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Abstract

Chronic liver disease (CLD) leads to progressive liver dysfunction, significantly affecting patients quality of life (QOL). Patient-reported outcome measures (PROMs) and patient-reported experience measures (PREMs) are critical in evaluating the health status and care experiences of CLD patients. This study aimed to assess the impact of PROMs and PREMs in CLD patients undergoing endoscopic procedures. A prospective study was conducted in the Gastroenterology and Hepatology Department over three months, involving 245 CLD patients (160 inpatients and 85 outpatients). PROMs were assessed using the Liver-specific PROM (LC PROM), which focused on daily living, symptom management, psychological well-being, and treatment effectiveness. PREMs were evaluated using the CAHO questionnaire, which examined patient experiences with endoscopic procedures, including preparation, communication, comfort, and satisfaction. Data were collected through face-to-face and telephonic interviews. The study population had a mean age of 60.56 years, with a predominance of males (202 males and 43 females). A significant negative correlation was found between QOL and age, with older patients reporting lower QOL. Comorbidities such as hypertension, hepatic encephalopathy, and acute kidney injury were significantly associated with decreased QOL. However, there was no significant correlation between QOL and gender, hepatocellular carcinoma, diabetes, or Child-Pugh classes. PREM scores were not significantly associated with QOL. The study highlights that comorbidities and older age negatively impact QOL in CLD patients. Despite assessing patient experiences through PREMs, no significant relationship was found between care experiences and QOL, emphasizing the need for comprehensive management of comorbid conditions to improve patient outcomes.

Creative Commons License

Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.

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