Table 2. Health Status Scores for Renal Hemodialysis Patients Compared With Primary Care Patients and Health Insurance Policyholders.
| Health Status Scale | Hemodialysis Patients (n=125) |
Primary Care Patients1 (n=413) |
Insurance Policyholders2 (n=3,521) |
|---|---|---|---|
|
| |||
| Mean (Standard Deviation) | |||
| Patient Report | |||
| Functional Health3 | |||
| Physical Health | 48.9 (23.4) 7 | 59.4 (23.8) 7 | 67.5 (21.0) 7 |
| Mental Health | 81.1 (20.5) 8 | 72.5 (20.4) 8,10 | 81.4 (17.5) 10 |
| Social Health | 75.8 (17.0) 8 | 65.6 (19.3) 8,10 | 77.6 (17.8) 10 |
| General Health | 68.6 (14.8) 9 | 65.8 (16.2) 10 | 75.5 (14.0) 9,10 |
| Perceived Health | 39.2 (40.9) 7 | 70.4 (32.8) 7 | 84.8 (25.8) 7 |
| Self-Esteem | 90.2 (13.5) 7 | 75.1 (19.0) 7 | 82.2 (16.8) 7 |
| Anxiety-Depression | 25.7 (19.6) 7 | 31.8 (19.9) 7 | 21.7 (16.7) 7 |
| Pain | 38.8 (39.1) 8 | 42.3 (33.0) 8,10 | 38.0 (31.0) 10 |
| Confinement Past Week | 22.0 (37.2) 9 | 19.4 (30.8) 10 | 3.5 (14.2) 9,10 |
| Social Support and Stress4 | |||
| Family Support | 46.9 (23.6) 8 | 52.5 (25.0) 8 | _11 |
| Non-Family Support | 39.0 (20.2) 8 | 48.0 (24.8) 8 | _11 |
| Family Stress | 8.7 (12.8) 8 | 20.1 (18.9) 8 | _11 |
| Non-Family Stress | 2.3 (6.6) 8 | 13.0 (16.6) 8 | _11 |
| Physician Report | |||
| Functional Health5 | 71.6 (15.0) | _11 | _11 |
| Severity of Illness6 | |||
| Overall Severity | 74.7 (13.9) 8 | 43.4 (18.6) 8 | _11 |
| ESRD Severity | 54.3 (9.8) | _11 | _11 |
| Comorbidity Severity | 62.1 (25.8) | _11 | _11 |
Primary care patients of a community health center located approximately 50 miles from the dialysis units. Mean age = 40.4 (13.1 SD) years, 58.6 percent women.
Policyholders of a health insurance company in Oklahoma. Mean age = 52.2 (12.0 SD) years, 59.2 percent women.
Scores from the Duke Health Profile (DUKE). High scores = good for physical health, mental health, social health, general health, perceived health, and self-esteem. Low scores = good for anxiety-depression, pain, and confinement.
Scores from the Duke Social Support and Stress Scale (DUSOCS). High scores = good for support. Low scores = good for stress.
Scores from the Karnofsky Performance Index. High scores = good (>70.0 = self-care).
Scores from the Duke Severity of Illness Checklist (DUSOI). Low scores = good.
p. ≤ 05 for the difference between hemodialysis, primary care, and policyholder group scores.
p ≤ .05 for the difference between hemodialysis and primary care group scores.
p ≤ .05 for the difference between hemodialysis and policyholder group scores.
p ≤ .05 for the difference between primary care and policyholder group scores.
Data not available.
SOURCES: Parkerson, G. R., Jr., and Gutman, R.A., 1995; Mold, J. W., University of Oklahoma, 1994; Parkerson, G. R., Jr., Broadhead, W.E., and Tse, C-KJ, 1991.