Table 2 Studies of older Patients Undergoing Conservative Management (CM): Quality of Life (QOL)
Author | Country | Study type | Type of interventio-n | Participa-nts, n | Age, mean(SD) | Dropout Rate, % | Exclusion Criteria | Setting | Outcome Measures | Results | Quality assess-ment |
|---|---|---|---|---|---|---|---|---|---|---|---|
Brown MA et al.(2015) [25] | Australia | Prospective cohort study | Nondialysis, predialysis | 467 | 74.5 | 15.4 | NA | Renal clinics | SF-36 | Of the nondialysis patients, 58% had stable or improved QOL. | 8 |
Seow et al.(2013) [7] | Singapore | Prospective cohort study | CM, RRT | 110 | 74.5 | 8.2 | NA | Renal wards,outpatient clinics | KDQOL-SF | No difference for QOL between CM and RRT | 8 |
Da Silva-Gane et al.(2012) [21] | United Kingdom | Prospective cohort study | CM, hemodialysis | 170 | 77.5 (6.5) 60.6 (14.9) | 0 | Lacking capacity or with poor under- standing of English | Low-clearance clinics | SF-36 | Mental health of CKM patients was significantly lower than that of HD and PD patients. | 8 |
Yong et al.(2009) [22] | Hong Kong | Prospective cohort study | Palliative-care, Dialysis | 191 | 61.9 (12.3) | 6.3 | Cognitive impairment or known psychiatric illness | Hospital | SF-36 | The dialysis group scored significantly lower than Hong Kong population. | 8 |
De Biase et al. (2008) [23] | Italy | Retrospective cohort study | CT, hemodialysis | 16 | 80.45 | 0 | NA | Outpatients clinic | SF-36 | Similar QOL for two groups, though the patients on CT had numerous comorbidities and their functional levels were more severe. | 7 |
Saini et al. (2006) [29] | United Kingdom | Prospective cohort study | CM, terminal malignancy | 22 | 65 | 0 | Aged < 18 years, unclear themselves diagnosis and its implications. | Renal clinic | Euroqol EQ-5Q | Similar QOL for two groups. | 7 |