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 …

Heart transplantation

N Chrysakis, DE Magouliotis, K Spiliopoulos… - Journal of clinical …, 2024 - mdpi.com
Heart transplantation (HTx) remains the last therapeutic resort for patients with advanced
heart failure. The present work is a clinically focused review discussing current issues in …

Ethics of allocation of donor organs

EM Bunnik - Current opinion in organ transplantation, 2023 - journals.lww.com
This review suggests that policy makers should make explicit the relative weights attributed
to equity and efficiency considerations in allocation policies, and monitor the effects of policy …

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 …

OPTN/SRTR 2022 annual data report: heart

MM Colvin, JM Smith, YS Ahn, DK Handarova… - American Journal of …, 2024 - Elsevier
The number of heart transplants in the United States has continued to increase. Since 2011,
pediatric heart transplants have increased 31.7% to 494 and adult heart transplants have …

Greater geographic sharing and heart transplantation waitlist outcomes following the 2018 heart allocation policy

JR Golbus, J Li, TM Cascino, W Tang, J Zhu… - The Journal of Heart and …, 2023 - Elsevier
Background In 2018, a new heart allocation policy was introduced to reduce variability in
access to and outcomes after transplantation, in part, through attempts at broader …

Characterizing adaptive changes and patient survival after 2018 donor allocation restructuring: a UNOS database analysis

T Miyamoto, CD Pritting, R Tatum… - Critical Pathways in …, 2024 - journals.lww.com
Purpose: We sought to characterize adaptive changes to the revised United Network for
Organ Sharing donor heart allocation policy and estimate long-term survival trends for heart …

The Association of the UNOS Heart Allocation Policy Change With Transplant and Left Ventricular Assist Device Access and Outcomes

DK Fox, RJ Waken, F Wang, JD Wolfe… - The American journal of …, 2023 - Elsevier
In October 2018, the allocation policy for adult orthotopic heart transplant (OHTx) in the
United States was changed, with the goal of reducing waitlist mortality and providing …

Equitable access to advanced heart failure therapies in the united states: a call to action

TM Cascino, R Cogswell, P Shah… - … of cardiac failure, 2024 - pubmed.ncbi.nlm.nih.gov
Equitable Access to Advanced Heart Failure Therapies in the United States: A Call to Action
Equitable Access to Advanced Heart Failure Therapies in the United States: A Call to Action J …

Challenges with the current United Network for Organ Sharing heart allocation system

TA Gong, SA Hall - Current Opinion in Organ Transplantation, 2023 - journals.lww.com
As the next allocation system is developed, it is imperative to curtail the use of temporary
mechanical support as a strategy solely for listing purposes, identify attributes that more …