scholarly journals The latest trends in clinical transplantation on the results of the World Congress of Transplantation (26-31.07.2014, San Francisco, USA)

2014 ◽  
Vol 2 (2) ◽  
pp. 165
Author(s):  
V. Denisov ◽  
V. Zakharov
Keyword(s):  
Quality Of Life ◽  
Liver Transplantation ◽  
San Francisco ◽  
Pancreas Transplantation ◽  
Transplant Recipients ◽  
World Congress ◽  
African Countries ◽  
The World ◽  
Clinical Transplantation

The World Congress of Transplantation was held on 26.07-31.07.2014 in San Francisco (USA). There were presented 3090 reports, among them 2073 (70 %) were in clinical transplantation, including renal transplantation – 1,089 reports, liver transplantation – 495, heart transplantation – 71, lungs transplantation – 35, and pancreas transplantation – 11. An overall increase in transplant activity was observed, especially significant in a number of African countries (Tunisia, Sudan, and Nigeria), Thailand, Qatar, Iran, Brazil and a significant improvement in the results of transplantation, promoting longevity of transplant recipients with good quality of life. As one of many examples can be childbirth in women with a heart transplanted in early childhood.

scholarly journals Liver Transplantation and Quality of Life

2000 ◽  
Vol 14 (8) ◽  
pp. 693-699 ◽  
Author(s):  
J Rodés ◽  
M Navasa
Keyword(s):  
Quality Of Life ◽  
Liver Transplantation ◽  
Survival Rate ◽  
Late Complications ◽  
Liver Transplants ◽  
Physical Conditions ◽  
The World ◽  
Liver Transplantations ◽  
Validated Instrument

To date, more than 50,000 liver transplantations have been performed around the world; the survival rate five years after transplantation ranges from 60% to 65%. One of the fundamental objectives for liver transplantation teams is to achieve the best possible quality of life (QOL) for the patients. A concise analysis of the methodology used (15 questionnaires) to measure QOL of patients with liver transplants is described. The authors suggest that now is the time to establish a database so that a validated instrument will be available to compare QOL results from all the liver transplantation programs. Liver transplantation is believed to improve QOL, although there are several problems with some of the papers published on this subject. Some studies are retrospective, whereas in others, patients in bad physical conditions are excluded from the study; in quite a few prospective studies, deaths are not included in the data analysis. Finally, the authors provide a brief, concise analysis of late complications and of recurrence of the disease after liver transplantation, which influence QOL.

scholarly journals Post-traumatic growth and its relationship to quality of life up to 9 years after liver transplantation: a cross-sectional study in Spain

BMJ Open ◽  
2017 ◽  
Vol 7 (9) ◽  
pp. e017455 ◽  
Author(s):  
María Ángeles Pérez-San-Gregorio ◽  
Agustín Martín-Rodríguez ◽  
Mercedes Borda-Mas ◽  
María Luisa Avargues-Navarro ◽  
José Pérez-Bernal ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Liver Transplantation ◽  
General Population ◽  
Liver Transplant ◽  
Transplant Recipients ◽  
Cross Sectional ◽  
Post Traumatic Growth ◽  
Post Traumatic ◽  
Liver Transplant Recipients

