Health-related quality of life evolution in patients after heart transplantation.

We analyzed the evolution of the health-related quality of life during the first year after heart transplantation (HT). A prospective, longitudinal study was performed in 13 heart transplant recipients who were assessed at four different stages: at inclusion on the HT waiting list and at 3, 6, and 12 months after receiving the graft. The instruments used were a structured interview and the 36-item Short-Form Health Survey. The results showed that, compared with pre-HT, there was progressive improvement in physical, psychologic, and social areas post-HT and that health-related quality of life was stable 6 months after receipt of the graft.

[Health related quality of life evolution in kidney transplanted patients]. / Evolución de la calidad de vida relacionada con la salud en los trasplantados renales.

OBJECTIVE: We analyzed the evolution in the Health Related Quality of Life (HRQOL) during the first year following renal transplant. METHODS: Prospective and longitudinal study carried out with 28 patients who received a primary cadaveric renal transplant. The tests applied were a structured interview and SF-36, Euroqol- 5D (EQ-5D) Health Questionnaires and End-Stage Renal Disease Symptom Checklist- Transplantation Module (ESRD-SCL). RESULTS: With the course of time, the renal patients improve in four areas: physical (<> and <>), psychological (<> and <>), execution of daily tasks (<> and <>) and subjective perception of own state of health (<>). CONCLUSIONS: The HRQOL in renal transplant patients improves with the course of time.

Evolución de la calidad de vida relacionada con la salud en los trasplantados renales / Health related quality of life evolution in kidney transplanted patients

Objetivo: Hemos analizado la evolución de la Calidad de Vida Relacionada con la Salud (CVRS) en el primer año del trasplante renal.Métodos: Estudio prospectivo y longitudinal realizado con 28 pacientes que recibieron un primer trasplante renal de cadáver. Fueron evaluados en cuatro fases diferentes: en el momento de su inclusión en lista de espera para trasplante y a los tres, seis y doce meses de haber recibido el injerto. Empleamos una entrevista estructurada y los siguientes instrumentos: Cuestionario de Salud SF-36, Cuestionario de Salud Euroqol-5D (EQ-5D) y End-Stage Renal Disease Symptom Checklist-Transplantation Module (ESRD-SCL). Resultados: A medida que transcurre el tiempo, los trasplantados renales mejoran en cuatro áreas: física («funcionamiento físico» y «disfunción cardíaca y renal»), psicológica («vitalidad» y «salud mental»), realización de las tareas cotidianas («limitaciones en el rol por problemas físicos » y «actividades cotidianas») y percepción subjetiva de su estado de salud («salud actual»). Conclusiones: La CVRS en los trasplantados renales mejora a largo plazo

Objective: We analyzed the evolution in the Health Related Quality of Life (HRQOL) during the first year following renal transplant. Methods: Prospective and longitudinal study carried out with 28 patients who received a primary cadaveric renal transplant. The tests applied were a structured interview and SF-36, Euroqol- 5D (EQ-5D) Health Questionnaires and End-Stage Renal Disease Symptom Checklist- Transplantation Module (ESRD-SCL). Results: With the course of time, the renal patients improve in four areas: physical («physical functioning» and «cardiac and renal malfunction»), psychological («vitality» and «mental health»), execution of daily tasks («limitations in role in order to physical problems» and «daily tasks») and subjective perception of own state of health («current health»). Conclusions: The HRQOL in renal transplant patients improves with the course of time

The influence of posttransplant anxiety on the long-term health of patients.

We analyzed whether a high level of anxiety in posttransplant patients affected their health, namely, symptoms of anxiety and depression and the quality of life, at 1 year after transplantation. We selected 166 transplant patients (47% liver, 42.8% kidney, and 10.2% heart) of mean age 48.91 years (SD = 11.22). The psychological evaluation was performed in two phases: post-intensive care unit (when the transplant patients were admitted to the transplant unit) and posthospitalization (1 year after organ transplantation). The instruments applied were a "Psychosocial Interview," "The Hospital Anxiety and Depression Scale," and "Quality of Life Questionnaire." The results showed that a high level of posttransplant anxiety is harmful in the long term to the health of transplant patients: affected individuals showed symptoms of anxiety and depression as well as reduced functioning in social, emotional, physical, and financial areas.

Quality of life in patients with kidney, liver or heart failure during the waiting list period.

We analyzed the possible differences in the perception of quality of life among three groups of transplantation candidates (kidney, liver, and heart) to determine relevant factors. The sample included 113 patients (43 liver, 44 kidney, and 26 heart transplant candidates) with an average age of 52 years. The tools used were the "SF-36" and "EuroQol - 5D". The results showed significant differences among the kidney, liver, or heart transplant candidates (P < .001). No significant differences were detected between liver and heart transplant candidates. The patients on the waiting list to receive a kidney transplant had a better perception of quality of life.