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Differences in mental health status during the COVID-19 pandemic between patients undergoing in-center hemodialysis and peritoneal dialysis

Bouwmans, Pim ; Skalli, Zeinab ; Vernooij, Robin W. M. ; [et al.]

Springer Science and Business Media LLC ; 2023

In: Journal of Nephrology Vol. 36, No. 7 ( 2023-08-22), p. 2037-2046

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In: Journal of Nephrology, Springer Science and Business Media LLC, Vol. 36, No. 7 ( 2023-08-22), p. 2037-2046

Abstract: The mental health of dialysis patients during the COVID-19 pandemic may have been modulated by dialysis modality. Studies comparing mental health of in-center hemodialysis and peritoneal dialysis patients during the first 2 years of the pandemic are lacking. Methods We conducted repeated cross-sectional and multivariable regression analyses to compare the mental health of in-center hemodialysis and peritoneal dialysis patients from March 2019 until August 2021 using data from the Dutch nOcturnal and hoME dialysis Study To Improve Clinical Outcomes. The study period was divided into one pre-pandemic and six 3-month pandemic periods (period 1–period 6). Mental health was assessed with the Mental Component Summary score of the 12-item Short Form health survey and mental symptoms of the Dialysis Symptom Index. Results We included 1274 patients (968 on in-center hemodialysis and 306 on peritoneal dialysis). Mental Component Summary scores did not differ between in-center hemodialysis and peritoneal dialysis patients. In contrast, in-center hemodialysis patients more often reported nervousness during period 3 (27% vs 15%, P = 0.04), irritability and anxiety during period 3 (31% vs 18%, P = 0.03, 26% vs. 9%, P = 0.002, respectively) and period 4 (34% vs 22%, P = 0.04, 22% vs 11%, P = 0.03, respectively), and sadness in period 4 (38% vs 26%, P = 0.04) and period 5 (37% vs 22%, P = 0.009). Dialysis modality was independently associated with mental symptoms. Conclusions In-center hemodialysis patients more often experienced mental symptoms compared to peritoneal dialysis patients from September 2020 to June 2021, which corresponds to the second lockdown of the COVID-19 pandemic. Mental health-related quality-of-life did not differ between in-center hemodialysis and peritoneal dialysis patients. Trial registration number Netherlands Trial Register NL6519, date of registration: 22 August, 2017. Graphical abstract

Type of Medium: Online Resource

ISSN: 1724-6059

URL: Article

DOI: 10.1007/s40620-023-01747-0

Language: English

Publisher: Springer Science and Business Media LLC

Publication Date: 2023

detail.hit.zdb_id: 1475007-7

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van Oevelen, Mathijs ; Bonenkamp, Anna A ; van Eck van der Sluijs, Anita ; [et al.]

Oxford University Press (OUP) ; 2023

In: Nephrology Dialysis Transplantation ( 2023-08-14)

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In: Nephrology Dialysis Transplantation, Oxford University Press (OUP), ( 2023-08-14)

Abstract: Patients on haemodialysis (HD) generally experience poor health-related quality of life (HRQoL) and a broad range of physical and mental symptoms, but it is unknown whether this differs between younger and older patients. We aimed to describe the trajectories of HRQoL and symptom burden of patients & lt;70 and ≥70 years old and to assess the impact of symptom burden on HRQoL. Methods In incident Dutch HD patients, HRQoL and symptoms were measured with the 12-item Short Form Health Survey and Dialysis Symptom Index. We used linear mixed models for examining the trajectories of HRQoL and symptom burden during the first year of dialysis and linear regression for the impact of symptom burden on HRQoL. Results In 774 patients, the trajectories of physical HRQoL, mental HRQoL and symptom burden were stable during the first year of dialysis. Compared with patients & lt;70 years of age, patients ≥70 years reported similar physical HRQoL {mean difference −0.61 [95% confidence interval (CI) −1.86–0.63]}, better mental HRQoL [1.77 (95% CI 0.54–3.01)] and lower symptom burden [−2.38 (95% CI −5.08–0.32)]. With increasing symptom burden, physical HRQoL declined more in older than in younger patients (β = −0.287 versus −0.189, respectively; P-value for interaction = .007). For mental HRQoL, this decrease was similar in both age groups (β = −0.295 versus −0.288, P = .847). Conclusion Older HD patients generally experience a better mental HRQoL and a (non-statistically significant) lower symptom burden compared with younger patients. Their physical HRQoL declines more rapidly with increasing symptom burden.

