The Approach to the Psychosocial Evaluation of Cardiac Transplant and Mechanical Circulatory Support Candidates

Mary Amanda Dew*, Andrea F. DiMartini, Fabienne Dobbels, Kathleen L. Grady, Sheila G. Jowsey-Gregoire, Annemarie Kaan, Kay Kendall, Quincy Robyn Young

*Corresponding author for this work

Research output: Contribution to journalReview article

Abstract

Purpose of Review: We update evidence underlying the recommendations of a 2018 multi-society consensus report regarding the psychosocial evaluation of individuals for cardiothoracic transplantation and mechanical circulatory support (MCS). In the present review, we focus on heart transplantation and MCS. Recent Findings: Expert opinion and new evidence support the inclusion of ten core content areas in the psychosocial evaluation. Prospective data indicate that psychosocial factors can predict post-transplantation/post-implantation outcomes. Such factors include treatment adherence history, mental health and substance use history, cognitive impairment, knowledge about treatment options, and social factors such as socioeconomic status. For other factors (e.g., coping, social support), new evidence is weaker because it derives largely from cross-sectional studies. Concerning evaluation process issues, expert opinion remains consistent with consensus recommendations, but there is a dearth of empirical evidence. Summary: The psychosocial evaluation can identify factors relevant for candidacy for heart transplantation and MCS implantation. It enables the provision of interventions to improve patients’ viability as candidates, and facilitates care planning.

Original languageEnglish (US)
Pages (from-to)201-211
Number of pages11
JournalCurrent heart failure reports
Volume16
Issue number6
DOIs
StatePublished - Dec 1 2019

Keywords

  • Clinical outcomes
  • Heart transplantation
  • Mechanical circulatory support
  • Psychosocial evaluation
  • Psychosocial outcomes

ASJC Scopus subject areas

  • Emergency Medicine
  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

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  • Cite this

    Dew, M. A., DiMartini, A. F., Dobbels, F., Grady, K. L., Jowsey-Gregoire, S. G., Kaan, A., Kendall, K., & Young, Q. R. (2019). The Approach to the Psychosocial Evaluation of Cardiac Transplant and Mechanical Circulatory Support Candidates. Current heart failure reports, 16(6), 201-211. https://doi.org/10.1007/s11897-019-00443-0