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Health-related quality of life in patients with different stages of liver disease induced by hepatitis C
Sahlgrens University Hospital.
Lund University.
Karolinska University Hospital.
Linköping University, Department of Clinical and Experimental Medicine, Infectious Diseases . Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Centre for Medicine, Department of Infectious Diseases in Östergötland. (Landstinget i Östergötland; Local Health Care Services in Central Östergötland; Department of Infectious Diseases UHL; Närsjukvården i centrala Östergötland; Infektionskliniken US)
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2009 (English)In: SCANDINAVIAN JOURNAL OF GASTROENTEROLOGY, ISSN 0036-5521, Vol. 44, no 7, 878-887 p.Article in journal (Refereed) Published
Abstract [en]

Objective. Patients with hepatitis C have been shown to have impaired health-related quality of life (HRQoL). The aim of this study was to determine HRQoL in patients in different stages of hepatitis C virus (HCV) and to compare HRQoL in HCV cirrhosis with non-HCV-induced cirrhosis. Material and methods. Out of 489 consecutive patients who fulfilled the inclusion criteria, 472 (96%) agreed to participate in the study: 158 patients with mild/moderate fibrosis with chronic hepatitis C (CHC group), 76 patients with HCV compensated cirrhosis (CC), 53 patients with HCV decompensated (DC) cirrhosis, 52 non-cirrhotic patients with sustained viral response (SVR), and a control group consisting of 32 patients with non-HCV CC and 101 with non-HCV DC who completed the Short Form-36 (SF-36) and EQ-5D questionnaire. Results. The CHC group had significantly lower SF-36 scores than healthy controls, with the exception of scores for the dimensions physical function and bodily pain. HCV patients with DC had lower scores in all SF-36 dimensions in comparison with those of the CHC group, as well as in physical and mental component summaries (Pandlt;0.001). In comparison with the CHC group, the HCV CC group had lower scores on the SF-36 general health dimension (p andlt;0.05) and lower SF-36 physical component summary (PCS) scores (p andlt;0.05). No major differences were seen in patients with HCV- and non-HCV-induced cirrhosis. Conclusions. Impairment in HRQoL in patients with HCV was associated with the severity of liver disease, patients with decompensated cirrhosis exhibiting the highest impairment in HRQoL. The etiology of liver disease does not seem to be important in determining HRQoL in cirrhosis.

Place, publisher, year, edition, pages
2009. Vol. 44, no 7, 878-887 p.
Keyword [en]
Hepatitis C, liver, liver cirrhosis, quality of life
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-19888DOI: 10.1080/00365520902898135OAI: diva2:231618
Available from: 2009-08-14 Created: 2009-08-14 Last updated: 2009-12-08

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Frydén, Aril
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Infectious Diseases Faculty of Health SciencesDepartment of Infectious Diseases in Östergötland
Medical and Health Sciences

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