OBJECTIVES: This study aimed to identify prospective predictors of health-related quality of life (HRQOL) for adolescent solid organ (kidney, liver, heart, lung) transplant recipients. METHODS: Data regarding demographics, individual/transplant characteristics, and environmental characteristics were gathered from 66 adolescent transplant recipients and their families at baseline and used to predict the physical functioning, mental health, and general health perceptions domains of HRQOL 18 months later. RESULTS: Baseline levels of HRQOL explained the greatest amount of variance in levels of HRQOL at follow-up; however, specific demographic (i.e., income), individual/transplant (i.e., adherence, frequency of rescheduled clinic appointments, and presence of a rejection episode), and environmental factors (i.e., family conflict) contributed to the variance in HRQOL domains beyond baseline levels. CONCLUSIONS: This study identified certain modifiable individual and environmental factors and non-modifiable risk factors associated with lower future HRQOL. Transplant centers should begin screening and addressing these factors to potentially improve HRQOL.
OBJECTIVES: This study aimed to identify prospective predictors of health-related quality of life (HRQOL) for adolescent solid organ (kidney, liver, heart, lung) transplant recipients. METHODS: Data regarding demographics, individual/transplant characteristics, and environmental characteristics were gathered from 66 adolescent transplant recipients and their families at baseline and used to predict the physical functioning, mental health, and general health perceptions domains of HRQOL 18 months later. RESULTS: Baseline levels of HRQOL explained the greatest amount of variance in levels of HRQOL at follow-up; however, specific demographic (i.e., income), individual/transplant (i.e., adherence, frequency of rescheduled clinic appointments, and presence of a rejection episode), and environmental factors (i.e., family conflict) contributed to the variance in HRQOL domains beyond baseline levels. CONCLUSIONS: This study identified certain modifiable individual and environmental factors and non-modifiable risk factors associated with lower future HRQOL. Transplant centers should begin screening and addressing these factors to potentially improve HRQOL.
Authors: Conrad R Cole; John C Bucuvalas; Richard W Hornung; Susan Krug; Frederick C Ryckman; Harry Atherton; Maria P Alonso; William F Balistreri; Uma Kotagal Journal: Pediatr Transplant Date: 2004-06
Authors: John C Bucuvalas; Maria Britto; Susan Krug; Frederick C Ryckman; Harry Atherton; Maria P Alonso; William F Balistreri; Uma Kotagal Journal: Liver Transpl Date: 2003-01 Impact factor: 5.799
Authors: John P Bentley; Cynthia J Brown; Gerald McGwin; Patricia Sawyer; Richard M Allman; David L Roth Journal: Qual Life Res Date: 2012-11-17 Impact factor: 4.147
Authors: Estella M Alonso; Karen Martz; Deli Wang; Michael S Yi; Katie Neighbors; James W Varni; John C Bucuvalas Journal: Pediatr Transplant Date: 2013-08-01
Authors: Bonney Reed-Knight; Kristin A Loiselle; Katie A Devine; Laura E Simons; Laura L Mee; Ronald L Blount Journal: J Clin Psychol Med Settings Date: 2013-03