Efeitos da abordagem interdisciplinar na qualidade de vida e em parâmetros laboratoriais de pacientes com doença renal crônica

Efeitos da abordagem interdisciplinar na qualidade de vida e em parâmetros laboratoriais de pacientes com doença renal crônica

Alternative title Quality of life and improvement of laboratory parameters as an outcome of an interdisciplinary approach to the care of patients with chronic kidney disease
Author Santos, Fabiane Rossi dos Google Scholar
Filgueiras, Maria Stella Tavares Google Scholar
Chaoubah, Alfredo Google Scholar
Bastos, Marcus Gomes Autor UNIFESP Google Scholar
Paula, Rogerio Baumgratz de Autor UNIFESP Google Scholar
Institution Fundacao IMEPEN
Pontificia Univ Catolica Rio de Janeiro
Univ Fed Juiz Fora
Universidade Federal de São Paulo (UNIFESP)
UFJF
Abstract Background: Multidisciplinary team-based care (MDC) of patients with chronic kidney disease (CKD) before the beginning of the renal replacement therapy may improve their quality of life. Objectives: This study aimed to assess the impact of MDC on the quality of life patients with CKD not yet on dialysis. Methods: Seventy five patients treated by MDC (n = 50) or by standard medical care (n = 25) were evaluated at the beginning and after one year of follow-up. Quality of life was assessed by the Medical Outcomes Study Questionnaire 36 - Item Short Form Health Survey (SF-36). Clinical and laboratory parameters were obtained from the patients' charts. Results: After 1-year of follow-up, the patients in MDC improved the following dimensions of the SF-36: functional capacity, physical features, general health, vitality and mood. On the other hand, the control group did not improve any dimension in quality of life. At the end of the study, the patients followed by the MDC lost body weight and showed statistically significant increases in hemoglobin and calcium plasma levels, when compared to control group. Discussion: Our results showed that, compared to the standard medical care, the MDC contributed to achieve a better quality of life and clinical control in patients with CKD not yet on dialysis.
Keywords chronic kidney disease
multidisciplinary team-based care
SF-36
quality of life
Language Portuguese
Date 2008-01-01
Published in Revista De Psiquiatria Clinica. Sao Paulo: Univ Sao Paulo, Inst Psiquiatria, v. 35, n. 3, p. 87-95, 2008.
ISSN 0101-6083 (Sherpa/Romeo, impact factor)
Publisher Univ Sao Paulo, Inst Psiquiatria
Extent 87-95
Origin http://dx.doi.org/10.1590/S0101-60832008000300001
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000257955200001
SciELO ID S0101-60832008000300001 (statistics in SciELO)
URI http://repositorio.unifesp.br/11600/45477

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