Perceived Health and Quality of Life in Patients With CKD, Including Those With Kidney Failure: Findings From National Surveys in France.
Identifieur interne : 000138 ( Main/Exploration ); précédent : 000137; suivant : 000139Perceived Health and Quality of Life in Patients With CKD, Including Those With Kidney Failure: Findings From National Surveys in France.
Auteurs : Karine Legrand [France] ; Elodie Speyer [France] ; Bénédicte Stengel [France] ; Luc Frimat [France] ; Willy Ngueyon Sime [France] ; Ziad A. Massy [France] ; Denis Fouque [France] ; Maurice Laville [France] ; Christian Combe [France] ; Christian Jacquelinet [France] ; Anne Claire Durand [France] ; Stéphane Edet [France] ; Stéphanie Gentile [France] ; Serge Briançon [France] ; Carole Ayav [France]Source :
- American journal of kidney diseases : the official journal of the National Kidney Foundation [ 1523-6838 ] ; 2020.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen (MeSH), Auto-évaluation diagnostique (MeSH), Débit de filtration glomérulaire (MeSH), Enregistrements (MeSH), Femelle (MeSH), France (épidémiologie), Humains (MeSH), Insuffisance rénale chronique (diagnostic), Insuffisance rénale chronique (psychologie), Insuffisance rénale chronique (thérapie), Insuffisance rénale chronique (épidémiologie), Mâle (MeSH), Qualité de vie (MeSH), Répartition aléatoire (MeSH), Traitement substitutif de l'insuffisance rénale (méthodes), Traitement substitutif de l'insuffisance rénale (psychologie), Transplantation rénale (psychologie), Transplantation rénale (statistiques et données numériques), État de santé (MeSH), Études transversales (MeSH).
- MESH :
- diagnostic : Insuffisance rénale chronique.
- méthodes : Traitement substitutif de l'insuffisance rénale.
- psychologie : Insuffisance rénale chronique, Traitement substitutif de l'insuffisance rénale, Transplantation rénale.
- statistiques et données numériques : Transplantation rénale.
- thérapie : Insuffisance rénale chronique.
- épidémiologie : France, Insuffisance rénale chronique.
- Adulte d'âge moyen, Auto-évaluation diagnostique, Débit de filtration glomérulaire, Enregistrements, Femelle, Humains, Mâle, Qualité de vie, Répartition aléatoire, État de santé, Études transversales.
- Wicri :
- geographic : France.
English descriptors
- KwdEn :
- Cross-Sectional Studies (MeSH), Diagnostic Self Evaluation (MeSH), Female (MeSH), France (epidemiology), Glomerular Filtration Rate (MeSH), Health Status (MeSH), Humans (MeSH), Kidney Transplantation (psychology), Kidney Transplantation (statistics & numerical data), Male (MeSH), Middle Aged (MeSH), Outcome Assessment, Health Care (MeSH), Quality of Life (MeSH), Random Allocation (MeSH), Registries (MeSH), Renal Insufficiency, Chronic (diagnosis), Renal Insufficiency, Chronic (epidemiology), Renal Insufficiency, Chronic (psychology), Renal Insufficiency, Chronic (therapy), Renal Replacement Therapy (methods), Renal Replacement Therapy (psychology).
- MESH :
- geographic , epidemiology : France.
- diagnosis : Renal Insufficiency, Chronic.
- epidemiology : Renal Insufficiency, Chronic.
- methods : Renal Replacement Therapy.
- psychology : Kidney Transplantation, Renal Insufficiency, Chronic, Renal Replacement Therapy.
- statistics & numerical data : Kidney Transplantation.
- therapy : Renal Insufficiency, Chronic.
- Cross-Sectional Studies, Diagnostic Self Evaluation, Female, Glomerular Filtration Rate, Health Status, Humans, Male, Middle Aged, Outcome Assessment, Health Care, Quality of Life, Random Allocation, Registries.
Abstract
RATIONALE & OBJECTIVE
Health-related quality of life (HRQoL) is a major outcome measure increasingly used in patients with chronic kidney disease (CKD). We evaluated the association between different stages of CKD and the physical and mental health domains of HRQoL.
STUDY DESIGN
Cross-sectional study.
SETTING & PARTICIPANTS
2,693 outpatients with moderate (stage 3, estimated glomerular filtration rate [eGFR], 30-60mL/min/1.73m
PREDICTOR
Severity of kidney disease (moderate CKD, advanced CKD, maintenance dialysis as KRT, and functioning kidney transplant as KRT), compared with a sample of the general population.
OUTCOMES
HRQoL scores assessed using the Medical Outcomes Study 36-Item Short Form Health Survey or the Kidney Disease Quality of Life 36 scale.
ANALYTICAL APPROACH
Age- and sex-standardized (to the general population) prevalence of poor or fair health status was estimated for each study kidney disease group. Analysis of variance was used to estimate adjusted differences in mean physical and mental health scores between the kidney disease subgroups and the general population.
RESULTS
Mean age was 67.2±12.6 (SD) years for patients with non-KRT-requiring CKD, 69.3±17.7 years for dialysis patients, and 55.3±14.2 years for those with functioning kidney transplants; 60% were men. Age- and sex-standardized health status was perceived as fair or poor in 27% of those with moderate CKD,>40% of those with advanced CKD or receiving dialysis, 12% with a functioning transplant, and 3% of the general population sample. HRQoL physical scores (adjusted for age, sex, education, obesity, and diabetes) were significantly lower in patients in all CKD subgroups than in the general population. For patients receiving dialysis, the magnitude of the difference in physical score versus the general population exceeded 4.5 points, the minimal clinically important difference for this score in this study; for both kidney transplant recipients and patients with advanced CKD, the magnitude of the difference was close to this threshold. For mental score, only dialysis patients had a score that differed from that of the general population by more than the minimal clinically important difference.
