Societal Reintegration After Liver Transplantation

Cowling, Terianne; Jennings, Linda W.; Goldstein, Robert M.; Sanchez, Edmund Q.; Chinnakotla, Srinath; Klintmalm, Göran B.; Levy, Marlon F.

doi:10.1097/01.sla.0000103064.34233.94

Cited by 48 publications

(6 citation statements)

References 27 publications

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“…These conditions not just impact patient care, but demand skillful and intensive nursing care. Although alcohol and intravenous drug abuse are commonly reported to impact survival after transplantation (Wiesner, Lombardero, Lake, Everhart, & Detre, 1997; Cowling et al, 2004), our findings did not show this impact; however, this study did not consider abstinence time before transplantation.…”

Section: Discussioncontrasting

confidence: 87%

A Holistic Clustering Methodology for Liver Transplantation Survival

et al. 2018

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Section: Discussioncontrasting

confidence: 87%

A Holistic Clustering Methodology for Liver Transplantation Survival

et al. 2018

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“…When they controlled for disparities in education, they found that in the more highly educated population, males continued to have higher QoL scores than females. Among the less educated patients, there were no differences found between male and female QoL scores 26 . Thus, studies with larger patient populations that also match socioeconomic factors such as education, income levels, and marriage are needed before gender influences on QoL post-LT can definitively be determined.…”

Section: Employment and Qol After Ltmentioning

confidence: 72%

“…In contrast, Kober et al 38 reported that men actually had lower QoL scores after LT than female recipients. The largest study to date, conducted by Cowling et al 26 reported that female gender lowers QoL scores post-LT. The authors compared 88 male and 61 female LT recipients and showed that male recipients reported overall higher QoL scores than females 26 .…”

Section: Employment and Qol After Ltmentioning

confidence: 99%

“…The largest study to date, conducted by Cowling et al 26 reported that female gender lowers QoL scores post-LT. The authors compared 88 male and 61 female LT recipients and showed that male recipients reported overall higher QoL scores than females 26 . When they controlled for disparities in education, they found that in the more highly educated population, males continued to have higher QoL scores than females.…”

Section: Employment and Qol After Ltmentioning

confidence: 99%

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Quality of Life after Liver Transplantation

Das

Khan

2019

J. Surg. Sci.

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We have searched articles published in various journals world wide on quality of life (Qol) after liver transplantation through internet; 38 articles were available through our searching process. After reviewing all papers we have found that there is no transplant specific assessment tool for measuring Qol after liver transplantation. General tools are used for assessment of Qol of these patients. PretransplantationQol are severely affected when compared to normal healthy volunteers. Hepatocellular carcinoma and cholestatic etiologies have higher Qol scores than those related to alcohol or viral hepatitis. Post-transplantation Qol scores are not affected by the etiology of the original liver cirrhosis, but transplant recipient scores continue to remain significant!)'. lower than those of healthy patient controls. The Qol scores improve during initial time after liver transplantation, but decreases in the long term. It may be due to decreases in the physical function and bodily pain domains as the patient's age increases, develops osteoporosis from long-term intake of steroids, and chronic rejection process. It is also addressed that Qol is not good in patients with Hepatitis C after liver transplantation. The development of a Qol assessment tool specific to transplantation could help to more accurately assess factors that alter post-transplantation Qol. Journal of Surgical Sciences (2014) Vol. 18 (2) : 67-77

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“…Alcoholic liver disease was estimated to have no effect[33,34], to increase[7] or to decrease[8,35] the probability of resuming work after OLT. In our study the underlying liver disease had no effect on the employment status after OLT.…”

Section: Discussionmentioning

confidence: 99%

Hepatic encephalopathy before and neurological complications after liver transplantation have no impact on the employment status 1 year after transplantation

Pflugrad¹,

Tryc²,

Goldbecker³

et al. 2017

WJH

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AIMTo investigate the impact of hepatic encephalopathy before orthotopic liver transplantation (OLT) and neurological complications after OLT on employment after OLT.METHODSOne hundred and fourteen patients with chronic liver disease aged 18-60 years underwent neurological examination to identify neurological complications, neuropsychological tests comprising the PSE-Syndrome-Test yielding the psychometric hepatic encephalopathy score, the critical flicker frequency and the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS), completed a questionnaire concerning their occupation and filled in the short form 36 (SF-36) to assess health-related quality of life before OLT and 12 mo after OLT, if possible. Sixty-eight (59.6%) patients were recruited before OLT, while on the waiting list for OLT at Hannover Medical School [age: 48.7 ± 10.2 years, 45 (66.2%) male], and 46 (40.4%) patients were included directly after OLT.RESULTSBefore OLT 43.0% of the patients were employed. The patients not employed before OLT were more often non-academics (employed: Academic/non-academic 16 (34.0%)/31 vs not employed 10 (17.6%)/52, P = 0.04), had more frequently a history of hepatic encephalopathy (HE) (yes/no; employed 15 (30.6%)/34 vs not employed 32 (49.2%)/33, P = 0.05) and achieved worse results in psychometric tests (RBANS sum score mean ± SD employed 472.1 ± 44.5 vs not employed 443.1 ± 56.7, P = 0.04) than those employed. Ten patients (18.2%), who were not employed before OLT, resumed work afterwards. The patients employed after OLT were younger [age median (range, min-max) employed 47 (42, 18-60) vs not employed 50 (31, 29-60), P = 0.01], achieved better results in the psychometric tests (RBANS sum score mean ± SD employed 490.7 ± 48.2 vs not employed 461.0 ± 54.5, P = 0.02) and had a higher health-related quality of life (SF 36 sum score mean ± SD employed 627.0 ± 138.1 vs not employed 433.7 ± 160.8; P < 0.001) compared to patients not employed after OLT. Employment before OLT (P < 0.001), age (P < 0.01) and SF-36 sum score 12 mo after OLT (P < 0.01) but not HE before OLT or neurological complications after OLT were independent predictors of the employment status after OLT.CONCLUSIONHE before and neurological complications after OLT have no impact on the employment status 12 mo after OLT. Instead younger age and employment before OLT predict employment one year after OLT.

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Societal Reintegration After Liver Transplantation

Abstract: Alcohol-related and non-alcohol-related OLTX recipients appear to return to society to lead similarly active and productive lives. ALD OLTX recipients appear less likely to be involved in structured social activities and routine volunteer work than non-ALD OLTX recipients.

Cited by 48 publications

References 27 publications

A Holistic Clustering Methodology for Liver Transplantation Survival

A Holistic Clustering Methodology for Liver Transplantation Survival

Quality of Life after Liver Transplantation

Hepatic encephalopathy before and neurological complications after liver transplantation have no impact on the employment status 1 year after transplantation

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