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Effect of kidney transplantation on quality of life measures

  • A. Pietrabissa
  • A. Ciaramella
  • A. Carmellini
  • G. Massimetti
  • P. C. Giulianotti
  • M. Ferrari
  • I. Corradi
  • F. Mosca
Conference paper

Abstract

Assessing the quality of lif e should be an essential part of the long-term results of surgery, particularly for those procedures that may influence a patient’s lifestyle and body image. Eliminating the need for dependence on chronichemodialysis, kidneytransplantationimprovesthe patient’s autonomy but exposes them to the side-effects of immunosuppression and the constant threat of rejection. The purpose of this study was to compare the quality of life of patients on the waiting list for a kidney transplantation to that of those already transplanted at our Center to quantify carefully the impact of this therapy on the patient’s physical, emotional, and social well-being. Computer analysis of the data collected from self-administered questionnaires revealed that the vast maj ority of successfully transplanted patients experience a significant improvement in almost all the areas investigated compared with the pretransplant group. In addition, we tried to use the questionnaire to predict which type of patient will adjust more fully to the impact of a kidney transplantation and which will probably need posttransplant psychological care and social support. Aside from clinical factors such as the time spent on hemodialysis before transplantation, the gender, the age, as well as the source of the organ (living vs. cadaver donor) seem to play a role in the final outcome of a successful kidney transplantation.

Key words

Quality of life Kidney transplantation Health status measurement 

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References

  1. 1.
    Evans RW, Manninen DL, Garrison JP Jr (1985) The quality of life of patients with end-stage renal disease. N Engl J Med 312:553PubMedCrossRefGoogle Scholar
  2. 2.
    Johnson RG, McCauley CR, Copley JB (1982) The quality of life of hemodialysis and transplant patients. Kidney Int 22:286PubMedCrossRefGoogle Scholar
  3. 3.
    Jones BM, Taylor FJ, Wright OM (1990) Quality of life after heart transplantation in patients assigned to double- or triple-drug therapy. J Heart Transplant 9:392–396PubMedGoogle Scholar
  4. 4.
    Katz S (1987) The science of quality of life. J Chron Dis 40: 459–463PubMedCrossRefGoogle Scholar
  5. 5.
    O’Young J, McPeek B (1987) Quality of life variables in surgical trials. J Chronic Dis 40:513–522PubMedCrossRefGoogle Scholar
  6. 6.
    Simmons RG, Anderson CR (1982) Related donors and recipients five to nine years posttransplant. Transplant Proc 13: 40Google Scholar
  7. 7.
    Simmons RG, Anderson C, Kamstra L (1984) Comparison of quality of life of patients on continous ambulatory peritoneal dialysis, hemodialysis, and after transplantation. Am J Kidney Dis 4:253PubMedGoogle Scholar
  8. 8.
    Simmons RG, Klein SD, Simmons RL (1987) Gift of life: the effect of organ transplantation on individual, family, and societal dynamics. Transaction, New BrunswickGoogle Scholar
  9. 9.
    Simmons RG, Abress L, Anderson CR (1988) Quality of life after kidney transplantation. Transplantation 45:415–421PubMedCrossRefGoogle Scholar
  10. 10.
    Troidl H, Kusche J, Vestweber KH (1987) Quality of life: an important endpoint both in surgical practice and research. J Chronic Dis 40:523–528PubMedCrossRefGoogle Scholar
  11. 11.
    Ware JE Jr (1987) Standards for validating health measures: definition and content. J Chronic Dis 40:473–480PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1992

Authors and Affiliations

  • A. Pietrabissa
    • 1
  • A. Ciaramella
    • 2
  • A. Carmellini
    • 1
  • G. Massimetti
    • 2
  • P. C. Giulianotti
    • 1
  • M. Ferrari
    • 2
  • I. Corradi
    • 2
  • F. Mosca
    • 1
  1. 1.Istituto di Chirurgia Generale e SperimentaleUniversita’ di PisaItaly
  2. 2.Istituto di Clinica PsichiatricaUniversita’ di PisaItaly

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