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Preparing your E-Poster
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E-Poster Submission Deadline
Please prepare and upload your E-Poster no later than March 14, 2026 11.59PM CET. After this date, you will no longer be able to prepare and upload your E-poster and it will not be displayed and accessible on the congress website.
Please follow the instructions below to input your abstract title.
Abstract titles should be brief and reflect the content of the abstract.
Chronic kidney disease (CKD) is a progressive condition affecting over 10% of the global population, equating to more than 800 million individuals. In Indonesia, the prevalence of CKD is reported to be 0.5%. Furthermore, the number of patients undergoing kidney replacement therapy (KRT), primarily through hemodialysis, has been rapidly increasing, with over 132,000 cases reported in 2018. Hemodialysis adequacy can enhance the quality of life, increase social activity, and reduce inability and mortality in chronic kidney disease patients. This study compares the hemodialysis adequacy methods in relation to quality of life using KDQOL SF 36.
This is a cross-sectional study over 70 hemodialysis patients in Karsa Husada General Hospital, Indonesia. Hemoadialysis adequacy was obtained using URR (≥65%), Online Clearance Monitoring (OCM) (≥1,2), and Daugirdas Kt/V (≥1,2) from calculating by Daugirdas formula. The quality of life measured using KDQOL-36 scoring system.
There were 70 hemodialysis patients that meet the inclusion criteria, which 35 patients (50%) were male, and 35 patients (50%) were female. The demographic and clinical subject characteristic as seen on table 1.
Table 1. Demographic and Clinical Subject Characteristics
Variable
Number (N)
Prosentase (%)
Age (years)
< 40 years
2
2,86
40 - < 60 years
42
60,00
≥ 60 years
26
37,14
Gender
70
100,00
Male
35
50,00
Female
BMI (kg/m2)
Underweight
10
14,29
Normoweight
36
51,43
Overweight
18
25,71
Obesity
6
8,57
Hemodialysis Duration (hours)
5 hours
69
98,57
< 5 hours
1
1,43
Vascular Access
AV Fistula
62
88,57
CDL
4
5,71
Manual Access
Blood Pressure
Systolic Blood Pressure (SBP)
SBP < 140 mmHg
17
24,29
SBP 140 sd <160 mmHg
15
21,43
SBP ≥160 mmHg
38
54,29
Dyastolic Blood Pressure (DBP)
DBP < 90 mmHg
33
47,14
DBP 90 sd <100 mmHg
16
22,86
DBP ≥100 mmHg
21
30,00
Haemoglobin
Hb>10 mg/dL
11
15,71
HB 7-10 mg/dL
58
82,86
Hb <7
The Mean values of hemodialysis adequacy were as follow: URR (70,89%±7,79%), OCM (1,49±0,10), Daugirdas Kt/V (1,5±0,34), and the mean values of quality of life using KDQOL-36 scores was 538.57 ± 31.97. The correlation between hemodialysis adequacy and quality of life, is shown in Table 2, which indicates that neither OCM, URR, nor Daugirdas Kt/V shows a correlation with quality of life. However, a sub-analysis showed a correlation between body pain and hemodialysis adequacy using URR (r=0.282, p=0.018) and Daugirdas Kt/V (r=0.212, p=0.011).
Table 2. Correlation of Hemodialysis Adequacy with Quality of Life (KDQOL SF 36)
Method
Mean
r
p
OCM
1.49±0.10
-0.072
0.903
KDQOL SF-36
538.57 ± 31.97
URR
70.89%±7.79%
0.084
0.347
Daugirdas Kt/V
1.5±0.34
0.110
0.409
This study showed no correlation between hemodialysis adequacy and overall quality of life; however, the pain subscale showed a significant correlation.
