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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why Do Caucasian Hemodialysis Patients Have Lower Health Realted Quality Of Life?

What are the possible reasons Caucasian hemodialysis patients have a lower health-related quality of life (HRQOL) and higher morbidity rate than African-American hemodialysis patients? What are some interventions for raising the HRQOL among all ethnic groups?
Mon, 7 Aug 2017
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Nephrologist,  's  Response
Dear User,

I don't have a clear answer on this. One possibility is that mortality among blacks with predialysis chronic kidney disease is much higher than among whites with predialysis kidney disease, resulting in the selection of relatively "healthier" patients who eventually require dialysis. In fact, African-Americans has a very high risk of cardiovascular diseases before dialysis. Support for this hypothesis was provided by NHANES, in which a higher risk for death in the early stages of CKD was observed among blacks.
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Why Do Caucasian Hemodialysis Patients Have Lower Health Realted Quality Of Life?

Dear User, I don t have a clear answer on this. One possibility is that mortality among blacks with predialysis chronic kidney disease is much higher than among whites with predialysis kidney disease, resulting in the selection of relatively healthier patients who eventually require dialysis. In fact, African-Americans has a very high risk of cardiovascular diseases before dialysis. Support for this hypothesis was provided by NHANES, in which a higher risk for death in the early stages of CKD was observed among blacks.