Factors associated with Health-Related Quality of Life in Kidney Transplant Recipients in France

被引:34
|
作者
Mouelhi, Yosra [1 ]
Jouve, Elisabeth [2 ]
Alessandrini, Marine [1 ]
Pedinielli, Nathalie [2 ]
Moal, Valerie [3 ]
Meurette, Aurelie [4 ]
Cassuto, Elisabeth [5 ]
Mourad, Georges [6 ]
Durrbach, Antoine [7 ]
Dussol, Bertrand [3 ]
Gentile, Stephanie [1 ,2 ]
机构
[1] Univ Aix Marseille, Fac Med, Lab Sante Publ, F-3279 Marseille, EA, France
[2] CHU Marseille, Serv Sante Publ & Informat Med, Marseille, France
[3] CHU Marseille, Ctr Nephrol & Transplantat Renale, Marseille, France
[4] CHU Nantes, Transplantat Urol & Nephrol Inst ITUN, Nantes, France
[5] Hosp Pasteur, Nice, France
[6] CHU Montpellier, Dept Nephrol Dialyse & Transplantat, Montpellier, France
[7] CHU Bicetre, Serv Nephrol, Paris, France
来源
BMC NEPHROLOGY | 2018年 / 19卷
关键词
Cross sectional; Health-related quality of life; Kidney Transplant Recipients; ReTransQol; SF-36; RENAL-TRANSPLANTATION; DIALYSIS; OUTCOMES; HEMODIALYSIS; POPULATION; VALIDATION; MORTALITY; FAILURE; DISEASE; AREA;
D O I
10.1186/s12882-018-0893-6
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Background: Health-Related Quality of Life (HRQoL) assessment after kidney transplantation has become an important tool in evaluating outcomes. This study aims to identify the associated factors with HRQoL among a representative sample size of Kidney Transplant Recipients (KTR) at the time of their inclusion in the study. Methods: Data of this cross-sectional design is retrieved from a longitudinal study conducted in five French kidney transplant centers in 2011, and included KTR aged 18 years with a functioning graft for at least 1 year. Measures include demographic, psycho-social and clinical characteristics. To evaluate HRQoL, the Short Form-36 Health Survey (SF-36) and a HRQoL instrument for KTR (ReTransQol) were administered. Multivariate linear regression models were performed. Results: A total of 1424 patients were included, with 61.4% males, and a mean age of 55.7 years (+/- 13.1). Demographic and clinical characteristics were associated with low HRQoL scores for both questionnaires. New variables were found in our study: perceived poor social support and being treated by antidepressants were associated with low scores of Quality of Life (QoL), while internet access was associated with high QoL scores. Conclusion: The originality of our study's findings was that psycho-social variables, particularly KTR treated by antidepressants and having felt unmet needs for any social support, have a negative effect on their QoL. It may be useful to organize a psychological support specifically adapted for patients after kidney transplantation.
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页数:12
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