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The Improvement of Patient's Quality of Life After Kidney Transplantation in Cipto Mangunkusumo Hospital,Indonesia
Institution:1. Department of Urology, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia;2. Department of Internal Medicine, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia;1. Department of Medicine, Cleveland Clinic, Cleveland, Ohio;2. Department of Medicine, University of Missouri, Kansas City, Missouri;3. Department of Cardiovascular Medicine, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio;1. Department of Nephrology, Cliniques Universitaires Saint-Luc, Brussels, Belgium;2. Department of Obstetric, Cliniques Universitaires Saint-Luc, Brussels, Belgium;3. Department of Abdominal Surgery and Kidney Transplantation, Cliniques Universitaires Saint-Luc, Brussels, Belgium;1. Department of Pharmacy, Sentara Norfolk General Hospital, Norfolk, Virginia;2. Sound Physicians, Richmond Community Hospital, Richmond, Virginia;3. Division of Nephrology, Eastern Virginia Medical School, Norfolk, Virginia;4. Department of Surgery, Sentara Norfolk General Hospital, Norfolk, Virginia;5. Kidney/Pancreas Transplant Department, Sentara Norfolk General Hospital, Norfolk, Virginia;6. Transplant Department, Children''s Hospital of the King''s Daughters, Norfolk, Virginia;7. Tidewater Kidney Specialists, Norfolk, Virginia;1. Division of Transplant Surgery, Department of Surgery;2. Division of Nephrology, Department of Medicine, Center for Liver Investigation Fostering Discovery (C-LIFE), Department of Medicine, University of Washington, Seattle;3. Division of Gastroenterology and Hepatology, Center for Liver Investigation Fostering Discovery (C-LIFE), Department of Medicine, University of Washington, Seattle;1. Department of Critical Care Medicine, Yantaishan Hospital, Yantai, Shandong, P. R. China;2. Department of Anesthesiology and Perioperative Medicine, Ronald Reagan UCLA Medical Center, David Geffen School of Medicine at UCLA, Los Angeles, California, USA;1. Department of Nephrology, Hospital Universitari Arnau de Vilanova, Lleida, Spain;2. Department of Nephrology, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain;3. Fundación para la Investigación e Innovación Biosanitaria de Atención Primaria, Servicio Madrileño de Salud, Madrid, Spain
Abstract:ObjectivesKidney transplantation has become the chosen kidney replacement therapy for end stage chronic kidney disease. In Indonesia, no study about quality of life (QoL) in kidney transplantation recipient after surgery has been done. This study aims to determine whether there is a significant difference in the recipient's QoL before and after kidney transplantation surgery.Methods and MaterialsThis was a prospective study using Kidney Disease QoL-Short Form (KDQoL-SF) questionnaire before and after surgery (first, third, and sixth month). Samples were consecutively taken from January 2016 until May 2016 and followed up to December 2016. KDQoL-SF has been validated in Indonesian language to assess recipient's QoL (Cronbach alfa >0,6). The data were analyzed using SPSS statistical software 21.0 version and repeated analysis of variance with posthoc comparison Bonferroni was used.ResultsThere were 33 patients included in this study from January through December 2016. The average age was 44.6 ± 12.88 years old, and average body mass index was 23.8 ± 3.74 kg/m2. The most frequent comorbidity was hypertension (32, 97%). Compared to baseline, the QoL in recipients increased at the first, third, and sixth month after their operation. Major changes in the perceived QoL were noted only between the preoperative stage (median, 50%; interquartile range, IQR]) ±20) and 1 month after operation (median, 90%; IQR, 0).ConclusionsThis study showed that there were significant improvements in almost all aspect in recipient's QoL after kidney transplantation.
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