Psychosocial and Socioeconomic Factors Are Not Associated With Long‐Term Survival After Lung Transplantation
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| Format: | Artículo Open Access |
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Wiley
2025
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| author | Eric S. Huang Emily Liu Cassie C. Kennedy Sahar A. Saddoughi Steve G. Peters Hemang Yadav Kelly M. Pennington |
| author_facet | Eric S. Huang Emily Liu Cassie C. Kennedy Sahar A. Saddoughi Steve G. Peters Hemang Yadav Kelly M. Pennington Eric S. Huang Emily Liu Cassie C. Kennedy Sahar A. Saddoughi Steve G. Peters Hemang Yadav Kelly M. Pennington |
| collection | Wiley Open Access |
| contents | Psychosocial and Socioeconomic Factors Are Not Associated With Long‐Term Survival After Lung Transplantation Eric S. Huang Emily Liu Cassie C. Kennedy Sahar A. Saddoughi Steve G. Peters Hemang Yadav Kelly M. Pennington Clinical Transplantation ABSTRACT Background The impact of psychosocial health and socioeconomic status (SES) on long‐term lung transplant survival remains unclear. Methods We conducted a single‐center, retrospective 2:1 matched case‐control study of adult lung transplant recipients (1999–2019). Cases survived ≥6 years post‐transplant; controls survived <6 years. Matching was based on transplant year (±5 years) and indication. Psychosocial health and SES were assessed using the Psychosocial Assessment of Candidates for Transplant (PACT) score, Mayo Clinic Housing‐Based Socioeconomic Status (HOUSES) index, and Area Deprivation Index (ADI). Secondary covariates included insurance, marital status, employment, caregiver relationship, and proximity to the transplant center. Conditional logistic regression adjusted for age and gender was used. Results Among 189 patients (63 cases, 126 controls), PACT score, HOUSES index, and ADI were not significantly associated with long‐term survival. Patients with non‐family caregivers had lower odds of survival compared to those with a spouse or partner (OR = 0.16, p = 0.022). Regional residents had lower odds of long‐term survival compared to local recipients (OR = 0.55, p = 0.001). Conclusions Pre‐transplant psychosocial and SES measures were not significantly associated with long‐term survival. Caregiver relationships and geographic proximity may have a greater impact on outcomes, highlighting the importance of support systems and access to care. 10.1111/ctr.70360 http://onlinelibrary.wiley.com/termsAndConditions#vor |
| doi_str_mv | 10.1111/ctr.70360 |
| format | Artículo Open Access |
| id | wiley_oa_10_1111_ctr_70360 |
| institution | Wiley Open Access |
| license_str_mv | http://onlinelibrary.wiley.com/termsAndConditions#vor |
| publishDate | 2025 |
| publisher | Wiley |
| record_format | wiley_oa |
| spellingShingle | Psychosocial and Socioeconomic Factors Are Not Associated With Long‐Term Survival After Lung Transplantation Eric S. Huang Emily Liu Cassie C. Kennedy Sahar A. Saddoughi Steve G. Peters Hemang Yadav Kelly M. Pennington Clinical Transplantation Psychosocial and Socioeconomic Factors Are Not Associated With Long‐Term Survival After Lung Transplantation Eric S. Huang Emily Liu Cassie C. Kennedy Sahar A. Saddoughi Steve G. Peters Hemang Yadav Kelly M. Pennington Clinical Transplantation ABSTRACT Background The impact of psychosocial health and socioeconomic status (SES) on long‐term lung transplant survival remains unclear. Methods We conducted a single‐center, retrospective 2:1 matched case‐control study of adult lung transplant recipients (1999–2019). Cases survived ≥6 years post‐transplant; controls survived <6 years. Matching was based on transplant year (±5 years) and indication. Psychosocial health and SES were assessed using the Psychosocial Assessment of Candidates for Transplant (PACT) score, Mayo Clinic Housing‐Based Socioeconomic Status (HOUSES) index, and Area Deprivation Index (ADI). Secondary covariates included insurance, marital status, employment, caregiver relationship, and proximity to the transplant center. Conditional logistic regression adjusted for age and gender was used. Results Among 189 patients (63 cases, 126 controls), PACT score, HOUSES index, and ADI were not significantly associated with long‐term survival. Patients with non‐family caregivers had lower odds of survival compared to those with a spouse or partner (OR = 0.16, p = 0.022). Regional residents had lower odds of long‐term survival compared to local recipients (OR = 0.55, p = 0.001). Conclusions Pre‐transplant psychosocial and SES measures were not significantly associated with long‐term survival. Caregiver relationships and geographic proximity may have a greater impact on outcomes, highlighting the importance of support systems and access to care. 10.1111/ctr.70360 http://onlinelibrary.wiley.com/termsAndConditions#vor |
| title | Psychosocial and Socioeconomic Factors Are Not Associated With Long‐Term Survival After Lung Transplantation |
| topic | Clinical Transplantation |
| url | https://onlinelibrary.wiley.com/doi/10.1111/ctr.70360 |