Chapter 4: Quality of life and rehabilitation outcomes of patients on Dialysis

Liu Wen Jiun Chew Thian Fook Christopher Lim Thiam Seong Tan Wee Ming Yia @ Yeow Hua Jern

Source: 21 st MDTR Report 2013, NRR

Table 4.1:

Cumulative distribution of QoL-Index score in relation to dialysis modality, all dialysis patients 2004-2013

Dialysis modality

Number of patients

Centile 0 0.05

0.1

0.25 (LQ) 0.5 (median) 0.75 (UQ) 0.9

0.95

1

PD

2598

0 5 6 8 10 10 10 10 10

HD

22841

0 5 5 7 9 10 10 10 10

Source: 21 st MDTR Report 2013, NRR

Figure 4.1:

Cumulative distribution of QoL-Index score in relation to dialysis modality, all dialysis patients 2004-2013 Cumulative distribution of QOL by Modality, Dialysis Patients 1 0.8

0.6

0.4

0.2

0 0 2 4 6 QL-Index Score PD HD 8 10

Source: 21 st MDTR Report 2013, NRR

Table 4.2:

Cumulative distribution of QoL-Index score in relation to DM, all dialysis patients 2004-2013

Diabetes mellitus

Number of patients

Centile 0 0.05

0.1

0.25 (LQ) 0.5 (median) 0.75 (UQ) 0.9

0.95

1

No

13523

0 5 6 8 10 10 10 10 10

Yes

11916

0 4 5 7 8 10 10 10 10

Source: 21 st MDTR Report 2013, NRR

Figure 4.2:

Cumulative distribution of QoL-Index score in relation to DM, All Dialysis patients, 2004-2013 Cumulative distribution of QOL by DM, Dialysis Patients 1 0.8

0.6

0.4

0.2

0 0 2 4 6 QL-Index Score No Yes 8 10

Source: 21 st MDTR Report 2013, NRR

Table 4.3:

Cumulative distribution of QoL-index score in relation to gender, all dialysis patients 2004-2013

Gender

Number of patients

Centile 0 0.05

0.1

0.25 (LQ) 0.5 (median) 0.75 (UQ) 0.9

0.95

1

Male

13900

0 5 6 8 9 10 10 10 10

Female

11539

0 4 5 7 9 10 10 10 10

Source: 21 st MDTR Report 2013, NRR

Figure 4.3:

Cumulative distribution of QoL-Index score in relation to gender, all dialysis patients, 2004-2013 Cumulative distribution of QOL by Gender, Dialysis Patients 1 0.8

0.6

0.4

0.2

0 0 2 4 6 QL-Index Score Male Female 8 10

Source: 21 st MDTR Report 2013, NRR

Table 4.4:

Cumulative distribution of QoL-index score in relation to age, all dialysis patients 2004-2013

Age group (years)

Number of patients

Centile 0 0.05

0.1

0.25 (LQ) 0.5 (median) 0.75 (UQ) 0.9

0.95

1

<20

600

0 5 6 8 10 10 10 10 10

20-39

4189

0 6 7 9 10 10 10 10 10

40-59

12327

0 5 6 8 10 10 10 10 10

>=60

8323

0 4 5 6 8 10 10 10 10

Source: 21 st MDTR Report 2013, NRR

Figure 4.4:

Cumulative distribution of QoL-Index score in relation to age, all dialysis patients, 2004-2013 1 Cumulative distribution of QOL by Age Group, Dialysis Patients 0.8

0.6

0.4

0.2

0 0 2 10 4 6 QL-Index Score Age <20 Age 40-59 8 Age 20-39 Age >=60

Source: 21 st MDTR Report 2013, NRR

Table 4.5:

Cumulative distribution of QoL-Index score in relation to year of entry, HD patients 2004-2013

