Assessing clinical outcome of transplant patients by means of the INTERMED

Détails

ID Serval
serval:BIB_C61317493233
Type
Actes de conférence (partie): contribution originale à la littérature scientifique, publiée à l'occasion de conférences scientifiques, dans un ouvrage de compte-rendu (proceedings), ou dans l'édition spéciale d'un journal reconnu (conference proceedings).
Sous-type
Abstract (résumé de présentation): article court qui reprend les éléments essentiels présentés à l'occasion d'une conférence scientifique dans un poster ou lors d'une intervention orale.
Collection
Publications
Titre
Assessing clinical outcome of transplant patients by means of the INTERMED
Auteur(s)
Ludwig G., Berney Sylvie, Suchar G., Ostacoli L., Lobo E., Jonge Peter de, Stiefel Friedrich, Söllner Wolfgang
ISBN
0022-3999
Statut éditorial
Publié
Date de publication
2006
Peer-reviewed
Oui
Volume
60
Série
Journal of Psychosomatic Research
Pages
661
Langue
anglais
Notes
SAPHIRID:61569
Résumé
Aim: The objective of this ongoing multicentric study is to evaluate if the INTERMED (IM), a screening instrument to assess case complexity, identifies patients at risk for unfavourable postoperative development.
Methods: So far, 217 kidney (KTX) and liver (LTX) transplant patients were evaluated preoperatively and 70 of them at 12 months post transplant. Biopsychosocial profiles were assessed using the IM. Quality of life [Short Form 36 (SF-36)] and depressive symptomatology (HADS) were measured before transplant (TX) and 1 year after transplantation. Correlations between the IM scores pre transplant and SF-36 and HADS scores at follow-up were studied after controlling for baseline measures.
Results: At baseline, LTX scored higher on the depression subscale, the sum-score of the HADS (P b.001, Mliver/kidney depression 7.81/6.08, Mliver/kidney sum-score 15.1/12.3) and lower on the SF-36 physical-health scale (Mliver/kidney 36.0/42.3). For the whole sample, we could not state a significant relationship between the IM sum-score before TX and SF-36 and HADS measures after TX, but we found a negative correlation between the IM psychological domain and the SF-36 subscale vitality (r=_0.37) and mental health scale (r=_0.50). For KTX, a negative correlation was found between the IM sum-score 1, the biological 2, and the psychological 3 domain and the SF-36 scale physical functioning (r1=_0.56, r2=_0.46, r3=_0.57). For LTX, a negative correlation (r=_0.38) emerged for the IM psychological domain and the SF-36 subscale vitality.
Discussion: This preliminary analysis demonstrates a certain predictive quality of the IM, indicating an association of higher IM scores with an increased risk for poor health-related quality of life after TX. We plan to present an elaborated analysis of our findings at the conference.
Création de la notice
10/03/2008 11:28
Dernière modification de la notice
03/03/2018 21:16
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