Evaluation of Health-Related Quality of Life Post-Liver Transplantation in Paediatrics
DOI:
https://doi.org/10.70749/ijbr.v3i1.553Keywords:
Whoqol-Bref Tool, Health-Related Quality of Life/HRQL, Liver Transplant/LT, CLDAbstract
Objective: For liver failure patients, liver transplantation is the only effective therapy option. With higher postoperative survival rates, more focus is required on patient quality of life as a marker of successful liver transplantation. This research evaluates the quality of life following surgery in juvenile liver transplant patients. Methodology: This study was designed as a prospective cross-sectional survey to assess the quality of life of patients. It was conducted at the Pakistan Kidney and Liver Institute and Research Centre (PKLI&RC) over a period spanning from July 2021 to February 2023. Liver transplant recipients, under 15 years, visited OPD at least 6 months after surgery were considered in the study. Quality of life was measured using WHOQOL-BREF. As per scoring guide the scores were converted to 100 sclae. Results: In this study, 41 liver recipients participated in the study. Out of 30 alive, most of the 24(80%) liver transplant recipients were aged between 1 to 10 years. Among them 22(73.3%) were male. Overall mean quality of life and general health was 92.33±11.65 (range 60 to 100), mean physical health score was 79.05±5.22 (range 68.57 to 88.57), mean psychological health was 86.22±5.08(range 76.67 to 96.67), Social relationships was 97.33±6.91 (range 70 to 100) and environment was 88.33±5.51 (range 80 to 100). Conclusions: Liver transplantation leads to an improvement in quality of life as compared to the pre-transplant state. This study will aid in better defining expectations for patients and their families, as well as directing the clinical course following liver transplantation. Transplant teams may also target early interventions.
Downloads
References
Fazekas, C., Kniepeiss, D., Arold, N., Matzer, F., Wagner-Skacel, J., & Schemmer, P. (2021). Health-related quality of life, workability, and return to work of patients after liver transplantation. Langenbeck's Archives of Surgery, 406(6), 1951-1961. https://doi.org/10.1007/s00423-021-02183-z
Åberg, F. (2020). Quality of life after liver transplantation. Best Practice & Research Clinical Gastroenterology, 46-47, 101684. https://doi.org/10.1016/j.bpg.2020.101684
Yin, S., Njai, R., Barker, L., Siegel, P. Z., & Liao, Y. (2016). Summarizing health-related quality of life (HRQOL): Development and testing of a one-factor model. Population Health Metrics, 14(1). https://doi.org/10.1186/s12963-016-0091-3
Tome, S., Wells, J. T., Said, A., & Lucey, M. R. (2008). Quality of life after liver transplantation. A systematic review. Journal of Hepatology, 48(4), 567-577. https://doi.org/10.1016/j.jhep.2007.12.013
Wells, J., T., Said, A., & Michael, R. (n.d). Spain 2 Section of Gastroenterology and Hepatology. In: A systematic reviewq Santiago Tome1. Santiago, C/Choupana s/n, Santiago de Compostela; Madison, WI, USA.
Viswanath, L., & Nathan, G. G. (2017). Assessment of health related quality of life among liver transplant recipients. International Journal of Nursing Education, 9(1), 52. https://doi.org/10.5958/0974-9357.2017.00010.1
Onghena, L., Develtere, W., Poppe, C., Geerts, A., Troisi, R., Vanlander, A., Berrevoet, F., Rogiers, X., Van Vlierberghe, H., & Verhelst, X. (2016). Quality of life after liver transplantation: State of the art. World Journal of Hepatology, 8(18), 749. https://doi.org/10.4254/wjh.v8.i18.749
Yang, L. S., Shan, L. L., Saxena, A., & Morris, D. L. (2014). Liver transplantation: a systematic review of long-term quality of life. Liver International, 34(9), 1298–1313. https://doi.org/10.1111/liv.12553
Wright, J., Elwell, L., McDonagh, J. E., Kelly, D. A., & Wray, J. (2015). “It’s hard but you’ve just gotta get on with it” – The experiences of growing-up with a liver transplant. Psychology & Health, 30(10), 1129–1145. https://doi.org/10.1080/08870446.2015.1024245
Saab, S., Bownik, H., Ayoub, N., Younossi, Z., Durazo, F., Han, S., Hong, J. C., Farmer, D., & Busuttil, R. W. (2011). Differences in health-related quality of life scores after orthotopic liver transplantation with respect to selected socioeconomic factors. Liver Transplantation, 17(5), 580-590. https://doi.org/10.1002/lt.22268
Nejat, S, Montazeri, A, Naieni, H, Mohammad, K, Majdzadeh, K. (2006). The World Health Organization Quality of Life (WHOQOLBREF) questionnaire: Translation and validation study of the Iranian version. Journal of School of public Health & Institute of Public Health Research, 4, 1–12.
