Abstract

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.

  Funding Agency

Agency
National Institute of Health (NIH)
Institute
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Type
Research Project (R01)
Project #
5R01DK042949-06
Application #
2391432
Study Section
Special Emphasis Panel (ZRG1-BEM (03))
Project Start
1990-04-01
Project End
1999-03-31
Budget Start
1997-04-01
Budget End
1998-03-31
Support Year
6
Fiscal Year
1997
Total Cost
Indirect Cost

  Institution

Name
Emory University
Department
Physical Medicine & Rehab
Type
Schools of Medicine
DUNS #
042250712
City
Atlanta
State
GA
Country
United States
Zip Code
30322

  Publications

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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