[A rapid review: quality of life in adult allogeneic kidney transplantation in the last five years : What can we learn?]

IF 0.4 4区 医学 Q4 UROLOGY & NEPHROLOGY Urologie Pub Date : 2025-04-01 Epub Date: 2025-01-07 DOI:10.1007/s00120-024-02497-y
Lujza Brunaiova, Stefanie Cermak, Lukas Koneval, Beat Roth, Laila Schneidewind
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Abstract

Background: Recent studies have also shown that clinical monitoring of quality of life (HRQoL) helps to recognize kidney transplant failure at an early stage.

Objectives: Given the potential of improving HRQoL for the long-term outcomes of kidney transplantation, we conducted a rapid review of the last 5 years of quality of life evaluation after adult allogeneic kidney transplantation.

Materials and methods: A rapid evidence analysis was carried out using a literature search in MEDLINE in the period 2019-2024.

Results: The primary literature search yielded 554 hits, and ultimately only 12 cohort studies could be included, of which 2 were retrospective and 10 prospective cohort studies. Kidney transplant patients have better HRQoL than patients with end-stage renal disease. HRQoL is influenced by physical, psychological, and social factors. Further improvement of HRQoL or the primary influencing factors has the potential to further enhance the outcomes of kidney transplantation. However, studies to identify suitable interventions are lacking. Interesting factors to be influenced could be, for example, respiratory symptoms and support for professional reintegration.

Conclusion: Future studies should focus on the identification of adequate interventions to further improve HRQoL in kidney transplant recipients.

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[快速回顾:近五年来成人异体肾移植的生活质量:我们能学到什么?]]
背景:最近的研究也表明,临床生活质量监测(HRQoL)有助于早期识别肾移植衰竭。目的:考虑到改善肾移植长期预后HRQoL的潜力,我们对成人异体肾移植后近5年的生活质量评估进行了快速回顾。材料与方法:在MEDLINE检索2019-2024年的文献,进行快速证据分析。结果:初步文献检索结果为554项,最终仅纳入12项队列研究,其中2项为回顾性研究,10项为前瞻性队列研究。肾移植患者的HRQoL优于终末期肾病患者。HRQoL受生理、心理和社会因素的影响。HRQoL或主要影响因素的进一步改善有可能进一步提高肾移植的预后。然而,缺乏确定适当干预措施的研究。可受影响的有趣因素可能是,例如,呼吸道症状和对重返职业社会的支持。结论:未来的研究应侧重于确定适当的干预措施,以进一步改善肾移植受者的HRQoL。
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来源期刊
Urologie
Urologie UROLOGY & NEPHROLOGY-
CiteScore
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