Type of Medium: Online Resource

ISSN: 0931-0509 , 1460-2385

URL: Article

DOI: 10.1093/ndt/gfad179

Language: English

Publisher: Oxford University Press (OUP)

Publication Date: 2023

detail.hit.zdb_id: 1465709-0

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The Impact of COVID-19 on the mental health of dialysis patients

Bonenkamp, Anna A. ; the DOMESTICO study group ; Druiventak, Theresia A. ; [et al.]

Springer Science and Business Media LLC ; 2021

In: Journal of Nephrology Vol. 34, No. 2 ( 2021-04), p. 337-344

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In: Journal of Nephrology, Springer Science and Business Media LLC, Vol. 34, No. 2 ( 2021-04), p. 337-344

Abstract: Studies have shown increased anxiety, depression, and stress levels among different populations during the coronavirus disease 2019 (COVID-19) pandemic. However, the impact of the pandemic on the mental health of dialysis patients remains unknown. The aim of this study was to investigate the mental health of dialysis patients during the COVID-19 pandemic compared to the period preceding the pandemic. Methods Data originate from the ongoing multicentre observational Dutch nOcturnal and hoME dialysis Study To Improve Clinical Outcomes (DOMESTICO). Patients who filled in a health-related quality of life (HRQoL) questionnaire during the pandemic and six to three months prior were included. The mean difference in Mental Component Summary (MCS) score of the Short Form 12 (SF-12) was analysed with multilevel linear regression. A McNemar test was used to compare presence of mental health-related symptoms during and prior to the COVID-19 pandemic. Results A total of 177 patients were included. The mean MCS score prior to COVID-19 was 48.08 ± 10.15, and 49.00 ± 10.04 during the COVID-19 pandemic. The adjusted mean MCS score was 0.93 point (95% CI − 0.57 to 2.42) higher during the COVID-19 pandemic than during the period prior to the pandemic. Furthermore, no difference in the presence of the following mental health-related symptoms was found during the COVID-19 pandemic: feeling anxious, feeling sad, worrying, feeling nervous, trouble falling asleep, and trouble staying asleep. Conclusions The mental health of dialysis patients appears to be unaffected by the COVID-19 pandemic. Dialysis patients may be better able to cope with the pandemic, since they have high resilience and are less impacted by social distancing measures. Trial registration number Netherlands Trial Register NL6519, date of registration: 22 August 2017. Graphic abstract

Type of Medium: Online Resource

ISSN: 1121-8428 , 1724-6059

URL: Article

DOI: 10.1007/s40620-021-01005-1

Language: English

Publisher: Springer Science and Business Media LLC

Publication Date: 2021

detail.hit.zdb_id: 1475007-7

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Impact of Polypharmacy on Health-Related Quality of Life in Dialysis Patients

Colombijn, Julia M.T. ; Bonenkamp, Anna A. ; van Eck van der Sluijs, Anita ; [et al.]

S. Karger AG ; 2021

In: American Journal of Nephrology Vol. 52, No. 9 ( 2021), p. 735-744

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In: American Journal of Nephrology, S. Karger AG, Vol. 52, No. 9 ( 2021), p. 735-744

