Comparison of quality of life for Iranian hemodialysis and peritoneal dialysis patients

Document Type : Original Article


1 Health Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran

2 Environmental Health Engineering Research Center, Kerman University of Medical Sciences, Kerman, Iran

3 Modeling Research Center in Health, Future Research Institute in Health, Kerman University of Medical Sciences, Iran


Background: Chronic diseases such as kidney failure can impact patients' quality of life. Renal replacement methods such as hemodialysis and peritoneal dialysis are important in these cases.
Objectives: The aim of this study was to compare the quality of life of Iranian hemodialysis and peritoneal dialysis patients.
Methods: The study took place between April and September 2021 and involved 84 hemodialysis and 31 peritoneal dialysis patients at a teaching hospital in Kerman, Iran. The standard KDQOL-SFTM questionnaire, consisting of 78 questions, was used to gather data and assess general and specific aspects of patients' quality of life. The data was analyzed using SPSS version 18 statistical software.
Results: The mean age of peritoneal dialysis and hemodialysis patients was 52.1±18.8 and 56.8±15.6 years, respectively. A larger proportion of hemodialysis patients were male compared to peritoneal dialysis patients. In most dimensions, peritoneal dialysis patients had better quality-of-life scores than hemodialysis patients. The specific dimension with the largest difference between the two groups was the effect of kidney disease, with peritoneal dialysis patients scoring 69.97±24.46 and hemodialysis patients scoring 54.46±23.55 (P≤0.05). The largest difference in the general dimensions of quality of life was pain, with peritoneal patients scoring 59.52±23.55 and hemodialysis patients scoring 43.46±28.58 (P≤0.05).
Conclusion: Due to the better quality of life scores found in peritoneal dialysis patients, healthcare professionals should encourage the use of this method where appropriate.


