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Year 2022 / Volume 114 / Number 8
Original

Impact of the COVID-19 lockdown on liver transplant recipients. A single center observational study

448-454

DOI: 10.17235/reed.2021.8173/2021

Antonio Cuadrado, Luis M Gaite, Aitor Odriozola, Rosario Oloriz, Sara Herrera, José I Fortea, Lidia Amigo, Edward J. Anderson, Jesús A. Artal, Javier Crespo, Emilio Fábrega,

Abstract

Background: the impact of the COVID-19 outbreak and lockdown on liver transplant (LT) patients remains unknown. The aim of this cross-sectional study was to assess the consequences of the COVID-19 pandemic on the physical and mental health of LT patients during the lockdown period. Methods: a web-based questionnaire was emailed to 238 LT patients undergoing regular follow-up at our unit between August and October 2020. This pseudonymized survey explored demographic and lifestyle variables (i.e., eating and physical habits), disruptions in routine medical care, different dimensions of mental health, COVID-19-related mood and coping (worries/anxiety, depression, insomnia, fear of COVID, resilience, etc.) and health perception using different validated instruments. Results: altogether, 48.7 % (116 of 238) LT recipients accepted to participate in the study, 104 of whom gave their consent to publish the data. The median age was 63 years. Up to 39.4 % presented worrying scores indicating moderate/severe generalized anxiety disorder (GAD), whereas 25.5 % exhibited moderate/severe insomnia and only 10.5 % moderate/severe depression. Forty patients (38.5 %) gained weight, 24 % experienced a worsening in their eating habits and 63.4 % referred to practicing less or much less exercise during the lockdown. Only 25 % perceived a worsening in the control of their chronic comorbidities. Missed medical appointments (0.9 %) or poor adherence to therapy (1.9 %) were exceptional. Conclusions: COVID-19 lockdown has negatively impacted the mental and physical health of LT patients. Long-term consequences remain unclear.

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Impact of liver injury on the severity of COVID-19: a systematic review with meta-analysis

DOI: 10.17235/reed.2020.7397/2020

Original

Evaluation of endoscopy requests in the resumption of activity during the SARS-CoV-2 pandemic: denial of nonindicated requests and prioritization of accepted requests

DOI: 10.17235/reed.2020.7375/2020

Letter

Resuming ultrasound activity after the acute phase of the COVID-19 pandemic

DOI: 10.17235/reed.2020.7343/2020

Original

Long-term outcomes and clinical impact of anti-HLA donor-specific antibodies (DSA) after liver transplantation: a prospective study in a pilot cohort

DOI: 10.17235/reed.2020.7337/2020

Original

Severe colon ischemia in patients with severe coronavirus-19 (COVID-19)

DOI: 10.17235/reed.2020.7329/2020

Letter

Systemic inflammatory response and thrombosis due to alterations in the gut microbiota in COVID-19

DOI: 10.17235/reed.2020.7297/2020

Original

Adherence to a gluten-free diet and quality of life in Chilean celiac patients

DOI: 10.17235/reed.2020.7293/2020

Letter

COVID-19. Immunothrombosis and the gastrointestinal tract

DOI: 10.17235/reed.2020.7292/2020

Letter

Management of hepatic artery aneurysms

DOI: 10.17235/reed.2020.7219/2020

Letter

Author´s answer to: “Effect of adacolumn® in ulcerative colitis with COVID-19”

DOI: 10.17235/reed.2020.7188/2020

Original

Rectal advancement flaps for the treatment of transphincteric perianal fistulas: a three-dimensional endoanal ultrasound and quality of life assessment

DOI: 10.17235/reed.2020.7187/2020

Letter

The effect of Adacolumn® on ulcerative colitis with COVID-19

DOI: 10.17235/reed.2020.7156/2020

Special Article

Resumption of activity in gastroenterology departments. Recommendations by SEPD, AEEH, GETECCU and AEG

DOI: 10.17235/reed.2020.7141/2020

Rapid reviews

COVID-19, coronavirus, SARS-CoV-2 and the small bowel

DOI: 10.17235/reed.2020.7137/2020

Review

COVID-19 and the digestive system: protection and management during the SARS-CoV-2 pandemic

DOI: 10.17235/reed.2020.7128/2020

Digestive Diseases Image

Epithelioid hemangioendothelioma: a rare cause of a liver tumor

DOI: 10.17235/reed.2020.7127/2020

Special Article

Recommendations by the SEPD and AEG, both in general and on the operation of gastrointestinal endoscopy and gastroenterology units, concerning the current SARS-CoV-2 pandemic (March, 18)

DOI: 10.17235/reed.2020.7052/2020

Letter

Paroxysmal nocturnal hemoglobinuria and liver transplantation, a new paradigm

DOI: 10.17235/reed.2020.7167/2020

Original

Normalization of long-term quality of life in Crohn’s disease patients receiving ustekinumab

DOI: 10.17235/reed.2020.6941/2020

Original

The outcome of living donor liver transplant recipients with recent episodes of spontaneous bacterial peritonitis

DOI: 10.17235/reed.2020.6780/2019

Original

Endoscopic treatment of biliary complications after liver transplantation

DOI: 10.17235/reed.2020.6704/2019

Original

Evolution of perioperative quality of life in patients under enhanced recovery after surgery care in colorectal cancer

DOI: 10.17235/reed.2020.6423/2019

Case Report

Liver transplantation as a rescue surgery after failure of embolization of a giant hepatic artery pseudoaneurysm

DOI: 10.17235/reed.2019.6223/2018

Original

Long-term changes on health-related quality of life in patients with chronic hepatitis C after viral clearance with direct-acting antiviral agents

