The 2018 ISHLT/APM/AST/ICCAC/STSW recommendations for the psychosocial evaluation of adult cardiothoracic transplant candidates and candidates for long-term mechanical circulatory support

JOURNAL OF HEART AND LUNG TRANSPLANTATION

卷:37

Article

Dew, Mary Amanda^1,2  DiMartini, Andrea F.^1,2  Dobbels, Fabienne³  Grady, Kathleen L.⁴  Jowsey-Gregoire, Sheila G.⁵  Kaan, Annemarie⁶  Kendall, Kay⁷  Young, Quincy-Robyn⁶  Abbey, Susan E.^8,9  Butt, Zeeshan⁴  Crone, Catherine C.¹⁰  De Geest, Sabina^3,11  Doligalski, Christina T.^12,14  Kugler, Christiane¹³  Ohler, Linda^15,26  Painter, Liz¹⁶  Petty, Michael G.¹⁷  Robson, Desiree¹⁸  Schloeglhofer, Thomas¹⁹  Schneekloth, Terry D.⁵  Singer, Jonathan P.²⁰  Smith, Patrick J.²¹  Spaderna, Heike²²  Teuteberg, Jeffrey J.²³  Yusen, Roger D.²⁴  Zimbrean, PaulaC.²⁵ 

[1] Univ Pittsburgh, Sch Med, Pittsburgh, PA USA

[2] Univ Pittsburgh, Med Ctr, Pittsburgh, PA USA

[3] Katholieke Univ Leuven, Leuven, Belgium

[4] Northwestern Univ, Feinberg Sch Med, Chicago, IL 60611 USA

[5] Mayo Clin, Rochester, MN USA

[6] St Pauls Hosp, Vancouver, BC, Canada

[7] Cleveland Clin, Cleveland, OH 44106 USA

[8] Univ Toronto, Toronto, ON, Canada

[9] Univ Hlth Network, Toronto, ON, Canada

[10] INOVA Hosp, Fairfax, VA USA

[11] Univ Basel, Basel, Switzerland

[12] Tampa Gen Hosp, Tampa, FL 33606 USA

[13] Univ Freiburg, Freiburg, Germany

[14] Univ N Carolina, Chapel Hill, NC 27515 USA

[15] George Washington Univ, Washington, DC USA

[16] Auckland City Hosp, Auckland, New Zealand

[17] Univ Minnesota, Minneapolis, MN USA

[18] St Vincents Hosp, Sydney, NSW, Australia

[19] Med Univ Vienna, Vienna, Austria

[20] Univ Calif San Francisco, San Francisco, CA 94143 USA

[21] Duke Univ, Durham, NC USA

[22] Trier Univ, Trier, Germany

[23] Stanford Univ, Stanford, CA 94305 USA

[24] Washington Univ, St Louis, MO USA

[25] Yale Univ, New Haven, CT USA

[26] NYU, Med Ctr, New York, NY 10016 USA

关键词: heart transplantation;    lung transplantation;    mechanical circulatory support;    psychosocial evaluation;    psychosocial risk factors;   

DOI  :  10.1016/j.healun.2018.03.005

来源: Elsevier

【 摘 要 】

The psychosocial evaluation is well-recognized as an important component of the multifaceted assessment process to determine candidacy for heart transplantation, lung transplantation, and long-term mechanical circulatory support (MCS). However, there is no consensus-based set of recommendations for either the full range of psychosocial domains to be assessed during the evaluation, or the set of processes and procedures to be used to conduct the evaluation, report its findings, and monitor patients' receipt of and response to interventions for any problems identified. This document provides recommendations on both evaluation content and process. It represents a collaborative effort of the International Society for Heart and Lung Transplantation (ISHLT) and the Academy of Psychosomatic Medicine, American Society of Transplantation, International Consortium of Circulatory Assist Clinicians, and Society for Transplant Social Workers. The Nursing, Health Science and Allied Health Council of the ISHLT organized a Writing Committee composed of international experts representing the ISHLT and the collaborating societies. This Committee synthesized expert opinion and conducted a comprehensive literature review to support the psychosocial evaluation content and process recommendations that were developed. The recommendations are intended to dovetail with current ISHLT guidelines and consensus statements for the selection of candidates for cardiothoracic transplantation and MCS implantation. Moreover, the recommendations are designed to promote consistency across programs in the performance of the psychosocial evaluation by proposing a core set of content domains and processes that can be expanded as needed to meet programs' unique needs and goals. (C) 2018 International Society for Heart and Lung Transplantation. All rights reserved.

【 授权许可】

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