LIMITATIONS
Cross-sectional study design for each subpopulation.
CONCLUSIONS
This study highlights the degree to which perceived physical health is lower in the setting of CKD than in the general population, even in the absence of kidney failure, and calls for greater attention to CKD-related quality of life.
DOI: 10.1053/j.ajkd.2019.08.026
PubMed: 31879215
Affiliations:
- France
- Aquitaine, Grand Est, Haute-Normandie, Lorraine (région), Nouvelle-Aquitaine, Région Normandie
- Bordeaux, Nancy, Rouen, Villejuif
- Université de Lorraine
Links toward previous steps (curation, corpus...)
Le document en format XML
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Massy</name><affiliation wicri:level="1"><nlm:affiliation>CESP, Centre for Research in Epidemiology and Population Health, Univ Paris-Saclay, Univ Paris Sud, UVSQ, Inserm UMRS 1018, Villejuif, France; Division of Nephrology, Ambroise Paré University Hospital, APHP, Boulogne-Billancourt/Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>CESP, Centre for Research in Epidemiology and Population Health, Univ Paris-Saclay, Univ Paris Sud, UVSQ, Inserm UMRS 1018, Villejuif, France; Division of Nephrology, Ambroise Paré University Hospital, APHP, Boulogne-Billancourt/Paris</wicri:regionArea><wicri:noRegion>Boulogne-Billancourt/Paris</wicri:noRegion><wicri:noRegion>Boulogne-Billancourt/Paris</wicri:noRegion></affiliation></author><author><name sortKey="Fouque, Denis" sort="Fouque, Denis" uniqKey="Fouque D" first="Denis" last="Fouque">Denis Fouque</name><affiliation wicri:level="1"><nlm:affiliation>Department of Nephrology, Centre Hospitalier Lyon Sud, Univ Lyon, UCBL, Carmen, Pierre-Bénite, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Nephrology, Centre Hospitalier Lyon Sud, Univ Lyon, UCBL, Carmen, Pierre-Bénite</wicri:regionArea><wicri:noRegion>Pierre-Bénite</wicri:noRegion><wicri:noRegion>Pierre-Bénite</wicri:noRegion></affiliation></author><author><name sortKey="Laville, Maurice" sort="Laville, Maurice" uniqKey="Laville M" first="Maurice" last="Laville">Maurice Laville</name><affiliation wicri:level="1"><nlm:affiliation>Department of Nephrology, Centre Hospitalier Lyon Sud, Univ Lyon, UCBL, Carmen, Pierre-Bénite, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Nephrology, Centre Hospitalier Lyon Sud, Univ Lyon, UCBL, Carmen, Pierre-Bénite</wicri:regionArea><wicri:noRegion>Pierre-Bénite</wicri:noRegion><wicri:noRegion>Pierre-Bénite</wicri:noRegion></affiliation></author><author><name sortKey="Combe, Christian" sort="Combe, Christian" uniqKey="Combe C" first="Christian" last="Combe">Christian Combe</name><affiliation wicri:level="3"><nlm:affiliation>Service de Néphrologie Transplantation Dialyse Aphérèse, Centre Hospitalier Universitaire de Bordeaux, France; Inserm, U1026, Univ Bordeaux Segalen, Bordeaux, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service de Néphrologie Transplantation Dialyse Aphérèse, Centre Hospitalier Universitaire de Bordeaux, France; Inserm, U1026, Univ Bordeaux Segalen, Bordeaux</wicri:regionArea><placeName><region type="region">Nouvelle-Aquitaine</region><region type="old region">Aquitaine</region><settlement type="city">Bordeaux</settlement></placeName></affiliation></author><author><name sortKey="Jacquelinet, Christian" sort="Jacquelinet, Christian" uniqKey="Jacquelinet C" first="Christian" last="Jacquelinet">Christian Jacquelinet</name><affiliation wicri:level="1"><nlm:affiliation>CESP, Centre for Research in Epidemiology and Population Health, Univ Paris-Saclay, Univ Paris Sud, UVSQ, Inserm UMRS 1018, Villejuif, France; Agence de Biomedecine, La Plaine St Denis, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>CESP, Centre for Research in Epidemiology and Population Health, Univ Paris-Saclay, Univ Paris Sud, UVSQ, Inserm UMRS 1018, Villejuif, France; Agence de Biomedecine, La Plaine St Denis</wicri:regionArea><wicri:noRegion>La Plaine St Denis</wicri:noRegion><wicri:noRegion>La Plaine St Denis</wicri:noRegion></affiliation></author><author><name sortKey="Durand, Anne Claire" sort="Durand, Anne Claire" uniqKey="Durand A" first="Anne Claire" last="Durand">Anne Claire Durand</name><affiliation wicri:level="1"><nlm:affiliation>Cellule d'appui épidémiologique, registre REIN Provence-Alpes Côtes d'Azur, Hôpital de La Conception, Assistance Publique-Hôpitaux de Marseille, Marseille, France; Aix-Marseille University, EA 3279, Public Health, Chronic Diseases and Quality of Life research Unit, Marseille cedex 5, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Cellule d'appui épidémiologique, registre REIN Provence-Alpes Côtes d'Azur, Hôpital de La Conception, Assistance Publique-Hôpitaux de Marseille, Marseille, France; Aix-Marseille University, EA 3279, Public Health, Chronic Diseases and Quality of Life research Unit, Marseille cedex 5</wicri:regionArea><wicri:noRegion>Marseille cedex 5</wicri:noRegion><wicri:noRegion>Marseille cedex 5</wicri:noRegion></affiliation></author><author><name sortKey="Edet, Stephane" sort="Edet, Stephane" uniqKey="Edet S" first="Stéphane" last="Edet">Stéphane Edet</name><affiliation wicri:level="3"><nlm:affiliation>Nephrology Department, CHU, Rouen, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Nephrology Department, CHU, Rouen</wicri:regionArea><placeName><region type="region">Région Normandie</region><region type="old region">Haute-Normandie</region><settlement type="city">Rouen</settlement></placeName></affiliation></author><author><name sortKey="Gentile, Stephanie" sort="Gentile, Stephanie" uniqKey="Gentile S" first="Stéphanie" last="Gentile">Stéphanie