Practice Changes at U.S. Transplant Centers After the New Adult Heart Allocation Policy.

ABSTRACT:

Background

In October 2018, the U.S. heart allocation system expanded the number of priority "status" tiers from 3 to 6 and added cardiogenic shock requirements for some heart transplant candidates listed with specific types of treatments.

Objectives

This study sought to determine the impact of the new policy on the treatment practices of transplant centers.

Methods

Initial listing data on all adult heart candidates listed from December 1, 2017 to April 30, 2019 were collected from the Scientific Registry of Transplant Recipients. The status-qualifying treatments (or exception requests) and hemodynamic values at listing of a post-policy cohort (December 2018 to April 2019) were compared with a seasonally matched pre-policy cohort (December 2017 to April 2018). Candida

SUBMITTER: Parker WF 

PROVIDER: S-EPMC7304520 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature