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25-06-2021

Investigation of measurement invariance in longitudinal health-related quality of life in preemptive or previously dialyzed kidney transplant recipients

Auteurs: Line Auneau-Enjalbert, Myriam Blanchin, Magali Giral, Aurélie Meurette, Emmanuel Morelon, Laetitia Albano, Jean-Benoit Hardouin, Véronique Sébille

Gepubliceerd in: Quality of Life Research | Uitgave 2/2022

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Abstract

Purpose

Kidney transplantation (KT) can impact patients’ evaluation of health-related quality of life (HRQoL) as they adapt to their new life with a graft and its changes. Patients may adapt to KT in a different way, depending on whether they were on dialysis prior to transplantation or not (i.e. preemptive group). This may result in lack of measurement invariance between these patients’ groups and/or over time (i.e. response shift, RS) which may invalidate the between-group comparison of HRQoL change scores. The aim of this study was to investigate and compare RS before and after KT between these two patients’ groups. Measurement invariance was investigated between groups and over time with three measurement occasions.

Methods

Adult patients completed the SF-36 at the last visit before KT, and 3, 6 months after. A structural equation model-based procedure was used to (i) detect and take into account measurement non-invariance between groups and RS, if appropriate, (ii) identify the period of occurrence of RS, (iii) study the heterogeneity of RS between the two groups.

Results

Before KT (i.e. baseline), measurement invariance was not rejected between dialyzed (n = 196) and preemptive (n = 178) patients’ groups. Between baseline and 3 months after KT, similar uniform recalibration was detected on the general health domain in both groups. Uniform recalibration was found between 3- and 6 months after KT on the vitality domain for preemptive patients only.

Conclusion

HRQoL, adjusted for RS, increased overall for preemptive and dialyzed kidney transplant patients after transplantation. RS may reflect differing adaptation processes following KT.
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Metagegevens
Titel
Investigation of measurement invariance in longitudinal health-related quality of life in preemptive or previously dialyzed kidney transplant recipients
Auteurs
Line Auneau-Enjalbert
Myriam Blanchin
Magali Giral
Aurélie Meurette
Emmanuel Morelon
Laetitia Albano
Jean-Benoit Hardouin
Véronique Sébille
Publicatiedatum
25-06-2021
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 2/2022
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-021-02916-z

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