TY - JOUR
T1 - The influence of psychosocial factors on heart transplantation decisions and outcomes.
AU - Geller, S. E.
AU - Connolly, T.
PY - 1997/12
Y1 - 1997/12
N2 - In January 1990, a well-established heart transplant program added a psychosocial evaluation procedure to its medical evaluation of potential transplant recipients. To determine the predictive value of psychosocial evaluation for decisions to list patients for a transplant and for ultimate clinical outcomes, we reviewed records of 191 patients who underwent psychosocial evaluation in the subsequent 3 years. Informal prescreening for obvious psychopathology and other disqualifiers almost certainly restricted the ranges of psychosocial factors observed in the sample. Of 120 patients listed, 61 actually received transplants. Psychosocial factors were little used in deciding whether to list the patients and were not predictive of recipients' medical outcome or compliance, but were moderately predictive of complication rates and difficulty of managing patients after transplantation. Although psychosocial evaluation of prescreened potential transplant recipients has little value in predicting medical outcome, it may be useful for planning and scheduling care after transplantation.
AB - In January 1990, a well-established heart transplant program added a psychosocial evaluation procedure to its medical evaluation of potential transplant recipients. To determine the predictive value of psychosocial evaluation for decisions to list patients for a transplant and for ultimate clinical outcomes, we reviewed records of 191 patients who underwent psychosocial evaluation in the subsequent 3 years. Informal prescreening for obvious psychopathology and other disqualifiers almost certainly restricted the ranges of psychosocial factors observed in the sample. Of 120 patients listed, 61 actually received transplants. Psychosocial factors were little used in deciding whether to list the patients and were not predictive of recipients' medical outcome or compliance, but were moderately predictive of complication rates and difficulty of managing patients after transplantation. Although psychosocial evaluation of prescreened potential transplant recipients has little value in predicting medical outcome, it may be useful for planning and scheduling care after transplantation.
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U2 - 10.7182/prtr.1.7.4.1k60m448wvx35075
DO - 10.7182/prtr.1.7.4.1k60m448wvx35075
M3 - Article
C2 - 9510730
AN - SCOPUS:0031309658
SN - 0905-9199
VL - 7
SP - 173
EP - 179
JO - Journal of transplant coordination : official publication of the North American Transplant Coordinators Organization (NATCO)
JF - Journal of transplant coordination : official publication of the North American Transplant Coordinators Organization (NATCO)
IS - 4
ER -