Social determinants of orthotopic liver transplantation candidacy: role of patient-related factors.
Transplant Proc
; 43(10): 3769-72, 2011 Dec.
Article
en En
| MEDLINE
| ID: mdl-22172844
ABSTRACT
INTRODUCTION:
Eligibility for orthotopic liver transplantation (OLT) requires careful selection of the best possible candidate. The aim of this study was to identify factors associated with transplantation ineligibility.METHOD:
This was a retrospective cohort study of all patients evaluated for OLT at our center (2004-2006) and deemed not eligible. We identified all patients who were evaluated using information from our transplantation database. We extracted demographic data, insurance status, laboratory data, and clinical information including psychosocial evaluations.RESULTS:
During the study period 242 evaluated candidates were not listed for transplantation. The most common reason for ineligibility for transplantation listing was early referral (n=59; 24.4%), followed by psychosocial (18.6%), medical contraindications (17.3%), death during evaluation (n=32; 13.2%), malignancy (n=22; 9.1%), declined evaluation or transfer to other transplantation center (n=21; 8.7%), and other reasons (8.7%). In contrast to whites, psychosocial factors were the most common reason among African American candidates.CONCLUSION:
This study provides insight into factors contributing to OLT ineligibility among candidates of various ethnic backgrounds.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Factores Socioeconómicos
/
Trasplante de Hígado
/
Selección de Paciente
/
Determinación de la Elegibilidad
Tipo de estudio:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Aspecto:
Determinantes_sociais_saude
/
Equity_inequality
Límite:
Humans
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Transplant Proc
Año:
2011
Tipo del documento:
Article
País de afiliación:
Estados Unidos