Gentile</name><affiliation wicri:level="1"><nlm:affiliation>Cellule d'appui épidémiologique, registre REIN Provence-Alpes Côtes d'Azur, Hôpital de La Conception, Assistance Publique-Hôpitaux de Marseille, Marseille, France; Aix-Marseille University, EA 3279, Public Health, Chronic Diseases and Quality of Life research Unit, Marseille cedex 5, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Cellule d'appui épidémiologique, registre REIN Provence-Alpes Côtes d'Azur, Hôpital de La Conception, Assistance Publique-Hôpitaux de Marseille, Marseille, France; Aix-Marseille University, EA 3279, Public Health, Chronic Diseases and Quality of Life research Unit, Marseille cedex 5</wicri:regionArea><wicri:noRegion>Marseille cedex 5</wicri:noRegion><wicri:noRegion>Marseille cedex 5</wicri:noRegion></affiliation></author><author><name sortKey="Briancon, Serge" sort="Briancon, Serge" uniqKey="Briancon S" first="Serge" last="Briançon">Serge Briançon</name><affiliation wicri:level="3"><nlm:affiliation>CHRU-Nancy, INSERM, CIC, Epidémiologie Clinique, Nancy, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>CHRU-Nancy, INSERM, CIC, Epidémiologie Clinique, Nancy</wicri:regionArea><placeName><region type="region">Grand Est</region><region type="old region">Lorraine (région)</region><settlement type="city">Nancy</settlement></placeName></affiliation></author><author><name sortKey="Ayav, Carole" sort="Ayav, Carole" uniqKey="Ayav C" first="Carole" last="Ayav">Carole Ayav</name><affiliation wicri:level="3"><nlm:affiliation>CHRU-Nancy, INSERM, CIC, Epidémiologie Clinique, Nancy, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>CHRU-Nancy, INSERM, CIC, Epidémiologie Clinique, Nancy</wicri:regionArea><placeName><region type="region">Grand Est</region><region type="old region">Lorraine (région)</region><settlement type="city">Nancy</settlement></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:31879215</idno><idno type="pmid">31879215</idno><idno type="doi">10.1053/j.ajkd.2019.08.026</idno><idno type="wicri:Area/Main/Corpus">000265</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000265</idno><idno type="wicri:Area/Main/Curation">000265</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000265</idno><idno type="wicri:Area/Main/Exploration">000265</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Perceived Health and Quality of Life in Patients With CKD, Including Those With Kidney Failure: Findings From National Surveys in France.</title><author><name sortKey="Legrand, Karine" sort="Legrand, Karine" uniqKey="Legrand K" first="Karine" last="Legrand">Karine Legrand</name><affiliation wicri:level="4"><nlm:affiliation>CHRU-Nancy, INSERM, CIC, Epidémiologie Clinique, Nancy, France; Université de Lorraine, APEMAC, Nancy, France. Electronic address: k.legrand@chru-nancy.fr.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>CHRU-Nancy, INSERM, CIC, Epidémiologie Clinique, Nancy, France; Université de Lorraine, APEMAC, Nancy</wicri:regionArea><placeName><region type="region">Grand Est</region><region type="old region">Lorraine (région)</region><settlement type="city">Nancy</settlement></placeName><orgName type="university">Université de Lorraine</orgName></affiliation></author><author><name sortKey="Speyer, Elodie" sort="Speyer, Elodie" uniqKey="Speyer E" first="Elodie" last="Speyer">Elodie Speyer</name><affiliation wicri:level="3"><nlm:affiliation>CESP, Centre for Research in Epidemiology and Population Health, Univ Paris-Saclay, Univ Paris Sud, UVSQ, Inserm UMRS 1018, Villejuif, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>CESP, Centre for Research in Epidemiology and Population Health, Univ Paris-Saclay, Univ Paris Sud, UVSQ, Inserm UMRS 1018, Villejuif</wicri:regionArea><placeName><settlement type="city">Villejuif</settlement></placeName></affiliation></author><author><name sortKey="Stengel, Benedicte" sort="Stengel, Benedicte" uniqKey="Stengel B" first="Bénédicte" last="Stengel">Bénédicte Stengel</name><affiliation wicri:level="3"><nlm:affiliation>CESP, Centre for Research in Epidemiology and Population Health, Univ Paris-Saclay, Univ Paris Sud, UVSQ, Inserm UMRS 1018, Villejuif, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>CESP, Centre for Research in Epidemiology and Population Health, Univ Paris-Saclay, Univ Paris Sud, UVSQ, Inserm UMRS 1018, Villejuif</wicri:regionArea><placeName><settlement type="city">Villejuif</settlement></placeName></affiliation></author><author><name sortKey="Frimat, Luc" sort="Frimat, Luc" uniqKey="Frimat L" first="Luc" last="Frimat">Luc Frimat</name><affiliation wicri:level="4"><nlm:affiliation>Université de Lorraine, APEMAC, Nancy, France; Nephrology Department, CHRU de Nancy, Vandoeuvre-lès-Nancy, Nancy, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Université de Lorraine, APEMAC, Nancy, France; Nephrology Department, CHRU de Nancy, Vandoeuvre-lès-Nancy, Nancy</wicri:regionArea><placeName><region type="region">Grand Est</region><region type="old region">Lorraine (région)</region><settlement type="city">Nancy</settlement></placeName><orgName type="university">Université de Lorraine</orgName></affiliation></author><author><name sortKey="Ngueyon Sime, Willy" sort="Ngueyon Sime, Willy" uniqKey="Ngueyon Sime W" first="Willy" last="Ngueyon Sime">Willy Ngueyon Sime</name><affiliation wicri:level="3"><nlm:affiliation>CHRU-Nancy, INSERM, CIC, Epidémiologie Clinique, Nancy, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>CHRU-Nancy, INSERM, CIC, Epidémiologie Clinique, Nancy</wicri:regionArea><placeName><region