Abstract: 〈 b 〉 〈 i 〉 Introduction: 〈 /i 〉 〈 /b 〉 Dialysis patients are often prescribed a large number of medications to improve metabolic control and manage coexisting comorbidities. However, some studies suggest that a large number of medications could also detrimentally affect patients’ health-related quality of life (HRQoL). Therefore, this study aims to provide insight in the association between the number of types of medications and HRQoL in dialysis patients. 〈 b 〉 〈 i 〉 Methods: 〈 /i 〉 〈 /b 〉 A multicentre cohort study was conducted among dialysis patients from Dutch dialysis centres 3 months after initiation of dialysis as part of the ongoing prospective DOMESTICO study. The number of types of medications, defined as the number of concomitantly prescribed types of drugs, was obtained from electronic patient records. Primary outcome was HRQoL measured with the Physical Component Summary (PCS) score and Mental Component Summary (MCS) score (range 0–100) of the Short Form 12. Secondary outcomes were number of symptoms (range 0–30) measured with the Dialysis Symptoms Index and self-rated health (range 0–100) measured with the EuroQol-5D-5L. Data were analysed using linear regression and adjusted for possible confounders, including comorbidity. Analyses for MCS and number of symptoms were performed after categorizing patients in tertiles according to their number of medications because assumptions of linearity were violated for these outcomes. 〈 b 〉 〈 i 〉 Results: 〈 /i 〉 〈 /b 〉 A total of 162 patients were included. Mean age of patients was 58 ± 17 years, 35% were female, and 80% underwent haemodialysis. The mean number of medications was 12.2 ± 4.5. Mean PCS and MCS were 36.6 ± 10.2 and 46.8 ± 10.0, respectively. The mean number of symptoms was 12.3 ± 6.9 and the mean self-rated health 60.1 ± 20.6. In adjusted analyses, PCS was 0.6 point lower for each additional medication (95% confidence interval [95% CI]: −0.9 to –0.2; 〈 i 〉 p 〈 /i 〉 = 0.002). MCS was 4.9 point lower (95% CI: −8.8 to –1.0; 〈 i 〉 p 〈 /i 〉 = 0.01) and 1.0 point lower (95% CI: −5.1–3.1; 〈 i 〉 p 〈 /i 〉 = 0.63) for the highest and middle tertiles of medications, respectively, than for the lowest tertile. Patients in the highest tertile of medications reported 4.1 more symptoms than in the lowest tertile (95% CI: 1.5–6.6; 〈 i 〉 p 〈 /i 〉 = 0.002), but no significant difference in the number of symptoms was observed between the middle and lowest tertiles. Self-rated health was 1.5 point lower for each medication (95% CI: −2.2 to –0.7; 〈 i 〉 p 〈 /i 〉 & #x3c; 0.001). 〈 b 〉 〈 i 〉 Discussion/Conclusion: 〈 /i 〉 〈 /b 〉 After adjustment for comorbidity and other confounders, a higher number of medications were associated with a lower PCS, MCS, and self-rated health in dialysis patients and with more symptoms.

Type of Medium: Online Resource

ISSN: 0250-8095 , 1421-9670

URL: Article

DOI: 10.1159/000518454

Language: English

Publisher: S. Karger AG

Publication Date: 2021

detail.hit.zdb_id: 1468523-1

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Differences in hospitalisation between peritoneal dialysis and haemodialysis patients

van Eck van der Sluijs, Anita ; Bonenkamp, Anna A. ; van Wallene, Vera A. ; [et al.]

Wiley ; 2022

In: European Journal of Clinical Investigation Vol. 52, No. 6 ( 2022-06)

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In: European Journal of Clinical Investigation, Wiley, Vol. 52, No. 6 ( 2022-06)

Abstract: Dialysis is associated with frequent hospitalisations. Studies comparing hospitalisations between peritoneal dialysis (PD) and haemodialysis (HD) report conflicting results and mostly analyse data of patients that remain on their initial dialysis modality. This cohort study compares hospitalisations between PD and HD patients taking into account transitions between modalities. Methods The Dutch nOcturnal and hoME dialysis Study To Improve Clinical Outcomes collected hospitalisation data of patients who started dialysis between 2012 and 2017. Primary outcome was hospitalisation rate, analysed with a multi‐state model that attributed each hospitalisation to the current dialysis modality. Results In total, 695 patients (252 PD, 443 HD) treated in 31 Dutch hospitals were included. The crude hospitalisation rate for PD was 2.3 ( ± 5.0) and for HD 1.4 ( ± 3.2) hospitalisations per patient‐year. The adjusted hazard ratio for hospitalisation rate was 1.1 (95%CI 1.02–1.3) for PD compared with HD. The risk for first hospitalisation was 1.3 times (95%CI 1.1–1.6) higher for PD compared with HD during the first year after dialysis initiation. The number of hospitalisations and number of hospital days per patient‐year were significantly higher for PD. The most common causes of PD and HD hospitalisations were peritonitis (23%) and vascular access‐related problems (33%). Conclusion PD was associated with higher hospitalisation rate, higher risk for first hospitalisation and higher number of hospitalisations compared with HD. Since the PD hospitalisations were mainly caused by peritonitis, more attention to infection prevention is necessary for reducing the number of hospitalisations in the future.

Type of Medium: Online Resource

ISSN: 0014-2972 , 1365-2362

URL: Issue

URL: Article

DOI: 10.1111/eci.v52.6

DOI: 10.1111/eci.13758

Language: English

Publisher: Wiley

Publication Date: 2022

detail.hit.zdb_id: 2004971-7

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Trends in home dialysis use differ among age categories in past two decades: A Dutch registry study

Bonenkamp, Anna A. ; Hoekstra, Tiny ; Hemmelder, Marc H. ; [et al.]

