Cited by 144Liver Diseases and ImmunityPediatric Hepatobiliary Diseases and TreatmentsLiver Disease and Transplantation

Quality of life in patients with primary biliary cirrhosis

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Poupon, Renée Eugénie, Chrétien, Yves, Chazouillères, Olivier, Poupon, Raoul, Chwalow, Judith·2004·Hepatology

Abstract

The impact of primary biliary cirrhosis (PBC) on health-related quality of life (HRQOL) is poorly documented. We assessed quality of life in a group of 276 unselected patients with PBC using the Nottingham Health Profile (NHP). This is a generic scale that assesses six major areas commonly associated with HRQOL. Data were compared with those of a sex- and age-matched control group. The associations between NHP scores and the severity of PBC were tested. Patients (86% women) had a median age of 62 years (range 33-87). Most patients were treated with UDCA. PBC patients showed a strong statistically significant difference in energy compared to controls (respectively, 40.6 vs. 22.9, P < .0001) and had worse scores for emotional reactions (22.2 vs. 16.1, P < .005). No other differences were observed. No associations of the dimension subscores were found with biochemical liver tests, histological stages, or duration of the disease. Among the signs or symptoms, fatigue was the finding most often associated with the dimension subscores. In conclusion, patients with PBC feel that their overall quality of life is worse than that of the control population. This difference is mainly due to the decrease in the subscores of energy and emotional reactions, both associated with fatigue. These effects must be taken into account by clinicians when treating these patients, as they constitute the clinical outcomes that have the most impact on patients’ lifestyle and adherence to treatment. (Hepatology 2004;40:489-494.)

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Crossref · 10.1002/hep.20276

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  • Fatigue is the most common symptom in PBC, found in 50% to 78% of patients, and has a significant negative impact on quality of life.

    “Fatigue is the most common symptom in PBC; it has been found in 50% to 78% of patients and has a significant negative impact on quality of life.(95)(96)”

    From Primary Biliary Cholangitis: 2018 Practice Guidance from the American Association for the Study of Liver Diseases (2019) · cites this paper as [96]

    The Associations Between NHP Scores and the Characteristics of PBC section reports a significant association between fatigue and worse overall quality of life. The Discussion calls fatigue the finding most often associated with quality-of-life scores, not the most common symptom, and reports prevalence across prior studies as 8%–80%, not 50%–78%. Page numbers are unavailable in our copy. (LLM, conf=0.88)

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  • Fatigue is the most common symptom in PBC, found in 50% to 78% of patients, and has a significant negative impact on quality of life.

    “Fatigue is the most common symptom in PBC; it has been found in 50% to 78% of patients and has a significant negative impact on quality of life.(95)(96)”

    From Primary Biliary Cholangitis: 2018 Practice Guidance from the American Association for the Study of Liver Diseases (2019) · cites this paper as [95]

    The Associations Between NHP Scores and the Characteristics of PBC section reports a significant association between fatigue and worse overall quality of life. The Discussion says fatigue was the finding most often associated with quality-of-life subscores, not that it was the most common symptom; it gives a prevalence range of 8%–80% across prior studies, not 50%–78%. Page numbers are unavailable in our copy. (LLM, conf=0.88)

    Experimental — accuracy not yet measured

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References 15 · Cited by 144

Authors
Poupon, R. E., Chrétien, Y., Chazouillères, O., Poupon, R., & Chwalow, J.
Affiliations
  • Inserm (FR)
  • Hôtel-Dieu de Paris (FR)
Corresponding author
  • Poupon, Renée Eugénie
  • Poupon, Raoul
Venue
Hepatology
Published
2004-08
Volume
40
Issue
2
Pages
489-494
ISSN
0270-9139 (ISSN-L)
OpenAlex
W2012421341
Cited by
144
References
15
Citations by year
2026: 5 · 2025: 7 · 2024: 3 · 2023: 8 · 2022: 2 · 2021: 4 · 2020: 2 · 2019: 7 · 2018: 8 · 2017: 5 · 2016: 2 · 2015: 4 · 2014: 3 · 2013: 8 · 2012: 7
FWCI
7.38
Type
journal article
Language
en
Open access
Locations
  • Hepatology (publishedVersion)
  • PubMed (publishedVersion)
Funders
Institut National de la Santé et de la Recherche Médicale
Topics
  • Health Sciences › Medicine › Hepatology › Liver Diseases and Immunity
  • Health Sciences › Medicine › Surgery › Pediatric Hepatobiliary Diseases and Treatments
  • Health Sciences › Medicine › Hepatology › Liver Disease and Transplantation
Keywords
primary biliary cirrhosis, health-related quality of life, Nottingham Health Profile, fatigue, energy, emotional responses, ursodeoxycholic acid, disease severity, medication adherence
MeSH terms
Adult, Aged, Aged, 80 and over, Cholagogues and Choleretics, Emotions, Energy Metabolism, Fatigue, Female, Humans, Liver Cirrhosis, Biliary, Male, Middle Aged, Prospective Studies, Quality of Life, Ursodeoxycholic Acid, Case-Control Studies, Sickness Impact Profile

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