Calidad de vida relacionada con la salud en el trasplante renal: seguimiento longitudinal a 2 años

Costa-Requena, Gema; Cantarell, M. Carmen; Moreso, Francesc; Parramón, Gemma; Serón, Daniel

doi:10.1016/j.medcli.2017.02.032

Cited by 14 publications

(6 citation statements)

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“…Psychiatric and psychological support is often necessary to favor the process of adaptation to transplant in the long term, since aspects of psychopathology have been analyzed by different authors in the post-transplantation, with results of lower levels of adherence (59,61,63,65).…”

Section: Discussionmentioning

confidence: 99%

Psychological and Psychopathological Aspects of Kidney Transplantation: A Systematic Review

et al. 2020

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Kidney transplantation is a serious event that involves profound psychological, relational and social changes both for the patient and his family context. Assessment of personality profile, awareness of disease, family and social support of the patient candidate for kidney transplantation are necessary because factors not adequately considered, can influence the success of the transplant and alter the psychological stability of the patient. The present study aims to provide a systematic review of the literature of the last twelve years (2006-2018), focusing in particular on patient's readiness level and illness management and on possible psychopathology. Sixty-two studies were examined. Based on the Downs and Black checklist, most studies (n = 32) were of high quality; 15 of which related to lifestyle, health education, and therapeutic adherence in post-renal transplantation, 17 studies concerned the possible existence of psychopathology and cognitive impairment of renal deceased transplanted subjects. The literature used has shown that the population of kidney transplant patients is exposed to a high risk of psychiatric disorders with repercussions on the quality of life and the risk of rejection. Therefore, an adequate pre-transplant psychosocial assessment is necessary, which allows a more indepth knowledge of the candidate to plan coping strategies and possible posttransplant psychotherapy.

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Section: Discussionmentioning

confidence: 99%

Psychological and Psychopathological Aspects of Kidney Transplantation: A Systematic Review

et al. 2020

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“…14 15 Longitudinal studies, which can include and control for baseline measures of outcomes before participants receive a transplant, suggest that improvements in health status can be seen in the first few months post-transplant for both DD and LD, but that these improvements remain stable after this time. [16][17][18][19] However, these studies lack any group with which to compare transplant recipients, such as those still awaiting transplantation, and not all include data pre-transplant. Those who are transplanted are more likely to be in better health than those patients still waitlisted for a transplant, so it is important to control for baseline differences between participants who receive a transplant and those who do not.…”

Section: Introductionmentioning

confidence: 99%

Changes in quality of life (QoL) and other patient-reported outcome measures (PROMs) in living-donor and deceased-donor kidney transplant recipients and those awaiting transplantation in the UK ATTOM programme: a longitudinal cohort questionnaire survey with additional qualitative interviews

et al. 2021

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ObjectiveTo examine quality of life (QoL) and other patient-reported outcome measures (PROMs) in kidney transplant recipients and those awaiting transplantation.DesignLongitudinal cohort questionnaire surveys and qualitative semi-structured interviews using thematic analysis with a pragmatic approach.SettingCompletion of generic and disease-specific PROMs at two time points, and telephone interviews with participants UK-wide.Participants101 incident deceased-donor (DD) and 94 incident living-donor (LD) kidney transplant recipients, together with 165 patients on the waiting list (WL) from 18 UK centres recruited to the Access to Transplantation and Transplant Outcome Measures (ATTOM) programme completed PROMs at recruitment (November 2011 to March 2013) and 1 year follow-up. Forty-one of the 165 patients on the WL received a DD transplant and 26 received a LD transplant during the study period, completing PROMs initially as patients on the WL, and again 1 year post-transplant. A subsample of 10 LD and 10 DD recipients participated in qualitative semi-structured interviews.ResultsLD recipients were younger, had more educational qualifications and more often received a transplant before dialysis. Controlling for these and other factors, cross-sectional analyses at 12 months post-transplant suggested better QoL, renal-dependent QoL and treatment satisfaction for LD than DD recipients. Patients on the WL reported worse outcomes compared with both transplant groups. However, longitudinal analyses (controlling for pre-transplant differences) showed that LD and DD recipients reported similarly improved health status and renal-dependent QoL (p<0.01) pre-transplant to post-transplant. Patients on the WL had worsened health status but no change in QoL. Qualitative analyses revealed transplant recipients’ expectations influenced their recovery and satisfaction with transplant.ConclusionsWhile cross-sectional analyses suggested LD kidney transplantation leads to better QoL and treatment satisfaction, longitudinal assessment showed similar QoL improvements in PROMs for both transplant groups, with better outcomes than for those still wait-listed. Regardless of transplant type, clinicians need to be aware that managing expectations is important for facilitating patients’ adjustment post-transplant.

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“…A nivel general, el trasplante renal se presenta como una opción de TRS que permite una buena CVRS. En nuestro estudio podemos observar que, en el ítem específico referido a la salud general, un 54,8% de los participantes indicaron, "no tengo mala salud general", acorde a los datos de otros estudios que reflejaron una mejora importante tras el trasplante 21 .…”

Section: Discussionunclassified

Análisis de la calidad de vida y adherencia terapéutica en pacientes tras trasplante renal en el Hospital Universitario Virgen del Rocío: un estudio descriptivo

Álvarez-Ruiz

2024

Enferm Nefrol

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Introducción: El trasplante de riñón supone la opción de elección como tratamiento en la insuficiencia renal terminal por su relación con la supervivencia del paciente y la calidad de vida relacionada con la salud, siendo necesario posteriormente un tratamiento inmunosupresor para de esta forma lograr la supervivencia del injerto. En este estudio se han evaluado la calidad de vida relacionada con la salud, así como la adherencia a la terapia inmunosupresora.Método: Estudio descriptivo de corte transversal realizado en el Hospital Universitario Virgen del Rocío), empleando el cuestionario de calidad de vida ESRD-SCL y el cuestionario sobre adherencia SMAQ, a pacientes trasplantados de más de tres meses de evolución.Resultados: Participaron cuarenta y dos pacientes con una edad media de 51,19±13,89 años. Los resultados obtenidos por ítems muestran una buena calidad de vida. Al comparar la calidad de vida según tiempo de trasplante se encuentran diferencias significativas en la dimensión capacidad cognitiva; y por sexos en mujeres en la dimensión capacidad física. En cuanto a la adherencia terapéutica se ha realizado una descripción de la adherencia terapéutica a la medicación inmunosupresora.Conclusiones: Los resultados obtenidos muestran una peor calidad de vida en aquellos pacientes con más de 60 meses de evolución postrasplante. Respecto a la adherencia se debe tener en cuenta el carácter multifactorial en futuras investigaciones y explorar nuevos métodos de medición.

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Calidad de vida relacionada con la salud en el trasplante renal: seguimiento longitudinal a 2 años

Cited by 14 publications

References 9 publications

Psychological and Psychopathological Aspects of Kidney Transplantation: A Systematic Review

Psychological and Psychopathological Aspects of Kidney Transplantation: A Systematic Review

Changes in quality of life (QoL) and other patient-reported outcome measures (PROMs) in living-donor and deceased-donor kidney transplant recipients and those awaiting transplantation in the UK ATTOM programme: a longitudinal cohort questionnaire survey with additional qualitative interviews

Análisis de la calidad de vida y adherencia terapéutica en pacientes tras trasplante renal en el Hospital Universitario Virgen del Rocío: un estudio descriptivo

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