type="region">Grand Est</region><region type="old region">Lorraine (région)</region><settlement type="city">Nancy</settlement></placeName></affiliation></author><author><name sortKey="Massy, Ziad A" sort="Massy, Ziad A" uniqKey="Massy Z" first="Ziad A" last="Massy">Ziad A. Massy</name><affiliation wicri:level="1"><nlm:affiliation>CESP, Centre for Research in Epidemiology and Population Health, Univ Paris-Saclay, Univ Paris Sud, UVSQ, Inserm UMRS 1018, Villejuif, France; Division of Nephrology, Ambroise Paré University Hospital, APHP, Boulogne-Billancourt/Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>CESP, Centre for Research in Epidemiology and Population Health, Univ Paris-Saclay, Univ Paris Sud, UVSQ, Inserm UMRS 1018, Villejuif, France; Division of Nephrology, Ambroise Paré University Hospital, APHP, Boulogne-Billancourt/Paris</wicri:regionArea><wicri:noRegion>Boulogne-Billancourt/Paris</wicri:noRegion><wicri:noRegion>Boulogne-Billancourt/Paris</wicri:noRegion></affiliation></author><author><name sortKey="Fouque, Denis" sort="Fouque, Denis" uniqKey="Fouque D" first="Denis" last="Fouque">Denis Fouque</name><affiliation wicri:level="1"><nlm:affiliation>Department of Nephrology, Centre Hospitalier Lyon Sud, Univ Lyon, UCBL, Carmen, Pierre-Bénite, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Nephrology, Centre Hospitalier Lyon Sud, Univ Lyon, UCBL, Carmen, Pierre-Bénite</wicri:regionArea><wicri:noRegion>Pierre-Bénite</wicri:noRegion><wicri:noRegion>Pierre-Bénite</wicri:noRegion></affiliation></author><author><name sortKey="Laville, Maurice" sort="Laville, Maurice" uniqKey="Laville M" first="Maurice" last="Laville">Maurice Laville</name><affiliation wicri:level="1"><nlm:affiliation>Department of Nephrology, Centre Hospitalier Lyon Sud, Univ Lyon, UCBL, Carmen, Pierre-Bénite, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Nephrology, Centre Hospitalier Lyon Sud, Univ Lyon, UCBL, Carmen, Pierre-Bénite</wicri:regionArea><wicri:noRegion>Pierre-Bénite</wicri:noRegion><wicri:noRegion>Pierre-Bénite</wicri:noRegion></affiliation></author><author><name sortKey="Combe, Christian" sort="Combe, Christian" uniqKey="Combe C" first="Christian" last="Combe">Christian Combe</name><affiliation wicri:level="3"><nlm:affiliation>Service de Néphrologie Transplantation Dialyse Aphérèse, Centre Hospitalier Universitaire de Bordeaux, France; Inserm, U1026, Univ Bordeaux Segalen, Bordeaux, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service de Néphrologie Transplantation Dialyse Aphérèse, Centre Hospitalier Universitaire de Bordeaux, France; Inserm, U1026, Univ Bordeaux Segalen, Bordeaux</wicri:regionArea><placeName><region type="region">Nouvelle-Aquitaine</region><region type="old region">Aquitaine</region><settlement type="city">Bordeaux</settlement></placeName></affiliation></author><author><name sortKey="Jacquelinet, Christian" sort="Jacquelinet, Christian" uniqKey="Jacquelinet C" first="Christian" last="Jacquelinet">Christian Jacquelinet</name><affiliation wicri:level="1"><nlm:affiliation>CESP, Centre for Research in Epidemiology and Population Health, Univ Paris-Saclay, Univ Paris Sud, UVSQ, Inserm UMRS 1018, Villejuif, France; Agence de Biomedecine, La Plaine St Denis, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>CESP, Centre for Research in Epidemiology and Population Health, Univ Paris-Saclay, Univ Paris Sud, UVSQ, Inserm UMRS 1018, Villejuif, France; Agence de Biomedecine, La Plaine St Denis</wicri:regionArea><wicri:noRegion>La Plaine St Denis</wicri:noRegion><wicri:noRegion>La Plaine St Denis</wicri:noRegion></affiliation></author><author><name sortKey="Durand, Anne Claire" sort="Durand, Anne Claire" uniqKey="Durand A" first="Anne Claire" last="Durand">Anne Claire Durand</name><affiliation wicri:level="1"><nlm:affiliation>Cellule d'appui épidémiologique, registre REIN Provence-Alpes Côtes d'Azur, Hôpital de La Conception, Assistance Publique-Hôpitaux de Marseille, Marseille, France; Aix-Marseille University, EA 3279, Public Health, Chronic Diseases and Quality of Life research Unit, Marseille cedex 5, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Cellule d'appui épidémiologique, registre REIN Provence-Alpes Côtes d'Azur, Hôpital de La Conception, Assistance Publique-Hôpitaux de Marseille, Marseille, France; Aix-Marseille University, EA 3279, Public Health, Chronic Diseases and Quality of Life research Unit, Marseille cedex 5</wicri:regionArea><wicri:noRegion>Marseille cedex 5</wicri:noRegion><wicri:noRegion>Marseille cedex 5</wicri:noRegion></affiliation></author><author><name sortKey="Edet, Stephane" sort="Edet, Stephane" uniqKey="Edet S" first="Stéphane" last="Edet">Stéphane Edet</name><affiliation wicri:level="3"><nlm:affiliation>Nephrology Department, CHU, Rouen, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Nephrology Department, CHU, Rouen</wicri:regionArea><placeName><region type="region">Région Normandie</region><region type="old region">Haute-Normandie</region><settlement type="city">Rouen</settlement></placeName></affiliation></author><author><name sortKey="Gentile, Stephanie" sort="Gentile, Stephanie" uniqKey="Gentile S" first="Stéphanie" last="Gentile">Stéphanie Gentile</name><affiliation wicri:level="1"><nlm:affiliation>Cellule d'appui épidémiologique, registre REIN Provence-Alpes Côtes d'Azur, Hôpital de La Conception, Assistance Publique-Hôpitaux de Marseille, Marseille, France; Aix-Marseille University, EA 3279, Public Health, Chronic Diseases and Quality of Life research Unit, Marseille cedex 5, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Cellule