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February 5, 2026Liver International2 citationsOpen Access

Quality of Life in Patients With Variant Syndromes of Autoimmune Liver Diseases—A Cross‐Sectional Multicentre Study

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NUNatalie UhlenbuschRSR. J. M. SnijdersMMMeike Mund

Key Points

  • This research aims to assess the health-related quality of life (HRQOL) in patients with variant syndromes of autoimmune liver diseases.
  • Conducted a cross-sectional study across nine countries.
  • Included adult patients with clinical diagnoses of autoimmune liver diseases.
  • Compared patient demographics, clinical outcomes, and patient-reported outcomes.
  • Investigated the impact of additional autoimmune hepatitis on HRQOL.
  • Explored relationships between fatigue, cirrhosis, depression severity, and HRQOL.
  • 1275 patients were included, with varying diagnoses of autoimmune liver diseases.
  • Patients with variant syndromes exhibited high rates of cirrhosis and depressive or anxiety symptoms.
  • Additional AIH correlated with decreased physical and mental HRQOL in PSC patients.
  • Physical HRQOL was linked to higher age and fatigue; mental HRQOL was connected to lower age, fatigue, and depression severity.
  • PSC-AIH patients experienced significantly worse HRQOL compared to those with cholestatic liver disease alone.

Abstract

ABSTRACT Background mental: Δ R 2 = 0.016, p = 0.020), but not with PBC (physical: Δ R 2 = 0.008, p = 0.081; mental: Δ R 2 = 0.001, p = 0.609). Physical HRQOL was associated with higher age and fatigue, while mental HRQOL was associated with lower age, fatigue, and depression severity. Conclusions Patients with variant syndromes of autoimmune liver diseases show high physical and mental burden, with fatigue as the main contributor. Particularly PSC‐AIH goes along with more severely reduced HRQOL compared to the cholestatic liver disease alone, which is attributable to a higher symptom burden.

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Cite This Study

Uhlenbusch et al. (2026) studied this question.

synapsesocial.com/papers/6984343ff1d9ada3c1fb2286https://doi.org/10.1111/liv.70526
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