Wiley ; 2022

In: European Journal of Clinical Investigation Vol. 52, No. 1 ( 2022-01)

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In: European Journal of Clinical Investigation, Wiley, Vol. 52, No. 1 ( 2022-01)

Abstract: Although the number of patients with end‐stage kidney disease is growing, the number of patients who perform dialysis at home has decreased during the past two decades. The aim of this study was to explore time trends in the use of home dialysis in the Netherlands. Methods Dialysis episodes of patients who started dialysis treatment were studied using Dutch registry data (RENINE). The uptake of home dialysis between 1997 through 2016 was evaluated in time periods of 5 years. Home dialysis was defined as start with peritoneal dialysis or home haemodialysis, or transfer to either within 2 years of dialysis initiation. All analyses were stratified for age categories. Mixed model logistic regression analysis was used to adjust for clustering at patient level. Results A total of 33 340 dialysis episodes in 31 569 patients were evaluated. Mean age at dialysis initiation increased from 62.5 ± 14.0 to 65.5 ± 14.5 years in in‐centre haemodialysis patients, whereas it increased from 51.9 ± 15.1 to 62.5 ± 14.6 years in home dialysis patients. In patients 〈 65 years, the uptake of home dialysis was significantly lower during each 5‐year period compared with the previous period, whereas kidney transplantation occurred more often. In patients ≥65 years, the incidence of home dialysis remained constant, whereas mortality decreased. Conclusions In patients 〈 65 years, the overall use of home dialysis declined consistently over the past 20 years. The age of home dialysis patients increased more rapidly than that of in‐centre dialysis patients. These developments have a significant impact on the organization of home dialysis.

Type of Medium: Online Resource

ISSN: 0014-2972 , 1365-2362

URL: Issue

URL: Article

DOI: 10.1111/eci.v52.1

DOI: 10.1111/eci.13656

Language: English

Publisher: Wiley

Publication Date: 2022

detail.hit.zdb_id: 2004971-7

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Comorbidity is not associated with dialysis modality choice in patients with end‐stage kidney disease

Bonenkamp, Anna A. ; Vonk, Sanne ; Abrahams, Alferso C. ; [et al.]

Wiley ; 2022

In: Nephrology Vol. 27, No. 6 ( 2022-06), p. 510-518

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In: Nephrology, Wiley, Vol. 27, No. 6 ( 2022-06), p. 510-518

Abstract: This study investigated the association between comorbidity and dialysis modality choice, using the multi‐centre DOMESTICO cohort study that collected comorbidity data of patients who started dialysis in 35 Dutch centres from 2012 to 2016. Comorbidity, assessed by the Charlson comorbidity index, was not significantly associated with home dialysis choice, after adjustment for confounding factors including age and body mass index.

Type of Medium: Online Resource

ISSN: 1320-5358 , 1440-1797

URL: Issue

URL: Article

DOI: 10.1111/nep.v27.6

DOI: 10.1111/nep.14033

Language: English

Publisher: Wiley

Publication Date: 2022

detail.hit.zdb_id: 2008235-6

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Assisted peritoneal dialysis across Europe: Practice variation and factors associated with availability

van Eck van der Sluijs, Anita ; van Jaarsveld, Brigit C ; Allen, Jennifer ; [et al.]

SAGE Publications ; 2021

In: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis Vol. 41, No. 6 ( 2021-11), p. 533-541

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In: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis, SAGE Publications, Vol. 41, No. 6 ( 2021-11), p. 533-541

Abstract: In Europe, the number of elderly end-stage kidney disease patients is increasing. Few of those patients receive peritoneal dialysis (PD), as many cannot perform PD autonomously. Assisted PD programmes are available in most European countries, but the percentage of patients receiving assisted PD varies considerably. Hence, we assessed which factors are associated with the availability of an assisted PD programme at a centre level and whether the availability of this programme is associated with proportion of home dialysis patients. Methods: An online survey was sent to healthcare professionals of European nephrology units. After selecting one respondent per centre, the associations were explored by χ 2 tests and (ordinal) logistic regression. Results: In total, 609 respondents completed the survey. Subsequently, 288 respondents from individual centres were identified; 58% worked in a centre with an assisted PD programme. Factors associated with availability of an assisted PD programme were Western European and Scandinavian countries (OR: 5.73; 95% CI: 3.07–10.68), non-academic centres (OR: 2.01; 95% CI: 1.09–3.72) and centres with a dedicated team for education (OR: 2.87; 95% CI: 1.35–6.11). Most Eastern & Central European respondents reported that the proportion of incident and prevalent home dialysis patients was 〈 10% (72% and 63%), while 27% of Scandinavian respondents reported a proportion of 〉 30% for both incident and prevalent home dialysis patients. Availability of an assisted PD programme was associated with a higher incidence (cumulative OR: 1.91; 95% CI: 1.21–3.01) and prevalence (cumulative OR: 2.81; 95% CI: 1.76–4.47) of patients on home dialysis. Conclusions: Assisted PD was more commonly offered among non-academic centres with a dedicated team for education across Europe, especially among Western European and Scandinavian countries where higher incidence and prevalence of home dialysis patients was reported.

