1. Dialysis Patient’s Satisfaction with their Dialysis Therapy
Presented By:
Mohammed Al-Issa
Scientific Program of the Saudi Society of Nephrology

2. Objectives of the Study
To assess the degree of satisfaction among dialysis patients in their dialytic therapy.
To assess the independent impact on satisfaction score of certain factors

3. Background
Patient’s quality of life and satisfaction assessment and improvement are taking increasing importance in health care delivery
There is evidence that better QOL and patient satisfaction might be associated with better medical outcome

4. Methods
Demographic data & Charlson Comorbidity Index and Kt/V were collected.
Using 1 to 10 scale, the patients were asked to rate
Overall satisfaction with the dialysis therapy
Overall impact of dialysis therapy on their lives.
The effect of dialysis on 15 domains known to impact the QOL
They were also asked to list 3 positive and 3 negative effects of dialysis

5. Methods Inclusion Criteria The patient must be: Over 16 years of age
Must have been on dialysis for at least 6 months.
Medically stable without acute medical problems for a minimum of 3 months before the study.
Be able to understand and answer the questionnaire.

6. Demographic Data 267 patients were included from 3 dialysis centers
Mean age was 51.7 years (+/-15.4)
63 % were males
58 % were on dialysis for > 3 years
54 % had < 4 years of education and only 4 % entered university
Mean Charlson Comorbidity Index was 3.2 (+/-2)
The mean Kt/V was 1.3 (+/-0.44)

7. Dialysis Satisfaction Score

8. Dialysis effect on life generally

9. Dialysis effect on Stress level

10. Dialysis effect on Performing Prayers

11. Dialysis effect on sexual life

12. Dialysis Effect on Exercise Ability

13. Negative Aspects of Dialysis

14. Positive Aspects of Dialysis

15. Charlson Chronic Illness Index

16. Comparing scores by Gender )only scores with statistically significant differences are shown(

17. Comparing scores by Duration on dialysis (only scores with statistically significant differences are shown)

18. Comparing scores by years on education (only scores with statistically significant differences are shown)

19. Comparing scores by Center (only scores with statistically significant differences are shown)

20. Comparing Scores in Riyadh, Dammam & USA Mean age (yr)
USA (n=84)
Riyadh (n=166 )
Dammam (n= 99)
Mean age (yr)
69.6
52.2 51
Global satisfaction
8.02 9
6.5
Global impact of therapy
7.25
6.2
4.6
Family life
6.83
7.6
3.8
Independence
6.18
6.1
Religion/spirituality
7.02
9.7
5.7
Energy level
5.15
2.6
Living situation
6.7
4.5
Stress level
5.91
3.5
2.1
Overall health
6.57
Social life
5.76
7.4
4.2
Mood
5.88
4.9
2.8
Exercise ability
4.85
2.4 2
Recreation
5.12 3
Appetite
5.98
5.6
5.3
Body image
Finances
4.96
5.1
Sex life
4.01
3.1
2.3
Overall Mean
5.96
5.62
3.82
p=0.33
0.0001

21. Comparing Scores in Riyadh, Dammam & USA

22. Conclusions
Main negative effects of dialysis reported were fatigue and dizziness
Main positive effect of dialysis reported were improved health
Males experienced worse effect on family life, social life, energy & appetite than females.
Longer period on dialysis was associated with worse dialysis effect on finances, energy and living arrangement
Lower level of education was associated with worse dialysis effect on stress, overall health, sexual life, hobbies and exercise ability.
Patients in Dammam had worse scores than patients in Riyadh in 14/15 domains. This was not related to differences in gender, education or period on dialysis. The reasons might be due to :
Higher Kt/V in Riyadh patients
Lower CCI in Riyadh patients.
Riyadh patients are more survey question compliant

23. Conclusions
The mean scores by Riyadh and USA patients were not statistically significant (p=0.33) but was when compared to Dammam patients (p=0.0001)
Riyadhs’ patients scored higher than USA patients in these areas:
Global satisfaction
Family life
Social life
Spirituality
Finances

24. Thank You
Any Questions??