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Abstract HRQOL was adapted from the more general and wide-ranging concept quality of life QOL. Because this is such a broad concept, there is no universally accepted definition for QOL. We have adopted the WHO definition of the multidimensional concept of QOL: individuals perceptions of their position in life in the context of the culture and value system in which they live and in relation to their goals, standards, and concerns. (WHOQOL, 2005) Patients with chronic liver disease suffer from fatigue, loss of self-esteem, inability to function at work, anxiety, depression, and other emotional problems that profoundly decrease their quality of life and well-being. (Gao et al., 2013) Given the many effects that CLD may have on patients, HRQOL should be considered an important outcome measure in the treatment of CLD patients. (Gutteling et al., 2007). |