Patterns and Predictors of Quality of Life at 5 to 10 Years After Heart Transplantation

Kathleen L. Grady, David C. Naftel, Jon Kobashigawa, Julie Chait, James B. Young, Dave Pelegrin, Jennifer Czerr, Alain Heroux, Robert Higgins, Bruce Rybarczyk, Mary McLeod, Connie White-Williams, James K. Kirklin

Research output: Contribution to journalArticle

Abstract

Background: Although studies have provided us with a cross-sectional analysis of long-term quality of life (QOL) after transplantation, relatively few longitudinal studies have been done that allow us to understand changes in QOL over time. The purposes of our study were to describe QOL over time and identify predictors of QOL longitudinally from 5 to 10 years after heart transplantation. Methods: All 555 subjects enrolled in this study completed booklets of questionnaires. These patients had a mean age of approximately 54 years (range 21 to 75 years) at time of transplant. Seventy-eight percent were men and 88% were white. Participants completed nine self-report QOL instruments for this study. Statistical analyses included frequencies, means ± standard deviations (plotted over time), Pearson correlation coefficients and multiple regression coupled with repeated measures. Results: At 5 to 10 years after heart transplantation, recipients reported high levels of satisfaction with overall QOL and with health-related QOL, which was stable over the 5-year period. Predictors of satisfaction with overall QOL (that individually accounted for 1% variance or more) were primarily psychosocial variables (overall model explaining 71% of variance), whereas predictors of satisfaction with QOL related to health and functioning (that also explained ≥1% variance) included symptom distress and physical function, as well as psychosocial variables (overall model explaining 72% of variance). Conclusions: At 5 to 10 years after heart transplantation, QOL remained positive and stable. Bio-psychosocial variables predicted satisfaction with overall QOL and health-related QOL. Understanding of these bio-psychosocial variables provides direction for the development of long-term therapeutic strategies after heart transplantation so that patients can have good post-transplant outcomes.

Original languageEnglish (US)
Pages (from-to)535-543
Number of pages9
JournalJournal of Heart and Lung Transplantation
Volume26
Issue number5
DOIs
StatePublished - May 2007
Externally publishedYes

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Heart Transplantation
Quality of Life
Transplants
Pamphlets
Self Report
Longitudinal Studies
Cross-Sectional Studies
Transplantation

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery
  • Transplantation

Cite this

Grady, K. L., Naftel, D. C., Kobashigawa, J., Chait, J., Young, J. B., Pelegrin, D., ... Kirklin, J. K. (2007). Patterns and Predictors of Quality of Life at 5 to 10 Years After Heart Transplantation. Journal of Heart and Lung Transplantation, 26(5), 535-543. https://doi.org/10.1016/j.healun.2007.01.042

Patterns and Predictors of Quality of Life at 5 to 10 Years After Heart Transplantation. / Grady, Kathleen L.; Naftel, David C.; Kobashigawa, Jon; Chait, Julie; Young, James B.; Pelegrin, Dave; Czerr, Jennifer; Heroux, Alain; Higgins, Robert; Rybarczyk, Bruce; McLeod, Mary; White-Williams, Connie; Kirklin, James K.

In: Journal of Heart and Lung Transplantation, Vol. 26, No. 5, 05.2007, p. 535-543.

