Factors associated with Health-Related Quality of Life in Kidney Transplant Recipients in France
- PMID: 29703170
- PMCID: PMC5921567
- DOI: 10.1186/s12882-018-0893-6
Factors associated with Health-Related Quality of Life in Kidney Transplant Recipients in France
Abstract
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.
Keywords: Cross sectional; Health-related quality of life; Kidney Transplant Recipients; ReTransQol; SF-36.
Conflict of interest statement
Ethics approval and consent to participate
The study methodology was approved by the local Institutional Review Board (CCTIRS n°12-726) and the “Comité National Informatique et Liberté” (CNIL n°1639707), thus ensuring the confidentiality of all the collected informations. All patients agreeing to participate signed a written informed consent before their inclusion in the study.
Competing interests
The authors declare that they have no competing interests.
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