TABLE 2.
Transplant Evaluation and Listing Outcomes by SIPAT† Score
| SIPAT Score |
||||
|---|---|---|---|---|
| Characteristic | Total (n = 1357) | <21 (n = 930) | ≥21 (n = 427) | P Value |
|
| ||||
| Evaluation outcome | <0.001* | |||
| Listed, transplanted | 407 (30) | 308 (33) | 99 (23) | |
| Listed, not transplanted | 209 (15) | 158 (17) | 51 (12) | |
| Evaluated, ineligible | 630 (46) | 391 (42) | 239 (56) | |
| Evaluated, ready to list‡ | 91 (7) | 60 (7) | 31 (7) | |
| Evaluation still open | 20 (2) | 13 (1) | 7 (2) | |
| Transplant listing decision | <0.001* | |||
| Yes§ | 707 (52) | 526 (57) | 181 (42) | |
| No | 650 (48) | 404 (43) | 246 (57) | |
| Time in days from evaluation to waitlist | 616 | 466 | 150 | 0.05 |
| 72 (24–146) | 67 (23–137) | 89 (31–177) | ||
| Reason for not listing | 630 | 391 | 239 | <0.001* |
| Candidate condition improved/transplant not medically necessary at time of evaluation | 132 (21) | 97 (25) | 35 (15) | |
| Financial/insurance issues | 5 (1) | 3 (1) | 2 (1) | |
| Medical contraindications | 186 (30) | 129 (33) | 57 (24) | |
| Patient death prior to listing | 70 (11) | 50 (13) | 20 (8) | |
| No further transplant center follow-up | 69 (11) | 32 (8) | 37 (15) | |
| Transferred to another center | 22 (4) | 20 (5) | 2 (1) | |
| Psychosocial contraindications | 84 (13) | 13 (3) | 71 (30) | |
| Patient choice | 47 (8) | 35 (9) | 12 (5) | |
| Patient age | 7 (1) | 6 (2) | 1 (0) | |
| Other | 8 (1) | 6 (2) | 2 (1) | |
| Waitlisted | 707 (52) | 526 (57) | 181 (42) | <0.001* |
| Delisted for transplant | 123 (17) | 90 (17) | 33 (18) | 0.73 |
| Reason delisted for transplant | 0.18 | |||
| Candidate condition deteriorated | 39 (32) | 29 (32) | 10 (30) | |
| Candidate condition improved | 11 (9) | 7 (8) | 4 (12) | |
| Financial/insurance issues | 4 (3) | 2 (2) | 2 (6) | |
| Medical contraindications | 7 (6) | 6 (7) | 1 (3) | |
| Other | 10 (8) | 7 (8) | 3 (9) | |
| Patient choice | 5 (4) | 3 (3) | 2 (6) | |
| Patient death | 31 (25) | 24 (27) | 7 (21) | |
| Psychosocial contraindications | 6 (5) | 2 (2) | 4 (12) | |
| Transplanted at another institution | 10 (8) | 10 (11) | 0 | |
NOTE: Data are provided as n, n (%), or median (interquartile range).
*
P < 0.05.
†
Higher scores indicate higher psychosocial risk. A score <21 is a “good or excellent candidate” and a score ≥21 is a “minimally acceptable candidate.”
‡
Patients who are “ready to list” have been deemed appropriate psychosocial transplant candidates but are not medically ready for transplant.
§
Listed includes patients deemed “ready to list,” as these patients were deemed acceptable transplant candidates.