Kidney Week

Abstract: FR-PO1037

Social Risk Factors and Quality of Life in Patients on Hemodialysis

Session Information

• Social, Environmental, and Economic Determinants of Kidney Health
  October 25, 2024 | Location: Exhibit Hall, Convention Center
  Abstract Time: 10:00 AM - 12:00 PM

Category: Diversity and Equity in Kidney Health

• 900 Diversity and Equity in Kidney Health

Authors

• Yetman, Hailey, Icahn School of Medicine at Mount Sinai, New York, New York, United States

Hailey Yetman

• Wen, Huei Hsun, Icahn School of Medicine at Mount Sinai, New York, New York, United States

Huei Hsun Wen, MD, MS

• Wang, Lin-Chun, Renal Research Institute, New York, New York, United States

Lin-Chun Wang, MS

• Dong, Zijun, Renal Research Institute, New York, New York, United States

Zijun Dong

• Tisdale, Lela, Renal Research Institute, New York, New York, United States

Lela Tisdale

• Foby, Yvette, Renal Research Institute, New York, New York, United States

Yvette Foby

• Olagoke, Mariam M., Renal Research Institute, New York, New York, United States

Mariam M. Olagoke

• Thijssen, Stephan, Renal Research Institute, New York, New York, United States

Stephan Thijssen, DrMed

• Kotanko, Peter, Renal Research Institute, New York, New York, United States

Peter Kotanko, MD, FASN

• Nadkarni, Girish N., Icahn School of Medicine at Mount Sinai, New York, New York, United States

Girish N. Nadkarni, MD, MPH

• Chan, Lili, Icahn School of Medicine at Mount Sinai Department of Medicine, New York, New York, United States

Lili Chan, MD, MS

Background

Hemodialysis (HD) patients often have lower quality of life (QoL) than non-HD patients. While social risk (SR) factors are linked to poor health and low QoL, their association with QoL in HD patients remains unstudied.

Methods

We surveyed HD patients at five dialysis units using the Kidney Disease Quality of Life (KDQOL) and the AHC Health-Related Social Needs Screening Tool (AHC-HRSN), evaluating their access to housing, food, transportation, utilities, and safety. We calculated physical component score (PCS), mental component score (MCS), burden score, symptoms of kidney disease score, and effect of kidney disease score using the KDQOL. Lower scores indicate an increased negative impact of kidney disease. The relationship between unmet SR and each of the sub-scores was investigated using the two-tailed Wilcoxon Rank Sum test.

Results

We studied 324 patients; high burdens of unmet SR were observed (Fig. 1A). Lower PCS and lower symptom scores were significantly associated with having at least one unmet SR factor, specifically in housing, food, and transportation insecurity (Fig. 1B, C). Lower MCS was significantly linked to having at least one unmet SR factor, including housing insecurity and unsafe environments (Fig. 1D). Lower burden score was significantly related to experiencing at least one unmet SR factor, including housing, food, transportation, and utilities insecurity (Fig. 1E). Lower effect score was significantly linked to having any unmet SR (Fig. 1F).

Conclusion

Unmet SR factors are common and associated with lower QoL in HD patients. Improved screening and attempts to address unmet SR may improve QoL in HD patients.

Funding

• NIDDK Support