KT/V is Not a Good Predictor of Hemodialysis Performance on DM-ESRD Patients

Introduction: Diabetes mellitus (DM) is the most frequent cause of ESRD (20-40%). Depression, sexual dysfunction, neuropathy, and poor quality of life are some of the common consequences of DM-ESRD. Worsening the condition, some patients become un-adhere to the therapeutic regimen. Kt/v was used to assess hemodialysis adequacy without paying attention to other success parameter (depression, sexual dysfunction, neuropathy, and quality of life). This study was aimed to reveal the relationship between kt/v and those parameters. Methods: This is an analytic descriptive research conducted in BHCC, Bali. The participants of this study were 42 ESRD (routine-hemodialysis) with DM patients. SF-36, PHQ-9, FSFI, SHIM, DN4 questionnaire, and kt/v measurement were used to gather the data. Results: There were 56.10% female and 43,90% male included in this study whose age were 40-60 y.o. (85,37%) and greater than60 y.o. (14,63%). Among them, 70,73% has been routinely hemodialyzed ?1 year and 80,49% has DM history of ?5 years. There were 95, 12% subjects whose kt/v was less than1,8. It was noted that 78% of the patients having kt/v of ?1.8 had neuropathic pain, while it was only 75% patient on those with kt/v less than 1,8. There was insignificant-very weak correlation (p?0,05; rless than+/-0,2) between kt/v and depression, quality of life, and female sexual disfunction. Only Erectile dysfunction has significant-moderate correlation (p=0,045; r=0,423) with kt/v. Conclusion: Kt/v is just a number that does not correlated strongly with ESRD related complications including depression, sexual dysfunction, neuropathy, and quality of life in hemodialyzed DM-ESRD patients.