Imperial College London
Emeritus Professor Tom Sensky

Emeritus Professor Tom Sensky

Faculty of Medicine, Department of Brain Sciences

Emeritus Professor in Psychological Medicine
 
 
 
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Contact

 

+44 (0)20 8354 8919t.sensky

 
 
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Location

 

Occupational Health DepartmentSt Bernards Wing EalingEaling Hospital

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Summary

 

Publications

Citation

BibTex format

@article{Brown:2010:ndt/gfq212,
author = {Brown, EA and Johansson, L and Farrington, K and Gallagher, H and Sensky, T and Gordon, F and Da, Silva-Gane M and Beckett, N and Hickson, M},
doi = {ndt/gfq212},
journal = {Nephrology Dialysis Transplantation},
pages = {3755--3763},
title = {Broadening Options for Long-term Dialysis in the Elderly (BOLDE): differences in quality of life on peritoneal dialysis compared to haemodialysis for older patients},
url = {http://dx.doi.org/10.1093/ndt/gfq212},
volume = {25},
year = {2010}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Background. Health-related quality of life (QOL) is an importantoutcome for older people who are often on dialysisfor life. Little is, however, known about differences in QOLon haemodialysis (HD) and peritoneal dialysis (PD) in olderage groups. Randomising patients to either modality toassess outcomes is not feasible.Methods. In this cross-sectional, multi-centred study weconducted QOL assessments (Short Form-12 Mental andPhysical Component Summary scales, Hospital Anxietyand Depression Scale and Illness Intrusiveness RatingsScale) in 140 people (aged 65 years or older) on PDand HD.Results. The groups were similar in age, gender, time ondialysis, ethnicity, Index of Deprivation (based on postcode),dialysis adequacy, cognitive function (Mini-MentalState Exam and Trail-Making Test B), nutritional status(Subjective Global Assessment) and social networks.There was a higher comorbidity score in the HD group.Regression analyses were undertaken to ascertain whichvariables significantly influence each QOL assessment.All were influenced by symptom count highlighting thatthe patient’s perception of their symptoms is a criticaldeterminant of their mental and physical well being.Modality was found to be an independent predictorof illness intrusion with greater intrusion felt in thoseon HD.Conclusions. Overall, in two closely matched demographicgroups of older dialysis patients, QOL was similar, if notbetter, in those on PD. This study strongly supports offeringPD to all suitable older people.
AU  - Brown,EA
AU  - Johansson,L
AU  - Farrington,K
AU  - Gallagher,H
AU  - Sensky,T
AU  - Gordon,F
AU  - Da,Silva-Gane M
AU  - Beckett,N
AU  - Hickson,M
DO  - ndt/gfq212
EP  - 3763
PY  - 2010///
SN  - 1460-2385
SP  - 3755
TI  - Broadening Options for Long-term Dialysis in the Elderly (BOLDE): differences in quality of life on peritoneal dialysis compared to haemodialysis for older patients
T2  - Nephrology Dialysis Transplantation
UR  - http://dx.doi.org/10.1093/ndt/gfq212
UR  - http://hdl.handle.net/10044/1/27138
VL  - 25
ER  -
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