Cross-sectional analysis of health-related quality of life in pediatric liver transplant recipients.

  • Alonso E
  • Limbers C
  • Neighbors K
 et al. 
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OBJECTIVE: To investigate the distribution of health-related quality of life in pediatric liver transplant recipients compared with a normative population.

STUDY DESIGN: This cross-sectional, multicenter study was conducted at select centers. Patients between 2 and 18 years of age, surviving liver transplantation by at least 12 months, were eligible. Parent/guardian fluency in English or Spanish was required. Children > or =8 years and parents of all children completed the age-appropriate versions of the PedsQL 4.0 (Mapi Research Institute, Lyon, France). Scores were compared with a sample of healthy children (n = 3911) matched by age group, sex, and race/ethnicity and with a sample of pediatric patients with cancer receiving chemotherapy and/or radiation.

RESULTS: Participants included 65% (873/1339) of eligible patients. Mean age was 8.17 +/- 4.43 years, and 55% were female. The total and subscale scores of PedsQL 4.0 were lower than in healthy children (P < .001), with effect sizes for self-report ranging from -0.25 for Emotional Functioning to -0.68 for School Functioning. Patients and their parents reported better physical functioning than patients with cancer but similar social and school functioning. Correlations between parent and self-reports were in the moderate agreement range.

CONCLUSIONS: Pediatric liver transplant recipients and their parents report lower health-related quality of life than control subjects with some domains equal to children receiving cancer therapy.

Author-supplied keywords

  • Adolescent
  • Case-Control Studies
  • Child
  • Child, Preschool
  • Cross-Sectional Studies
  • Educational Status
  • Female
  • Health Status
  • Humans
  • Liver Transplantation
  • Liver Transplantation: ethnology
  • Liver Transplantation: psychology
  • Liver Transplantation: rehabilitation
  • Male
  • Mental Health
  • Neoplasms
  • Neoplasms: psychology
  • Neoplasms: rehabilitation
  • Quality of Life
  • Social Adjustment
  • Survivors
  • Survivors: psychology
  • United States

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  • Estella M Alonso

  • Christine A Limbers

  • Katie Neighbors

  • Karen Martz

  • John C Bucuvalas

  • Thomas Webb

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