Evidence map›Paper›PMID 29526612›Full record

ArticleJournal of pain and symptom management2018

Psychiatric Comorbidity, Health-Related Quality of Life, and Mental Health Service Utilization Among Patients Awaiting Liver Transplant.

Rebecca M Saracino, Devika R Jutagir, Amy Cunningham, Kelly A Foran-Tuller, Mary A Driscoll, William H Sledge, Sukru H Emre, Dwain C Fehon

Open access · bronzeAbstract read
In one paragraph

Article in Journal of pain and symptom management, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.3field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 19 citations in OpenAlex.

  1. Review
  2. Article
  3. Analysis of Quality of Life, Depression, and Sexual Function in Patients on the Liver Transplant List.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2021
    Article
  4. Integrated Model for Patient-Centered Advanced Liver Disease Care.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2020
    Review
  5. Article
  6. Palliative Care for Patients with End-Stage Liver Disease.Journal of clinical and experimental hepatology
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Rebecca M SaracinoDepartment of Psychiatry, Yale School of Medicine, New Haven, Connecticut, USA.
Devika R JutagirDepartment of Psychiatry, Yale School of Medicine, New Haven, Connecticut, USA.
Amy CunninghamDepartment of Psychiatry, Yale School of Medicine, New Haven, Connecticut, USA.
Kelly A Foran-TullerDepartment of Psychiatry, Yale School of Medicine, New Haven, Connecticut, USA.
Mary A DriscollDepartment of Psychiatry, Yale School of Medicine, New Haven, Connecticut, USA.
William H SledgeDepartment of Psychiatry, Yale School of Medicine, New Haven, Connecticut, USA.
Sukru H EmreDepartment of Surgery, Yale School of Medicine, New Haven, Connecticut, USA; Yale-New Haven Transplantation Center, New Haven, Connecticut, USA.
Dwain C FehonDepartment of Psychiatry, Yale School of Medicine, New Haven, Connecticut, USA; Yale-New Haven Transplantation Center, New Haven, Connecticut, USA. Electronic address: dwain.fehon@yale.edu.
Yale University · USYale Cancer Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Psychosocial Palliative & Community Research in CancerT32CA009461 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI JENNIFER L HAY, Jamie S. Ostroff · 1985 to 2026
$10.1M
NCI NIH HHS P30 CA008748NCI NIH HHS T32 CA009461
6 · The paper itself

Abstract

contextThe prevalence of psychiatric disorders and mental health service utilization among patients with end-stage liver disease awaiting transplant remains understudied.

objectivesThis study assessed the prevalence of psychological disorders and symptoms with the use of a structured diagnostic interview and self-report measures, and examined patient-reported mental health service utilization and barriers to care.

methodsWaitlisted liver transplant candidates (N = 120) completed assessments during routine clinic appointments at a single time point.

resultsParticipants endorsed moderate-to-severe levels of depression (19.2%), anxiety (26.7%), and Post Traumatic Stress Disorder (PTSD) (23.3%). Forty-three percent had received some form of mental health treatment in the recent past, and a range of barriers to accessing mental health services were endorsed. In a subset of 39 participants who received a structure diagnostic assessment, there was a high prevalence of current (51.3%) and past (82.1%) psychiatric disorders. Elevated scores on depression, anxiety, and PTSD measures were associated with significant decrements in health-related quality of life, but were not differentially associated with mental health service utilization.

conclusionThere are a significant number of end-stage liver disease patients who could benefit from intervention who are not currently connected to treatment. Many patients do not see the need for accessing services, perhaps because of a lack of insight or knowledge about the benefits of mental health treatment. Future research should determine optimal treatment and service delivery methods for this vulnerable population.

Indexed as

Liver TransplantationMental Health ServicesQuality of LifeAdultAgedComorbidityEnd Stage Liver DiseaseFemaleHumansMaleMental DisordersMiddle AgedPatient Acceptance of Health CarePrevalenceWaiting ListsanxietybarriersDepressionhealth-related quality of lifeliver transplantmental health services

Identifiers

PMID29526612
PMCPMC6360091
OpenAlexW2789598529

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.