The Impact of Gender and Marital Status on Therapeutic Outcomes of Maintenance Hemodialysis Patients
نویسندگان
doi
چکیده
Methods: In December 2005, an observational study was performed that included the whole HD population (2630 patients; 1505 males and 1125 females) from 56 different units in the province of Tehran, an area encompassing 13.5 million inhabitants. Results: The mean age of patients in this study was 53.4±16.5 years. They were 1505 men (57.2%) and 1125 women (42.8%). Regarding marital status, it was shown that 1855 (72.5%) were married, 59 (2.3%) were divorced and 329 (12.9%) were widowed. A relationship between marital status and sex was found (80.2% of males were married versus 62.1% of females) (P=0.001). Mean hemoglobin level was not significantly different in two sexes (P=0.15) but was different significantly between married and singles (P=0.002). Even if there was no significant difference in achieving the numbers of K/DOQI guideline targets among different sex and marital status, the control was better in those with family support (P<0.05). The numbers of dialysis sessions and vaccination or preference for transplantation did not differ among the groups. As the marital status has a great impact on therapeutic goals achievements and that 38% of females versus 19.8% of males are single they may need more supervision. Higher rate of illiteracy mandates educational facilities to be appropriate to their capabilities. Conclusions: The bottom line is that although patients with less support can get dialysis in adequate dose, they need more concentration regarding calcium and phosphorus metabolism and anemia management.