Evidence map›Paper›PMID 41930640›Full record

ArticlePediatric transplantation2026

Assessing Social Drivers of Health Among Pediatric Solid Organ Transplant Patients Using Psychosocial Screening: Rates of Risk and What DO we DO?

Kelly E Rea, Catherine Dusing, Kathleen G Fredericks, Sriram Swaminathan, Melissa K Cousino, Emily M Fredericks

Abstract read
In one paragraph

Article in Pediatric transplantation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Review
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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

6 authors.

Kelly E ReaDivision of Pediatric Psychology, Department of Pediatrics, C. S. Mott Children's Hospital, Michigan Medicine, Ann Arbor, MI, USA.ORCID 0000-0002-2676-7192
Catherine DusingDivision of Pediatric Psychology, Department of Pediatrics, C. S. Mott Children's Hospital, Michigan Medicine, Ann Arbor, MI, USA.ORCID 0009-0008-0009-6467
Kathleen G FredericksDivision of Pediatric Psychology, Department of Pediatrics, C. S. Mott Children's Hospital, Michigan Medicine, Ann Arbor, MI, USA.
Sriram SwaminathanDivision of Pediatric Psychology, Department of Pediatrics, C. S. Mott Children's Hospital, Michigan Medicine, Ann Arbor, MI, USA.
Melissa K CousinoDivision of Pediatric Psychology, Department of Pediatrics, C. S. Mott Children's Hospital, Michigan Medicine, Ann Arbor, MI, USA.ORCID 0000-0002-0041-0830
Emily M FredericksDivision of Pediatric Psychology, Department of Pediatrics, C. S. Mott Children's Hospital, Michigan Medicine, Ann Arbor, MI, USA.ORCID 0000-0002-3110-4983

Funding

Dr. Ida MalianUniversity of Michigan Transplant Center
6 · The paper itself

Abstract

backgroundDisparities in pediatric solid organ transplantation (SOT) outcomes persist despite increasing awareness. Efforts to reduce such disparities may include increasing screening to identify and mitigate social drivers of health (SDOH); however, research is needed to understand current clinical screening efforts and their impacts on referral outcomes.

methodsCaregivers (N = 302) of pediatric patients (0-20 years) completed the Psychosocial Assessment Tool (PAT 2.0) during annual multidisciplinary transplant clinic visits to identify SDOH and psychosocial risk. Total PAT scores were categorized into Universal, Targeted, or Clinical psychosocial risk ranges. Descriptive data from medical charts and PAT responses were analyzed to evaluate referral patterns, follow-up rates, and adverse SDOH prevalence.

resultsThe majority of PAT scores were within the Universal risk range (65%), with heart transplant families reporting significantly higher psychosocial risk levels compared to liver and kidney (F(2, 298) = 5.22, p = 0.006). Most families (83%) identified at least one potentially adverse SDOH. Those screening Targeted or Clinical reported significantly greater average number of SDOH risk factors compared to Universal range (F(2, 299) = 38.75, p < 0.001). One year post-screening, the majority of families in the Targeted or Clinical risk range completed follow-up with at least one psychosocial service, including social work (86%), mental/behavioral health providers (41%), and educational specialist interventions (7%).

conclusionsElevated rates of psychosocial risk in pediatric SOT continue to persist; therefore, standardized clinical assessments to identify potentially adverse SDOH or healthcare barriers are necessary to provide individualized support. Implementing routine screening with appropriate referrals is a crucial step in addressing SDOH disparities throughout the transplant process.

Indexed as

Healthcare DisparitiesOrgan TransplantationSocial Determinants of HealthAdolescentCaregiversChildChild, PreschoolFemaleHumansInfantInfant, NewbornMaleMass ScreeningReferral and ConsultationRisk AssessmentRisk Factorsclinical screening programpsychosocial risksocial drivers of health

Identifiers

PMID41930640
PMCPMC13047720

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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.