Year of Entry Number of patients

Centile 0 0.05

0.1

0.25 (LQ) 0.5 (median) 0.75 (UQ) 0.9

0.95

1

2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 709 855 1187 1428 1873 2314 2743 3607 4254 3871

0 5 6 8 10 10 10 10 10 0 5 6 8 10 10 10 10 10 0 5 6 8 10 10 10 10 10 0 5 6 8 10 10 10 10 10 0 5 6 8 10 10 10 10 10 0 5 6 7 9 10 10 10 10 0 5 6 7 9 10 10 10 10 0 4 5 7 9 10 10 10 10 0 4 5 7 9 10 10 10 10 0 4 5 7 9 10 10 10 10

Source: 21 st MDTR Report 2013, NRR

Figure 4.5:

Cumulative distribution of QoL-Index score in relation to year of entry, HD patients 2004-2013 1 0.8

0.6

0.4

0.2

0 0 Cumulative distribution of QOL by Year of Entry, HD Patients 2 8 Year 2004 Year 2007 Year 2010 Year 2013 4 6 QL-Index Score Year 2005 Year 2008 Year 2011 Year 2006 Year 2009 Year 2012 10

Source: 21 st MDTR Report 2013, NRR

Table 4.6:

Cumulative distribution of QoL-Index score in relation to year of entry, PD patients 2004-2013

Year of Entry Number of patients

Centile 0 0.05

0.1

0.25 (LQ) 0.5 (median) 0.75 (UQ) 0.9

0.95

1

2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 37 35 55 88 124 202 230 418 675 734

0 8 9 10 10 10 10 10 10 0 6 8 10 10 10 10 10 10 0 8 8 10 10 10 10 10 10 0 7 8 10 10 10 10 10 10 0 7 8 9.5

10 10 10 10 10 0 5 7 8 10 10 10 10 10 0 5 6 8 10 10 10 10 10 0 5 6 8 10 10 10 10 10 0 5 6 8 10 10 10 10 10 0 5 6 8 10 10 10 10 10

Source: 21 st MDTR Report 2013, NRR

Figure 4.6:

Cumulative distribution of QoL-Index score in relation to year of entry, PD patients 2004-2013 1 0.8

0.6

0.4

0.2

0 0 Cumulative distribution of QOL by Year of Entry, PD Patients 2 8 Year 2004 Year 2007 Year 2010 Year 2013 4 6 QL-Index Score Year 2005 Year 2008 Year 2011 Year 2006 Year 2009 Year 2012 10

Source: 21 st MDTR Report 2013, NRR

Table 4.7:

Work related rehabilitation in relation to modality, dialysis patients, 2004-2013

Modality n Number of patients Able to return for Full or Part time for pay* Unable to work for pay 1210 677 533 PD % 56 44 n 11339 HD % 6750 4589 60 40

Source: 21 st MDTR Report 2013, NRR

Table 4.8:

Work related rehabilitation in relation to year of entry, HD patients 2004-2013

Year Number of patients Able to return for Full or Part time for pay* Unable to work for pay n % n % 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 467 356 76 111 24 541 399 74 142 26 739 526 71 213 29 815 576 71 239 29 1064 1167 1383 1650 1856 1657 698 66 366 34 758 65 409 35 852 62 531 38 953 58 697 42 956 52 900 48 676 41 981 59

*analysis based on living patient only (alive as at 31/12/2013) Source: 21 st MDTR Report 2013, NRR

Table 4.9:

Work related rehabilitation in relation to year of entry, PD patients 2004-2013

Year 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 Number of patients 21 22 32 45 Able to return for Full or Part time for pay* n 13 13 21 32 % 62 59 66 71 Unable to work for pay n 8 9 11 13 % 38 41 34 29

*analysis based on living patient only (alive as at 31/12/2013)

67 51 76 16 24 107 62 58 45 42 110 73 66 37 34 200 118 59 82 41 292 160 55 132 45 314 134 43 180 57

Source: 21 st MDTR Report 2013, NRR