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Part 4: Technical Advances in PD |
Paediatric Nephrology Center, Department of Paediatrics and Adolescent Medicine, Princess Margaret Hospital, Hong Kong
Correspondence to: M.C. Chiu, Department of Paediatrics and Adolescent
Medicine, Princess Margaret Hospital, Hong Kong SAR, PR
China.
chiumc{at}ha.org.hk
Automated peritoneal dialysis (APD) benefits children on dialysis and their
parents by allowing for more daytime freedom and a more normal life. We
carried out a survey on health-related quality of life (HRQOL) in children and
adolescents from our end-stage renal disease program, including those on APD
and hemodialysis (HD), and those who had received a kidney transplant (TX).
Parents of patients under 18 years of age were also interviewed. The
questionnaire on QOL was adapted from the Pediatric Quality of Life Inventory
and grouped into seven aspects for which patients and parents were asked to
assess the frequency of related problems during the preceding 3 months. We
surveyed eligible children among the APD, HD, and TX patients enrolled in our
program, and we surveyed the parents of the patients under 18 years of age.
For APD, patients and parents both gave their most favorable scores to the
peer activities and relationships and family activities and relationships
aspects. In the TX group, the family activities and relationships aspect was
also scored most favorably of all aspects. Notably, we observed no significant
difference between the total scores for the APD and TX groups among patients
and parents alike. Although the survey provided only a "snapshot"
of HRQOL, the assessment by APD patients and their parents seems to be
comparable to that by TX patients and their parents.
KEY WORDS: KEY WORDS:; Automated peritoneal dialysis; end-stage renal disease program; children; adolescents; health-related quality of life.
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