Psychosocial characteristics of patients evaluated for kidney transplant and associations with functional and frailty metrics at a veterans affairs hospital
Background The effect of psychosocial problems on listing outcomes and potential interactions with functional metrics is not well‐characterized among Veteran transplant candidates. Methods The results from psychosocial evaluations, frailty metrics, and biochemical markers were collected on 375 conse...
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| Veröffentlicht in: | Clinical transplantation 2022-02, Vol.36 (2), p.e14530-n/a |
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| creator | Manay, Priyadarshini Ten Eyck, Patrick Siniff, Erin Binns, Grace Sanders, M. Lee Swee, Melissa Hornickel, Jodell L. Kalil, Roberto Katz, Daniel A. |
| description | Background
The effect of psychosocial problems on listing outcomes and potential interactions with functional metrics is not well‐characterized among Veteran transplant candidates.
Methods
The results from psychosocial evaluations, frailty metrics, and biochemical markers were collected on 375 consecutive Veteran kidney transplant candidates. Psychosocial diagnoses were compared between patients listed or denied for transplant. Functional abilities were compared among patients with or without psychosocial diagnoses and then evaluated based on reason for denial.
Results
Eighty‐four percent of patients had a psychosocial diagnosis. Common issues included substance or alcohol abuse (62%), psychiatric diagnoses (50%), and poor adherence (25%). Patients with psychiatric diagnoses, cognitive impairments, and poor adherence were more likely to be denied for transplant (P |
| doi_str_mv | 10.1111/ctr.14530 |
| format | Article |
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The effect of psychosocial problems on listing outcomes and potential interactions with functional metrics is not well‐characterized among Veteran transplant candidates.
Methods
The results from psychosocial evaluations, frailty metrics, and biochemical markers were collected on 375 consecutive Veteran kidney transplant candidates. Psychosocial diagnoses were compared between patients listed or denied for transplant. Functional abilities were compared among patients with or without psychosocial diagnoses and then evaluated based on reason for denial.
Results
Eighty‐four percent of patients had a psychosocial diagnosis. Common issues included substance or alcohol abuse (62%), psychiatric diagnoses (50%), and poor adherence (25%). Patients with psychiatric diagnoses, cognitive impairments, and poor adherence were more likely to be denied for transplant (P < .05). Patients with depression, PTSD, and anxiety did not have worse functional ability, but experienced more exhaustion than patients without these problems. Patients denied for medical but not purely psychosocial reasons had worse troponin and functional metrics compared with listed patients.
Conclusion
Over 80% of patients with a psychosocial diagnosis were listed; however, poor adherence was a particularly important reason for denial for purely psychosocial reasons. Patients with psychosocial diagnoses generally were not more functionally limited than their counterparts without psychosocial diagnoses or those listed for transplant.</description><identifier>ISSN: 0902-0063</identifier><identifier>EISSN: 1399-0012</identifier><identifier>DOI: 10.1111/ctr.14530</identifier><identifier>PMID: 34783397</identifier><language>eng</language><publisher>Denmark</publisher><subject>Benchmarking ; depression ; Frailty ; Hospitals ; Humans ; kidney transplant evaluation ; Kidney Transplantation ; listing outcomes ; nonadherence ; pedometer ; psychosocial ; treadmill ; up‐and‐go ; Veterans</subject><ispartof>Clinical transplantation, 2022-02, Vol.36 (2), p.e14530-n/a</ispartof><rights>2021 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4160-92a5322222d9ccbac00605e4c09910ef9c7e33c5d1ec84914b155dba65731f533</citedby><cites>FETCH-LOGICAL-c4160-92a5322222d9ccbac00605e4c09910ef9c7e33c5d1ec84914b155dba65731f533</cites><orcidid>0000-0002-6495-0078 ; 0000-0002-1591-0862 ; 0000-0003-0026-7146 ; 0000-0002-5968-9899 ; 0000-0001-9442-3757 ; 0000-0002-5041-0708</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fctr.14530$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fctr.14530$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,780,784,885,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34783397$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Manay, Priyadarshini</creatorcontrib><creatorcontrib>Ten Eyck, Patrick</creatorcontrib><creatorcontrib>Siniff, Erin</creatorcontrib><creatorcontrib>Binns, Grace</creatorcontrib><creatorcontrib>Sanders, M. Lee</creatorcontrib><creatorcontrib>Swee, Melissa</creatorcontrib><creatorcontrib>Hornickel, Jodell L.</creatorcontrib><creatorcontrib>Kalil, Roberto</creatorcontrib><creatorcontrib>Katz, Daniel A.</creatorcontrib><title>Psychosocial characteristics of patients evaluated for kidney transplant and associations with functional and frailty metrics at a veterans affairs hospital</title><title>Clinical transplantation</title><addtitle>Clin Transplant</addtitle><description>Background
The effect of psychosocial problems on listing outcomes and potential interactions with functional metrics is not well‐characterized among Veteran transplant candidates.
