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 Dew¹, Andrea F DiMartini², Fabienne Dobbels³, Kathleen L Grady⁴, Sheila G Jowsey-Gregoire⁵, Annemarie Kaan⁶, Kay Kendall⁷, Quincy-Robyn Young⁶, Susan E Abbey⁸, Zeeshan Butt⁴, Catherine C Crone⁹, Sabina De Geest¹⁰, Christina T Doligalski¹¹, Christiane Kugler¹², Laurie McDonald¹³, Linda Ohler¹⁴, Liz Painter¹⁵, Michael G Petty¹⁶, Desiree Robson¹⁷, Thomas Schlöglhofer¹⁸, Terry D Schneekloth⁵, Jonathan P Singer¹⁹, Patrick J Smith²⁰, Heike Spaderna²¹, Jeffrey J Teuteberg²², Roger D Yusen²³, Paula C Zimbrean²⁴

Affiliations

¹ University of Pittsburgh School of Medicine and Medical Center, Pittsburgh, Pennsylvania, USA. Electronic address: dewma@upmc.edu.
² University of Pittsburgh School of Medicine and Medical Center, Pittsburgh, Pennsylvania, USA.
³ Katholieke Universiteit Leuven, Leuven, Belgium.
⁴ Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
⁵ Mayo Clinic, Rochester, Minnesota, USA.
⁶ St. Paul's Hospital, Vancouver, British Columbia, Canada.
⁷ Cleveland Clinic, Cleveland, Ohio, USA.
⁸ University of Toronto and University Health Network, Toronto, Ontario, Canada.
⁹ INOVA Hospitals, Fairfax, Virginia, USA.
¹⁰ Katholieke Universiteit Leuven, Leuven, Belgium; University of Basel, Basel, Switzerland.
¹¹ Tampa General Hospital, Tampa, Florida, USA.
¹² University of Freiburg, Freiburg, Germany.
¹³ University of North Carolina, Chapel Hill, North Carolina, USA.
¹⁴ George Washington University, Washington, DC, USA.
¹⁵ Auckland City Hospital, Auckland, New Zealand.
¹⁶ University of Minnesota, Minneapolis, Minnesota, USA.
¹⁷ St. Vincent's Hospital, Sydney, New South Wales, Australia.
¹⁸ Medical University of Vienna, Vienna, Austria.
¹⁹ University of California at San Francisco, San Francisco, California, USA.
²⁰ Duke University, Durham, North Carolina, USA.
²¹ Trier University, Trier, Germany.
²² Stanford University, Stanford, California, USA.
²³ Washington University, St. Louis, Missouri, USA.
²⁴ Yale University, New Haven, Connecticut, USA.

PMID: 29709440
DOI: 10.1016/j.healun.2018.03.005

Practice Guideline

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 et al. J Heart Lung Transplant. 2018 Jul.

. 2018 Jul;37(7):803-823.

doi: 10.1016/j.healun.2018.03.005. Epub 2018 Apr 27.

Authors

Affiliations

¹ University of Pittsburgh School of Medicine and Medical Center, Pittsburgh, Pennsylvania, USA. Electronic address: dewma@upmc.edu.
² University of Pittsburgh School of Medicine and Medical Center, Pittsburgh, Pennsylvania, USA.
³ Katholieke Universiteit Leuven, Leuven, Belgium.
⁴ Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
⁵ Mayo Clinic, Rochester, Minnesota, USA.
⁶ St. Paul's Hospital, Vancouver, British Columbia, Canada.
⁷ Cleveland Clinic, Cleveland, Ohio, USA.
⁸ University of Toronto and University Health Network, Toronto, Ontario, Canada.
⁹ INOVA Hospitals, Fairfax, Virginia, USA.
¹⁰ Katholieke Universiteit Leuven, Leuven, Belgium; University of Basel, Basel, Switzerland.
¹¹ Tampa General Hospital, Tampa, Florida, USA.
¹² University of Freiburg, Freiburg, Germany.
¹³ University of North Carolina, Chapel Hill, North Carolina, USA.
¹⁴ George Washington University, Washington, DC, USA.
¹⁵ Auckland City Hospital, Auckland, New Zealand.
¹⁶ University of Minnesota, Minneapolis, Minnesota, USA.
¹⁷ St. Vincent's Hospital, Sydney, New South Wales, Australia.
¹⁸ Medical University of Vienna, Vienna, Austria.
¹⁹ University of California at San Francisco, San Francisco, California, USA.
²⁰ Duke University, Durham, North Carolina, USA.
²¹ Trier University, Trier, Germany.
²² Stanford University, Stanford, California, USA.
²³ Washington University, St. Louis, Missouri, USA.
²⁴ Yale University, New Haven, Connecticut, USA.

PMID: 29709440
DOI: 10.1016/j.healun.2018.03.005

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.

Keywords: heart transplantation; lung transplantation; mechanical circulatory support; psychosocial evaluation; psychosocial risk factors.

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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

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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

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Abstract

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Medical