Health-Related quality of life in adult transplant recipients under clinical follow-up in Argentina: a cross-sectional study




Romina Perez-Manelli, Área de Investigación en Medicina Interna, Servicio de Clínica Médica, Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina
Marcelina Carretero, Área de Investigación en Medicina Interna, Servicio de Clínica Médica, Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina
Susana Bayardo, Servicio de Psiquiatría, Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina
Diego Hernan-Giunta, Área de Investigación en Medicina Interna, Servicio de Clínica Médica, Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina


Objective: To describe the health-related quality of life (HRQoL) in adult solid organ transplant recipients in Argentina. Materials and methods: A cross-sectional observational study was conducted (May 2023 - June 2024). The study included 361 adult transplant recipients. The EQ-5D-3L questionnaire was used. The analysis included stratification by organ type and time windows post-transplantation. Results: Kidney transplantation was the most frequent (66%; n = 240). 49% (n = 177) reported no impairment in any dimension. The most affected domains were anxiety/depression (36.8%) and pain/discomfort (24.9%). The median VAS score was 82 (IQR: 70–90). HRQoL remained stable across time window analyses (median utility: 0.924 in all groups). Kidney recipients reported greater mobility impairment than liver recipients (18% vs. 8%; p = 0.042). Compared to the general population, the transplant group showed higher impairment in anxiety/depression and lower impairment in pain/discomfort. Conclusions: Transplantation is associated with satisfactory and stable HRQoL levels in the long term. Mental health was identified as a priority area for comprehensive clinical follow-up. The originality of this study lies in the subgroup analysis and the provision of local evidence.



Keywords: Quality of life. Transplant recipients. Organ transplantation. Health status indicators. Cross-Sectional studies.




Nefrología Latinoamericana