Methods
The results from psychosocial evaluations, frailty metrics, and biochemical markers were collected on 375 consecutive Veteran kidney transplant candidates. Psychosocial diagnoses were compared between patients listed or denied for transplant. Functional abilities were compared among patients with or without psychosocial diagnoses and then evaluated based on reason for denial.
Results
Eighty‐four percent of patients had a psychosocial diagnosis. Common issues included substance or alcohol abuse (62%), psychiatric diagnoses (50%), and poor adherence (25%). Patients with psychiatric diagnoses, cognitive impairments, and poor adherence were more likely to be denied for transplant (P < .05). Patients with depression, PTSD, and anxiety did not have worse functional ability, but experienced more exhaustion than patients without these problems. Patients denied for medical but not purely psychosocial reasons had worse troponin and functional metrics compared with listed patients.
Conclusion
Over 80% of patients with a psychosocial diagnosis were listed; however, poor adherence was a particularly important reason for denial for purely psychosocial reasons. Patients with psychosocial diagnoses generally were not more functionally limited than their counterparts without psychosocial diagnoses or those listed for transplant.</description><subject>Benchmarking</subject><subject>depression</subject><subject>Frailty</subject><subject>Hospitals</subject><subject>Humans</subject><subject>kidney transplant evaluation</subject><subject>Kidney Transplantation</subject><subject>listing outcomes</subject><subject>nonadherence</subject><subject>pedometer</subject><subject>psychosocial</subject><subject>treadmill</subject><subject>up‐and‐go</subject><subject>Veterans</subject><issn>0902-0063</issn><issn>1399-0012</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kctu1DAUhi0EokNhwQsgL2ExrR3HmXiF0IibVAmEyto6c3LMGDJxsJ2p8i48LE6nVLDgbHz7_Z3Lz9hzKS5kiUvM8ULWWokHbCWVMWshZPWQrYQRVdk36ow9Sel7uW1kox-zM1VvWqXMZsV-fU4z7kMK6KHnuIcImCn6lD0mHhwfIXsacuJ0hH6CTB13IfIfvhto5jnCkMYehsxh6DikW1D2YUj8xuc9d9OAy7HAF4GL4Ps88wPluCSA8o8fqWQsHA7OgY-Jl3pGn6F_yh456BM9u1vP2dd3b6-3H9ZXn95_3L65WmMtG7E2FWhVLdEZxB1gaVloqlEYIwU5gxtSCnUnCdvayHonte520OiNkk4rdc5en7jjtDtQh6XfCL0doz9AnG0Ab_99GfzefgtHK4USulVtIby8I8Twc6KU7cEnpL5MhsKUbKVNK8rM26pIX52kGENKkdx9HinsYqctdtpbO4v2xd-F3Sv_-FcElyfBje9p_j_Jbq-_nJC_ATRLrx0</recordid><startdate>202202</startdate><enddate>202202</enddate><creator>Manay, Priyadarshini</creator><creator>Ten Eyck, Patrick</creator><creator>Siniff, Erin</creator><creator>Binns, Grace</creator><creator>Sanders, M. Lee</creator><creator>Swee, Melissa</creator><creator>Hornickel, Jodell L.</creator><creator>Kalil, Roberto</creator><creator>Katz, Daniel A.</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-6495-0078</orcidid><orcidid>https://orcid.org/0000-0002-1591-0862</orcidid><orcidid>https://orcid.org/0000-0003-0026-7146</orcidid><orcidid>https://orcid.org/0000-0002-5968-9899</orcidid><orcidid>https://orcid.org/0000-0001-9442-3757</orcidid><orcidid>https://orcid.org/0000-0002-5041-0708</orcidid></search><sort><creationdate>202202</creationdate><title>Psychosocial characteristics of patients evaluated for kidney transplant and associations with functional and frailty metrics at a veterans affairs hospital</title><author>Manay, Priyadarshini ; Ten Eyck, Patrick ; Siniff, Erin ; Binns, Grace ; Sanders, M. Lee ; Swee, Melissa ; Hornickel, Jodell L. ; Kalil, Roberto ; Katz, Daniel A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4160-92a5322222d9ccbac00605e4c09910ef9c7e33c5d1ec84914b155dba65731f533</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Benchmarking</topic><topic>depression</topic><topic>Frailty</topic><topic>Hospitals</topic><topic>Humans</topic><topic>kidney transplant evaluation</topic><topic>Kidney Transplantation</topic><topic>listing outcomes</topic><topic>nonadherence</topic><topic>pedometer</topic><topic>psychosocial</topic><topic>treadmill</topic><topic>up‐and‐go</topic><topic>Veterans</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Manay, Priyadarshini</creatorcontrib><creatorcontrib>Ten Eyck, Patrick</creatorcontrib><creatorcontrib>Siniff, Erin</creatorcontrib><creatorcontrib>Binns, Grace</creatorcontrib><creatorcontrib>Sanders, M. Lee</creatorcontrib><creatorcontrib>Swee, Melissa</creatorcontrib><creatorcontrib>Hornickel, Jodell L.