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10.1002/lt.25975 http://scihub22266oqcxt.onion/10.1002/lt.25975 33320417!9531321!33320417     free     free     free Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 265.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 265.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 265.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Liver+Transpl 2021 ; 27 (5): 652-667 Nephropedia Template TP {{tp|p=33320417|t=2021. The Stanford Integrated Psychosocial Assessment for Transplant Is Associated With Outcomes Before and After Liver Transplantation |pdf=|usr=}}{{33320417}} gab.com Text The Stanford Integrated Psychosocial Assessment for Transplant Is Associated With Outcomes Before and After Liver Transplantation JO: Liver Transpl http://www.kidney.de/pget.php?&tw=1&pmid=33320417 #FOAvip The Stanford Integrated Psychosocial Assessment for Transplant (SIPAT) is a standardized psychosocial evaluation tool used in liver transplantation (LT) evaluation. We assessed the impact of the SIPAT score and subdomains on transplant waitlisting decisions and post-LT outcomes including immunosuppression (IS) nonadherence, biopsy-proven rejection, andmortality/graft failure. We conducted a single-center observational cohort study of 1430 patients evaluated for LT. Patients were divided in 2 groups based on a SIPAT cutoff score of <21 or >/=21 (higher SIPAT scores indicate higher psychosocial risk). Regression models assessed relationships between total SIPAT score and domain scores and waitlisting decisions, IS nonadherence, allograft rejection, and death/graft failure. Elevated total SIPAT and SIPAT domain scores were associated not being added to the waitlist (total SIPAT core >/=21 adjusted odds ratio [aOR], 1.78 [95% confidence interval, CI, 1.36-2.33]; readiness score >/=5 aOR, 2.01 [95% CI, 1.36-2.76]; social support score >/=4aOR, 1.50 [95% CI, 1.15-1.94]; psychopathology score >/=7 aOR, 1.45 [95% CI, 1.07-1.94]; lifestyle/substance abuse score >/=12 aOR, 1.72 [95%CI, 1.23-2.39]) and were more likely to experience IS nonadherence as measured by the tacrolimus coefficient of variation (CoV) (total SIPAT score >/=21 aOR, 2.92 [95% CI, 1.69-5.03]; readiness score >/=5 aOR, 3.26 [95% CI, 1.63-6.52]; psychopathology score >/=7 aOR, 1.88 [95% CI, 1.00-3.50]; lifestyle substance abuse score >/=12 aOR, 3.03 [95% CI, 1.56-5.86]). SIPAT readinessscore >/=5 was associated with biopsy-proven allograft rejection (aOR, 2.66; 95% CI, 1.20-5.91). The SIPAT score was independently associated with LT listing decisions and IS nonadherence, and the readiness domain was associated with the risk of allograft rejection. These findings offer insights into higher risk recipients who require additional support before and aftertransplantation. Twit Text FOAVip The Stanford Integrated Psychosocial Assessment for Transplant Is Associated With Outcomes Before and After Liver Transplantation ????Liver Transpl http://www.kidney.de/pget.php?&tw=1&pmid=33320417 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=33320417 #FOAvip English Wikipedia <ref>{{Cite pmid|33320417}}</ref> The Stanford Integrated Psychosocial Assessment for Transplant Is Associated With Outcomes Before and After Liver Transplantation #MMPMID33320417 Deutsch-Link S; Weinberg EM; Bittermann T; McDougal M; Dhariwal A; Jones LS; Weinrieb RM; Banerjee AG; Addis S; Serper M Liver Transpl 2021[May]; 27 (5): 652-667 PMID33320417show ga The Stanford Integrated Psychosocial Assessment for Transplant (SIPAT) is a standardized psychosocial evaluation tool used in liver transplantation (LT) evaluation. We assessed the impact of the SIPAT score and subdomains on transplant waitlisting decisions and post-LT outcomes including immunosuppression (IS) nonadherence, biopsy-proven rejection, andmortality/graft failure. We conducted a single-center observational cohort study of 1430 patients evaluated for LT. Patients were divided in 2 groups based on a SIPAT cutoff score of <21 or >/=21 (higher SIPAT scores indicate higher psychosocial risk). Regression models assessed relationships between total SIPAT score and domain scores and waitlisting decisions, IS nonadherence, allograft rejection, and death/graft failure. Elevated total SIPAT and SIPAT domain scores were associated not being added to the waitlist (total SIPAT core >/=21 adjusted odds ratio [aOR], 1.78 [95% confidence interval, CI, 1.36-2.33]; readiness score >/=5 aOR, 2.01 [95% CI, 1.36-2.76]; social support score >/=4aOR, 1.50 [95% CI, 1.15-1.94]; psychopathology score >/=7 aOR, 1.45 [95% CI, 1.07-1.94]; lifestyle/substance abuse score >/=12 aOR, 1.72 [95%CI, 1.23-2.39]) and were more likely to experience IS nonadherence as measured by the tacrolimus coefficient of variation (CoV) (total SIPAT score >/=21 aOR, 2.92 [95% CI, 1.69-5.03]; readiness score >/=5 aOR, 3.26 [95% CI, 1.63-6.52]; psychopathology score >/=7 aOR, 1.88 [95% CI, 1.00-3.50]; lifestyle substance abuse score >/=12 aOR, 3.03 [95% CI, 1.56-5.86]). SIPAT readinessscore >/=5 was associated with biopsy-proven allograft rejection (aOR, 2.66; 95% CI, 1.20-5.91). The SIPAT score was independently associated with LT listing decisions and IS nonadherence, and the readiness domain was associated with the risk of allograft rejection. These findings offer insights into higher risk recipients who require additional support before and aftertransplantation. |*Heart Transplantation[MESH] |*Liver Transplantation/adverse effects[MESH] |Graft Rejection/diagnosis/epidemiology[MESH] |Humans[MESH] |Retrospective Studies[MESH]The Stanford Integrated Psychosocial Assessment for Transplant Is Asso(epmc).pdf DeepDyve Pubget Overpricing