[Quality of life after transplantation]

The fact of having surmounted such a major health problem as failure of a vital organ makes it predictable that subjective indexes of quality of life after transplantation will be as good as or better than those of the general population. Many authors have studied whether this hypothesis is valid. Such study presents many methodological problems: the need to define rehabilitation, to establish an absolute or relative evaluation concerning a previous state or that of the general population, and to take into account residuel constraints as well as failures. Several studies concerning one group, one organ or the means of improving rehabilitation are presented. The composition of a good follow-up team and the aspect of physical activity are stressed. It is suggested that the goal of treatment by transplantation be multidisciplinary action to achieve and maintain the best possible rehabilitation of the patient.