![]() ![]() ![]() swollen ankles, feet or hands (due to water retention).The main symptoms of advanced kidney disease include: It’s usually detected at earlier stages by blood and urine tests. Wyld MLR, Morton RL, Aouad L, Magliano D, Polkinghorne KR and Chadban S (2021) The impact of comorbid chronic kidney disease and diabetes on health-related quality-of-life: a 12-year community cohort study, Nephrology Dialysis Transplantation, 36:1048–1056, doi: 10.1093/ndt/gfaa031.Chronic kidney disease (CKD) is a long-term condition where the kidneys do not work effectively.ĬKD does not usually cause symptoms until it reaches an advanced stage. (2013) Quality of life of young adults and adolescents with chronic kidney disease, The Journal of Paediatrics, 163:1179–85.e5, doi: 10.1016/j.jpeds.2013.04.066. Tong A, Wong G, McTaggart S, Henning P, Mackie F, Carroll RP et al. Morton RL and Webster AC (2014) Quality of life in chronic kidney disease, in Merici M (ed.) Management of chronic kidney disease: a clinician’s guide, Springer, Berlin, doi: 10.1007/978-7-2_37. (2019) Quality of life of children and adolescents with chronic kidney disease: a cross-sectional study, Archives of Disease in Childhood, 104: 134–140, doi:10.1136/archdischild-2018-314934. (2018) ‘Tracking patients with advanced kidney disease in the last 12 months of life’, Journal of Renal Care, 44:115–122, doi: 10.1111/jorc.12239.Įranga Yapa H, Purtell L, Chambers S and Bonner A (2021) Alterations in symptoms and health-related quality of life as kidney function deteriorates: a cross-sectional study, Journal of Clinical Nursing, 30:1787–1796, doi: 10.1111/jocn.15738.įrancis A, Didsbury MS, van Zwieten A, Chen K, James LJ, Kim S et al. 2021).ĪBS (Australian Bureau of Statistics) (2013) Microdata: Australian Health Survey, 2011–12, AIHW analysis of detailed microdata, accessed 1 October 2021.īonner A, Chambers S, Healy H, Hoy W, Mitchell G, Kark A et al. ![]() The combination of CKD and diabetes also has an adverse impact – people with both diseases have substantially poorer quality of life than those with only one of these diseases (Wyld et al. CKD has a greater impact on the quality of life of younger people than older people (Francis et al. In 2011–12, adults with biomedical signs of CKD were more likely to rate their health as fair/poor, than adults without biomedical signs of CKD (23% and 12%) (AIHW analysis of ABS 2013). For some people with CKD, quality of life becomes a more important consideration than length of life, and they may decide to end their dialysis treatment in favour of end-of-life care. Each stage of CKD from diagnosis – through decline of kidney function, KRT with dialysis or transplantation, to end-of-life care – can have a negative impact (Bonner et al. Quality of life declines as a person’s kidney damage and loss of function increases (Morton and Webster 2014). Limitations on diet and travel for those on dialysis, satisfaction with care or unmet needs for information and support services, financial demands, and spiritual well-being can also affect quality of life. CKD diagnosis and progression may have an impact on mental health, most commonly through experiencing grief, anxiety or depression. Symptoms such as fatigue, fluid retention, bone pain, peripheral neuropathy or sleep disturbance as well as side effects from medication or kidney replacement therapy (KRT) can adversely affect daily living (Eranga Yapa et al. When applied to health, it refers to the effects of disease, injury or treatments as perceived and reported by the individuals themselves (Morton and Webster 2014).ĬKD can affect a person’s quality of life in many ways. Quality of life has no agreed definition but is often described in terms of subjective well-being and life satisfaction. Quality of life of people with chronic kidney disease ![]()
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