Comparative Study of Health-related QOL and Psychological Status among Type 1 Diabetes Patients with Pancreas/Kidney or Kidney Transplantation and on a Waiting List

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  • Hirai Kei
    Department of Complementary and Alternative Medicine, Graduate School of Medicine, Osaka University Center for the Study of Communication Design, and Graduate School of Human Sciences, Osaka University
  • Honda Hatsumi
    Department of Complementary and Alternative Medicine, Graduate School of Medicine, Osaka University
  • Nakanishi Kenji
    Japan Organ Transplantation Network
  • Igura Takumi
    Department of Complementary and Alternative Medicine, Graduate School of Medicine, Osaka University
  • Yukawa Sayoko
    Department of Complementary and Alternative Medicine, Graduate School of Medicine, Osaka University
  • Kitagawa Toru
    Department of Complementary and Alternative Medicine, Graduate School of Medicine, Osaka University Department of Surgery, Graduate School of Medicine, Osaka University
  • Tanemura Masahiro
    Department of Surgery, Graduate School of Medicine, Osaka University
  • Ito Toshinori
    Department of Complementary and Alternative Medicine, Graduate School of Medicine, Osaka University Department of Surgery, Graduate School of Medicine, Osaka University

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Other Title
  • 膵腎同時移植・腎移植・移植待機中の1型糖尿病患者の健康関連QOLと心理状態の比較検討
  • コメディカルコーナー・原著 膵腎同時移植・腎移植・移植待機中の1型糖尿病患者の健康関連のQOLと心理状態の比較検討
  • コメディカルコーナー ゲンチョ スイジンドウジ イショク ジンイショク イショク タイキ チュウ ノ 1ガタ トウニョウビョウ カンジャ ノ ケンコウ カンレン ノ QOL ト シンリ ジョウタイ ノ ヒカク ケントウ

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Abstract

We evaluated health-related quality of life (QOL) and psychological status such as depression and anxiety in those with type 1 diabetes including simultaneous pancreas-kidney transplantation (SPK) (n=5), kidney transplantation alone (KTA) (n=5), and on a waiting list (WL) for pancreas/kidney transplantation (n=20). We administered a questionnaire using Short Form-36 (SF-36 v2) and the Hospital Anxiety, and Depression Scale (HADS). Compared to those with KTA and WL patients, physical functioning in SF-36, general health perception, vitality, and emotional and physical role components scores of those with SPK were significantly higher. SPK scores ranged from 46 to 55 points, similar to the Japanese national standard range. Most with SPK had good psychological status indicated by negative cutoff points for depression and anxiety.<br>These results confirm the good quality of health-related QOL in those with SPK and suggest the need for routine QOL assessment and mental care for those with KTA and WL to improve health-related QOL.

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