ObjectiveLittle is known concerning post-traumatic growth (PTG) after liver transplantation. Against this backdrop the current study analysed the relationship between PTG and time since transplantation on quality of life. Furthermore, it compared PTG between liver transplant recipients and their caregivers.DesignCross-sectional case–control study.SettingUniversity Hospital in Spain.Participants240 adult liver transplant recipients who had undergone only one transplantation, with no severe mental disease, were the participants of the study. Specific additional analyses were conducted on the subset of 216 participants for whom caregiver data were available. Moreover, results were compared with a previously recruited general population sample.Outcome measuresAll participants completed the Posttraumatic Growth Inventory, and recipients also filled in the 12-Item Short-Form Health Survey. Relevant sociodemographic and clinical parameters were also assessed.ResultsIn the sample of 240 recipients, longer time since transplantation (>9 years) was associated with more pain symptoms (p=0.026). Regardless of duration, recipients showed lower scores on most quality of life dimensions than the general population. However, high PTG was associated with a significantly higher score on the vitality quality of life dimension (p=0.021). In recipients with high PTG, specific quality of life dimensions, such as bodily pain (p=0.307), vitality (p=0.890) and mental health (p=0.353), even equalled scores in the general population, whereas scores on general health surpassed them (p=0.006). Furthermore, liver transplant recipients (n=216) compared with their caregivers showed higher total PTG (p<0.001) and higher scores on the subscales relating to others (p<0.001), new possibilities (p<0.001) and appreciation of life (p<0.001).ConclusionsOur findings highlight the protective role of PTG in the long-term outcome of liver transplant recipients. Future studies should analyse and develop psychosocial interventions to strengthen PTG in transplant recipients and their caregivers.

scholarly journals Quality of Life in Liver Transplant Recipients: A Retrospective Study

2020 ◽  
Vol 17 (11) ◽  
pp. 3809
Author(s):  
Rosario Girgenti ◽  
Alessandro Tropea ◽  
Maria Antonina Buttafarro ◽  
Rosalia Ragusa ◽  
Martina Ammirata
Keyword(s):  
Quality Of Life ◽  
Liver Transplantation ◽  
Liver Transplant ◽  
Deceased Donor ◽  
Transplant Recipients ◽  
Therapeutic Adherence ◽  
The Individual ◽  
End Stage ◽  
Liver Transplant Recipients

Background: This study aims to investigate the quality of life and the therapeutic compliance of the patients who received a liver transplant, from a living or deceased donor, at IRCCS ISMETT in the last three years. Liver transplantation is an effective therapeutic strategy for patients with end-stage liver failure. The quality of life (QOL) of liver disease patients is placed under considerable stress due to the debilitating clinical conditions and related issues experienced in everyday life by these individuals. The concept of QOL is being increasingly used to define the individual perception of health, including physical, mental, and social wellbeing. The success of a liver transplant should therefore be intended not only in terms of survival, but also of recovery of a satisfying quality of life. For this reason, our liver transplant recipients are closely monitored and supported from a psychological standpoint. This is done to monitor their ability to adapt to and comply with their clinical condition and to verify their gradual resumption of their path of life Methods: We retrospectively analyzed data collected by the IRCCS ISMETT Clinical Psychology Service during routine psychological follow-up of liver transplant recipients. Data refer to 82 patients who received a liver transplant between January 2017 and September 2019 and describe their QOL and therapeutic adherence. The obtained results were compared with the main studies on this issue available in literature. Results: Ninety-four percent of liver transplant recipients reported high mean scores of quality of life and therapeutic adherence 28% of patients reported at least one persistent annoying symptom after transplantation, although in some cases this did not affect the overall QOL. The results also refer to patients with a pre-transplant diagnosis of alcohol-related cirrhosis, who confirm their complete abstinence from alcohol. Conclusions: Our results confirm the efficacy of the liver transplantation to achieve of a good QOL. Furthermore, these patients seem to maintain high therapeutic adherence, thus ensuring a good outcome of the care received during the transplantation process.

scholarly journals Posttraumatic Stress Disorder, Quality of Life, and the Subjective Experience in Liver Transplant Recipients

2017 ◽  
Vol 28 (1) ◽  
pp. 70-76 ◽  
Author(s):  
Georgios Paslakis ◽  
Mingo Beckmann ◽  
Susanne Beckebaum ◽  
Christian Klein ◽  
Jan Gräf ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Liver Transplantation ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Transplant Recipients ◽  
Stress Symptoms ◽  
Related Quality ◽  
Health Related ◽  
Liver Transplant Recipients

