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Overview of research on health-related quality of life in patients with chronic liver disease

Overview of research on health-related quality of life in patients with chronic liver disease
Overview of research on health-related quality of life in patients with chronic liver disease
Health-related quality of life (HRQoL) has become an important outcome measure in patients with chronic liver disease (CLD). In this article, an overview is given of the most common measurement instruments of HRQoL, determinants of HRQoL in patients with CLD, and current developments in the implementation of routine measurement of HRQoL in daily clinical practice. Well-developed generic instruments of HRQoL are the Short Form-36 (SF-36), the Nottingham Health Profile (NHP) and the Sickness Impact Profile (SIP). Well-developed liver disease-specific HRQoL instruments are the Hepatitis Quality of Life Questionnaire (HQLQ), the Chronic Liver Disease Questionnaire (CLDQ), the Liver Disease Quality Of Life Questionnaire (LDQOL ), and the Liver Disease Symptom Index 2.0 (LDSI 2.0). Commonly used HRQoL measures in cost-effectiveness studies are the Health Utilities Index (HUI), Short Form-6D (SF-6D) and the EuroQol-5D (EQ-5D). HRQoL of patients with chronic liver disease has been shown to be impaired, with patients with hepatitis C showing the worst HRQoL. Disease severity, pruritus, joint pain, abdominal pain, muscle cramps, fatigue, depression and anxiety have been associated with HRQoL in patients with CLD. Recently, studies assessing the feasibility and effectiveness of measuring HRQoL in daily clinical practice have been performed, generally showing positive results regarding the discussion of HRQoL-related topics, but mixed results regarding the added value of actual improvement in HRQoL. Furthermore, logistic and attitudinal barriers seem to impede successful implementation. Nevertheless, given the importance of HRQoL in liver patients, we should persist in measuring and subsequently improving HRQoL in clinical practice.
0300-2977
227-234
Gutteling, J.J.
5bac28f4-f704-4398-b13c-26c376b0a9e5
de Man, R. A.
3c16b080-acaf-4ead-af03-aa2e57c20985
Busschbach, J. J. V.
fbb7eba4-14fb-44cf-8773-2450439a4e4c
Darlington, A-S. E.
472fcfc9-160b-4344-8113-8dd8760ff962
Gutteling, J.J.
5bac28f4-f704-4398-b13c-26c376b0a9e5
de Man, R. A.
3c16b080-acaf-4ead-af03-aa2e57c20985
Busschbach, J. J. V.
fbb7eba4-14fb-44cf-8773-2450439a4e4c
Darlington, A-S. E.
472fcfc9-160b-4344-8113-8dd8760ff962

Gutteling, J.J., de Man, R. A., Busschbach, J. J. V. and Darlington, A-S. E. (2007) Overview of research on health-related quality of life in patients with chronic liver disease. The Netherlands Journal of Medicine, 65 (7), 227-234. (PMID:17656809)

Record type: Article

Abstract

Health-related quality of life (HRQoL) has become an important outcome measure in patients with chronic liver disease (CLD). In this article, an overview is given of the most common measurement instruments of HRQoL, determinants of HRQoL in patients with CLD, and current developments in the implementation of routine measurement of HRQoL in daily clinical practice. Well-developed generic instruments of HRQoL are the Short Form-36 (SF-36), the Nottingham Health Profile (NHP) and the Sickness Impact Profile (SIP). Well-developed liver disease-specific HRQoL instruments are the Hepatitis Quality of Life Questionnaire (HQLQ), the Chronic Liver Disease Questionnaire (CLDQ), the Liver Disease Quality Of Life Questionnaire (LDQOL ), and the Liver Disease Symptom Index 2.0 (LDSI 2.0). Commonly used HRQoL measures in cost-effectiveness studies are the Health Utilities Index (HUI), Short Form-6D (SF-6D) and the EuroQol-5D (EQ-5D). HRQoL of patients with chronic liver disease has been shown to be impaired, with patients with hepatitis C showing the worst HRQoL. Disease severity, pruritus, joint pain, abdominal pain, muscle cramps, fatigue, depression and anxiety have been associated with HRQoL in patients with CLD. Recently, studies assessing the feasibility and effectiveness of measuring HRQoL in daily clinical practice have been performed, generally showing positive results regarding the discussion of HRQoL-related topics, but mixed results regarding the added value of actual improvement in HRQoL. Furthermore, logistic and attitudinal barriers seem to impede successful implementation. Nevertheless, given the importance of HRQoL in liver patients, we should persist in measuring and subsequently improving HRQoL in clinical practice.

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Published date: 2007
Organisations: Faculty of Health Sciences

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Local EPrints ID: 198681
URI: http://eprints.soton.ac.uk/id/eprint/198681
ISSN: 0300-2977
PURE UUID: 343ed316-d8c9-4194-b4c2-ec25d0a0fd62

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Date deposited: 05 Oct 2011 14:47
Last modified: 16 Jul 2019 23:23

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