TY - JOUR TI - Quality of life of caregivers of end-stage kidney disease patients: Caregivers or care recipients? AU - Vovlianou, S. AU - Koutlas, V. AU - Ikonomou, M. AU - Vassilikopoulos, T. AU - Papoulidou, F. AU - Dounousi, E. JO - Journal of Renal Care PY - 2021 VL - null TODO - null SP - null PB - John Wiley and Sons Inc SN - 1755-6678, 1755-6686 TODO - 10.1111/jorc.12403 TODO - null TODO - Background: End-stage kidney disease (ESKD) patients require specific and continuous care, which affects caregivers' quality of life (QOL). It is necessary to define the basic problems and restrictions upon family caregivers of renal patients affecting their physical and psychological status. Objectives: The main objectives of this narrative review were to examine the literature over the past 10 years, to describe factors associated with QOL of caregivers of patients with ESKD, and to identify the level of subjective burden reported by caregivers. Methods: A literature search was carried out using the following electronic databases: PubMed, Medscape, Science Direct, Scopus, PsychINFO and other scientific sources. Keywords included 'quality of life', 'caregivers', 'end stage kidney or renal disease patients', 'burden' and a combination of these terms. Only studies from January 2010 to December 2020 were included in this study. Results: The results found that there was significant burden and distress experienced by caregivers that affected their QOL. Patients' QOL is associated with caregivers' QOL. The hours of caring per day and the long-term replacement therapy are associated with great burden. Conclusions: More awareness to caregivers' QOL is required to meet their needs, reduce anxiety and to improve patients' QOL. Caregiver support could empower and prepare them for initiation of replacement therapy. This can potentially enhance their diseased family members' QOL and could also restrict the use of health care system resources. Given how difficult it is to conceptualize QOL, a holistic approach to patients and caregivers require QOL assessment in each stage of the kidney disease. © 2021 European Dialysis and Transplant Nurses Association/European Renal Care Association ER -