d'appui épidémiologique, registre REIN Provence-Alpes Côtes d'Azur, Hôpital de La Conception, Assistance Publique-Hôpitaux de Marseille, Marseille, France; Aix-Marseille University, EA 3279, Public Health, Chronic Diseases and Quality of Life research Unit, Marseille cedex 5</wicri:regionArea><wicri:noRegion>Marseille cedex 5</wicri:noRegion><wicri:noRegion>Marseille cedex 5</wicri:noRegion></affiliation></author><author><name sortKey="Briancon, Serge" sort="Briancon, Serge" uniqKey="Briancon S" first="Serge" last="Briançon">Serge Briançon</name><affiliation wicri:level="3"><nlm:affiliation>CHRU-Nancy, INSERM, CIC, Epidémiologie Clinique, Nancy, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>CHRU-Nancy, INSERM, CIC, Epidémiologie Clinique, Nancy</wicri:regionArea><placeName><region type="region">Grand Est</region><region type="old region">Lorraine (région)</region><settlement type="city">Nancy</settlement></placeName></affiliation></author><author><name sortKey="Ayav, Carole" sort="Ayav, Carole" uniqKey="Ayav C" first="Carole" last="Ayav">Carole Ayav</name><affiliation wicri:level="3"><nlm:affiliation>CHRU-Nancy, INSERM, CIC, Epidémiologie Clinique, Nancy, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>CHRU-Nancy, INSERM, CIC, Epidémiologie Clinique, Nancy</wicri:regionArea><placeName><region type="region">Grand Est</region><region type="old region">Lorraine (région)</region><settlement type="city">Nancy</settlement></placeName></affiliation></author></analytic><series><title level="j">American journal of kidney diseases : the official journal of the National Kidney Foundation</title><idno type="eISSN">1523-6838</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Cross-Sectional Studies (MeSH)</term><term>Diagnostic Self Evaluation (MeSH)</term><term>Female (MeSH)</term><term>France (epidemiology)</term><term>Glomerular Filtration Rate (MeSH)</term><term>Health Status (MeSH)</term><term>Humans (MeSH)</term><term>Kidney Transplantation (psychology)</term><term>Kidney Transplantation (statistics & numerical data)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Outcome Assessment, Health Care (MeSH)</term><term>Quality of Life (MeSH)</term><term>Random Allocation (MeSH)</term><term>Registries (MeSH)</term><term>Renal Insufficiency, Chronic (diagnosis)</term><term>Renal Insufficiency, Chronic (epidemiology)</term><term>Renal Insufficiency, Chronic (psychology)</term><term>Renal Insufficiency, Chronic (therapy)</term><term>Renal Replacement Therapy (methods)</term><term>Renal Replacement Therapy (psychology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen (MeSH)</term><term>Auto-évaluation diagnostique (MeSH)</term><term>Débit de filtration glomérulaire (MeSH)</term><term>Enregistrements (MeSH)</term><term>Femelle (MeSH)</term><term>France (épidémiologie)</term><term>Humains (MeSH)</term><term>Insuffisance rénale chronique (diagnostic)</term><term>Insuffisance rénale chronique (psychologie)</term><term>Insuffisance rénale chronique (thérapie)</term><term>Insuffisance rénale chronique (épidémiologie)</term><term>Mâle (MeSH)</term><term>Qualité de vie (MeSH)</term><term>Répartition aléatoire (MeSH)</term><term>Traitement substitutif de l'insuffisance rénale (méthodes)</term><term>Traitement substitutif de l'insuffisance rénale (psychologie)</term><term>Transplantation rénale (psychologie)</term><term>Transplantation rénale (statistiques et données numériques)</term><term>État de santé (MeSH)</term><term>Études transversales (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>France</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Renal Insufficiency, Chronic</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Insuffisance rénale chronique</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Renal Insufficiency, Chronic</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Renal Replacement Therapy</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Traitement substitutif de l'insuffisance rénale</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Insuffisance rénale chronique</term><term>Traitement substitutif de l'insuffisance rénale</term><term>Transplantation rénale</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Kidney Transplantation</term><term>Renal Insufficiency, Chronic</term><term>Renal Replacement Therapy</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Kidney Transplantation</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Transplantation rénale</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Renal Insufficiency, Chronic</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Insuffisance rénale chronique</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>France</term><term>Insuffisance rénale chronique</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Cross-Sectional Studies</term><term>Diagnostic Self Evaluation</term><term>Female</term><term>Glomerular Filtration Rate</term><term>Health Status</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Outcome Assessment, Health Care</term><term>Quality of Life</term><term>Random Allocation</term><term>Registries</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Auto-évaluation diagnostique</term><term>Débit de filtration glomérulaire</term><term>Enregistrements</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Qualité de vie</term><term>Répartition aléatoire</term><term>État de santé</term><term>Études transversales</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>France</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>RATIONALE & OBJECTIVE</b></p><p>Health-related quality of life (HRQoL) is a major outcome measure increasingly used in patients with chronic kidney disease (CKD). We evaluated the association between different stages of CKD and the physical and mental health domains of HRQoL.