title: Impact of psychotic disorder on transplant eligibility and outcomes.
abstract: OBJECTIVE
  Organ transplantation decisions are complex, and psychosocial assessment is an important part of the process. The impact of pretransplant psychotic disorder on posttransplant outcomes is unclear, but some guidelines cite psychosis as a relative contraindication to organ transplantation because of concerns about medication adherence and poor postoperative outcomes. This review explores the evidence for poorer solid organ transplant outcomes for people with preexisting psychotic disorders and discusses future directions for how research can contribute to a better understanding of how organ transplantation outcomes are affected by psychotic illness.
  
  
  RESULTS
  When added to the existing small body of literature, recent findings show a continuing insufficient evidence base to suggest that the presence of psychotic disorder increases risk of poorer adherence and outcomes. The evidence points to social isolation being a key factor in poorer adherence posttransplant.
  
  
  CONCLUSIONS
  Further research is needed to determine the impact of psychotic disorder on transplant outcomes, but based on current evidence a diagnosis of psychotic disorder should not preclude consideration for organ transplantation.
authors.affiliation: aDepartment of Psychiatry, University of Cambridge, Cambridge bDepartment of Psychological Medicine, King's College London, Institute of Psychiatry, London, UK.
authors.forename: Annabel
authors.initials: A
authors.lastname: Price
authors.forename: Sophia
authors.initials: S
authors.lastname: Whitwell
authors.forename: Max
authors.initials: M
authors.lastname: Henderson
mesh_terms: D004608:Eligibility Determination; D006801:Humans; D016377:Organ Transplantation; D011618:Psychotic Disorders / Q000523:psychology*; D016896:Treatment Outcome