Health‐related quality of life after combined liver and kidney transplantation in children. (15th February 2017)

• Record Type: Journal Article
• Authors: Schmaeschke, Kaja; Lezius, Susanne; Grabhorn, Enke; Kemper, Markus J.; Brinkert, Florian
• Is Part Of: Pediatric transplantation. Volume 21:Number 4(2017)
• Page Start: n/a
• Page End: n/a
• Publication Date: 2017-02-15
• Subjects: children -- combined liver‐kidney transplantation -- health‐related quality of life -- kidney transplantation -- liver transplantation; Transplantation of organs, tissues, etc. in children -- Periodicals; 617.95408305
• DOI: 10.1111/petr.12902
• Languages: English
• ISSNs: 1397-3142

Abstract

Abstract: While reduced HRQOL following isolated organ transplantation has been previously reported, there are no data in the context of children following CLKT. Twenty‐three children who underwent CLKT at our institution were included in the study. The indication for CLKT was PH1 in 13 patients and ARPKD in 10 patients. Quantification of HRQOL was facilitated through the use of the PedsQL 4.0 Generic Core Scale. The results of the study were compared to healthy children and published data of children who had undergone LTx or KTx. The CLKT samples' child self‐report showed good HRQOL. No statistically significant difference was found between the patients with PH1 and patients with ARPKD ( P =.4). Compared to healthy children, a significant difference in the total scale score, the physical health score, and the school functioning was reported. HRQOL did not differ significantly when compared to patients following isolated LTx or KTx. To improve HRQOL after CLKT, a focus on patients' physical health, educational performances, and overall quality of life is crucial. Thus, coordinated medical care across disciplines and psychological and social support is essential to achieve this goal.