Transplantation experience as a predictor for quality of life during the first 6 months after lung transplantation

Goetzmann, Lutz; Seiler, Annina; Benden, Christian; Boehler, Annette; Büchi, Stefan; Jenewein, Josef; Ruettner, Barbara; Mueller-Alcazar, Anett

doi:10.1111/ctr.13393

Cited by 15 publications

(8 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In addition, we assessed self-reported health status with the “feeling thermometer”, a visual analogue scale (VAS) with marked intervals from 0 (worst imaginable health state) to 100 (best imaginable health state). The feeling thermometer is part of the EuroQoL quality of life questionnaire (EQ-5D-5L) [ 12 ], a valid and frequently applied health outcome instrument in CF lung disease including lung transplant recipients [ 13 – 15 ].…”

Section: Methodsmentioning

confidence: 99%

COVID-19 pandemic restrictions continuously impact on physical activity in adults with cystic fibrosis

et al. 2021

Self Cite

View full text Add to dashboard Cite

Background We have recently reported reduced physical activity (PA) in people with cystic fibrosis (pwCF) with and without lung transplantation (LTX) during a 6-week stringent lockdown in Switzerland. This follow-up study explores the impact of coronavirus-2019 disease (COVID-19) related pandemic restrictions on individuals’ therapy regimens and health-related aspects in pwCF. Methods We conducted a cross-sectional web-based national survey in Spring 2021. The survey included questions on daily PA, airway clearance and inhalation therapy, questions on COVID-19-compatible symptoms, diagnostic tests and vaccination status, and enquired health-related aspects covering the pandemic period between March 2020 to April 2021. Results 193 individuals with CF (53% female; 25% LTX recipients) participated. Among pwCF, 10 reported COVID-19 (n = 2 LTX recipients), two subjects were hospitalized, no invasive ventilation required, no deaths. The clinical course was generally mild. Overall, 46% reported less PA during the pandemic, mostly due to closed fitness facilities (85%), lack of motivation (34%), and changes in daily structures (21%). In contrast, 32/193 (17%) pwCF were able to increase their PA levels: 12 (38%) and 11 (34%) reported undertaking home-based training and outdoor activities more frequently; 6 (19%) reported an increase in routine PA, and another 3 (9%) started new activities. Among pwCF without LTX, 5% and 4% reported to undertake less airway clearance and inhalation therapy, respectively. Conclusions Our study reveals unfavorable consequences of COVID-19 pandemic restrictions on PA of pwCF with unknown long-term consequences for their overall physical fitness and lung health. Strategies to overcome this undesirable situation are needed; increased uptake of telehealth PA programs and virtual exercise classes to promote PA participation might be one promising approach along with vaccination of pwCF and their close contacts.

show abstract

Section: Methodsmentioning

confidence: 99%

COVID-19 pandemic restrictions continuously impact on physical activity in adults with cystic fibrosis

et al. 2021

Self Cite

View full text Add to dashboard Cite

show abstract

“…In addition, the Study Team implemented a so-called “feeling thermometer”, a visual analogue scale (VAS) with marked intervals from 0 (worst imaginable health state) to 100 (best imaginable health state), part of the EuroQoL quality of life questionnaire (EQ-5D-5L) [12] . The EuroQoL is a valid health outcome instrument in CF [13] , previously applied in various LTX populations including people with CF [ 14 , 15 ].…”

Section: Methodsmentioning

confidence: 99%

Recommended shielding against COVID-19 impacts physical activity levels in adults with cystic fibrosis

Radtke

Haile²,

Dressel³

et al. 2020

Journal of Cystic Fibrosis

Self Cite

View full text Add to dashboard Cite

Highlights Results of a survey of 327 individuals with CF during the SARS-CoV-2 pandemic. The Swiss national study cohort included 25% lung transplant recipients. The impact of SARS-CoV-2 on clinical outcomes was overall mild. Subjects were more distressed by strict lockdown measures impacting their daily lives. The recommended protective measures impacted profoundly on subjects’ physical activity.

show abstract

“…The EuroQol (EQ-5D-5L), a generic, self-administered instrument was used to assess QoL [19]. The EQ-5D-5L is a valid health outcome instrument in CF [20] and has been applied in various LTx populations including CF [21,22]. The instrument comprises five health dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression.…”

Section: Quality Of Lifementioning

confidence: 99%

Perceptions towards physical activity in adult lung transplant recipients with cystic fibrosis

et al. 2020

Self Cite

View full text Add to dashboard Cite

Background Barriers and motives towards physical activity (PA) in lung transplant (LTx) recipients with cystic fibrosis (CF) are largely unknown. We aimed to explore perceptions towards PA in LTx recipients with CF to better understand individuals' needs and preferences. Methods Participants completed an online survey at two Swiss LTx and one follow-up shared care centre between June and December 2018. Results One hundred and eleven individuals completed the survey (87.4% response rate). Overall, survey participants perceive PA as important for their daily life and health. Perceived motives of PA were improving muscle strength, endurance and quality of life (QoL), to feel better, fun, to achieve personal goals and having more energy for everyday life. Fatigue was the most common perceived barrier to PA and associated with poorer QoL (r =-0.43, p<0.001) and health status (r =-0.31, p = 0.001). Participants with lung allograft dysfunction (LAD, n = 20) reported lower habitual PA (p = 0.009) and health status (p = 0.011), and rated shortness of breath, bad weather and concerns regarding lung rejection higher than those without LAD (all p<0.05). When we asked how an optimal training programme should look like, the majority would prefer individual, non-supervised (60%), outdoor (77%), endurance training (90%), once or twice a week (47%) for 40-60 minutes (48%). Only a minority of patients (14%) would be willing to use exercise applications for their home-based training.

show abstract

Transplantation experience as a predictor for quality of life during the first 6 months after lung transplantation

Abstract: Psychological processes early after transplant are of significance for the development of QoL within the 6 months following the surgery. These insights demonstrate that a mixed methodological approach provides a helpful understanding of post-transplant processing.

Cited by 15 publications

References 22 publications

COVID-19 pandemic restrictions continuously impact on physical activity in adults with cystic fibrosis

COVID-19 pandemic restrictions continuously impact on physical activity in adults with cystic fibrosis

Recommended shielding against COVID-19 impacts physical activity levels in adults with cystic fibrosis

Perceptions towards physical activity in adult lung transplant recipients with cystic fibrosis

Contact Info

Product

Resources

About