Quality of life in caregivers compared with dialysis recipients: The Co-ACTIVE sub-study of the ACTIVE dialysis trial

Nicholas A. Gray, Li Zuo, Daqing Hong, Brendan Smyth, Min Jun, Janak De Zoysa, Kha Vo, Kirsten Howard, Jing Wang, Chunlai Lu, Zhangsuo Liu, Alan Cass, Vlado Perkovic, Meg Jardine

    Research output: Contribution to journalArticle

    Abstract

    Aim: To compare quality of life (QOL) of caregivers of dialysis patients with the cared for patients and population norms.

    Methods: The ACTIVE Dialysis study randomized participants to extended (median 24 h/week) or standard (median 12 h/week) haemodialysis hours for 12 months. A subgroup of participants and their nominated caregivers completed QOL questionnaires including the EuroQOL-5 Dimension-3 Level (EQ5D-3 L), short form-36 (SF-36, also allowing estimation of the SF-6D), as well as a bespoke questionnaire and the personal wellbeing index (PWI). Caregiver QOL was compared with dialysis patient QOL and predictors of caregiver QOL were determined using multivariable regression.

    Results: There were 54 patients and caregiver pairs, predominantly from China. Caregivers mean (SD) age was 53.4 (11.3) years, 60% were female, 71% cared for their spouse/partner, and 36% were educated to university level. Caregivers had better physical but similar mental QOL compared with dialysis patients (mean SF-36 physical component summary: 46.9 ± 8.7 vs 40.4 ± 10.2, P < 0.001; mental component summary: 47.8 ± 9.7 vs 49.6 ± 12.0, P = 0.84). Health utility measured with EQ5D-3 L was not significantly different between caregivers and dialysis patients (mean 0.869 ± 0.185 vs 0.798 ± 0.227, P = 0.083). Caregiver PWI was 43.7 ± 15.5, significantly lower than the Chinese population norm (68.2 ± 14.2, P < 0.001). Higher physical and mental QOL among caregivers was predicted by university education but not age, gender or daily hours caring.

    Conclusion: Caregivers have higher physical and equivalent mental QOL to dialysis patients but poorer personal well-being than the Chinese population. University education predicts better QOL and may be a surrogate for socioeconomic or other factors. (NCT00649298).

    Original languageEnglish
    Pages (from-to)1056-1063
    Number of pages8
    JournalNephrology
    Volume24
    Issue number10
    DOIs
    Publication statusE-pub ahead of print - 5 Feb 2019

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  • Cite this

    Gray, N. A., Zuo, L., Hong, D., Smyth, B., Jun, M., De Zoysa, J., Vo, K., Howard, K., Wang, J., Lu, C., Liu, Z., Cass, A., Perkovic, V., & Jardine, M. (2019). Quality of life in caregivers compared with dialysis recipients: The Co-ACTIVE sub-study of the ACTIVE dialysis trial. Nephrology, 24(10), 1056-1063. https://doi.org/10.1111/nep.13530