</creatorcontrib><creatorcontrib>Kalil, Roberto</creatorcontrib><creatorcontrib>Katz, Daniel A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Clinical transplantation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Manay, Priyadarshini</au><au>Ten Eyck, Patrick</au><au>Siniff, Erin</au><au>Binns, Grace</au><au>Sanders, M. Lee</au><au>Swee, Melissa</au><au>Hornickel, Jodell L.</au><au>Kalil, Roberto</au><au>Katz, Daniel A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Psychosocial characteristics of patients evaluated for kidney transplant and associations with functional and frailty metrics at a veterans affairs hospital</atitle><jtitle>Clinical transplantation</jtitle><addtitle>Clin Transplant</addtitle><date>2022-02</date><risdate>2022</risdate><volume>36</volume><issue>2</issue><spage>e14530</spage><epage>n/a</epage><pages>e14530-n/a</pages><issn>0902-0063</issn><eissn>1399-0012</eissn><abstract>Background
The effect of psychosocial problems on listing outcomes and potential interactions with functional metrics is not well‐characterized among Veteran transplant candidates.
Methods
The results from psychosocial evaluations, frailty metrics, and biochemical markers were collected on 375 consecutive Veteran kidney transplant candidates. Psychosocial diagnoses were compared between patients listed or denied for transplant. Functional abilities were compared among patients with or without psychosocial diagnoses and then evaluated based on reason for denial.
Results
Eighty‐four percent of patients had a psychosocial diagnosis. Common issues included substance or alcohol abuse (62%), psychiatric diagnoses (50%), and poor adherence (25%). Patients with psychiatric diagnoses, cognitive impairments, and poor adherence were more likely to be denied for transplant (P < .05). Patients with depression, PTSD, and anxiety did not have worse functional ability, but experienced more exhaustion than patients without these problems. Patients denied for medical but not purely psychosocial reasons had worse troponin and functional metrics compared with listed patients.
Conclusion
Over 80% of patients with a psychosocial diagnosis were listed; however, poor adherence was a particularly important reason for denial for purely psychosocial reasons. Patients with psychosocial diagnoses generally were not more functionally limited than their counterparts without psychosocial diagnoses or those listed for transplant.</abstract><cop>Denmark</cop><pmid>34783397</pmid><doi>10.1111/ctr.14530</doi><tpages>14</tpages><orcidid>https://orcid.org/0000-0002-6495-0078</orcidid><orcidid>https://orcid.org/0000-0002-1591-0862</orcidid><orcidid>https://orcid.org/0000-0003-0026-7146</orcidid><orcidid>https://orcid.org/0000-0002-5968-9899</orcidid><orcidid>https://orcid.org/0000-0001-9442-3757</orcidid><orcidid>https://orcid.org/0000-0002-5041-0708</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Clinical transplantation, 2022-02, Vol.36 (2), p.e14530-n/a |
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| language | eng |
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| source | MEDLINE; Access via Wiley Online Library |
| subjects | Benchmarking depression Frailty Hospitals Humans kidney transplant evaluation Kidney Transplantation listing outcomes nonadherence pedometer psychosocial treadmill up‐and‐go Veterans |
| title | Psychosocial characteristics of patients evaluated for kidney transplant and associations with functional and frailty metrics at a veterans affairs hospital |
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