دورية أكاديمية

Measuring quality of life in trials including patients on hemodialysis: Methodological issues surrounding use of the Kidney Disease Quality of Life Questionnaire. A systematic review.

التفاصيل البيبلوغرافية
العنوان: Measuring quality of life in trials including patients on hemodialysis: Methodological issues surrounding use of the Kidney Disease Quality of Life Questionnaire. A systematic review.
المؤلفون: Hannah Worboys, Nicola Cooper, James Burton, Hannah Young, Ghazala Waheed, James Fotheringham, Laura Gray
سنة النشر: 2023
المجموعة: University of Leicester: Figshare
مصطلحات موضوعية: Uncategorized, End Stage Renal Disease, Hemodialysis, Quality of Life, Methods
الوصف: Background Haemodialysis (HD) treatment causes a significant decrease in quality of life (QoL). When enrolled in a clinical trial, some patients are lost prior to follow-up because they die or they receive a kidney transplant. It is unclear how these patients are dealt with in the analysis of QoL data. There are questions surrounding the consistency of how QoL measures are used, reported and analysed. Methods A systematic search of electronic databases for trials measuring QoL in HD patients using any variation of the Kidney Disease Quality of Life (KDQoL) Questionnaire was conducted. The review was conducted in Covidence version 2. Quantitative analysis was conducted in Stata version 16. Results We included 61 trials in the review, of which 82% reported dropouts. The methods to account for missing data due to dropouts include imputation (7%) and complete case analysis (72%). Few trials (7%) conducted a sensitivity analysis to assess the impact of missing data on the study results. Single imputation techniques were used, but are only valid under strong assumptions regarding the type and pattern of missingness. There was inconsistency in the reporting of the KDQoL, with many articles (70%) amending the validated questionnaires or reporting only statistically significant results. Conclusions Missing data are not dealt with according to the missing data mechanism, which may lead to biased results. Inconsistency in the use of patient-reported outcome measures raises questions about the validity of these trials. Methodological issues in nephrology trials could be a contributing factor to why there are limited effective interventions to improve QoL in this patient group. PROSPERO Registration CRD42020223869
نوع الوثيقة: article in journal/newspaper
اللغة: unknown
العلاقة: 2381/19582768.v2; https://figshare.com/articles/journal_contribution/Measuring_quality_of_life_in_trials_including_patients_on_hemodialysis_Methodological_issues_surrounding_use_of_the_Kidney_Disease_Quality_of_Life_Questionnaire_A_systematic_review_/19582768Test
الإتاحة: https://figshare.com/articles/journal_contribution/Measuring_quality_of_life_in_trials_including_patients_on_hemodialysis_Methodological_issues_surrounding_use_of_the_Kidney_Disease_Quality_of_Life_Questionnaire_A_systematic_review_/19582768Test
حقوق: CC BY 4.0
رقم الانضمام: edsbas.3E802A8B
قاعدة البيانات: BASE