Research output: Contribution to journalArticle

Grady, KL, Naftel, DC, Kobashigawa, J, Chait, J, Young, JB, Pelegrin, D, Czerr, J, Heroux, A, Higgins, R, Rybarczyk, B, McLeod, M, White-Williams, C & Kirklin, JK 2007, 'Patterns and Predictors of Quality of Life at 5 to 10 Years After Heart Transplantation', Journal of Heart and Lung Transplantation, vol. 26, no. 5, pp. 535-543. https://doi.org/10.1016/j.healun.2007.01.042
Grady, Kathleen L. ; Naftel, David C. ; Kobashigawa, Jon ; Chait, Julie ; Young, James B. ; Pelegrin, Dave ; Czerr, Jennifer ; Heroux, Alain ; Higgins, Robert ; Rybarczyk, Bruce ; McLeod, Mary ; White-Williams, Connie ; Kirklin, James K. / Patterns and Predictors of Quality of Life at 5 to 10 Years After Heart Transplantation. In: Journal of Heart and Lung Transplantation. 2007 ; Vol. 26, No. 5. pp. 535-543.
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abstract = "Background: Although studies have provided us with a cross-sectional analysis of long-term quality of life (QOL) after transplantation, relatively few longitudinal studies have been done that allow us to understand changes in QOL over time. The purposes of our study were to describe QOL over time and identify predictors of QOL longitudinally from 5 to 10 years after heart transplantation. Methods: All 555 subjects enrolled in this study completed booklets of questionnaires. These patients had a mean age of approximately 54 years (range 21 to 75 years) at time of transplant. Seventy-eight percent were men and 88{\%} were white. Participants completed nine self-report QOL instruments for this study. Statistical analyses included frequencies, means ± standard deviations (plotted over time), Pearson correlation coefficients and multiple regression coupled with repeated measures. Results: At 5 to 10 years after heart transplantation, recipients reported high levels of satisfaction with overall QOL and with health-related QOL, which was stable over the 5-year period. Predictors of satisfaction with overall QOL (that individually accounted for 1{\%} variance or more) were primarily psychosocial variables (overall model explaining 71{\%} of variance), whereas predictors of satisfaction with QOL related to health and functioning (that also explained ≥1{\%} variance) included symptom distress and physical function, as well as psychosocial variables (overall model explaining 72{\%} of variance). Conclusions: At 5 to 10 years after heart transplantation, QOL remained positive and stable. Bio-psychosocial variables predicted satisfaction with overall QOL and health-related QOL. Understanding of these bio-psychosocial variables provides direction for the development of long-term therapeutic strategies after heart transplantation so that patients can have good post-transplant outcomes.",
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T1 - Patterns and Predictors of Quality of Life at 5 to 10 Years After Heart Transplantation

AU - Grady, Kathleen L.

AU - Naftel, David C.

AU - Kobashigawa, Jon

AU - Chait, Julie

AU - Young, James B.

AU - Pelegrin, Dave

AU - Czerr, Jennifer

AU - Heroux, Alain

AU - Higgins, Robert

AU - Rybarczyk, Bruce

AU - McLeod, Mary

AU - White-Williams, Connie

AU - Kirklin, James K.

PY - 2007/5

Y1 - 2007/5

N2 - Background: Although studies have provided us with a cross-sectional analysis of long-term quality of life (QOL) after transplantation, relatively few longitudinal studies have been done that allow us to understand changes in QOL over time. The purposes of our study were to describe QOL over time and identify predictors of QOL longitudinally from 5 to 10 years after heart transplantation. Methods: All 555 subjects enrolled in this study completed booklets of questionnaires. These patients had a mean age of approximately 54 years (range 21 to 75 years) at time of transplant. Seventy-eight percent were men and 88% were white. Participants completed nine self-report QOL instruments for this study. Statistical analyses included frequencies, means ± standard deviations (plotted over time), Pearson correlation coefficients and multiple regression coupled with repeated measures. Results: At 5 to 10 years after heart transplantation, recipients reported high levels of satisfaction with overall QOL and with health-related QOL, which was stable over the 5-year period. Predictors of satisfaction with overall QOL (that individually accounted for 1% variance or more) were primarily psychosocial variables (overall model explaining 71% of variance), whereas predictors of satisfaction with QOL related to health and functioning (that also explained ≥1% variance) included symptom distress and physical function, as well as psychosocial variables (overall model explaining 72% of variance). Conclusions: At 5 to 10 years after heart transplantation, QOL remained positive and stable. Bio-psychosocial variables predicted satisfaction with overall QOL and health-related QOL. Understanding of these bio-psychosocial variables provides direction for the development of long-term therapeutic strategies after heart transplantation so that patients can have good post-transplant outcomes.

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