</p></div><div type="abstract" xml:lang="en"><p><b>STUDY DESIGN</b></p><p>Cross-sectional study.</p></div><div type="abstract" xml:lang="en"><p><b>SETTING & PARTICIPANTS</b></p><p>2,693 outpatients with moderate (stage 3, estimated glomerular filtration rate [eGFR], 30-60mL/min/1.73m</p></div><div type="abstract" xml:lang="en"><p><b>PREDICTOR</b></p><p>Severity of kidney disease (moderate CKD, advanced CKD, maintenance dialysis as KRT, and functioning kidney transplant as KRT), compared with a sample of the general population.</p></div><div type="abstract" xml:lang="en"><p><b>OUTCOMES</b></p><p>HRQoL scores assessed using the Medical Outcomes Study 36-Item Short Form Health Survey or the Kidney Disease Quality of Life 36 scale.</p></div><div type="abstract" xml:lang="en"><p><b>ANALYTICAL APPROACH</b></p><p>Age- and sex-standardized (to the general population) prevalence of poor or fair health status was estimated for each study kidney disease group. Analysis of variance was used to estimate adjusted differences in mean physical and mental health scores between the kidney disease subgroups and the general population.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Mean age was 67.2±12.6 (SD) years for patients with non-KRT-requiring CKD, 69.3±17.7 years for dialysis patients, and 55.3±14.2 years for those with functioning kidney transplants; 60% were men. Age- and sex-standardized health status was perceived as fair or poor in 27% of those with moderate CKD,>40% of those with advanced CKD or receiving dialysis, 12% with a functioning transplant, and 3% of the general population sample. HRQoL physical scores (adjusted for age, sex, education, obesity, and diabetes) were significantly lower in patients in all CKD subgroups than in the general population. For patients receiving dialysis, the magnitude of the difference in physical score versus the general population exceeded 4.5 points, the minimal clinically important difference for this score in this study; for both kidney transplant recipients and patients with advanced CKD, the magnitude of the difference was close to this threshold. For mental score, only dialysis patients had a score that differed from that of the general population by more than the minimal clinically important difference.</p></div><div type="abstract" xml:lang="en"><p><b>LIMITATIONS</b></p><p>Cross-sectional study design for each subpopulation.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>This study highlights the degree to which perceived physical health is lower in the setting of CKD than in the general population, even in the absence of kidney failure, and calls for greater attention to CKD-related quality of life.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">31879215</PMID><DateCompleted><Year>2020</Year><Month>07</Month><Day>08</Day></DateCompleted><DateRevised><Year>2020</Year><Month>07</Month><Day>08</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1523-6838</ISSN><JournalIssue CitedMedium="Internet"><Volume>75</Volume><Issue>6</Issue><PubDate><Year>2020</Year><Month>06</Month></PubDate></JournalIssue><Title>American journal of kidney diseases : the official journal of the National Kidney Foundation</Title><ISOAbbreviation>Am J Kidney Dis</ISOAbbreviation></Journal><ArticleTitle>Perceived Health and Quality of Life in Patients With CKD, Including Those With Kidney Failure: Findings From National Surveys in France.</ArticleTitle><Pagination><MedlinePgn>868-878</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S0272-6386(19)31034-0</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1053/j.ajkd.2019.08.026</ELocationID><Abstract><AbstractText Label="RATIONALE & OBJECTIVE">Health-related quality of life (HRQoL) is a major outcome measure increasingly used in patients with chronic kidney disease (CKD). We evaluated the association between different stages of CKD and the physical and mental health domains of HRQoL.</AbstractText><AbstractText Label="STUDY DESIGN">Cross-sectional study.</AbstractText><AbstractText Label="SETTING & PARTICIPANTS">2,693 outpatients with moderate (stage 3, estimated glomerular filtration rate [eGFR], 30-60mL/min/1.73m<sup>2</sup>) or advanced (stages 4-5, estimated glomerular filtration rate<30mL/min/1.73m<sup>2</sup>, not on kidney replacement therapy [KRT]) CKD under the care of a nephrologist at 1 of 40 nationally representative facilities, 1,658 patients with a functioning kidney transplant, 1,251 patients on maintenance dialysis randomly selected from the national Renal Epidemiology and Information Network registry, and 20,574 participants in the French Decennial Health Survey, representative of the general population.</AbstractText><AbstractText Label="PREDICTOR">Severity of kidney disease (moderate CKD, advanced CKD, maintenance dialysis as KRT, and functioning kidney transplant as KRT), compared with a sample of the general population.</AbstractText><AbstractText Label="OUTCOMES">HRQoL scores assessed using the Medical Outcomes Study 36-Item Short Form Health Survey or the Kidney Disease Quality of Life 36 scale.</AbstractText><AbstractText Label="ANALYTICAL APPROACH">Age- and sex-standardized (to the general population) prevalence of poor or fair health status was estimated for each study kidney disease group. Analysis of variance was used to estimate adjusted differences in mean physical and mental health scores between the kidney disease subgroups and the general population.