HRQOL after lung transplant

Q: All of the following have been shown to improve Health-Related Quality of Life (HRQOL) after lung transplantation EXCEPT? (select one)

A) Male gender

B) Pulmonary rehabilitation

C) Psychosocial intervention

D) Pet ownership 

Answer: A

HRQOL after lung transplantation depends on various factors such as preoperative severity of illness, frailty prior to transplant, renal dysfunction, nutritional factors, and primary graft dysfunction. Many interventions can improve HRQOL such as good pulmonary rehabilitation, apps to record self-care, and psychosocial intervention.

Contrary to popular belief, pet ownership is found to be associated with higher life satisfaction, optimism, and perceived social support without any untoward medical consequences or high risks of infection.

Female gender has some favorable greater improvement in HRQOL than male gender.

#transplantation

#pulmonary

References: 

1. Irani S, Mahler C, Goetzmann L, et al. Lung transplant recipients holding companion animals: impact on physical health and quality of life. Am J Transplant 2006; 6:404.

2. Vasiliadis HM, Collet JP, Poirier C. Health-related quality-of-life determinants in lung transplantation. J Heart Lung Transplant 2006; 25:226.

3. Finlen Copeland CA, Vock DM, Pieper K, et al. Impact of lung transplantation on recipient quality of life: a serial, prospective, multicenter analysis through the first posttransplant year. Chest 2013; 143:744.