Martin Kumnig1, Sheila G Jowsey, Andrea F DiMartini. 1. aInnsbruck Medical University, Department of Medical Psychology, Center for Advanced Psychology in Plastic and Transplant Surgery, Innsbruck, Austria bPsychiatry, Mayo Graduate School of Medicine, Mayo Clinic, Rochester, Minnesota cDepartments of Psychiatry and Surgery, University of Pittsburgh, School of Medicine, Starzl Transplant Institute at the University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Abstract
PURPOSE OF REVIEW: Psychosocial aspects are important indicators for reconstructive hand transplantation (RHT). They warrant further research attention given the influence of psychosocial factors on the success of RHT. This review will contrast RHT with solid organ transplantation, provide information to guide selection of RHT candidates and ethical implications, share information on psychological outcomes, and address the importance of a multicenter research approach. RECENT FINDINGS: Previously published RHT reports have tried to identify psychosocial factors that are essential to guide selection of RHT candidates and that predict psychosocial outcomes. These issues in RHT are receiving increased attention, but standardized psychosocial evaluation and follow-up protocols are still needed. Recent study highlights the potential for a multicenter research approach that uses standardized assessment strategies and also emphasizes the need for a shared assessment approach to understand psychosocial outcomes. SUMMARY: RHT combines the technical rigors of hand surgery and microsurgery with the complex multidisciplinary care that defines modern transplantation medicine. As recent work has provided a more complete picture of the complexities of the psychosocial factors in RHT, a psychosocial assessment protocol developed with input across the centers currently performing this procedure would capitalize on the collective diverse clinical experiences and standardize the assessment and follow-up protocol. With such standardized procedures in place, psychosocial risk factors for both poor psychosocial and medical/surgical outcomes can be identified which can inform the selection or preparation of future candidates.
PURPOSE OF REVIEW: Psychosocial aspects are important indicators for reconstructive hand transplantation (RHT). They warrant further research attention given the influence of psychosocial factors on the success of RHT. This review will contrast RHT with solid organ transplantation, provide information to guide selection of RHT candidates and ethical implications, share information on psychological outcomes, and address the importance of a multicenter research approach. RECENT FINDINGS: Previously published RHT reports have tried to identify psychosocial factors that are essential to guide selection of RHT candidates and that predict psychosocial outcomes. These issues in RHT are receiving increased attention, but standardized psychosocial evaluation and follow-up protocols are still needed. Recent study highlights the potential for a multicenter research approach that uses standardized assessment strategies and also emphasizes the need for a shared assessment approach to understand psychosocial outcomes. SUMMARY: RHT combines the technical rigors of hand surgery and microsurgery with the complex multidisciplinary care that defines modern transplantation medicine. As recent work has provided a more complete picture of the complexities of the psychosocial factors in RHT, a psychosocial assessment protocol developed with input across the centers currently performing this procedure would capitalize on the collective diverse clinical experiences and standardize the assessment and follow-up protocol. With such standardized procedures in place, psychosocial risk factors for both poor psychosocial and medical/surgical outcomes can be identified which can inform the selection or preparation of future candidates.
Authors: Sarah E Kinsley; Shuang Song; Palmina Petruzzo; Claudia Sardu; Elena Losina; Simon G Talbot Journal: Plast Reconstr Surg Glob Open Date: 2020-09-23
Authors: Dawn Finnie; Joan M Griffin; Cassie C Kennedy; Karen Schaepe; Kasey Boehmer; Ian Hargraves; Hatem Amer; Sheila Jowsey-Gregoire Journal: Front Psychol Date: 2022-09-27
Authors: Theresa Hautz; Franka Messner; Annemarie Weissenbacher; Hubert Hackl; Martin Kumnig; Marina Ninkovic; Valeria Berchtold; Johanna Krapf; Bettina G Zelger; Bernhard Zelger; Dolores Wolfram; Gerhard Pierer; Wolfgang N Löscher; Robert Zimmermann; Markus Gabl; Rohit Arora; Gerald Brandacher; Raimund Margreiter; Dietmar Öfner; Stefan Schneeberger Journal: Transpl Int Date: 2020-11-10 Impact factor: 3.842