Health-related quality of life in survivors of acute kidney injury: The Prolonged Outcomes Study of the Randomized Evaluation of Normal versus Augmented Level Replacement Therapy study outcomes

Amanda Y. Wang, Rinaldo Bellomo, Alan Cass, Simon Finfer, David Gattas, John Myburgh, Steve Chadban, Yoichiro Hirakawa, Toshiharu Ninomiya, Qiang Li, Serigne Lo, Federica Barzi, Louisa Sukkar, Meg Jardine, Martin P. Gallagher, for the Post-Renal Study Investigators and the ANZICS Clinical Trials Group

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26 Citations (Scopus)


Aim While patients with chronic kidney disease have reduced health-related quality of life (HRQOL), long-term HRQOL of survivors of severe acute kidney injury (AKI) remains unclear. Methods We analysed HRQOL from the Prolonged Outcomes Study of the Randomized Evaluation of Normal versus Augmented Level Replacement Therapy (POST-RENAL) study and compared findings with those from a general Australian adult population enrolled in the Australian Diabetes, Obesity and Lifestyle (AusDiab) study. We used a multivariate analysis adjusted for baseline characteristics along with sensitivity analysis using age and sex-matched case controls. Results In the POST-RENAL study, 282 participants had HRQOL data collected using the SF-12 questionnaire. This was compared with 6330 participants from the AusDiab study. Unadjusted analyses showed that POST-RENAL participants had lower physical component scores (PCS, mean score 40.0 vs 49.8, P < 0.0001) and lower mental component scores (MCS, mean score 49.8 vs 53.9, P < 0.0001) than the AusDiab group. After age and sex matching, the difference in PCS and MCS remained statistically significant (P < 0.0001). Advanced age, reduced renal function and albuminuria (all P ≤ 0.01) were all strongly associated with lower PCS values but not MCS values. After matching subsets of the cohorts on the basis of age, sex and renal function, PCS and MCS were lower in the POST-RENAL group (P < 0.0001). Conclusion Survivors of severe AKI in the POST-RENAL study had lower physical and mental components of HRQOL compared with general population, even after adjustment for their reduced renal function. Increasing age and reduced renal function were associated with poorer physical QOL. Summary at a Glance In this case-control study, the health-related quality of life (HRQOL) of 282 severe acute kidney injury (AKI) survivors was compared with that of the general population. The result shows that physical and mental components of HRQOL are substantially lower amongst survivors of severe AKI. The difference remains significant after adjustment for the degree of renal impairment.

Original languageEnglish
Pages (from-to)492-498
Number of pages7
Issue number7
Publication statusPublished - 1 Jul 2015
Externally publishedYes


  • acute kidney injury
  • Aus-Diab study
  • health-related quality of life
  • POST-RENAL study
  • prospective study

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