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Clinicians underestimate gastrointestinal symptoms and overestimate quality of life in renal transplant recipients: A multinational survey of nephrologists

Ekberg, Henrik LU ; Kyllonen, Lauri; Madsen, Soren; Grave, Gisle; Solbu, Dag and Holdaas, Hallvard (2007) In Transplantation 84(8). p.1052-1054
Abstract
Gastrointestinal (GI) symptoms are common in renal transplant recipients and are associated with impaired health-related quality of life (HRQoL). We investigated clinician attitudes to GI symptoms and HRQoL in these patients by surveying 145 nephrologists from Sweden, Denmark, Finland, and Norway. In total, 79 clinicians responded. They estimated that 20% of their patients experienced GI discomfort and that 36% had impaired HRQoL. We previously conducted a survey of the renal transplant recipients treated-by-these clinicians, inwhich 92% reported troublesome GI symptoms and 53% had impaired HRQoL compared with the general population. Nephrologists were more likely to manage GI symptoms by reducing immunosuppressant dose (87%) than by... (More)
Gastrointestinal (GI) symptoms are common in renal transplant recipients and are associated with impaired health-related quality of life (HRQoL). We investigated clinician attitudes to GI symptoms and HRQoL in these patients by surveying 145 nephrologists from Sweden, Denmark, Finland, and Norway. In total, 79 clinicians responded. They estimated that 20% of their patients experienced GI discomfort and that 36% had impaired HRQoL. We previously conducted a survey of the renal transplant recipients treated-by-these clinicians, inwhich 92% reported troublesome GI symptoms and 53% had impaired HRQoL compared with the general population. Nephrologists were more likely to manage GI symptoms by reducing immunosuppressant dose (87%) than by switching medication to one with fewer GI side effects (66%). We conclude that clinicians appear to underestimate the prevalence of GI symptoms and impaired HRQoL. Improving patient-clinician communication could lead to more informed management, resulting in better HRQoL and increased graft survival. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
events., adverse, gastrointestinal, life, health-related quality of, kidney transplantation, inummosuppression
in
Transplantation
volume
84
issue
8
pages
1052 - 1054
publisher
Lippincott Williams & Wilkins
external identifiers
  • wos:000250495400016
  • scopus:37349112439
ISSN
1534-6080
DOI
10.1097/01.tp.0000284983.89207.la
language
English
LU publication?
yes
id
921d8602-1916-4508-8f6c-9e2f7f3bc142 (old id 651746)
alternative location
http://www.transplantjournal.com/pt/re/transplantation/abstract.00007890-200710270-00019.htm
date added to LUP
2007-12-11 20:03:31
date last changed
2017-10-22 04:44:55
@article{921d8602-1916-4508-8f6c-9e2f7f3bc142,
  abstract     = {Gastrointestinal (GI) symptoms are common in renal transplant recipients and are associated with impaired health-related quality of life (HRQoL). We investigated clinician attitudes to GI symptoms and HRQoL in these patients by surveying 145 nephrologists from Sweden, Denmark, Finland, and Norway. In total, 79 clinicians responded. They estimated that 20% of their patients experienced GI discomfort and that 36% had impaired HRQoL. We previously conducted a survey of the renal transplant recipients treated-by-these clinicians, inwhich 92% reported troublesome GI symptoms and 53% had impaired HRQoL compared with the general population. Nephrologists were more likely to manage GI symptoms by reducing immunosuppressant dose (87%) than by switching medication to one with fewer GI side effects (66%). We conclude that clinicians appear to underestimate the prevalence of GI symptoms and impaired HRQoL. Improving patient-clinician communication could lead to more informed management, resulting in better HRQoL and increased graft survival.},
  author       = {Ekberg, Henrik and Kyllonen, Lauri and Madsen, Soren and Grave, Gisle and Solbu, Dag and Holdaas, Hallvard},
  issn         = {1534-6080},
  keyword      = {events.,adverse,gastrointestinal,life,health-related quality of,kidney transplantation,inummosuppression},
  language     = {eng},
  number       = {8},
  pages        = {1052--1054},
  publisher    = {Lippincott Williams & Wilkins},
  series       = {Transplantation},
  title        = {Clinicians underestimate gastrointestinal symptoms and overestimate quality of life in renal transplant recipients: A multinational survey of nephrologists},
  url          = {http://dx.doi.org/10.1097/01.tp.0000284983.89207.la},
  volume       = {84},
  year         = {2007},
}