  1. Boyer MJ. Brunner and Suddarth's Textbook of Medical-surgical Nursing: Lippincott Williams & Wilkins; 2009.
  2. Oshvandi K, Amini S, Moghimbeigi A, Sadeghian E. The effect of spiritual care on death anxiety in hemodialysis patients with end-stage of renal disease: A Randomized Clinical Trial. Hayat. 2018; 23 (4):332-44.
  3. Iran dialysis Calendar 2016. Tehran; 2017. Avilable: /Upload/pdf /salnama95 .pdf
  4. Antic A. An expert in pooling, providing, processing and securing patient data, health IT business conference and delegation. Germany: Knowledgepark; 2015. 1-8 p.
  5. Zamanzadeh V, Heidarzadeh M, Oshvandi K,Lakdizaji S. Relationship between quality of life and social support in hemodialysis patients in Imam Khomeini and Sina educational hospitals of Tabriz University of medical sciences. Med J Tabriz Univ Med Sci. 2007:29(1):49-54.
  6. Shafipour V, Jafari H, Shafipour L. Relation of quality of life and stress intensity in hemodialysis patients. Trauma Mon. 2009; (03, Autumn):169-74.
  7. Tayyebi A, Salimi S, Mahmoudi H, Tadrisi S. Comparison of quality of life in haemodialysis and renal transplantation pateints. Iran J Crit Care Nurs. 2010;3(1):19-22.
  8. Baraz S, Mohammadi E, Broumand B. The effect of self-care educational program on decreasing the problems and improving the quality of life of dialysis patients. J hayat. 2005;11(2):51-62.
  9. Ghiasi B, Sarokhani D, Dehkordi AH, Sayehmiri K, Heidari MH. Quality of life of patients with chronic kidney disease in Iran: systematic review and meta-analysis. Indian J Palliat Care. 2018;24 (1):104.
  10. Zazzeroni L, Pasquinelli G, Nanni E, Cremonini V, Rubbi I. Comparison of Quality of Life in Patients Undergoing Hemodialysis and Peritoneal Dialysis: a Systematic Review and Meta-Analysis. Kidney Blood Press Res. 2017;42(4):717-27. doi:10.1159/000484115 PMid:29049991
  11. Jung HY, Jeon Y, Park Y, Kim YS, Kang SW, Yang CW, et al. Better Quality of Life of peritoneal Dialysis compared to Hemodialysis over a two-year period after Dialysis Initiation. Sci Rep. 2019;9(1): 10266. doi:10.1038/s41598-019-46744-1 PMid:31312004 PMCid:PMC6635359
  12. Surendra NK, Manaf MRA, Hooi LS, Bavanandan S, Nor FSM, Khan SSF, et al. Health related quality of life of dialysis patients in Malaysia: Haemodialysis versus continuous ambulatory peritoneal dialysis. BMC Nephrol. 2019;20(1):151. doi:10.1186/s12882-019-1326-x PMid:31039745 PMCid:PMC6492391
  13. Ramos ECC, Santos IdSd, Zanini RdV, Ramos JMG. Quality of life of chronic renal patients in peritoneal dialysis and hemodialysis. Brazilian J Nephrol. 2015;37(3):297-305. doi:10.5935/0101-2800.20150049
  14. Zeraati AA, Naghibi M, Ahmad Zadeh S, Hasan Zamani B. Comparison of quality of life between hemodialysis and peritoneal dialysis patients in Imam Reza and Ghaem hospital dialysis centers in Mashhad. Med J Mashhad Univ Med Sci. 2010;53(3):169-76.
  15. Aghakhani N, Nazari R, Sharif Nia H, Nahrir B. A comparative study of quality of life (qol) among patients with haemodialysis and peritoneal dialysis. J GorganBouyeh Fac Nurs Midwifery. 2011; 8(2):35-42.
  16. Hays RD, Kallich JD, Mapes DL, Coons SJ, Amin N, Carter WB, et al. Kidney Disease Quality of Life Short Form (KDQOL-SF), Version 1.3: a manual for use and scoring. Santa Monica, CA: Rand. 1997;39.
  17. Yekaninejad M, Mohammadi Zeidi I, Akaberi A, Golshan A, pakpour A. Validity and reliability of the Kidney Disease Quality of Life - Short Form (KDQOL-SF™ 1.3) in Iranian patients. J North Khorasan Univ Med Sci. 2012;4(2):261-72. doi:10.29252/jnkums.4.2.261
  18. Mini A, Emmanuel J, Unni V, Deepa A, Shameena A. Evaluation of quality of life in hemodialysis and renal transplant patients.Int J Pharm Health Sci. 2010;1:77-83.
  19. Amirkhani M, Nouhi E, Jamshidi H. The Comparative Survey of Life Quality in Renal Transplant Recipients, Peritoneal Dialysis, and Hemodialysis Patients in Kerman in the Year 2013. J Fasa Univ Med Sci. 2014;4(1):126-33.
  20. Sathvik B, Parthasarathi G, Narahari M, Gurudev K. An assessment of the quality of life in hemodialysis patients using the WHOQOL-BREF questionnaire. Indian J Nephrol. 2008;18 (4): 141. doi:10.4103/0971-4065.45288 PMid:20142925 PMCid:PMC2813538
  21. de Abreu MM, Walker DR, Sesso RC, Ferraz MB. Health-related quality of life of patients recieving hemodialysis and peritoneal dialysis in São Paulo, Brazil: a longitudinal study. Value Health. 2011;14(5):S119-S21. doi:10.1016/j.jval.2011.05.016 PMid:21839882
  22. Czyżewski L, Sańko-Resmer J, Wyzgał J, Kurowski A. Assessment of health-related quality of life of patients after kidney transplantation in comparison with hemodialysis and peritoneal dialysis. Ann Transplant. 2014;19:576-85. doi:10.12659/AOT.891265 PMid:25382249
  23. Fructuoso M, Castro R, Oliveira L, Prata C, Morgado T. Quality of life in chronic kidney disease. Nefrologia. 2011;31(1):91-6. doi: 10.3265/Nefrologia.pre2010.Jul.10483
  24. Okpechi IG, Nthite T, Swanepoel CR. Health-related quality of life in patients on hemodialysis and peritoneal dialysis. Saudi J Kidney Dis Transpl. 2013;24(3):519. doi:10.4103/1319-2442.111036 PMid:23640624
  25. Noshad H, Sadreddini S, Nezami N, Salekzamani Y, Ardalan M. Comparison of outcome and quality of life: haemodialysis versus peritoneal dialysis patients. Singapore Med J. 2009;50(2):185.
  26. Dalal P, Sangha H, Chaudhary K. In peritoneal dialysis, is there sufficient evidence to make "PD first" therapy? Int J Nephrol. 2011. doi:10.4061/2011/239515 PMid:21776392 PMCid:PMC3139118
  27. Seica A, Segall L, Verzan C, Văduva N, Madincea M, Rusoiu S, et al. Factors affecting the quality of life of haemodialysis patients from Romania: a multicentric study. Nephrol Dial Transplant. 2008; 24 (2): 626-9. doi:10.1093/ndt/gfn506 PMid:18796438