Talk to the Veterans Crisis Line now
U.S. flag
An official website of the United States government

VA Health Systems Research

Go to the VA ORD website
Go to the QUERI website

HSR Citation Abstract

Search | Search by Center | Search by Source | Keywords in Title

Quality of Life among Participants in a Patient-Centered Medical Home Intervention for Patients with End-stage Renal Disease on Hemodialysis

Porter AC, Fitzgibbon ML, Fischer M, Chukwudozie IB, Berbaum ML, Schiffer L, Hynes DM. Quality of Life among Participants in a Patient-Centered Medical Home Intervention for Patients with End-stage Renal Disease on Hemodialysis. Insights in Internal Medicine. 2017 Jun 16; 1(2):1-10.

Related HSR&D Project(s)

Dimensions for VA is a web-based tool available to VA staff that enables detailed searches of published research and research projects.

If you have VA-Intranet access, click here for more information

VA staff not currently on the VA network can access Dimensions by registering for an account using their VA email address.
   Search Dimensions for VA for this citation
* Don't have VA-internal network access or a VA email address? Try searching the free-to-the-public version of Dimensions


Purpose To describe baseline quality of life (QOL) among a racially and ethnically diverse cohort in a study of the implementation of a Patient-Centered Medical Home for Kidney Disease for patients with end-stage renal disease (ESRD) on hemodialysis, and to evaluate the associations of QOL and patient-reported outcomes and sociodemographic and clinical characteristics. Methods QOL was measured using the Kidney Disease Quality of Life-36 (KDQOL-36) at baseline, and sociodemographic and clinical data were collected, along with multiple patient-reported outcome measures: care coordination, health literacy, self-efficacy, hemodialysis knowledge, depression, medication compliance, patient satisfaction, and compliance with and attitudes toward dietary restrictions. Results Data were available for 171 participants. The majority were African-American (49%) or Hispanic (47%), and had household income below $20,000/year (68%). Older participants reported lower physical QOL than younger participants, and Hispanics reported lower burden scores compared to African-Americans. Participants with lower health literacy, lower self-efficacy scores, or depressive symptoms reported lower QOL scores. Conclusions Although QOL is known to be low in ESRD participants, this study identifies additional subgroups at risk for low QOL. Hispanic patients, those with low health literacy, low self-efficacy, and depression are at particular risk. Further study is needed to determine how to improve QOL in this population.

Questions about the HSR website? Email the Web Team

Any health information on this website is strictly for informational purposes and is not intended as medical advice. It should not be used to diagnose or treat any condition.