Advertisement
Mayo Clinic Proceedings Home

The Chauvet Workgroup: A Resource for the Psychosocial Aspects of Reconstructive Transplantation

      From the first successful hand transplant that ushered in the era of reconstructive transplantation or vascularized composite allotransplantation (VCA), it was apparent that the psychosocial background of the patients and the psychological impact of these visible grafts were of extreme importance to their successful outcome. The outcome that is expected from these grafts includes improving patients’ functional abilities, quality of life, and psychological well-being.
      • Dubernard J.M.
      Hand and face allografts: myth, dream, and reality.
      Notably, the visible and functional nature of most VCA grafts, such as hand, face, or penis, makes the experience of transplantation uniquely different from that of solid organ transplantation.
      • Klapheke M.M.
      • Marcell C.
      • Taliaferro G.
      • Creamer B.
      Psychiatric assessment of candidates for hand transplantation.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Mayo Clinic Proceedings
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Dubernard J.M.
        Hand and face allografts: myth, dream, and reality.
        Proc Am Philos Soc. 2011; 155: 13-22
        • Klapheke M.M.
        • Marcell C.
        • Taliaferro G.
        • Creamer B.
        Psychiatric assessment of candidates for hand transplantation.
        Microsurgery. 2000; 20: 453-457
        • Kumnig M.
        • Jowsey S.G.
        • DiMartini A.F.
        Psychological aspects of hand transplantation.
        Curr Opin Organ Transplant. 2014; 19: 188-195
        • Papachristou P.
        Strategies for psychiatric-psychosomatic evaluation of organ donors and recipients: the European experience.
        J Psychosomat Res. 2013; 74: 555
        • Gander B.
        • Brown C.S.
        • Vasilic D.
        • et al.
        Composite tissue allotransplantation of the hand and face: a new frontier in transplant and reconstructive surgery.
        Transpl Int. 2006; 19: 868-880
        • Simmons P.D.
        Ethical considerations in composite tissue allotransplantation.
        Microsurgery. 2000; 20: 458-465
        • Tobin G.R.
        • Breidenbach W.C.
        • Klapheke M.M.
        • Bentley F.R.
        • Pidwell D.J.
        • Simmons P.D.
        Ethical considerations in the early composite tissue allograft experience: a review of the Louisville Ethics Program.
        Transplant Proc. 2005; 37: 1392-1395
        • Kumnig M.
        • Jowsey S.G.
        Preoperative psychological evaluation of transplant patients: challenges and solutions.
        Transplant Res Risk Manag. 2015; 7: 35-43
        • Jowsey-Gregoire S.G.
        • Kumnig M.
        • Morelon E.
        • Moreno E.
        • Petruzzo P.
        • Seulin C.
        The Chauvet 2014 meeting report: psychiatric and psychosocial evaluation and outcomes of upper extremity grafted patients.
        Transplantation. 2016; 100: 1453-1459
        • Jowsey-Gregoire S.
        • Kumnig M.
        Standardizing psychosocial assessment for vascularized composite allotransplantation.
        Curr Opin Organ Transplant. 2016; 21: 530-535
      1. Kumnig M. MSPCACRHT 2011. Multicenter study on the psychosocial assessment of candidates for reconstructive hand transplantation: presentation and discussion of the multicenter project design. Presented at: XIV Annual Meeting of the European Association for Consultation-Liaison Psychiatry and Psychosomatics (EACLPP); Budapest, Hungary; June 30–July 2, 2011.

        • Tong A.
        • Chapman J.R.
        • Israni A.
        • Gordon E.J.
        • Craig J.C.
        Qualitative research in organ transplantation: recent contributions to clinical care and policy.
        Am J Transplant. 2013; 13: 1390-1399
        • Kumnig M.
        • Jowsey S.G.
        • Moreno E.
        • Rumpold G.
        'Shaking hands’: the Chauvet Protocol as an international research collaboration agreement on the psychosocial assessment of candidates for reconstructive hand transplantation.
        J Psychosom Med. 2013; 74: 550-551
        • Petruzzo P.
        • Moreno E.
        • Kumnig M.
        • et al.
        Psychosocial recommendations in upper extremity allotransplantation.
        Int J Psych Mental Health. 2020; V1: 1-4
        • Solez K.
        Kim Solez, Edmonton, Alberta, Canada Banff: a unique start setting standards for consensus conferences.
        Transplantation. 2017; 101: 2264-2266