Level of Life Quality in Heart and Kidney Transplant Recipients: A Multicenter Study

The main objective of the researchers was to determine the level of life quality among heart and kidney transplant recipients depending on the time and type of the transplant. The study was conducted using standardized questionnaires: the 36-Item Short-Form Health Survey, Life Orientation Test–Revis...

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Bibliographic Details
Published in:Transplantation proceedings 2020-09, Vol.52 (7), p.2081-2086
Main Authors: Milaniak, Irena, Rużyczka, Ewa Wilczek, Dębska, Grażyna, Król, Bogumiła, Wierzbicki, Karol, Tomaszek, Lucyna, Przybyłowski, Piotr
Format: Article
Language:English
Subjects:
Adult
Female
Heart Transplantation - psychology
Humans
Kidney Transplantation - psychology
Male
Middle Aged
Quality of Life - psychology
Surveys and Questionnaires
Transplant Recipients - psychology
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Summary:The main objective of the researchers was to determine the level of life quality among heart and kidney transplant recipients depending on the time and type of the transplant. The study was conducted using standardized questionnaires: the 36-Item Short-Form Health Survey, Life Orientation Test–Revised, and Hospital Anxiety and Depression Scale. The study included 146 recipients (109 heart transplant recipients and 37 kidney transplant recipients) from 1 to 26 years after the transplantation surgery (mean 9 years). The mean age of the study group was 52 years. The mean time since organ transplantation was 10 years for heart transplantation and 4.3 years for kidney transplantation. The study group obtained a slightly lower score for quality of life compared to the general population. In the Physical Component Summary (PCS), the study participants obtained the highest mean for the domain bodily pain (47.6), while the lowest score was in the domain role physical (41.82). As for the Mental Component Summary (MCS), the highest mean was obtained for the domain vitality (50.57), whereas the lowest one was for the domain role emotional (43.38). In 33% of the participants, risk of depression was identified. Statistically significant differences were observed depending on the type of the transplanted organ in the PCS for the domains general health, physical functioning, and bodily pain and the MCS for role emotional and social functioning. The statistically significant predictors for the PCS domain were the type of transplanted organ, recipients’ age, and occurrence of anxiety. In turn, the predictor for the MCS was the occurrence of depression. The quality of life (QOL) assessment varies between kidney and heart transplant recipients. The QOL is determined by the recipients’ age and the occurrence of anxiety and depression. The obtained QOL assessment results are slightly lower than those in the general population. •Quality of life (QOL) is gaining importance as an outcome measure, especially because of the intense resource utilization that transplantation demands.•Better therapies have produced longer survival after transplantation, and attention is shifting to the quality of those life years.•The QOL assessment results vary between kidney and heart transplant recipients.•The QOL is determined by the recipients’ age and the occurrence of anxiety and depression.
ISSN:0041-1345
1873-2623
DOI:10.1016/j.transproceed.2020.03.038