Exception Status Listing in the New Adult Heart Allocation System: A New Solution to an Old Problem?

ABSTRACT:

Background

One of the goals of the revised 6-tiered US adult heart allocation policy was to improve risk stratification of patients to lower exception status utilization for transplant listing. We sought to define the characteristics and outcomes of waitlisted patients using exception status and to examine region- and center-level differences in utilization of exception status in the new heart allocation system.

Methods

This retrospective cohort analysis of the United Network for Organ Sharing database included adult waitlisted patients for heart transplant between October 18, 2018, and June 30, 2020, in the United States, stratified by use of exception status versus standard criteria.

Results

Out of 6351 patients, 1907 (30.0%) were waitlisted under exception status.

SUBMITTER: Topkara VK 

PROVIDER: S-EPMC8218576 | biostudies-literature | 2021 Jun

REPOSITORIES: biostudies-literature