ArticleHealth and quality of life outcomes2025
Impact of liver cirrhosis on health-related quality of life in Indian patients: interplay of disease severity, alcohol dependence, and malnutrition.
Article in Health and quality of life outcomes, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- HEALTH-RELATED QUALITY OF LIFE IN CHRONIC LIVER DISEASE: CLINICAL BURDEN, DETERMINANTS, AND IMPLICATIONS FOR PATIENT-CENTERED CARE.Arquivos de gastroenterologia · 2026Review
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10 authors.
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Abstract
backgroundLiver cirrhosis (LC) significantly impairs health-related quality of life (HR-QoL) due to physical, psychological, and nutritional challenges. Despite its growing burden in India, limited evidence exists on how disease severity, alcohol dependence, and malnutrition influence HR-QoL in Indian LC patients.
methodsThis cross-sectional study included 565 LC patients attending a tertiary care hospital over 30 months. HR-QoL was assessed using SF-36. Disease severity was graded using the Child-Turcotte-Pugh (CTP) score, while nutritional status and alcohol dependence were evaluated using the RFH-NPT and AUDIT tools. Associations were analysed using Pearson's correlation, ANOVA, and logistic regression.
resultsThe mean age of participants was 42.5 ± 14.9 years; 81.9% were male, and 58.6% resided in rural areas. Malnutrition was present in 80.9% of patients, and 50.6% were alcohol-dependent. Patients with severe liver cirrhosis (CTP Class C) had significantly lower HR-QoL scores across all domains (p < 0.001). Malnutrition was associated with higher odds of severe liver cirrhosis (OR 1.53; 95% CI: 1.27-1.85), and lower physical function scores were also significantly associated with disease severity (OR 0.89; 95% CI: 0.89-0.95). Severe cirrhosis was additionally marked by elevated serum bilirubin and INR levels, and reduced albumin concentrations.
conclusionHR-QoL declines substantially with worsening cirrhosis, especially in malnourished and alcohol-dependent patients. These findings highlight the need for multidisciplinary interventions focusing on nutrition, lifestyle modification, and psychological support to improve outcomes in LC patients.
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