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[Screening of candidates for organ transplantation varies greatly concerning psychosocial factors].

In solid organ transplantation, selection of organ recipients is of large importance due to a persisting shortage of organs. Psychosocial and psychiatric factors can affect the outcome of transplantation. However, no guidelines concerning assessment of these aspects exist. Psychosocial assessment could enable identification of potential needs for interventions. Our study aimed to investigate how psychological assessment of transplantation candidates is performed in Swedish transplantation centers and to review the clinical value of existing assessment methods. Through interviews with key individuals in Swedish transplantation care we found that psychological assessment varies greatly in the five Swedish transplantation centers. Individual transplantation centers practice various methods that are not necessarily based in evidence-based knowledge. Standardization of psychological assessment, through the use of transplantation-specific assessment tools, could improve selection, peri-operative treatment and equality in Swedish transplantation care.