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- W3003216654 abstract "It has now been just over 1 year since the implementation of significant changes to the adult heart allocation system. These changes included broader access to hearts for candidates with the highest waitlist mortality as well as a more granular stratification of candidate urgency based on historical waitlist mortality rates. Initial monitoring from the Organ Procurement and Transplant Network (OPTN) Thoracic Committee (the Committee) focused on the composition of the waitlist and characteristics of the cohort of transplanted patients. 1 OPTN Thoracic Transplantation CommitteeFour-month monitoring of heart allocation proposal to modify the heart allocation system. 2019https://optn.transplant.hrsa.gov/media/2924/post-implementation-heart-policy-report_20190417_ready-to-post.pdf Google Scholar The early monitoring showed impacts that were similar to what had been predicted in the Scientific Registry of Transplant Recipients modeling: increased median distance (from 84 to 223 nautical miles, p < 0.001) and ischemic times (from 3.0 to 3.4 hours, p < 0.001) and an increase in transplantation among candidates with the highest waitlist mortality. In the old system, 66% of transplants went to status 1A candidates, whereas over 75% of transplants occurred at the broadly equivalent statuses 1, 2, and 3 under the new allocation system." @default.
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- W3003216654 date "2020-07-01" @default.
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- W3003216654 title "Commentary in reply to Cogswell et al.: An early investigation of outcomes with the new 2018 donor heart allocation system in the United States" @default.
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- W3003216654 doi "https://doi.org/10.1016/j.healun.2020.01.1340" @default.
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