Factors associated with health-related quality of life after successful kidney transplantation: a population-based study

Böhlke, Maristela; Marini, Stela Scaglioni; Rocha, Marcos Fábio Gadelha; Terhorst, Lisoneide; Gomes, Rafael Hissé; Barcellos, Franklin Corrêa; Irigoyen, Maria Cláudia; Sesso, Ricardo

doi:10.1007/s11136-009-9536-5

Cited by 47 publications

(68 citation statements)

References 52 publications

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“…Em transplantados renais, os domínios relacionados aos aspectos físicos parecem ser os mais comprometidos (COSTA;NOGUEIRA, 2014;BOHLKE et al, 2009). Estudo mostrou que o componente físico foi influenciado pela presença de comorbidades tais como hipertensão e diabetes, doenças crônicas bastante prevalentes na nossa amostra (BOHLKE et al, 2009).…”

Section: Discussionunclassified

“…Estudo mostrou que o componente físico foi influenciado pela presença de comorbidades tais como hipertensão e diabetes, doenças crônicas bastante prevalentes na nossa amostra (BOHLKE et al, 2009). Além disso, outro estudo demonstrou que a QVRS em pacientes transplantados renais com mais de 60 anos foi significativamente inferior em alguns aspectos quando comparado com indivíduos saudáveis, podendo ter contribuído para tal resultado o fato de que a percepção subjetiva da QVRS após o transplante pode permanecer igual porque muitas vezes os pacientes convivem com outras doenças crônicas associadas (CORNELLA et al, 2008).…”

Section: Discussionunclassified

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Qualidade De Vida De Pacientes Transplantados Renais Após Longo Período Do Transplante

et al. 2017

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Qualidade De Vida De Pacientes Transplantados Renais Após Longo Período Do Transplante

et al. 2017

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“…(21) Study that assessed health-related QoL issues in 262 renal transplant recipients showed that the physical component was influenced by the presence hypertension and diabetes, factors such as levels of creatinine and hematocrit, that improve after transplantation. (22) The Social elation domain assesses the patient' degree of satisfaction relation to the time spend with family and friends and also the support given by them. This domain showed a sig-nificant increase in the average score after transplantation.…”

Section: Discussionmentioning

confidence: 99%

“…(24) The emotional aspects should be considered as important indicators of health and QoL in chronic kidney diseases patients, since the changes in lifestyle imposed by the disease, treatment and progression of symptoms might limit patients' daily activities and also cause negative effects on their perception of QoL. (22,(24)(25)(26) Other studies found that psychological factors tend to improve after transplantation. (21,25) Although the environment domain has presented the lowest scores compared to other QoL domains, it showed significant difference before and after transplantation indicating improvements in this aspect.…”

Section: Discussionmentioning

confidence: 99%

Mudanças na qualidade de vida após transplante renal e fatores relacionados

et al. 2014

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Objective: To identify changes on quality of life after the effectiveness of kidney transplantation and verify the influence of sociodemographic factors on quality of life. Methods: This is a descriptive study with study with longitudinal design. Data were collected in a private place, using the World Health Organization Quality of Life (WHOQOL-bref) validated and culturally adapted to Brazilian Portuguese by WHOQOL-Group. Results: aged up to 35 years (50.8%), mean age 38.9 years (SD=12.9), married (60.3%), with children (51.8%). The sociodemographic factors did not influence these patients' perception of quality of life. The QoL improved significantly in all domains. The greatest change was observed in the general QoL, Physical Domain and Social Relationship Domain. The domain that showed less variation after transplantation was the Environment Domain. Conclusion: This study examined the impact of the effectiveness of kidney transplantation on quality of life quality of life of chronic disease patients. The results indicated that transplantation had a positive impact and changed the perception of these patients. ResumoObjetivo: Identificar as mudanças na qualidade de vida após a efetivação do transplante renal e verificar a influência dos fatores sociodemográficos na percepção da qualidade de vida. Métodos: Trata-se de estudo descritivo com desenho longitudinal. Os dados foram coletados em local privado utilizando a versão abreviada do instrumento World Health Organization Quality of Life (WHOQOL-bref), adaptado e validado para língua Portuguesa por meio do Grupo WHOQOL. Resultados: Observou-se neste estudo o predomínio de pacientes adultos jovens com idade até 35 anos (50,8%) e idade média de 38,9 anos (DP=12,9). Os fatores sociodemográficos não influenciaram a percepção de qualidade de vida dos pacientes. A qualidade de vida melhorou significativamente em todos os domínios. As maiores mudanças foram observadas na qualidade de vida geral, domínio físico e domínio relações sociais. O domínio que demonstrou a menor variação após o transplante foi o domínio meio ambiente. Conclusão: Este estudo avaliou o impacto da efetivação do transplante renal na qualidade de vida de pacientes com doença renal crônica. Os resultados indicaram que o transplante teve impacto positivo na percepção de

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“…11 Furthermore, patients with higher serum creatinine levels are known to experience poorer physical and psychological outcomes. 12,13 Moreover, the inverse relationship of the adverse effects of immunosuppressive therapy on health-related quality of life of transplant recipients, in both physical and psychological domains, is also welldocumented. 14 Likewise, severe adverse effects of immunosuppressive therapy are known to affect treatment compliance, which in turn adversely affects the patients' physical and psychological well-being.…”

Section: Introductionmentioning

confidence: 99%

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Zhang

Shi²,

Shi³

et al. 2017

Exp Clin Transplant

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Objectives: Our objective was to explore factors influencing health-related quality of life in livingdonor kidney transplant recipients. Materials and Methods: A total of 140 kidney transplant recipients, enrolled between December 2014 and April 2015, were administered questionnaires on medical outcomes, 36-item Short Form Health Survey, medical coping modes, cognitive appraisal of health scale, and adverse effects of medications. Path analysis was employed to verify the hypothesized model. Results: Increased serum creatinine level and high economic burden had direct positive effects on negative appraisal (β = 0.18, P < .05 and β = 0.46, P < .01). Adverse effects of medication had direct positive effects on confrontation; whereas negative appraisal had direct positive effect on acceptance-resignation (β = 0.21, P < .05) and direct negative effect on physical component summary (β = -0.43, P < .001) and mental component summary (β = -0.51, P < .001). In addition, confrontation directly affected mental component summary (β = -0.15, P < .05). The enrolled variables accounted for 25.0% of physical component summary variance and 35.4% of mental component summary variance. Conclusions: In this study, economic burden, serum creatinine levels, and adverse effects of immunosuppressive therapy were the key external factors, whereas patients' cognitive appraisal and coping strategies were the main internal factors affecting patients' health-related quality of life. Medical care providers attending to transplant recipients should be able to identify patients developing negative coping strategies in response to stressors and plan individualized counseling programs for these patients.

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Factors associated with health-related quality of life after successful kidney transplantation: a population-based study

Cited by 47 publications

References 52 publications

Qualidade De Vida De Pacientes Transplantados Renais Após Longo Período Do Transplante

Qualidade De Vida De Pacientes Transplantados Renais Após Longo Período Do Transplante

Mudanças na qualidade de vida após transplante renal e fatores relacionados

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