Assessing health related quality of life of patients on maintenance hemodialysis in north-western Morocco.

Background

This study evaluated health-related quality of life (HRQoL) differences between public (N = 61) and private (N = 61) sector hemodialysis patients in Morocco using Moroccan and French EQ-5D-5 L value sets.

Methods

EQ-5D-5 L dimensions, utility index, and Visual Analog Scale (EQ-VAS) scores were compared between sectors through a bivariate analysis HRQoL determinants were identified via Generalized Linear Model (GLM) multivariable regression, adjusting for socio-demographic and clinical covariates.

Results

Private sector patients reported higher 'no problem' rates in mobility (45.9% vs. 19.7%), self-care (34.4% vs. 18.0%), usual activities (34.4% vs. 6.6%), and pain/discomfort (31.1% vs. 11.5%). Median Moroccan utility scores were significantly higher in private vs. public sectors (0.79 vs. 0.48, p = 0.003), mirrored by French scores (0.85 vs. 0.63, p > 0.001) and EQ-VAS (median: 72 vs. 70, p > 0.001). In multivariable GLM regression, the treatment sector was not an independent predictor (beta = -0.128, p = 0.345). Instead, employment status (beta = 0.302, p = 0.035) exhibited significantly higher health-related quality of life, whereas lower weekly dialysis frequency (beta = -0.362, p = 0.003) independently predicted lower HRQoL.

Conclusion

HRQoL contrasts among Moroccan hemodialysis patients highlight urgent needs to manage fatigue and encourage structured physical and social participation.