Nature Reviews Nephrology 8, 718-724 (December 2012) | doi:10.1038/nrneph.2012.238

Subject Categories: Other | Dialysis (hemodialysis, peritoneal dialysis, continuous renal replacement) | Transplant

Assessing and improving the health-related quality of life of patients with ESRD

Fredric O. Finkelstein, Kelli L. Arsenault, Ana Taveras, Kwabena Awuah & Susan H. Finkelstein  About the authors


Impairment of the health-related quality of life (HRQOL) of patients with end-stage renal disease (ESRD) is now well documented. These impairments involve a wide variety of domains and can be assessed using an array of well-validated instruments. Incorporation of at least some of these instruments into routine patient care is important in order to measure the physical and psychological impact of a disease and its treatment on the HRQOL of patients. How this implementation can be achieved in a practical way is, however, a challenge. As more research focuses on improving the HRQOL of patients with ESRD, the systematic evaluation of HRQOL and incorporation into patient care is becoming increasingly important. Whether strategies to improve the HRQOL of patients will translate into improved patient outcomes—as evidenced by reduced mortality and hospitalizations—and lower costs, remains to be determined.

Author affiliations

F. O. Finkelstein, K. L. Arsenault, A. Taveras, K. Awuah & S. H. Finkelstein
Yale University School of Medicine, New Haven, CT 06510, USA (F. O. Finkelstein, S. H. Finkelstein).  Yale–New Haven Hospital, 20 York Street, New Haven, CT 06510, USA (K. L. Arsenault, A. Taveras, K. Awuah).

Correspondence to: F. O. Finkelstein

Published online 23 October 2012