Table 4.
Health-related quality of life (HRQOL) and Beck’s depression inventory (BDI) scores at 3 months after dialysis beginning according to the types of initial vascular access.
| AVF (n= 215) Mean ± SD |
AVG (n= 48) Mean ± SD |
CVC (n= 608) Mean ± SD |
p† | p‡ | |
|---|---|---|---|---|---|
| HRQOL measure | |||||
| SF-36 | |||||
| PCS | 42.1 ± 9.3 | 38.7 ± 8.5 | 39.6 ± 9.5 | .021* | .024* |
| MCS | 42.6 ± 9.3 | 43.9 ± 7.6 | 39.7 ± 9.9 | .002*,** | .005*,** |
| Physical functioning | 73.6 ± 22.9 | 62.7 ± 26.9 | 65.9 ± 27.4 | .010* | .008* |
| Role-physical | 49.1 ± 41.6 | 39.1 ± 41.1 | 38.1 ± 41.0 | .022* | .015* |
| Bodily pain | 71.4 ± 23.6 | 72.9 ± 23.0 | 66.2 ± 24.9 | .047* | .108 |
| General health | 37.0 ± 19.4 | 32.2 ± 18.0 | 35.5 ± 18.0 | .370 | .114 |
| Mental health | 54.9 ± 15.6 | 55.1 ± 16.4 | 52.1 ± 18.1 | .202 | .124 |
| Role-emotional | 67.1 ± 42.8 | 74.0 ± 37.6 | 49.0 ± 44.9 | <.001*,** | <.001*,** |
| Social functioning | 68.6 ± 24.1 | 64.8 ± 26.1 | 61.7 ± 25.9 | .019* | .008* |
| Vitality | 45.5 ± 18.2 | 44.7 ± 16.6 | 42.6 ± 19.9 | .292 | .100 |
| Kidney disease targeted | |||||
| Symptoms/problems | 82.4 ± 14.1 | 83.1 ± 12.6 | 78.1 ± 16.6 | .008*,** | .016*,** |
| Effects of kidney disease | 71.5 ± 16.3 | 69.6 ± 16.5 | 67.2 ± 19.5 | .057 | .018* |
| Burden of kidney disease | 33.2 ± 21.6 | 34.6 ± 18.6 | 30.7 ± 22.6 | .376 | .413 |
| Work status | 27.1 ± 35.2 | 28.1 ± 28.2 | 23.5 ± 31.9 | .429 | .622 |
| Cognitive functioning | 87.1 ± 15.1 | 84.8 ± 14.8 | 81.1 ± 20.7 | .005* | .002* |
| Quality of social interaction | 69.5 ± 19.3 | 69.2 ± 17.7 | 63.4 ± 21.1 | .005* | .004* |
| Sexual function | 76.5 ± 25.9 | 66.7 ± 33.2 | 68.5 ± 34.3 | .381 | .145 |
| Sleep | 67.8 ± 19.8 | 71.0 ± 23.3 | 68.1 ± 19.4 | .711 | .97 |
| Social support | 57.3 ± 25.8 | 59.4 ± 23.9 | 62.0 ± 24.3 | .144 | .011* |
| Dialysis staff encouragement | 85.3 ± 19.1 | 90.6 ± 13.5 | 84.3 ± 19.1 | .187 | .618 |
| Overall health | 55.6 ± 18.7 | 54.7 ± 16.1 | 51.3 ± 19.6 | .061 | .024* |
| Patient satisfaction | 68.8 ± 23.1 | 76.6 ± 20.7 | 65.9 ± 22.6 | .024** | .014** |
| Mean | 60.6 ± 17.3 | 59.8 ± 18.2 | 56.1 ± 16.9 | ||
| BDI | 13.8 ± 9.5 | 13.7 ± 8.0 | 16.6 ± 11.0 | .020* | .024* |
AVF: arteriovenous fistula; SD: standard deviation; AVG: arteriovenous graft; CVC: central venous catheter; HRQOL: health-related quality of life; SF-36: short form 36; PCS: physical composite summary; MCS: mental composite summary; BDI: Beck’s depression inventory.
†
Value was obtained from unadjusted regression analysis.
‡
Value was obtained from regression analysis adjusted for age, sex, type of referral, modified Charlson comorbidity index, and hemoglobin levels.
*
AVF versus CVC.
**
AVG versus CVC.