RESEARCH ARTICLE


Quality of Life in Spanish Patients with Liver Transplant



M.A Pérez-San-Gregorio1, A Martín-Rodríguez1, J Pérez-Bernal2, M.D Maldonado3, *
1 Department of Personality, Evaluation and Treatment Psychological, University of Seville, Spain
2 University of Seville, Hospital Virgen del Rocío, Coordinator of Transplants, Spain
3 Department of Medical Biochemistry and Molecular Biology, Immunology Area, University of Seville Medical School, Spain


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© Pérez-San-Gregorio et al.; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the Department Medical Biochemistry and Molecular Biology, University of Seville Medical School, Avda. Sánchez Pizjuán 4, 41009. Seville, Spain; Tel: 34-954-559852; Fax: 34-954-907048; E-mail: aibar@us.es


Abstract

Background:

Liver transplantation is the optimal method of treatment in patients with end-stage liver failure. Transplantation medicine has significantly progressed in the last time, but some psychology and psychosomatic problems still remain unsolved. Health-Related Quality of Life (HRQL) in liver transplant is considered a useful measure of evolutionary process of the illness.

Objective:

The authors analyzed the evolution of HRQL in pre-transplant (waiting-list patients) and post-transplant (first year after liver transplant) periods of liver transplant Spanish patients.

Methods:

A prospective and longitudinal study was carried out among patients who received a liver transplant from a deceased donor. They were assessed in four phases: at the time of inclusion on the transplant waiting-list, and 3, 6, and 12 months after receiving the graft. We used a structured interview and SF-36 and Euroqol-5D (EQ-5D) Health Questionnaires.

Results:

The greater differences were found between pre-transplant and post-transplant stages with less well-being in the stage before the transplant. No significantly differences were observed when comparing the 3, 6 and 12 months from post-transplant stage.

Conclusion:

The HQRL of liver patients improved after the transplant, being appreciated a tendency to the stabilization from three months onwards. We suggest that the psychological intervention, in liver patients, should be conducted in waiting-list patients and in the first 3 months post-transplant, periods with a poor mental health (anxiety, depression, and stress by fear to the unknown thing) and a low adhesion to the treatment that can generate a smaller graft and/or patient survival.

Keywords: Health-related quality of life, Liver transplant, Pre- and post-transplant stages.