Jowsey-Gregoire Sheila G, Kumnig Martin, Morelon Emmanuel, Moreno Elisa, Petruzzo Palmina, Seulin Christian
1 Department of Psychiatry and Psychology, Mayo Graduate School of Medicine, Mayo Clinic, Rochester, MN. 2 Center for Advanced Psychology in Plastic and Transplant Surgery, Department of Medical Psychology, Medical University of Innsbruck, Innsbruck, Austria. 3 Department of Transplantation, Nephrology and Clinical Immunology, Edouard Herriot Hospital, Lyon, France. 4 INSERM, Lyon 1 University, Lyon, France. 5 Department of Psychiatry, Ronald Reagan UCLA Medical Center & David Geffen School of Medicine, UCLA, Los Angeles, CA. 6 Department of Transplantation, Edouard Herriot Hospital, Lyon, France. 7 Department of Surgery, University of Cagliari, Italy. 8 Hôpital Edouard Herriot, Lyon, France.
Transplantation. 2016 Jul;100(7):1453-9. doi: 10.1097/TP.0000000000001013.
Under the auspices for the International Society on Hand and Composite Tissue Allotransplantation, a section of The Transplantation Society (IHCTAS), a meeting was convened on March 21-22, 2014 in Paris to review the following areas that were deemed significant in the understanding of the psychosocial evaluation and outcomes of upper extremity transplant recipients: required domains of the evaluation, screening instruments, clinical monitoring pretransplant, clinical monitoring posttransplant, patient and team expectations, body image, psychiatric complications, functional goals and quality of life, ethics and media relations. Experts in the fields of psychiatry and psychology, transplantation, social work, ethics, and transplant administration met and reviewed center experiences and literature. The attendees highlighted the importance and the complexity of the psychiatric assessment in this field of transplantation. Moreover, the necessity to develop common instruments and evaluation protocols to predict psychosocial outcomes as well as to understand whether we are transplanting the right patients and how the transplantation is affecting the patients were pointed out. Psychiatric complications in upper extremity transplanted patients have been reported by the majority of teams. Preexisting psychiatric difficulties, the initial trauma of amputation, or adjusting to the transplantation process itself (especially the medical follow-up and rehabilitation process) appeared to be important factors. Monitoring during the whole follow-up was recommended to detect psychiatric issues and to facilitate and ensure long-term adherence. The participants proposed an annual meeting format to build upon the findings of this inaugural meeting to be called the Chauvet Workgroup meeting.
在国际手部与复合组织同种异体移植协会（移植协会的一个分会，即 IHCTAS）的支持下，于 2014 年 3 月 21 日至 22 日在巴黎召开了一次会议，以审查在理解上肢移植受者的心理社会评估及结果方面被认为具有重要意义的以下领域：评估的必要领域、筛查工具、移植前临床监测、移植后临床监测、患者及团队期望、身体形象、精神并发症、功能目标及生活质量、伦理与媒体关系。精神病学与心理学、移植、社会工作、伦理学以及移植管理领域的专家齐聚一堂，回顾了各中心的经验及文献。与会者强调了该移植领域精神病学评估的重要性与复杂性。此外，还指出有必要开发通用工具和评估方案，以预测心理社会结果，以及了解我们是否在为合适的患者进行移植，以及移植对患者产生了怎样的影响。大多数团队都报告了上肢移植患者出现的精神并发症。既往存在的精神问题、截肢的初始创伤，或适应移植过程本身（尤其是医疗随访和康复过程）似乎都是重要因素。建议在整个随访过程中进行监测，以发现精神问题，并促进和确保长期依从性。与会者提议采用年度会议形式，以基于本次首次会议的成果开展后续工作，该会议将被称为肖维特工作组会议。
