Table of Contents
Hepatitis Research and Treatment
Volume 2013, Article ID 479639, 6 pages
http://dx.doi.org/10.1155/2013/479639
Clinical Study

Predictors of Health-Related Quality of Life in Outpatients with Cirrhosis: Results from a Prospective Cohort

1Department of Medicine, Copenhagen University Hospital Koge, 4600 Koege, Denmark
2Department of Medicine, Copenhagen University Hospital Gentofte, 2900 Hellerup, Denmark
3Department of Gastroenterology and Hepatology, Odense University Hospital, 5000 Odense, Denmark
4Department of Hepatology, Copenhagen University Hospital Rigshospitalet, 2100 Copenhagen, Denmark
5Department of Medicine, Copenhagen University Hospital Glostrup, 2600 Glostrup, Denmark
6Gastrounit, Copenhagen University Hospital Hvidovre, 2650 Hvidovre, Denmark

Received 10 August 2013; Revised 21 November 2013; Accepted 24 November 2013

Academic Editor: Yoichi Hiasa

Copyright © 2013 Maja Thiele et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Cirrhosis may lead to a poor health-related quality of life (HRQOL), which should be taken into consideration when addressing the cirrhotic outpatient. Methods. Prospective cohort study evaluating predictors of HRQOL in outpatients with cirrhosis. Patients with overt hepatic encephalopathy at baseline were excluded. HRQOL was evaluated at baseline using the six point Chronic Liver Disease Questionnaire. Predictors of low quality of life scores (<4 points) and mortality were analyzed using multivariable logistic regression. Results. In total, 92 patients were included (mean age 61 years, 59% male). Nineteen patients died (mean duration of follow-up 20 months). The mean Child-Pugh score was 6.9. Twenty percent had a poor HRQOL judged by the Chronic Liver Disease Questionnaire score and 45% had covert hepatic encephalopathy. The only predictors of poor HRQOL were the Child-Pugh score ( ), nonalcoholic etiology of cirrhosis ( ), and body mass index ( ). The body mass index predicted poor HRQOL independently of the presence of ascites and albumin level. Conclusions. The body mass index was associated with a low HRQOL. This suggests that malnutrition may be an important target in the management of patients with cirrhosis.