von Gersdorff, G. (2016). Quality of life on dialysis. Nephrologe, 11 (5). S. 328 - 334. CHAM: SPRINGER INTERNATIONAL PUBLISHING AG. ISSN 1862-0418

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Patients not only want to survive on dialysis but also to have as good a life as possible despite dialysis. The quality of life on dialysis is multidimensional and is not only determined by the state of physical health but also by psychosocial factors. Shared decision-making helps patients determine the balance between the burden associated with dialysis treatment and its perceived beneficial effects. Low health-related quality of life is associated with low adherence as well as increased morbidity and mortality. Efforts to improve the quality of life on dialysis need to be individualized using a multidimensional approach. The emphasis of dialysis therapy should be allowed to shift during the course of treatment from a curative approach aiming for maximum survival to a supportive and geriatric palliative approach, depending on patient preferences and health status. Important aspects of the quality of life relate to symptom burden and social support, which are therefore starting points for interventions aimed at improvement. Individualized programs of intradialytic sport and exercise were shown in randomized trials to be safe and widely effective for improving the quality of life as well as physical symptoms. This approach is, however, currently underused.

Item Type: Journal Article
CreatorsEmailORCIDORCID Put Code
URN: urn:nbn:de:hbz:38-265909
DOI: 10.1007/s11560-016-0085-y
Journal or Publication Title: Nephrologe
Volume: 11
Number: 5
Page Range: S. 328 - 334
Date: 2016
Place of Publication: CHAM
ISSN: 1862-0418
Language: German
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
Urology & NephrologyMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/26590


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