Impact of the 2018 UNOS heart transplant policy changes on patient outcomes

NS Maitra, SJ Dugger, IC Balachandran, AB Civitello… - Heart Failure, 2023‏ - jacc.org
Abstract In 2018, the United Network for Organ Sharing implemented a 6-tier allocation
policy to replace the prior 3-tier system. Given increasing listings of critically ill candidates for …

Practical guidance for hemodynamic assessment by right heart catheterization in management of heart failure

N Rajagopalan, BA Borlaug, AL Bailey, PM Eckman… - Heart Failure, 2024‏ - jacc.org
Heart failure is a clinical syndrome characterized by the inability of the heart to meet the
circulatory demands of the body without requiring an increase in intracardiac pressures at …

[HTML][HTML] Addressing sex-based disparities in solid organ transplantation in the United States–a conference report

D Sawinski, JC Lai, S Pinney, AL Gray… - American journal of …, 2023‏ - Elsevier
Solid organ transplantation provides the best treatment for end-stage organ failure, but
significant sex-based disparities in transplant access exist. On June 25, 2021, a virtual …

Development and validation of a risk score predicting death without transplant in adult heart transplant candidates

KC Zhang, N Narang, C Jasseron, R Dorent… - JAMA, 2024‏ - jamanetwork.com
Importance The US heart allocation system prioritizes medically urgent candidates with a
high risk of dying without transplant. The current therapy-based 6-status system is …

Higher rates of dialysis and subsequent mortality in the new allocation era for heart transplants

M Shin, JJ Han, WG Cohen, A Iyengar… - The Annals of Thoracic …, 2023‏ - Elsevier
Abstract Background In 2018, a United Network for Organ Sharing (UNOS) policy change
increased prioritization of patients bridged with temporary mechanical circulatory support …

A national assessment of one-year heart outcomes after the 2018 adult heart allocation change

K Bradbrook, RR Goff, K Lindblad, RC Daly… - The Journal of Heart and …, 2023‏ - Elsevier
Purpose On 10/18/2018 the Organ Procurement and Transplantation Network (OPTN)
implemented modifications to adult heart allocation to better stratify the most medically …

Waitlist outcomes for children with congenital heart disease: lessons learned from over 5000 heart transplant listings in the United States

M Townsend, T Karamlou, G Boyle, K Daly… - Journal of cardiac …, 2022‏ - Elsevier
Background We evaluated the impact of pediatric heart-allocation policy changes over time
and the approval of the Berlin ventricular assist device (VAD) on waitlist (WL) outcomes for …

Modern outcomes of heart-lung transplantation: assessing the impact of the updated US allocation system

M Shin, A Iyengar, MR Helmers, JJ Kelly… - European Journal of …, 2023‏ - academic.oup.com
Abstract OBJECTIVES In 2018, the United Network for Organ Sharing modified their heart
allocation policy to reduce waitlist mortality and prioritize patients with the greatest acuity …

Inconsistent values and algorithmic fairness: a review of organ allocation priority systems in the United States

R Dale, M Cheng, KC Pines, ME Currie - BMC Medical Ethics, 2024‏ - Springer
Abstract Background The Organ Procurement and Transplant Network (OPTN) Final Rule
guides national organ transplantation policies, mandating equitable organ allocation and …

Impact of 2018 allocation system change on outcomes in patients with durable left ventricular assist device as bridge to transplantation: A UNOS registry analysis

NR Hess, LA Ziegler, ME Keebler, GW Hickey… - The Journal of Heart and …, 2023‏ - Elsevier
Background This study compared outcomes of patients waitlisted for orthotopic heart
transplantation with durable left ventricular assist devices (LVAD) before and after the …