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 …
policy to replace the prior 3-tier system. Given increasing listings of critically ill candidates for …
[HTML][HTML] Temporary mechanical circulatory support: devices, outcomes, and future directions
Faced with a chronic donor shortage, clinicians and regulators both struggle to develop
allocation systems which balance the challenges of waitlist mortality and donor availability …
allocation systems which balance the challenges of waitlist mortality and donor availability …
Association of high-priority exceptions with waitlist mortality among heart transplant candidates
Background The US heart allocation system ranks candidates using six categorical status
levels. Transplant programs can request exceptions to increase a candidate's status level if …
levels. Transplant programs can request exceptions to increase a candidate's status level if …
New UNOS allocation system associated with no added benefit in waitlist outcomes and worse post-transplant survival in heart–kidney patients
M Francke, AM Wolfson, MW Fong, J Nattiv… - The Journal of Heart and …, 2023 - Elsevier
Background The 2018 United Network for Organ Sharing (UNOS) heart transplant policy
change (PC) sought to improve waitlist risk stratification to decrease waitlist mortality and …
change (PC) sought to improve waitlist risk stratification to decrease waitlist mortality and …
Temporary mechanical circulatory support use and clinical outcomes of simultaneous heart/kidney transplant recipients in the pre–and post–heart allocation policy …
AC Agdamag, S Riad, V Maharaj, S Jackson… - …, 2023 - journals.lww.com
Background. The use of temporary mechanical circulatory support (tMCS) devices (intra-
aortic balloon pump; Impella 2.5, CP, 5.0; venoarterial extracorporeal membrane …
aortic balloon pump; Impella 2.5, CP, 5.0; venoarterial extracorporeal membrane …
[HTML][HTML] Utilization of the percutaneous left ventricular support as bridge to heart transplantation across the United States: In-depth UNOS database analysis
Background Intra-aortic balloon pump (IABP) and Impella device utilization as a bridge to
heart transplantation (HTx) have risen exponentially. We aimed to explore the influence of …
heart transplantation (HTx) have risen exponentially. We aimed to explore the influence of …
[HTML][HTML] UNOS policy change benefits high-priority patients without harming those at low priority
AM Wolfson, EC DePasquale, MW Fong… - American Journal of …, 2022 - Elsevier
The heart transplantation policy change (PC) has improved outcomes in high-acuity (Old 1A,
New 1–3) patients, but the effect on low-priority (Old 1B/2, New 4–6) patients is unknown …
New 1–3) patients, but the effect on low-priority (Old 1B/2, New 4–6) patients is unknown …
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 …
mechanical support as a strategy solely for listing purposes, identify attributes that more …
Effect of the UNOS policy change on rates of rejection, infection, and hospital readmission following heart transplantation
AS Vaidya, ES Lee, ES Kawaguchi… - The Journal of Heart and …, 2023 - Elsevier
Background The 2018 adult heart allocation policy sought to improve waitlist risk
stratification, reduce waitlist mortality, and increase organ access. This system prioritized …
stratification, reduce waitlist mortality, and increase organ access. This system prioritized …
Status 2 upgrade indication impacts posttransplant mortality in patients bridged with intraaortic balloon pump in the new heart allocation system
M Gonzalez, E Watson, R Vandewalker… - American Journal of …, 2024 - Elsevier
To evaluate outcomes of patients undergoing heart transplants (HTs) using an intra-aortic
balloon pump (IABP) under exception status. Adult patients supported by an IABP who …
balloon pump (IABP) under exception status. Adult patients supported by an IABP who …