DOI: 10.17235/reed.2019.6063/2018

Original

Quality of life and 3D-EUS assessment for anal incontinence after childbirth

DOI: 10.17235/reed.2019.6040/2018

Letter

Liver transplantation in patients with type IIIa glycogen storage disease, cirrhosis and hepatocellular carcinoma

DOI: 10.17235/reed.2018.5856/2018

Original

Risk factors and impact of portal vein thrombosis in liver transplantation

DOI: 10.17235/reed.2019.5819/2018

Review

Meta-analysis of the diagnostic value of contrast-enhanced ultrasound for the detection of vascular complications after liver transplantation

DOI: 10.17235/reed.2018.5818/2018

Original

Survival and quality of life after surgery for colorectal cancer in the elderly: a comparative study

DOI: 10.17235/reed.2018.5807/2018

Editorial

Protecting renal function: a relevant decision for liver transplantation

DOI: 10.17235/reed.2018.5836/2018

Original

Independent factors associated with the impact of gastroesophageal reflux disease on health-related quality of life

DOI: 10.17235/reed.2018.5752/2018

Letter

Fulminant liver failure secondary to submassive hepatic necrosis in a patient treated with Orlistat. A case report

DOI: 10.17235/reed.2018.5740/2018

Case Report

Treatment of graft-versus-host disease with mesenchymal cells as a complication of a liver transplantation

DOI: 10.17235/reed.2018.5672/2018

Case Report

Tumor recurrence after liver transplantation for diffuse biliary papillomatosis in the absence of invasive carcinoma

DOI: 10.17235/reed.2018.5557/2018

Original

Graft survival after liver transplantation: an approach to a new Spanish risk index

DOI: 10.17235/reed.2018.5473/2018

Original

Prevalence and progression of chronic kidney disease after liver transplant: a prospective, real-life, observational, two-year multicenter study

DOI: 10.17235/reed.2018.5431/2017

Letter to the Editor

Post-transplant lymphoproliferative disease after liver transplantation

DOI: 10.17235/reed.2017.5387/2017

Digestive Diseases Image

Hepatic encephalopathy secondary to a splenorenal shunt that manifested a long time after a liver transplantation

DOI: 10.17235/reed.2018.5370/2017

Editorial

Measuring health-related quality of life (HRQoL) in functional dyspepsia: is it really important?

DOI: 10.17235/reed.2017.5418/2017

Case Report

Complete splenic embolization for the treatment of refractory ascites after liver transplantation

DOI: 10.17235/reed.2018.5338/2017

Case Report

Liver transplantation in hemophilia A and von Willebrand disease type 3: perioperative management and post-transplant outcome

DOI: 10.17235/reed.2018.5204/2017

Case Report

Efficacy and safety of vedolizumab as a treatment option for moderate to severe refractory ulcerative colitis in two patients after liver transplant due to primary sclerosing cholangitis

DOI: 10.17235/reed.2017.5024/2017

Original

Liver-kidney simultaneous transplantation in adult patients with primary hyperoxaluria. Experience at Hospital Universitario 12 de Octubre

DOI: 10.17235/reed.2017.5016/2017

Original

New psychometric data from the Spanish versions of the Glasgow Dyspepsia Severity Score and the Dyspepsia-Related Health Scale measures

DOI: 10.17235/reed.2017.4911/2017

Editorial

Issue pending: minimizing anxiety before colonoscopy

DOI: 10.17235/reed.2016.4756/2016

Original

The concerns of Spanish patients with inflammatory bowel disease as measured by the RFIPC questionnaire

DOI: 10.17235/reed.2017.4621/2016

Original

Clinical status, quality of life, and work productivity in Crohn’s disease patients after one year of treatment with adalimumab

DOI: 10.17235/reed.2016.4600/2016

Original

DOI: 10.17235/reed.2017.4545/2016

Original

Coping with celiac disease: how heavy is the burden for caregivers?

DOI: 10.17235/reed.2017.4518/2016

Letter to the Editor

Liver metastasis from colorectal cancer 12 years after liver transplantation

DOI: 10.17235/reed.2017.4507/2016

Original

Post-transplant lymphoproliferative disease in liver transplant recipients

DOI: 10.17235/reed.2017.4228/2016

Original

Prevalence and outcome of portal thrombosis in a cohort of cirrhotic patients undergoing liver transplantation

DOI: 10.17235/reed.2016.4211/2016

Letter to the Editor

Indication for liver transplantation in a patient with a history of a gastric lymphoma

DOI: 10.17235/reed.2016.4191/2015

Original

Prospective study of anxiety in patients undergoing an outpatient colonoscopy

DOI: 10.17235/reed.2016.4104/2015

Original

DOI: 10.17235/reed.2016.4094/2015

Original

Irritable bowel syndrome subtypes: Clinical and psychological features, body mass index and comorbidities

DOI: 10.17235/reed.2015.3979/2015

Original

Using autologous platelet-rich plasma for the treatment of complex fistulas

DOI: 10.17235/reed.2016.3946/2015

Letter to the Editor

Graft versus host disease as a complication after liver transplantation: A rare but serious association

DOI: 10.17235/reed.2015.3722/2015

Citation tools

Cuadrado A, Gaite L, Odriozola A, Oloriz R, Herrera S, Fortea J, et all. Impact of the COVID-19 lockdown on liver transplant recipients. A single center observational study . 8173/2021

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Publication history

Received: 22/06/2021

Accepted: 01/08/2021

Online First: 02/09/2021

Published: 27/07/2022

Article Online First time: 72 days

Article editing time: 400 days

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