHODS: A prospective cross-sectional study was conducted. Three renal units in the UK and Australia were included. Informal caregivers of people aged ≥75 years with ESKD managed with dialysis or comprehensive conservative non-dialytic care (estimated glomerular filtration (eGFR) ≤10 mL/min/1.73m2) participated. Health-related quality of life (HRQoL) was assessed using Short-Form six dimensions (SF-6D, 0-1 scale) and care-related quality of life was assessed using the Carer Experience Scale (CES, 0-100 scale). Linear regression assessed associations between care-recipient treatment type, caregiver characteristics and the SF-6D utility index and CES scores. RESULTS: Of 63 caregivers, 49 (78%) were from Australia, 26 (41%) cared for an older person managed with dialysis, and 37 (59%) cared for an older person managed with comprehensive conservative care. Overall, 73% were females, and the median age of the entire cohort was 76 years [IQR 68-81]. When adjusted for caregiver sociodemographic characteristics, caregivers reported significantly worse carer experience (CES score 15.73, 95% CI 5.78 to 25.68) for those managing an older person on dialysis compared with conservative care. However, no significant difference observed for carer HRQoL (SF-6D utility index - 0.08, 95% CI - 0.18 to 0.01) for those managing an older person on dialysis compared with conservative care. CONCLUSIONS: Our data suggest informal caregivers of older people on dialysis have significantly worse care-related quality of life (and therefore greater need for support) than those managed with comprehensive conservative care. It is important to consider the impact on caregivers' quality of life when considering treatment choices for their care recipients.

Citation

Shah, K. K., Murtagh, F. E., McGeechan, K., Crail, S. M., Burns, A., & Morton, R. L. (2020). Quality of life among caregivers of people with end-stage kidney disease managed with dialysis or comprehensive conservative care. BMC Nephrology, 21(1), 160. https://doi.org/10.1186/s12882-020-01830-9

Journal Article Type Article
Acceptance Date Apr 27, 2020
Online Publication Date May 4, 2020
Publication Date May 4, 2020
Deposit Date Apr 29, 2020
Publicly Available Date Apr 29, 2020
Journal BMC nephrology
Print ISSN 1471-2369
Electronic ISSN 1471-2369
Publisher Springer Verlag
Peer Reviewed Peer Reviewed
Volume 21
Issue 1
Pages 160
DOI https://doi.org/10.1186/s12882-020-01830-9
Keywords informal caregivers; chronic renal insufficiency; quality of life; renal dialysis; conservative care
Public URL https://hull-repository.worktribe.com/output/3501849
Publisher URL https://bmcnephrol.biomedcentral.com/articles/10.1186/s12882-020-01830-9

Files


Published article (565 Kb)
PDF

Copyright Statement
© The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.





You might also like



Downloadable Citations