Quality of life among liver transplantation patients

Transplant Proc. 2012 Mar;44(2):532-8. doi: 10.1016/j.transproceed.2011.12.056.

Abstract

Background: Orthotopic liver transplantation (OLT) is the treatment of choice for end-stage disease. It offers a chance to return to an active and prolonged life. Recently, more attention is being paid to the health-related quality of life (HRQoL) of patients and their spouses or caregivers after OLT. The aim of this study was to analyze the pre- versus posttransplantation HRQoL of patients and their spouses or caregivers using generic and disease-specific health questionnaires.

Material and methods: The study was performed between October 2010 and January 2011 using the Short Form-36 (SF-36) and the Chronic Liver Disease Questionnaire (CLDQ) to evaluate the HRQoL.

Results: Posttransplantation patients (N=59, mean age 53.39 [range, 23 to 76] years, male 63.2%, female 36.8%) and their spouses and caregivers showed significantly better generic SF-36 HRQoL scores, namely, physical and social functioning, role limitations because of physical or emotional problems, bodily pain, vitality, as well as general and mental health compared with pretransplantation patients (N=57, mean age 54.56 (range, 22 to 69) years, male 71.2%, female 28.8%). Similarly, the posttransplantation group showed significantly improved CLDQ scores in all domains: fatigue, activity, abdominal symptoms, systemic symptoms, emotional function, and worry.

Conclusion: OLT improved HRQoL of end-stage liver patients and their spouses or caregivers.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Activities of Daily Living
  • Adult
  • Aged
  • Caregivers / psychology
  • Female
  • Humans
  • Liver Diseases / physiopathology
  • Liver Diseases / psychology
  • Liver Diseases / surgery*
  • Liver Transplantation* / adverse effects
  • Liver Transplantation* / psychology
  • Male
  • Mental Health
  • Middle Aged
  • Quality of Life*
  • Recovery of Function
  • Spouses / psychology
  • Surveys and Questionnaires
  • Thailand
  • Time Factors
  • Treatment Outcome
  • Young Adult