</AbstractText><AbstractText Label="RESULTS">Mean age was 67.2±12.6 (SD) years for patients with non-KRT-requiring CKD, 69.3±17.7 years for dialysis patients, and 55.3±14.2 years for those with functioning kidney transplants; 60% were men. Age- and sex-standardized health status was perceived as fair or poor in 27% of those with moderate CKD,>40% of those with advanced CKD or receiving dialysis, 12% with a functioning transplant, and 3% of the general population sample. HRQoL physical scores (adjusted for age, sex, education, obesity, and diabetes) were significantly lower in patients in all CKD subgroups than in the general population. For patients receiving dialysis, the magnitude of the difference in physical score versus the general population exceeded 4.5 points, the minimal clinically important difference for this score in this study; for both kidney transplant recipients and patients with advanced CKD, the magnitude of the difference was close to this threshold. For mental score, only dialysis patients had a score that differed from that of the general population by more than the minimal clinically important difference.</AbstractText><AbstractText Label="LIMITATIONS">Cross-sectional study design for each subpopulation.</AbstractText><AbstractText Label="CONCLUSIONS">This study highlights the degree to which perceived physical health is lower in the setting of CKD than in the general population, even in the absence of kidney failure, and calls for greater attention to CKD-related quality of life.</AbstractText><CopyrightInformation>Copyright © 2019 National Kidney Foundation, Inc. Published by Elsevier Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Legrand</LastName><ForeName>Karine</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>CHRU-Nancy, INSERM, CIC, Epidémiologie Clinique, Nancy, France; Université de Lorraine, APEMAC, Nancy, France. Electronic address: k.legrand@chru-nancy.fr.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Speyer</LastName><ForeName>Elodie</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>CESP, Centre for Research in Epidemiology and Population Health, Univ Paris-Saclay, Univ Paris Sud, UVSQ, Inserm UMRS 1018, Villejuif, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Stengel</LastName><ForeName>Bénédicte</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>CESP, Centre for Research in Epidemiology and Population Health, Univ Paris-Saclay, Univ Paris Sud, UVSQ, Inserm UMRS 1018, Villejuif, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Frimat</LastName><ForeName>Luc</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Université de Lorraine, APEMAC, Nancy, France; Nephrology Department, CHRU de Nancy, Vandoeuvre-lès-Nancy, Nancy, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ngueyon Sime</LastName><ForeName>Willy</ForeName><Initials>W</Initials><AffiliationInfo><Affiliation>CHRU-Nancy, INSERM, CIC, Epidémiologie Clinique, Nancy, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Massy</LastName><ForeName>Ziad A</ForeName><Initials>ZA</Initials><AffiliationInfo><Affiliation>CESP, Centre for Research in Epidemiology and Population Health, Univ Paris-Saclay, Univ Paris Sud, UVSQ, Inserm UMRS 1018, Villejuif, France; Division of Nephrology, Ambroise Paré University Hospital, APHP, Boulogne-Billancourt/Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fouque</LastName><ForeName>Denis</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Department of Nephrology, Centre Hospitalier Lyon Sud, Univ Lyon, UCBL, Carmen, Pierre-Bénite, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Laville</LastName><ForeName>Maurice</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Nephrology, Centre Hospitalier Lyon Sud, Univ Lyon, UCBL, Carmen, Pierre-Bénite, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Combe</LastName><ForeName>Christian</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Service de Néphrologie Transplantation Dialyse Aphérèse, Centre Hospitalier Universitaire de Bordeaux, France; Inserm, U1026, Univ Bordeaux Segalen, Bordeaux, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Jacquelinet</LastName><ForeName>Christian</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>CESP, Centre for Research in Epidemiology and Population Health, Univ Paris-Saclay, Univ Paris Sud, UVSQ, Inserm UMRS 1018, Villejuif, France; Agence de Biomedecine, La Plaine St Denis, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Durand</LastName><ForeName>Anne Claire</ForeName><Initials>AC</Initials><AffiliationInfo><Affiliation>Cellule d'appui épidémiologique, registre REIN Provence-Alpes Côtes d'Azur, Hôpital de La Conception, Assistance Publique-Hôpitaux de Marseille, Marseille, France; Aix-Marseille University, EA 3279, Public Health, Chronic Diseases and Quality of Life research Unit, Marseille cedex 5, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Edet</LastName><ForeName>Stéphane</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Nephrology Department, CHU, Rouen, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gentile</LastName><ForeName>Stéphanie</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Cellule d'appui épidémiologique, registre REIN Provence-Alpes Côtes d'Azur, Hôpital de La Conception, Assistance Publique-Hôpitaux de Marseille, Marseille, France; Aix-Marseille University, EA 3279, Public Health, Chronic Diseases and Quality of Life research Unit, Marseille cedex 5, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Briançon</LastName><ForeName>Serge</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>CHRU-Nancy, INSERM, CIC, Epidémiologie Clinique, Nancy, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ayav</LastName><ForeName>Carole</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>CHRU-Nancy, INSERM, CIC, Epidémiologie Clinique, Nancy, France.