Browsing by Author "Hajomer, Hiba Ali Elzaki"

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Exploring the quality of life of end-stage kidney disease patients in Khartoum State, Sudan: a multicenter cross-sectional study
(BMC Nephrology, 2025) Hajomer, Hiba Ali Elzaki; Elkhidir, Osama Ahmed; Elawad, Sara; Ahmed, Ahmed Balla M.; Elawad, Shaima Omer Mohamed; Elbadawi, Mohamed H.; Elhassan, Wael Atif Fadl; Mohamed, Rafa Awad Gasimelseed; Ali, Kamil Merghani; Mahmoud, Tahani Amin; Kheir, Sarra Mohamed
Background Given the rising incidence of end-stage kidney disease (ESKD) in Sudan, assessing health-related quality of life (HRQOL) is critical for evaluating patient outcomes. This study evaluated HRQOL and associated factors in end stage kidney disease patients in Khartoum State renal centers in Sudan. Methods This cross-sectional study administered the Kidney Disease Quality of Life Short Form (KDQOL-SF™) to 150 ESKD patients on maintenance dialysis for ≥ one month across 13 renal centers in Khartoum State. Data were analyzed using SPSS Statistics. Independent t-tests, ANOVA, Pearson correlation, and multiple regression analyses were conducted to assess associations. The p-value was set at 0.05 for statistical significance. Results The Physical (40.17 ± 9.01) and Mental (47.10 ± 9.86) Component scores significantly affected HRQOL in ESKD patients. The lowest scores were observed for burden of kidney disease (31.25 ± 38) and work status (0.00 ± 50). The SF-12 Physical Component was associated with employment status (p < 0.001) and dialysis accompaniment (p = 0.011). Diabetes comorbidity affected the Mental Component (p = 0.017). Hospitalization frequency showed significant negative correlations with the SF-12 Mental Component (r = -0.249), burden of kidney disease (r = -0.330), effects of kidney disease (r = -0.303), and Kidney Disease Component Summary (r = -0.247). In the multiple regression model for the SF-12 Physical Component, age group was the only significant factor (p = 0.023). Conclusion Both physical and mental health domains were significantly impaired in the studied ESKD population. The lowest scores were observed for disease burden and work status. Enhancing healthcare access, addressing comorbidities, and reducing financial strain may improve outcomes. Further longitudinal and case-control studies are warranted to clarify determinants of HRQOL.
Investigating the Association Between Family Socioeconomic Profile and Diabetes Control in Children: A Cross- Sectional Study From Sudan
(Endocrinology, Diabetes & Metabolism, 2024) Hajomer, Hiba Ali Elzaki; Elkhidir, Osama Ahmed; Mohammed, Rooa; Elhassan, Suodad; Abdelrahim, Aya; Mohammed, Yousra Ibrahim Abdallah
ABSTRACT Aims: Diabetes mellitus is the most common endocrine disease in childhood which significantly impacts quality of life, morbid ity and mortality. This study aimed to investigate the socioeconomic background of children with diabetes and their families and to assess its association with diabetes control. Methods: This cross- sectional study was conducted in Khartoum State, Sudan, in 2018, at three outpatient diabetes clinics, using standardised questionnaires. We included 138 diabetic children (T1D and T2D) aged 2–18 years using systematic random sampling. Descriptive statistics, economic indicator and inferential statistics were applied using SPSS version 20. An HbA1C level of > 7.0% was set as the cut- point for uncontrolled diabetes. A p- value of < 0.05 was considered statistically significant. Results: The mean age of the children was 11.1 (3.64) years. Over half of the respondents were not covered by any insurance scheme and 73% lived in urban areas. Mothers had a mean age of 37.3 (7.8), with one- fourth being illiterate, while fathers had a mean age of 45.4 (9.3). Twenty per cent of parents had higher education. Two- thirds of the participants had their HbA1C levels checked within the last 3 months. The prevalence of uncontrolled diabetes was 78.0%. No statistically significant association was found between HbA1C levels and families' socioeconomic, demographic or clinical characteristics (p > 0.05). Conclusion: Neither children' nor parents' characteristics influenced HbA1C level. The high rate of uncontrolled diabetes (78.0%), and other countries showing better profiles of control, suggests the need for exploring other contributing factors. Insulin availability and lack of home glucose monitoring need to be considered. We recommend future prospective studies to consider these factors and use multiple HbA1C measures' average as a better indicator of diabetic control.