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

Mary Amanda Dew, Andrea F. DiMartini, Fabienne Dobbels, Kathleen L. Grady, Sheila G. Jowsey-Gregoire, Annemarie Kaan, Kay Kendall, Quincy Robyn Young, Susan E. Abbey, Zeeshan Butt, Catherine C. Crone, Sabina De Geest, Christina T. Doligalski, Christiane Kugler, Laurie McDonald, Linda Ohler, Liz Painter, Michael G. Petty, Desiree Robson, Thomas SchlöglhoferTerry D. Schneekloth, Jonathan P. Singer, Patrick J. Smith, Heike Spaderna, Jeffrey J. Teuteberg, Roger D. Yusen, Paula C. Zimbrean

Research output: Contribution to journalArticlepeer-review

29 Scopus citations

Abstract

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.

Original languageEnglish (US)
JournalJournal of Heart and Lung Transplantation
DOIs
StateAccepted/In press - Jan 1 2018

Keywords

  • heart transplantation
  • lung transplantation
  • mechanical circulatory support
  • psychosocial evaluation
  • psychosocial risk factors

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine
  • Transplantation

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