Gender and age differences of compliance in liver transplant recipients

Introduction: The aim of the paper was to evaluate the compliance in patients who have undergone orthotopic liver transplantation (OLT). Materials and methods: A voluntary anonymous survey was conducted among liver transplant recipients. The control group included patients with chronic non-infectious diseases requiring persistent treatment. The questionnaire “The level of Compliance” designed by R.V. Kadyrov was used. Results and discussion: The following compliance levels were identified in liver transplant recipients: the general level – 95.8±9.4; the social level – 30.4±4.2; the emotional level – 33.3±3.7; the behavioral level – 32.0±3.8. The compliance levels of the control group were significantly lower compared to the values of group 1, respectively: the general level – by 9%, the social level – by 5.6%, the emotional level – by 10.3% and the behavioral level – by 11.9%. The general compliance level of the recipients under 50 years old reached 93.5±6.8; the social compliance level – 28.9±3.9; the emotional compliance level – 33.6±2.9 and the behavioral compliance level –31.0±2.2. Conclusions: Liver transplant patients have higher levels of general, behavioral and emotional compliance compared to patients with chronic diseases. Neither gender nor age differences were identified in any types of compliance.

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Clinical Practice of Unsedated Colonoscopy Among the Liver Transplant Recipients

10.21203/rs.2.19615/v1 ◽

2019 ◽

Author(s):

Man Xie ◽

Tao Mao ◽

Qun Zhang ◽

Zi-bin Tian ◽

Wei Rao

Keyword(s):

Liver Transplantation ◽

Clinical Practice ◽

Liver Transplant ◽

Tertiary Hospital ◽

Screening Colonoscopy ◽

Control Group ◽

Transplant Recipients ◽

Common People ◽

Patient’S Satisfaction ◽

Liver Transplant Recipients

Abstract Background: The incidence of colorectal cancer was increased in the liver transplant recipients and clinical practice of unsedated colonoscopy among the liver transplant recipients hasn't been fully studied. Our prospective and observational study was conducted in a tertiary hospital to investigate the clinical practice of unsedated colonoscopy among the liver transplant recipients. Methods: Between June 2017 and June 2018, clinical data of the 72 liver transplant recipients received the screening colonoscopy conducted by a same endoscopists was collected. And a group of asymptomatic health examiner of same age and same gender was chosen as control group at a ratio of 1:3. Data of the colonoscopy performance, patient satisfaction and colonoscopy finding were compared between the two groups. Results: No difference was observed between the two groups in the bowel clearance ( P =0.273) , however, cecal intubation time was longer ( P =0.024) and the auxiliary abdominal compression by nurses was more frequent ( P ＜0.01) in liver transplantation group. In term of patient’s satisfaction, postprocedural visual analog scale, the willingness of repeat the same procedure and the four-point Likert scale (no pain, slight pain, moderate pain, severe pain) on the second day were comparable between the two groups. Compared with control group, the incidence of polyps was higher in the liver transplantation group (50.00% (36/72) vs37.04% (80/216), P =0.036), and the incidence of adenomatous polyps(33.33%vs 24.07%, P =0.084) and advanced polyps (11.11%vs 5.56%, P =0.094) were also higher in the liver transplantation group, but no statistical difference was observed. Conclusions: Liver transplantation mildly increases the difficulty of colonoscopy with experienced practitioners, although the patient’s satisfaction was comparable with the common people. Key words: colonoscopy, liver transplantation, visual analogue scale, polyps

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Families of liver transplant recipients age 5 and older have higher stress levels than either families of younger liver transplant recipients or a control group

PsycEXTRA Dataset ◽

10.1037/e504332010-028 ◽

2008 ◽

Keyword(s):

Liver Transplant ◽

Control Group ◽

Transplant Recipients ◽

Stress Levels ◽

Liver Transplant Recipients

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COVID-19 Severity and Mortality in Solid Organ Transplantation: Differences between Liver, Heart, and Kidney Recipients

Transplantology ◽

10.3390/transplantology2030030 ◽

2021 ◽

Vol 2 (3) ◽

pp. 296-303 ◽

Cited By ~ 1

Author(s):

Ricardo Wesley Alberca ◽

Gabriela Gama Freire Alberca ◽

Lucas Chaves Netto ◽

Raquel Leão Orfali ◽

Sarah Cristina Gozzi-Silva ◽

...

Keyword(s):

Liver Transplant ◽

Kidney Transplant ◽

Organ Transplant ◽

Solid Organ Transplant ◽

Control Group ◽

Solid Organ ◽

Transplant Recipients ◽

Kidney Transplant Recipients ◽

Solid Organ Transplant Recipients ◽

Liver Transplant Recipients

The infection by the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) can generate a wide spectrum of clinical manifestations ranging from asymptomatic to severe respiratory and systemic disease with coagulation disorder named coronavirus disease 2019 (COVID-19). Patients with comorbidities have been identified as risk groups for severe COVID-19, also having a higher death risk. Previous reports have conflicting results regarding if solid organ transplant recipients present an increased risk for COVID-19. Nevertheless, previous investigations failed to distinguish between different organs received or made a longitudinal investigation on those patients. We recruited 39 solid organ transplant recipients: 25 kidney transplant recipients, 7 heart transplant recipients, and 7 liver transplant recipients and 25 age-matched non-transplant COVID-19 patients without comorbidities (control group) and compared daily laboratory data in addition to performing survival analysis. Heart and kidney transplant recipients presented an increase in several COVID-19 severity-associated biomarkers, such as neutrophil-to-lymphocyte ratio and thrombocytopenia, in comparison to the control group and liver transplant recipients. Heart and kidney transplant recipients also presented an increase in the need for intensive care and invasive mechanical ventilation during the disease’s course. Importantly, heart and kidney transplant recipients presented a higher mortality rate in comparison to liver transplant recipients and non-transplant recipients. In our cohort, heart and kidney transplant recipients presented a difference in clinical characteristics and survival rate in comparison to liver transplant recipients. Further investigation involving immune response to SARS-CoV-2 in solid organ recipients should consider and separate patients according to the organ grafted.

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