Objective: A high prevalence of posttraumatic stress disorder (PTSD) symptoms among transplant recipients has been associated with a low adherence to treatment and poor survival. It is crucial to detect and prevent the development of posttraumatic stress in transplant settings. Methods: We examined the prevalence of posttraumatic stress symptoms in 3 liver transplant recipients by means of the Essen Trauma Inventory (ETI), a self-report questionnaire. The Short Form-36 was used to assess the perceived health-related quality of life. Patients were asked to indicate the most traumatic events within the context of the liver transplantation procedure. Results: Five patients (4.9%) fulfilled the criteria for PTSD related to liver disease or transplantation (ETI score greater than 27). In these patients, diagnosis was confirmed by a structured clinical interview. Fourteen (13.6%) patients had a partial PTSD with the ETI score less than 27 and greater than 16. Posttraumatic stress symptoms were significantly associated with perceived poor physical and mental health-related quality of life. Patients reported that the physicians’ disclosure of diagnosis was experienced as traumatic, followed by treatment in an intensive care unit and the liver transplantation itself. Conclusions: The ETI resulted in prevalence rates for PTSD comparable to previous studies in liver transplantation settings. Medical professionals requested additional training in how to deliver severe diagnoses to patients.

scholarly journals Patients’ Experiences of Life Challenges After Liver Transplantation: A Qualitative Study

2021 ◽  
Vol 8 ◽  
pp. 237437352199695
Author(s):  
Mohammad Taher ◽  
Mohssen Nassiri Toossi ◽  
Ali Jafarian ◽  
Arezoo Rasti ◽  
Nahid Dehghan Nayeri
Keyword(s):  
Quality Of Life ◽  
Liver Transplantation ◽  
Content Analysis ◽  
Qualitative Study ◽  
Analysis Approach ◽  
Transplant Recipients ◽  
Life Challenges ◽  
Collection Data ◽  
Comprehensive Plans

Patients experience a new life with different challenges after liver transplantation (LT). Identifying these challenges can facilitate the improvement of their quality of life. This study aimed to explore patients’ experiences of post-LT life challenges. This qualitative study was performed in 2019 through the content analysis approach. Participants were liver transplant recipients purposively recruited from a LT clinic. Semistructured interviews were conducted for data collection. Data were analyzed through Graneheim and Lundman’s conventional content analysis approach. Meaning units were identified and coded, and the codes were grouped into subcategories and categories according to their similarities. In total, 18 transplant recipients were interviewed. Their age mean was 51 years and their transplant age ranged from 4 months to 12 years. Their post-LT life challenges were categorized into 4 main categories, that is, self-care deficit, the need for seeking information, fears and concerns, and hope–despair duality. Nurses and members of LT team are recommended to assess transplant recipients’ life challenges and develop comprehensive plans for managing their challenges and problems and improving their quality of life.

An Exploratory Investigation of Quality of Life in Adult Liver Transplant Recipients

2005 ◽  
Vol 15 (4) ◽  
pp. 392-396
Author(s):  
Kathy B. Bean
Keyword(s):  
Quality Of Life ◽  
Liver Transplantation ◽  
Liver Transplant ◽  
Transplant Recipients ◽  
Policy Makers ◽  
Survey Tool ◽  
Face To Face ◽  
Exploratory Investigation ◽  
Liver Transplant Recipients

Quality of life is an important outcome indicator of experiences associated with liver transplantation. Unfortunately, quality of life has been defined in many different ways, causing confusion and misconceptions among practitioners, researchers, policy makers, and patients. This exploratory qualitative study was initiated to gain greater understanding regarding the adult transplant recipients' experiences with liver transplantation in order to direct future studies with this population and to assist in selection of a relevant quality of life survey tool for quantitative investigation. Twelve informants (7 women, 5 men) shared their experiences in face-to-face interviews conducted by the researcher. Analysis of these interviews reveals the importance of physiologic, psychological, social, spiritual, family, and socioeconomic aspects of quality of life for liver transplant recipients.

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