Your browser doesn't support javascript.
loading
The Psychosocial Assessment of Candidates for Transplantation: A Cohort Study of its Association With Survival Among Lung Transplant Recipients.
Hitschfeld, Mario J; Schneekloth, Terry D; Kennedy, Cassie C; Rummans, Teresa A; Niazi, Shehzad K; Vasquez, Adriana R; Geske, Jennifer R; Petterson, Tanya M; Kremers, Walter K; Jowsey-Gregoire, Sheila G.
Afiliação
  • Hitschfeld MJ; Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN; Psychiatry and Mental Health Service, Sotero Del Rio Hospital, Puente Alto, Santiago, Chile.
  • Schneekloth TD; Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN; William J. von Liebig Transplant Center, Mayo Clinic, Rochester, MN. Electronic address: schneekloth.terry@mayo.edu.
  • Kennedy CC; Psychiatry and Mental Health Service, Sotero Del Rio Hospital, Puente Alto, Santiago, Chile; Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Mayo Clinic, Rochester, MN; Mayo Clinic Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo
  • Rummans TA; Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN; Department of Psychiatry and Psychology, Mayo Clinic, Jacksonville, FL.
  • Niazi SK; Department of Psychiatry and Psychology, Mayo Clinic, Jacksonville, FL.
  • Vasquez AR; Department of Psychiatry and Psychology, Mayo Clinic, Jacksonville, FL.
  • Geske JR; Department of Health Sciences Research, Mayo Clinic, Rochester, MN.
  • Petterson TM; Psychiatry and Mental Health Service, Sotero Del Rio Hospital, Puente Alto, Santiago, Chile; Department of Health Sciences Research, Mayo Clinic, Rochester, MN.
  • Kremers WK; Psychiatry and Mental Health Service, Sotero Del Rio Hospital, Puente Alto, Santiago, Chile; Mayo Clinic Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN.
  • Jowsey-Gregoire SG; Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN; William J. von Liebig Transplant Center, Mayo Clinic, Rochester, MN.
Psychosomatics ; 57(5): 489-97, 2016.
Article em En | MEDLINE | ID: mdl-27494985
BACKGROUND: The United Network for Organ Sharing mandates a psychosocial assessment of transplant candidates before listing. A quantified measure for determining transplant candidacy is the Psychosocial Assessment of Candidates for Transplant (PACT) scale. This instrument's predictive value for survival has not been rigorously evaluated among lung transplantation recipients. METHODS: We reviewed medical records of all patients who underwent lung transplantation at Mayo Clinic, Rochester from 2000-2012. A transplant psychiatrist had assessed lung transplant candidates for psychosocial risk with the PACT scale. Recipients were divided into high- and low psychosocial risk cohorts using a PACT score cutoff of 2. The main outcome variable was posttransplant survival. Mortality was analyzed using the Kaplan-Meier estimator and Cox proportional hazard models. RESULTS: This study included 110 lung recipients: 57 (51.8%) were females, 101 (91.8%) Whites, mean age: 56.4 years. Further, 7 (6.4%) recipients received an initial PACT score <2 (poor or borderline candidates) and later achieved a higher score, allowing transplant listing; 103 (93.6%) received initial scores ≥2 (acceptable, good or great candidates). An initial PACT score < 2 was modestly associated with higher mortality (adjusted hazard ratio = 2.73, p = 0.04). CONCLUSIONS: Lung transplant recipients who initially received a low score on the PACT scale, reflecting poor or borderline psychosocial candidacy, experienced greater likelihood of mortality. This primary finding suggests that the psychosocial assessment, as measured by the PACT scale, may provide additional mortality risk stratification for lung transplant candidates.
Assuntos
Palavras-chave
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Psicologia / Transplante de Pulmão / Medição de Risco / Seleção de Pacientes Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Aged / Female / Humans / Male / Middle aged País/Região como assunto: America do norte Idioma: En Revista: Psychosomatics Ano de publicação: 2016 Tipo de documento: Article País de afiliação: Chile País de publicação: Reino Unido
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Psicologia / Transplante de Pulmão / Medição de Risco / Seleção de Pacientes Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Aged / Female / Humans / Male / Middle aged País/Região como assunto: America do norte Idioma: En Revista: Psychosomatics Ano de publicação: 2016 Tipo de documento: Article País de afiliação: Chile País de publicação: Reino Unido