Getsuwan, S., Tanpowpong, P., Lertudomphonwanit, C., Chuthapisith, J., Butsriphum, N., Prabpram, W., Charoenmuang, R., & Treepongkaruna, S. (2021). Health-related quality of life in pediatric liver transplant recipients. Transplantation Proceedings, 53(1), 141-147. https://doi.org/10.1016/j.transproceed.2020.02.175
Patterson, C., So, S., Shipley, K., Shivgulam, M. E., Avitzur, Y., & Ng, V. L. (2023). Physical function in children and adolescents pre‐ and 1‐year post‐liver transplant. Pediatric Transplantation, 27(6). https://doi.org/10.1111/petr.14573
Cussa, D., Pino, A., Catalano, S., Montini, C., Assanti, F., Peruzzi, L., Pinon, M., Calvo, P. L., Spada, M., Patrono, D., Gennari, F., Otte, J., Salizzoni, M., & Romagnoli, R. (2023). Long-term outcomes and health-related quality of life 20 years after pediatric liver transplantation. Updates in Surgery, 75(6), 1549-1557. https://doi.org/10.1007/s13304-023-01608-2
Nåden, D., & Bjørk, I. T. (2023). Individuals living with a liver transplant – a follow-up study exploring mental, emotional and existential issues 10 years after transplantation. International Journal of Qualitative Studies on Health and Well-being, 18(1). https://doi.org/10.1080/17482631.2023.2233279
Kaplan, A., Korenjak, M., & Brown, R. S. (2023). Post-liver transplantation patient experience. Journal of Hepatology, 78(6), 1234-1244. https://doi.org/10.1016/j.jhep.2023.01.008
Kwong, A., Ebel, N., Kim, W., Lake, J., Smith, J., Schladt, D., Skeans, M., Foutz, J., Gauntt, K., Cafarella, M., Snyder, J., Israni, A., & Kasiske, B. (2022). OPTN/SRTR 2020 annual data report: Liver. American Journal of Transplantation, 22, 204-309. https://doi.org/10.1111/ajt.16978
Lang, A., Goff, C., Montgomery, A., Lynn, J., Kamepalli, S., Goss, J., & Rana, A. (2023). Disparate intent-to-Treat outcomes for pediatric liver transplantation based on indication. Canadian Journal of Gastroenterology and Hepatology, 2023, 1-9. https://doi.org/10.1155/2023/2859384
Cussa, D., Pino, A., Catalano, S., Montini, C., Assanti, F., Peruzzi, L., ... & Romagnoli, R. (2023). Long-term outcomes and health-related quality of life 20 years after pediatric liver transplantation. Updates in Surgery, 75(6), 1549-1557. https://doi.org/10.1007/s13304-023-01608-2
Nikeghbalian, S., Malekhosseini, S. A., Kazemi, K., Arasteh, P., Eghlimi, H., Shamsaeefar, A., Nikoupour, H., Gholami, S., Dehghani, M., Dehghani, S. M., Bahador, A., & Salahi, H. (2020). The largest single center report on pediatric liver transplantation. Annals of Surgery, 273(2), e70-e72. https://doi.org/10.1097/sla.0000000000004047
Ahmed, O., Lee, A., Vachharajani, N., Chang, S., Park, Y., Khan, A. S., Chapman, W. C., & Doyle, M. M. (2022). Reviewing patient-reported outcomes 1 year after Orthotopic liver transplantation. Journal of the American College of Surgeons, 235(1), 69-77. https://doi.org/10.1097/xcs.0000000000000244
Hager, A., Mager, D., Robert, C., Nicholas, D., & Gilmour, S. (2021). Health-related quality of life 10 years after liver transplantation: A longitudinal retrospective review. Diagnostics, 11(1), 111. https://doi.org/10.3390/diagnostics11010111
Vimalesvaran, S., Souza, L. N., Deheragoda, M., Samyn, M., Day, J., Verma, A., Vilca-Melendez, H., Rela, M., Heaton, N., & Dhawan, A. (2021). Outcomes of adults who received liver transplant as young children. eClinicalMedicine, 38, 100987. https://doi.org/10.1016/j.eclinm.2021.100987
Ohnemus, D., Neighbors, K., Rychlik, K., Venick, R. S., Bucuvalas, J. C., Sundaram, S. S., Ng, V. L., Andrews, W. S., Turmelle, Y., Mazariegos, G. V., Sorensen, L. G., & Alonso, E. M. (2019). Health‐related quality of life and cognitive functioning in pediatric liver transplant recipients. Liver Transplantation, 26(1), 45-56. https://doi.org/10.1002/lt.25634
Dunn, M. A., Rogal, S. S., Duarte‐Rojo, A., & Lai, J. C. (2020). Physical function, physical activity, and quality of life after liver transplantation. Liver Transplantation, 26(5), 702-708. https://doi.org/10.1002/lt.25742
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Indus Journal of Bioscience Research

This work is licensed under a Creative Commons Attribution 4.0 International License.