Assessment of Quality of Life Among Patients After Lung Transplantation: A Single-Center Study

Stącel, Tomasz; Jaworska, Izabela; Zawadzki, Fryderyk; Wajda-Pokrontka, Marta; Tatoj, Zofia; Urlik, Maciej; Nęcki, Mirosław; Latos, Magdalena; Szywacz, Wioletta; Szczerba, Alicja; Antończyk, Remigiusz; Pióro, Anna; Przybyłowskia, Piotr; Zembala, Marian; Ochman, Marek

doi:10.1016/j.transproceed.2020.03.048

Cited by 12 publications

(16 citation statements)

References 20 publications

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“…42 The study did not report any differences between SLTx and BLTx with either used instrument. 42 Two of the 10 included studies used disease-specific instruments, with one study finding a difference between BLTx and SLTx in one domain of the SGRQ. 38 Nine studies used generic instruments with 6 studies finding significant differences between BLTx and SLTx in at least one domain of HRQoL.…”

Section: Resultsmentioning

confidence: 86%

“…There were 4 prospective studies 35,37-39 and 6 retrospective studies. 33,34,40-43 Seven of the studies additionally compared data to either baseline pretransplantation, normative population, or waitlisted patient HRQoL scores. 33,35,37,38,40,42,43 Six studies used the 36-Item Short Form Survey (SF-36), 34,35,37,39,41,43 2 studies used the SGRQ, 38,42 one in addition to the WHOQOL-Bref, 42 one study used the EQ-5D questionnaire, 40 and one study used the Quality-of-Life PLC.…”

Section: Resultsmentioning

confidence: 99%

“…40 Additionally, one study focusing on idiopathic pulmonary fibrosis indicates that BLTx results in superior psychological and physical HRQoL, 34 the investigation of a singular disease indication for transplantation enables greater comparison of results by removing a variable of significant clinical heterogeneity. However, studies also show no significant difference in HRQoL scores between SLTx and BLTx 41,42 with one study showing SLTx to be superior in some HRQoL domains. 43…”

Section: Discussionmentioning

confidence: 99%

“…36 There were 4 prospective studies 35,[37][38][39] and 6 retrospective studies. 33,34,[40][41][42][43] Seven of the studies additionally compared data to either baseline pretransplantation, normative population, or waitlisted patient HRQoL sco res. 33,35,37,38,40,42,43 Six studies used the 36-Item Short In all follow-up periods after 6 mo, the quality of life as measured by EQ-5D and the visual analog score was consistently superior in those receiving BLTx and HLTx than SLTx (P = 0.001).…”

Section: Study Characteristics and Risk Of Bias Within Studiesmentioning

confidence: 99%

“…34 Four studies reported no statistically significant difference in HRQoL scores between patients who had undergone BLTx or SLTx. 33,39,41,42 Gilmore et al, however, further analyzed the temporal trajectories of MCS and PCS with respect to the underlying transplant procedure; HRQoL scores in patients posttransplant are shown to deteriorate progressively over time, 39 moreover, SLTx recipients show a further statistically significant decline of −0.19 points per month over BLTx recipients. 39 In the 48-59 mo and >60-mo period, patients who had received an SLTx scored substantially (>5 points or ½ SD) below the predetermined lower limit of the population norm score of 40.…”

Section: Study Characteristics and Risk Of Bias Within Studiesmentioning

confidence: 99%

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Health-related Quality of Life Outcomes Following Single or Bilateral Lung Transplantation: A Systematic Review

2022

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Background. Lung transplantation is the definitive treatment for end-stage lung disease. There has been uncertainty regarding whether single or bilateral lung transplantation confers patients’ greater health-related quality of life. This systematic review was performed to evaluate the impact of single lung transplantation (SLTx) against bilateral lung transplantation on short- and long-term health-related quality of life. Methods. A literature search was conducted on PubMed for studies matching the eligibility criteria between January 2000 and January 2022. OVID (MEDLINE), Google Scholar, EBSCOhost (EMBASE), and bibliographies of included studies were reviewed. Inclusion of studies was based on predetermined eligibility criteria. Quality appraisal and data tabulation were performed using predetermined forms. Results were synthesized by narrative review. The structure of this systematic review follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. This systematic review was prospectively registered in the PROSPERO register (CRD42022344389). Results. Ten studies (1916 patients) were included. Within 12 mo posttransplantation, there was no evidence of the improved health-related quality of life with respect to the type of lung transplantation procedure. Bilateral lung transplantation patients reported significantly greater scores in both the physical and mental health domains of health-related quality of life. Bilateral lung transplantation offered significantly better health-related quality of life outcomes at later follow-up periods. Bilateral lung transplantation showed a significantly slower reduction in health-related quality of life physical composite scores relative to SLTx. Conclusions. Bilateral lung transplant (BLTx) recipients perceive the greater health-related quality of life beyond 1-y post-lung transplantation. BLTx recipients better retain their health-related quality of life long-term posttransplantation than those receiving SLTx.

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Section: Resultsmentioning

confidence: 86%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Study Characteristics and Risk Of Bias Within Studiesmentioning

confidence: 99%

Section: Study Characteristics and Risk Of Bias Within Studiesmentioning

confidence: 99%

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Health-related Quality of Life Outcomes Following Single or Bilateral Lung Transplantation: A Systematic Review

2022

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Expectations of patients awaiting lung transplantation: A qualitative study

et al. 2023

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Aim The main aim of the present study is to examine the expectations and feelings of people awaiting lung transplantation. Background The assessment of the benefits of lung transplant should consider, among other things, the subjective perceptions of patients about the procedure, especially in relation to the context and to their values, goals and expectations. This is an issue that has not been studied in depth, especially in Spain. Design Exploratory qualitative study. Methods Data were collected through semi‐structured interviews during the period of being on the waiting list for transplantation. Thematic analysis of the data was supported by the Atlas.ti software. Results The study population comprised 16 patients awaiting lung transplant, a number sufficient to reach data saturation. Four categories were identified to describe patients' feelings and expectations: (1) reasons for undergoing the transplant, (2) expectations about life post‐transplant, (3) emotional state, and (4) relationship with the healthcare team. Conclusions Patients have high expectations of lung transplantation. They see it as offering them a second chance at life, although the future creates uncertainty. The healthcare professionals are identified as key actors, providing essential support and information throughout the various stages of the process. Future research should explore recipients' experiences of lung transplant at later stages. Relevance to clinical practice It is important to adapt care through all the lung transplant process, which is accompanied by intense and complex emotions since the beginning. Thus, providing social and psychological support from the beginning may contribute to their health status, helping them deal with all the emotions and feelings experienced, and find balance between expectations and reality. Patient or public contribution Sixteen patients awaiting lung transplant were interviewed. Interview transcripts were returned to participants to check for accuracy with their experiences.

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Patient-Centredness and Patient-Reported Measures (PRMs) in Palliation of Lung Disease

Russell¹,

Saketkoo²

2021

Respiratory Medicine

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Assessment of Quality of Life Among Patients After Lung Transplantation: A Single-Center Study

Cited by 12 publications

References 20 publications

Health-related Quality of Life Outcomes Following Single or Bilateral Lung Transplantation: A Systematic Review

Health-related Quality of Life Outcomes Following Single or Bilateral Lung Transplantation: A Systematic Review

Expectations of patients awaiting lung transplantation: A qualitative study

Patient-Centredness and Patient-Reported Measures (PRMs) in Palliation of Lung Disease

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