Elizabeth Vandenbogaart1, Lynn Doering2, Belinda Chen2, Ann Saltzman3, Tamara Chaker4, Julie W Creaser4, Darlene Rourke4, Richard W Cheng4, Gregg C Fonarow5, Mario Deng4. 1. Department of Medicine, Division of Cardiology, University of California Los Angeles, 100 Medical Plaza, Suite 630E, Los Angeles, CA, 90095, USA. Electronic address: ebogaart@hotmail.com. 2. UCLA School of Nursing, 700 Tiverton Ave, Los Angeles, CA, 90095, USA. 3. Cardiopulmonary Rehabilitation Center, Ronald Regan UCLA Medical Center, 200 UCLA Medical Plaza, Suite 206C, Los Angeles, CA 90095, USA. 4. Department of Medicine, Division of Cardiology, University of California Los Angeles, 100 Medical Plaza, Suite 630E, Los Angeles, CA, 90095, USA. 5. Department of Medicine, Division of Cardiology, University of California Los Angeles, 10833 LeConte Ave A2-237 CHS, Los Angeles CA, 90095, USA.
Abstract
OBJECTIVES: We evaluated the reliability of the Stanford Integrated Psychosocial Assessment for Transplantation (SIPAT) in heart transplant (HT) recipients and explored its usefulness in predicting post-transplant outcomes. BACKGROUND: Pre-transplant psychosocial and behavioral risk is associated with post-transplant clinical outcomes. SIPAT is a risk assessment tool created for pre-transplant psychosocial evaluation. METHODS: Via retrospective chart review, three examiners applied the SIPAT to 51 adult HT recipients. Examiners blinded to SIPAT scores extracted data and interviewed clinicians for one-year post-transplant outcomes. Analysis included Intra-class correlation coefficient (ICC), Pearson's correlation coefficient and Chi-square. RESULTS: SIPAT demonstrated strong inter-rater reliability (ICC = 0.89, 95% CI = 0.76-0.96). Compared to those with SIPAT ratings of "Excellent/Good", the "Minimally Acceptable Candidate/High Risk" group was more likely to miss clinic visits (p = 0.004). CONCLUSIONS: The SIPAT tool had strong IRR. Less favorable SIPAT ratings were associated with nonadherence to clinic visits. Further study is warranted to determine association of SIPAT ratings to clinical outcomes.
OBJECTIVES: We evaluated the reliability of the Stanford Integrated Psychosocial Assessment for Transplantation (SIPAT) in heart transplant (HT) recipients and explored its usefulness in predicting post-transplant outcomes. BACKGROUND: Pre-transplant psychosocial and behavioral risk is associated with post-transplant clinical outcomes. SIPAT is a risk assessment tool created for pre-transplant psychosocial evaluation. METHODS: Via retrospective chart review, three examiners applied the SIPAT to 51 adult HT recipients. Examiners blinded to SIPAT scores extracted data and interviewed clinicians for one-year post-transplant outcomes. Analysis included Intra-class correlation coefficient (ICC), Pearson's correlation coefficient and Chi-square. RESULTS: SIPAT demonstrated strong inter-rater reliability (ICC = 0.89, 95% CI = 0.76-0.96). Compared to those with SIPAT ratings of "Excellent/Good", the "Minimally Acceptable Candidate/High Risk" group was more likely to miss clinic visits (p = 0.004). CONCLUSIONS: The SIPAT tool had strong IRR. Less favorable SIPAT ratings were associated with nonadherence to clinic visits. Further study is warranted to determine association of SIPAT ratings to clinical outcomes.
Authors: Ersilia M DeFilippis; Khadijah Breathett; Elena M Donald; Shunichi Nakagawa; Koji Takeda; Hiroo Takayama; Lauren K Truby; Gabriel Sayer; Paolo C Colombo; Melana Yuzefpolskaya; Nir Uriel; Maryjane A Farr; Veli K Topkara Journal: Circ Heart Fail Date: 2020-09-08 Impact factor: 8.790
Authors: Evgenij V Potapov; Christiaan Antonides; Maria G Crespo-Leiro; Alain Combes; Gloria Färber; Margaret M Hannan; Marian Kukucka; Nicolaas de Jonge; Antonio Loforte; Lars H Lund; Paul Mohacsi; Michiel Morshuis; Ivan Netuka; Mustafa Özbaran; Federico Pappalardo; Anna Mara Scandroglio; Martin Schweiger; Steven Tsui; Daniel Zimpfer; Finn Gustafsson Journal: Eur J Cardiothorac Surg Date: 2019-08-01 Impact factor: 4.191
Authors: Mary Amanda Dew; Andrea F DiMartini; Fabienne Dobbels; Kathleen L Grady; Sheila G Jowsey-Gregoire; Annemarie Kaan; Kay Kendall; Quincy-Robyn Young Journal: Curr Heart Fail Rep Date: 2019-12