Autor: |
Neijenhuis, Myrte K, Kievit, Wietske, Verheesen, Stef MH, D’Agnolo, Hedwig M, Gevers, Tom JG, Drenth, Joost PH |
Zdroj: |
United European Gastroenterology Journal; February 2018, Vol. 6 Issue: 1 p81-88, 8p |
Abstrakt: |
Symptoms in polycystic liver disease (PLD) are thought to be caused by compression of organs and structures by the enlarged liver. The aim of this article is to assess the impact of liver volume on symptoms and quality of life (QoL) in PLD. We included PLD patients from two prospective studies that used the PLD-questionnaire (PLD-Q) for symptom assessment. QoL was assessed through SF-36, summarized in a physical (PCS) and mental (MCS) component score. Liver volume was correlated with PLD-Q total scores. Patients were classified based on height-corrected liver volume in mild (<1600?ml), moderate (1600–3200?ml), and severe (>3200?ml) disease. PLD-Q and QoL (PCS and MCS) scores were compared across disease stages. We included 82 of 131 patients from the original studies (disease stages; mild n?=?26, moderate n?=?33, and severe n?=?23). Patients with larger liver volume reported higher symptom burden (r?=?0.516, p?0.001). Symptom scores increased with disease progression, except for abdominal pain (p?=?0.088). PCS decreased with advancing disease (p?0.001), in contrast to MCS (p?=?0.055). Moderate (p?=?0.007) and severe (p?0.001) PLD patients had lower PCS scores than the general population. PLD with larger liver volume is more likely to be symptomatic and is associated with lower QoL. |
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