Type of Medium: Online Resource

ISSN: 0896-8608 , 1718-4304

URL: Article

DOI: 10.1177/08968608211049882

Language: English

Publisher: SAGE Publications

Publication Date: 2021

detail.hit.zdb_id: 2075957-5

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Good practices for dialysis education, treatment, and eHealth: A scoping review

van Eck van der Sluijs, Anita ; Vonk, Sanne ; van Jaarsveld, Brigit C. ; [et al.]

Public Library of Science (PLoS) ; 2021

In: PLOS ONE Vol. 16, No. 8 ( 2021-8-11), p. e0255734-

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In: PLOS ONE, Public Library of Science (PLoS), Vol. 16, No. 8 ( 2021-8-11), p. e0255734-

Abstract: Recommendations regarding dialysis education and treatment are provided in various (inter)national guidelines, which should ensure that these are applied uniformly in nephrology and dialysis centers. However, there is much practice variation which could be explained by good practices: practices developed by local health care professionals, which are not evidence-based. Because an overview of good practices is lacking, we performed a scoping review to identify and summarize the available good practices for dialysis education, treatment, and eHealth. Methods Embase, Pubmed, the Cochrane Library, CINAHL databases and Web of Science were searched for relevant articles using all synonyms for the words ‘kidney failure’, ‘dialysis’, and ‘good practice’. Relevant articles were structured according to the categories dialysis education, dialysis treatment or eHealth, and assessed for content and results. Results Nineteen articles (12 for dialysis education, 3 for dialysis treatment, 4 for eHealth) are identified. The good practices for education endorse the importance of providing complete and objective predialysis education, assisting peritoneal dialysis (PD) patients in adequately performing PD, educating hemodialysis (HD) patients on self-management, and talking with dialysis patients about their prognosis. The good practices for dialysis treatment focus mainly on dialysis access devices and general quality improvement of dialysis care. Finally, eHealth is useful for HD and PD and affects both quality of care and health-related quality of life. Conclusion Our scoping review identifies 19 articles describing good practices and their results for dialysis education, dialysis treatment, and eHealth. These good practices could be valuable in addition to guidelines for increasing shared-decision making in predialysis education, using patients’ contribution in the implementation of their dialysis treatment, and advanced care planning.

Type of Medium: Online Resource

ISSN: 1932-6203

URL: Article

DOI: 10.1371/journal.pone.0255734

DOI: 10.1371/journal.pone.0255734.g001

DOI: 10.1371/journal.pone.0255734.t001

DOI: 10.1371/journal.pone.0255734.t002

DOI: 10.1371/journal.pone.0255734.t003

DOI: 10.1371/journal.pone.0255734.t004

Language: English

Publisher: Public Library of Science (PLoS)

Publication Date: 2021

detail.hit.zdb_id: 2267670-3

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Jansz, Thijs T. ; Bonenkamp, Anna A. ; Boereboom, Franciscus T. J. ; [et al.]

Public Library of Science (PLoS) ; 2018

In: PLOS ONE Vol. 13, No. 9 ( 2018-9-20), p. e0204405-

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In: PLOS ONE, Public Library of Science (PLoS), Vol. 13, No. 9 ( 2018-9-20), p. e0204405-

Type of Medium: Online Resource

ISSN: 1932-6203

URL: Article

DOI: 10.1371/journal.pone.0204405

DOI: 10.1371/journal.pone.0204405.g001

DOI: 10.1371/journal.pone.0204405.t001

DOI: 10.1371/journal.pone.0204405.t002

DOI: 10.1371/journal.pone.0204405.t003

DOI: 10.1371/journal.pone.0204405.s001

Language: English

Publisher: Public Library of Science (PLoS)

Publication Date: 2018

detail.hit.zdb_id: 2267670-3

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