Factors influencing change in health‐related quality of life after liver transplantation

Abstract

Health-related quality of life is influenced by the severity and etiology of cirrhosis-patients with Child class C and those with alcoholic or viral cirrhosis have the poorest quality of life. There were no differences observed among the groups after the transplantation, as the patients with the lowest HRQoLs prior to surgery demonstrated greater gains in HRQoL associated with liver transplantation.

Quality of life in liver transplant recipients and the influence of sociodemographic factors

“…A study examining the influence of socioeconomic and demographic factors in the quality of life of liver transplant recipients found that patients with higher educational level had significant scores in the SF-36 Physical Functioning domain (20) . Regarding occupation, most (38.7%) of the patients were professionally active, followed by the retired (35.3%), www.ee.usp.br/reeusp Quality of life in liver transplant recipients and the influence of sociodemographic factors corroborating a study in which employees and housewives corresponded to 37.3% (23) . With advancement of the chronic liver disease and its clinical manifestations, many patients are unable to work and need to quit their jobs either for medical reasons or to undergo the disease treatment in a transplant center outside their city.…”

Relationship Between Pretransplantation Liver Status and Health-Related Quality of Life After Grafting: A Single-Center Prospective Study

“…MELD and CTP classification were not associated with HRQoL either before or after LTx in this study from Catalonia [7]. However, at 6 months after transplantation, patients with CPT class B and C obtained larger gains in HRQoL than patients with CPT A in the studies by Bryan et al [8] and Estraviz et al [9]. However, the patients with the lowest HRQoL scores before surgery showed greater gains in their quality of life associated with LTx [9], and Kugler et al found that liver transplant recipients reported the lowest HRQoL benefit for the majority of the physical and psychosocial SF-36 subscales as compared with kidney, heart, and lung recipients [10].…”

“…However, at 6 months after transplantation, patients with CPT class B and C obtained larger gains in HRQoL than patients with CPT A in the studies by Bryan et al [8] and Estraviz et al [9]. However, the patients with the lowest HRQoL scores before surgery showed greater gains in their quality of life associated with LTx [9], and Kugler et al found that liver transplant recipients reported the lowest HRQoL benefit for the majority of the physical and psychosocial SF-36 subscales as compared with kidney, heart, and lung recipients [10]. An increasing MELD before grafting score was associated with improved physical HRQoL in the first year after LTx, and did not affect mental HRQoL [11].…”

Funcionamiento biopsicosocial entre pacientes cirróticos en distin-tas etapas del proceso de trasplante y su comparación con trasplantados hepáticos.

“…30, nº 1 (enero) dicts negative post-transplant outcomes (Kelly et al, 2006;Zipfel et al, 2002). On the other hand, even in the posttransplant phase, because these patients do not achieve the well-being levels of the general population (Estraviz et al, 2007;Kousoulas et al, 2008) and mental health impairment predicts worse daily functioning -by means of fatigue- (Van Ginneken et al, 2010) and mortality after transplant (Pérez-San-Gregorio, Martín-Rodríguez, Galán-Rodríguez, & Borda-Más, 2009). Likewise, if the psychological complications at the pre-waiting-list-study phase are identified and treated, future disorders will be prevented in next stages such as at the waiting-list and post-transplant phases.…”