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Table 1 NASH study objectives, methods, setting, and HRQoL tools/methods in the included studies

From: Health-related quality of life burden of nonalcoholic steatohepatitis: a robust pragmatic literature review

Reference

Objective

Study design

Countries

Tools or method of capturing HRQoL

Qualitative analysis software

Quantitative studies reporting HRQoL in patients with NASH

 

 Alt et al., 2016 [11]

Evaluate HRQoL in patients with CLD and in CLD patients divided by etiology, including NASH

Retrospective, cross-sectional, single-center study

Germany

CLDQ (German version)

IBM SPSS Statistic V.21.0 (IBM Corp., Armonk, NY)

 Chawla et al., 2016 [12]

Assess HRQoL in patients with NASH and compare NASH vs normative US dataa

Prospective, cross-sectional, single clinic study

USA

SF-36, CLDQ

SAS V.8.2 (SAS Institute Inc., Cary, NC, USA)

 David et al., 2009 [8]

Compare HRQoL in patients with NAFLD (with and without NASH) vs normative US population

Retrospective, cross-sectional, eight-center study (database and RCT data)

USA

SF-36

NR

 Sayiner et al., 2016 [13]

Compare HRQoL in patients with cirrhotic NAFLD vs those with noncirrhotic NAFLD and also vs the general population

Prospective, cross-sectional, single clinic study

USA

SF-36 (and SF-6D health utility scores derived)

SAS (SAS Institute Inc., Cary, NC, USA)

 Tapper and Lai, 2016 [14]

Assess HRQoL changes from baseline to 6 months in NAFLD and NASH patients with and without significant weight loss

Prospective, longitudinal (6-month) registry study

USA

CLDQ

JMP Pro statistical discovery (V.11; SAS Institute Inc., Cary, NC, USA)

Interventional trials reporting HRQoL impact of pharmacological therapies for NASHb

 Chande et al., 2006 [15]

Determine the effects of an herbal medicine (YHK) versus placebo for 8 weeks on HRQoL (secondary outcome) in patients with NASH and persistently elevated transaminases

Prospective, longitudinal (8-week), randomized, double-blind, placebo-controlled, single-center, pilot study

Japan

SF-36

NR

 Sanyal et al., 2010 [16]

Assess the change in HRQoL (secondary outcome) from baseline to the end of 96 weeks’ treatment with pioglitazone, vitamin E, or placebo in patients with NASH (without DM)

Prospective, longitudinal (96-week), randomized, double-blind, placebo-controlled, multicenter, phase 3 clinical trial

USA

SF-36

NR

Qualitative research in patients with NASH

 

 Palsgrove et al., 2016 [17]

Undertake qualitative research to inform the development of a conceptual model as part of the process of developing a NASH-specific PRO

Qualitative study (focus groups and individual interviews)

North America, Europe, South America, Australasia

Qualitative methods

MAXQDA Plus (VERBI GmbH, Berlin, Germany)

  1. CLD, chronic liver disease; CLDQ, Chronic Liver Disease Questionnaire; HRQoL, health-related quality of life; NAFLD, nonalcoholic fatty liver disease; NASH, nonalcoholic steatohepatitis; NR, not reported; PRO, patient-reported outcome; RCT, randomized controlled trial; SF-36, Short-Form 36; SF-6D, Short-Form Six-Dimension; YHK, Yo Jyo Hen Shi Ko
  2. aThe primary aim of the study by Chawla et al. (2016) was to assess the reliability and validity of the CLDQ (vs the SF-36) in patients with NASH: CLDQ was found to be a reliable and valid disease-specific HRQoL measure in adults with NASH
  3. bThere are no licensed therapies for NASH