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Health-related quality of life in survivors of acute kidney injury: The Prolonged Outcomes Study of the Randomized Evaluation of Normal versus Augmented Level Replacement Therapy study outcomes

Wang, Amanda Y., Bellomo, Rinaldo, Cass, Alan, Finfer, Simon, Gattas, David, Myburgh, John, Chadban, Steve, Hirakawa, Yoichiro, Ninomiya, Toshiharu, Li, Qiang, Lo, Serigne, Barzi, Frederica, Sukkar, Louisa, Jardine, Meg, Gallagher, Martin P., POST-RENAL Study Investigators and ANZICS Clinical Trials Group (2015). Health-related quality of life in survivors of acute kidney injury: The Prolonged Outcomes Study of the Randomized Evaluation of Normal versus Augmented Level Replacement Therapy study outcomes. Nephrology,20(7):492-498.

Document type: Journal Article
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IRMA ID 75039815xPUB934
Title Health-related quality of life in survivors of acute kidney injury: The Prolonged Outcomes Study of the Randomized Evaluation of Normal versus Augmented Level Replacement Therapy study outcomes
Author Wang, Amanda Y.
Bellomo, Rinaldo
Cass, Alan
Finfer, Simon
Gattas, David
Myburgh, John
Chadban, Steve
Hirakawa, Yoichiro
Ninomiya, Toshiharu
Li, Qiang
Lo, Serigne
Barzi, Frederica
Sukkar, Louisa
Jardine, Meg
Gallagher, Martin P.
POST-RENAL Study Investigators
ANZICS Clinical Trials Group
Journal Name Nephrology
Publication Date 2015
Volume Number 20
Issue Number 7
ISSN 1320-5358   (check CDU catalogue open catalogue search in new window)
Scopus ID 2-s2.0-84930710019
Start Page 492
End Page 498
Total Pages 7
Place of Publication Australia
Publisher Wiley-Blackwell Publishing Asia
HERDC Category C1 - Journal Article (DIISR)
Abstract Aim
While patients with chronic kidney disease have reduced health-related quality of life (HRQOL), long-term HRQOL of survivors of severe acute kidney injury (AKI) remains unclear.

Methods

We analysed HRQOL from the Prolonged Outcomes Study of the Randomized Evaluation of Normal versus Augmented Level Replacement Therapy (POST-RENAL) study and compared findings with those from a general Australian adult population enrolled in the Australian Diabetes, Obesity and Lifestyle (AusDiab) study. We used a multivariate analysis adjusted for baseline characteristics along with sensitivity analysis using age and sex-matched case controls.

Results

In the POST-RENAL study, 282 participants had HRQOL data collected using the SF-12 questionnaire. This was compared with 6330 participants from the AusDiab study. Unadjusted analyses showed that POST-RENAL participants had lower physical component scores (PCS, mean score 40.0 vs 49.8, P < 0.0001) and lower mental component scores (MCS, mean score 49.8 vs 53.9, P < 0.0001) than the AusDiab group. After age and sex matching, the difference in PCS and MCS remained statistically significant (P < 0.0001). Advanced age, reduced renal function and albuminuria (all P ≤ 0.01) were all strongly associated with lower PCS values but not MCS values. After matching subsets of the cohorts on the basis of age, sex and renal function, PCS and MCS were lower in the POST-RENAL group (P < 0.0001).

Conclusion

Survivors of severe AKI in the POST-RENAL study had lower physical and mental components of HRQOL compared with general population, even after adjustment for their reduced renal function. Increasing age and reduced renal function were associated with poorer physical QOL.
DOI http://dx.doi.org/10.1111/nep.12488   (check subscription with CDU E-Gateway service for CDU Staff and Students  check subscription with CDU E-Gateway in new window)
 
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