Health-related quality of life in patients with different stages of liver disease induced by hepatitis C

Einar Bjornsson, Hans Verbaan, Antti Oksanen, Aril Fryden, Jonas Johansson, Sarah Friberg, Olav Dalgard, Evangelos Kalaitzakis

Research output: Contribution to journalArticlepeer-review

46 Citations (SciVal)

Abstract

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 (P<0.001). In comparison with the CHC group, the HCV CC group had lower scores on the SF-36 general health dimension (p <0.05) and lower SF-36 physical component summary (PCS) scores (p <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.
Original languageEnglish
Pages (from-to)878-887
JournalScandinavian Journal of Gastroenterology
Volume44
Issue number7
DOIs
Publication statusPublished - 2009

Bibliographical note

The information about affiliations in this record was updated in December 2015.
The record was previously connected to the following departments: Emergency medicine/Medicine/Surgery (013240200)

Subject classification (UKÄ)

  • Gastroenterology and Hepatology

Keywords

  • liver cirrhosis
  • Hepatitis C
  • liver
  • quality of life

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