Validity and Reliability of the Indonesian Version of Kidney Disease Quality of Life (KDQOL-36) Questionnaire in Hemodialysis Patients at Hasan Sadikin Hospital, Bandung, Indonesia

Rudi Supriyadi, Fauliza Rakhima, Rubin Surachno Gondodiputro, Guntur Darmawan


Background: the prevalence of chronic kidney disease (CKD) and dialysis patients is increasing every year in Indonesia. The impact of CKD and dialysis on patient quality of life (QOL) has been recognized as an important outcome measure in the management of CKD. The Kidney Disease Quality of Life (KDQOL-36) has been validated and is widely used as a measure of QOL for CKD and dialysis patients in many countries, but not in Indonesia. The aim of this study is to determine the reliabity and validity of the Indonesian version of KDQOL-36 on hemodialysis patients in Indonesia. Methods: the KDQOL-36 was translated into Indonesian language by a certified translator and then it was back-translated into English. The translated questionnaire was further reviewed by an expert panel. The final questionnaire was administered to hemodialysis patients in Hemodialysis Unit at Hasan Sadikin General Hospital. Validity was measured using Pearson’s correlation between the kidney disease-targeted scores, generic dimensions (SF-12) scores and each scale score in KDQOL-36. The internal consistensy was assessed using Cronbach’s Alpha and reliability was examined using test-retest. Results: out of 103 patients, we found that most subjects were male (52.4%) with median age of 51 (22-75) years. The duration of hemodialysis was 3.4 (SD 2.1) years. The validity test showed a significant correlation (p<0.001) on kidney disease-targeted total score, SF-12 and each score of the scale within it. All of the KDQOL-36 scales showed good test-retest reliability. Internal consistency reliability values were acceptable, with Cronbach’s Alpha >0,7 for all scales. Conclusion: the Indonesian version of the KDQOL-36 questionnaire is valid and reliable for evaluating QOL in reguler hemodialysis patients.


KDQOL-36; validity; reliability; hemodialysis


World Health Organization. The global burden of disease: 2004 update. Geneva: WHO Library Cataloguing Data. 2008. p. 3-30.

Ministry of Health Republic of Indonesia. Basic health research. Jakarta: Ministry of Health Republic of Indonesia; 2013. p. 5-20.

Mujais SK, Story K, Brouillette J, et al. Health-related quality of life in CKD patients: Correlates and evolution over time. CJASN. 2009;4:1293-301.

Morton RL, Tong A, Howard K, Snelling P, Webster AC. The views of patients and carers in treatment decision making for chronic kidney disease: Systematic review and thematic synthesis of qualitative studies.BMJ. 2010;17:340-8.

Lee A, Gudex C, Povlsen JV, Bonnevie B, Nielsen CP. Patients’ views regarding choice of dialysis modality.Nephrol Dial Transplant. 2008;23:953-9.

Fayers P, Machin D. Quality of life: The assessment, analysis and interpretation of patient-reported outcomes. 2nd ed. Chicester: John Wiley & Sons; 2007. p. 28-42.

Guyatt GH, Feeny DH, Patrick DL. Measuring health-related quality of life. Ann Intern Med. 1993;118:622-9.

Abd ElHafeez S, Sallam SA, Gad ZM, et al. Cultural adaptation and validation of the “Kidney Disease and Quality of Life - Short Form (KDQOL-SF™) version 1.3” questionnaire in Egypt. BMC Nephrol. 2012;13:170-9.

Bataclan RP, Dial MA. Cultural adaptation and validation of the Filipino version of Kidney Disease Quality of Life--Short Form (KDQOL-SF version 1.3). Nephrology. 2009;14:663-8.

Park HJ, Kim S, Yong JS, et al. Reliability and validity of the Korean version of kidney disease quality of life instrument (KDQOL-SFTM). Tohoku J Exp Med. 2007;211:321-9.

Thaweethamcharoen T, Srimongkol W, Noparatayaporn P, et al. Validity and reliability of KDQOL-36 in Thai kidney disease patient. Value Health Reg Issues. 2013;11:98-102.

Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine. 2000;25:3186-91.

RAND Corporation. Basic guidelines for translating surveys 2015. [cited 29 December 2015]. Available at translations.html.

Allen K, Amstrong LE, Balady GJ, et al. ACSM’s guidelines for exercise testing and prescription. 8th ed. Georgia: Lippincott; 2009. p. 4-5.

Ainsworth BE, Haskell WL, Whitt MC, et al. Compendium of physical activities: An updated of activity codes and MET intensities. Med Sci Sports Exerc. 2000;32:S498-504.

Tao X, Chow SKY, Wong FKY. Determining the validity and reliability of the Chinese version of the Kidney Disease Quality of Life Questionnaire (KDQOL-36™). BMC Nephrol. 2014;15(1):78-85.

Chen JY, Choi EPH, Wan EYF, et al. Validation of the disease-specific components of the kidney disease quality of life-36 (KDQOL-36) in Chinese patients undergoing maintenance dialysis. Plos One. 2016;11(5):91-113.

Mateti UV, Nagappa AN, Attur RP, Nagaraju SP, Mayya SS, Balkrishnan R. Cross-cultural adaptation, validation and reliability of the South Indian (Kannada) version of the Kidney Disease and Quality of Life (KDQOL-36) Instrument. Saudi J Kidney Dis Transpl. 2015;26(6):1246-52.

Chow SKY, Tam BML. Is the kidney disease quality of life-36 (KDQOL-36) a valid instrument for Chinese dialysis patients? BMC Nephrol. 2014;15(1):21-30.

Ricardo AC, Hacker E, Lora CM, et al. Validation of the kidney disease quality of life short form 36 (KDQOL-36) US Spanish and English versions in a cohort of Hispanics with chronic kidney disease. Ethn Dis. 2013;23(2):202-9.

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