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2019</Year><Month>12</Month><Day>23</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Am J Kidney Dis</MedlineTA><NlmUniqueID>8110075</NlmUniqueID><ISSNLinking>0272-6386</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D059026" MajorTopicYN="Y">Diagnostic Self Evaluation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005602" MajorTopicYN="N" Type="Geographic">France</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005919" MajorTopicYN="N">Glomerular Filtration Rate</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006304" MajorTopicYN="N">Health Status</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016030" MajorTopicYN="N">Kidney Transplantation</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017063" MajorTopicYN="N">Outcome Assessment, Health Care</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011788" MajorTopicYN="Y">Quality of Life</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011897" MajorTopicYN="N">Random Allocation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012042" MajorTopicYN="N">Registries</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D051436" MajorTopicYN="Y">Renal Insufficiency, Chronic</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D017582" MajorTopicYN="N">Renal Replacement Therapy</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">Chronic kidney disease (CKD)</Keyword><Keyword MajorTopicYN="Y">dialysis patients</Keyword><Keyword MajorTopicYN="Y">end-stage renal disease (ESRD)</Keyword><Keyword MajorTopicYN="Y">health status</Keyword><Keyword MajorTopicYN="Y">health-related quality of life (HRQoL)</Keyword><Keyword MajorTopicYN="Y">kidney failure</Keyword><Keyword MajorTopicYN="Y">kidney transplant patients</Keyword><Keyword MajorTopicYN="Y">patient well-being</Keyword><Keyword MajorTopicYN="Y">patient-reported outcomes (PROs)</Keyword><Keyword MajorTopicYN="Y">renal replacement therapy (RRT)</Keyword><Keyword MajorTopicYN="Y">survey data</Keyword><Keyword MajorTopicYN="Y">symptom burden</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2019</Year><Month>03</Month><Day>21</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2019</Year><Month>08</Month><Day>22</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2019</Year><Month>12</Month><Day>28</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>7</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2019</Year><Month>12</Month><Day>28</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">31879215</ArticleId><ArticleId IdType="pii">S0272-6386(19)31034-0</ArticleId><ArticleId IdType="doi">10.1053/j.ajkd.2019.08.026</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>France</li></country><region><li>Aquitaine</li><li>Grand Est</li><li>Haute-Normandie</li><li>Lorraine (région)</li><li>Nouvelle-Aquitaine</li><li>Région Normandie</li></region><settlement><li>Bordeaux</li><li>Nancy</li><li>Rouen</li><li>Villejuif</li></settlement><orgName><li>Université de Lorraine</li></orgName></list><tree><country name="France"><region name="Grand Est"><name sortKey="Legrand, Karine" sort="Legrand, Karine" uniqKey="Legrand K" first="Karine" last="Legrand">Karine Legrand</name></region><name sortKey="Ayav, Carole" sort="Ayav, Carole" uniqKey="Ayav C" first="Carole" last="Ayav">Carole Ayav</name><name sortKey="Briancon, Serge" sort="Briancon, Serge" uniqKey="Briancon S" first="Serge" last="Briançon">Serge Briançon</name><name sortKey="Combe, Christian" sort="Combe, Christian" uniqKey="Combe C" first="Christian" last="Combe">Christian Combe</name><name sortKey="Durand, Anne Claire" sort="Durand, Anne Claire" uniqKey="Durand A" first="Anne Claire" last="Durand">Anne Claire Durand</name><name sortKey="Edet, Stephane" sort="Edet, Stephane" uniqKey="Edet S" first="Stéphane" last="Edet">Stéphane Edet</name><name sortKey="Fouque, Denis" sort="Fouque, Denis" uniqKey="Fouque D" first="Denis" last="Fouque">Denis Fouque</name><name sortKey="Frimat, Luc" sort="Frimat, Luc" uniqKey="Frimat L" first="Luc" last="Frimat">Luc Frimat</name><name sortKey="Gentile, Stephanie" sort="Gentile, Stephanie" uniqKey="Gentile S" first="Stéphanie" last="Gentile">Stéphanie Gentile</name><name sortKey="Jacquelinet, Christian" sort="Jacquelinet, Christian" uniqKey="Jacquelinet C" first="Christian" last="Jacquelinet">Christian Jacquelinet</name><name sortKey="Laville, Maurice" sort="Laville, Maurice" uniqKey="Laville M" first="Maurice" last="Laville">Maurice Laville</name><name sortKey="Massy, Ziad A" sort="Massy, Ziad A" uniqKey="Massy Z" first="Ziad A" last="Massy">Ziad A. Massy</name><name sortKey="Ngueyon Sime, Willy" sort="Ngueyon Sime, Willy" uniqKey="Ngueyon Sime W" first="Willy" last="Ngueyon Sime">Willy Ngueyon Sime</name><name sortKey="Speyer, Elodie" sort="Speyer, Elodie" uniqKey="Speyer E" first="Elodie" last="Speyer">Elodie Speyer</name><name sortKey="Stengel, Benedicte" sort="Stengel, Benedicte" uniqKey="Stengel B" first="Bénédicte" last="Stengel">Bénédicte Stengel</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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