An observational, longitudinal study is proposed to continue following the survivors in a prevalence cohort of older black and older white patients on dialysis, to investigate the contribution of quality of life (QOL) variables to these patients' long-term survival and to continue assessing longitudinal change in these older patients QOL. A new, incident cohort of dialysis patients will also be defined, for whom medical care variables, patient behavior variables, and their interactions, will be related to self-assessed QOL outcomes. The vital status of this cohort will also be monitored. The primary aims of this research are: 1) to identify potentially manipulatable predictors of health-related QOL for end-stage renal disease patients treated by chronic dialysis, and 2) to investigate whether observed changes in potentially manipulatable factors are related to changes in dialysis patients' health-related QOL. If observed changes in potentially manipulatable factors are related to observed changes in QOL, these findings could indicate the utility of designing a clinical trial to test the observed relationships.

Agency
National Institute of Health (NIH)
Institute
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Type
Research Project (R01)
Project #
2R01DK042949-04A2
Application #
2142651
Study Section
Special Emphasis Panel (ZRG1-BEM (03))
Project Start
1990-04-01
Project End
1999-03-31
Budget Start
1995-04-15
Budget End
1996-03-31
Support Year
4
Fiscal Year
1995
Total Cost
Indirect Cost
Name
Emory University
Department
Physical Medicine & Rehab
Type
Schools of Medicine
DUNS #
042250712
City
Atlanta
State
GA
Country
United States
Zip Code
30322
Kutner, Nancy G (2017) Comment on: Quality of Life, Perceptions, and Health Satisfaction of Older Adults with End-Stage Renal Disease. J Am Geriatr Soc 65:2330-2331
Kutner, Nancy G; Zhang, Rebecca (2017) Ability to Work among Patients with ESKD: Relevance of Quality Care Metrics. Healthcare (Basel) 5:
Kutner, Nancy G; Zhang, Rebecca; Huang, Yijian et al. (2012) Racial differences in restless legs symptoms and serum ferritin in an incident dialysis patient cohort. Int Urol Nephrol 44:1825-31
Kutner, Nancy G; Bliwise, Donald L; Zhang, Rebecca (2004) Linking race and well-being within a biopsychosocial framework: variation in subjective sleep quality in two racially diverse older adult samples. J Health Soc Behav 45:99-113
Kutner, Nancy G; Clow, Patricia Ward; Zhang, Rebecca et al. (2002) Association of fish intake and survival in a cohort of incident dialysis patients. Am J Kidney Dis 39:1018-24
Kutner, Nancy G; Zhang, Rebecca; McClellan, William M et al. (2002) Psychosocial predictors of non-compliance in haemodialysis and peritoneal dialysis patients. Nephrol Dial Transplant 17:93-9
Kutner, N G; Zhang, R (2001) Body mass index as a predictor of continued survival in older chronic dialysis patients. Int Urol Nephrol 32:441-8
Bliwise, D L; Kutner, N G; Zhang, R et al. (2001) Survival by time of day of hemodialysis in an elderly cohort. JAMA 286:2690-4
Kutner, N G; Bliwise, D L; Brogan, D et al. (2001) Race and restless sleep complaint in older chronic dialysis patients and nondialysis community controls. J Gerontol B Psychol Sci Soc Sci 56:P170-5
Kutner, N G; Zhang, R; McClellan, W M (2000) Patient-reported quality of life early in dialysis treatment: effects associated with usual exercise activity. Nephrol Nurs J 27:357-67; discussion 368, 424

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