Evidence map›Paper›PMID 34743559›Full record

ArticleJournal of the American Heart Association2021

Trends and Outcomes of Cardiac Transplantation in the Lowest Urgency Candidates.

Michael A Fuery, Fouad Chouairi, Peter Natov, Jasjit Bhinder, Maya Rose Chiravuri, Lynn Wilson, Katherine A Clark, Samuel W Reinhardt, Clancy Mullan, P Elliott Miller and 8 more

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.9field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. UNOS policy change benefits high-priority patients without harming those at low priority.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2022
    Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors at 4 institutions in 1 country.

Michael A FueryDepartment of Internal Medicine Yale School of Medicine New Haven CT.ORCID 0000-0001-9166-4838
Fouad ChouairiDepartment of Internal Medicine Yale School of Medicine New Haven CT.ORCID 0000-0001-8715-6718
Peter NatovDepartment of Internal Medicine Yale School of Medicine New Haven CT.ORCID 0000-0001-9200-2385
Jasjit BhinderSection of Cardiovascular Medicine Yale School of Medicine New Haven CT.ORCID 0000-0001-7840-4222
Maya Rose ChiravuriSection of Cardiovascular Medicine Yale School of Medicine New Haven CT.
Lynn WilsonSection of Cardiovascular Medicine Yale School of Medicine New Haven CT.
Katherine A ClarkSection of Cardiovascular Medicine Yale School of Medicine New Haven CT.
Samuel W ReinhardtSection of Cardiovascular Medicine Yale School of Medicine New Haven CT.ORCID 0000-0001-9168-2470
Clancy MullanDivision of Cardiac Surgery Yale School of Medicine New Haven CT.ORCID 0000-0002-2774-251X
P Elliott MillerSection of Cardiovascular Medicine Yale School of Medicine New Haven CT.ORCID 0000-0002-0595-1492
Robert P DavisDivision of Cardiac Surgery Yale School of Medicine New Haven CT.
Joseph G RogersDivision of Cardiology Texas Heart Institute Houston TX.
Chetan B PatelDivision of Cardiology Department of Medicine Duke University Durham NC.
Sounok SenSection of Cardiovascular Medicine Yale School of Medicine New Haven CT.
Arnar GeirssonDivision of Cardiac Surgery Yale School of Medicine New Haven CT.ORCID 0000-0002-8943-9962
Muhammad AnwerDivision of Cardiac Surgery Yale School of Medicine New Haven CT.
Nihar DesaiSection of Cardiovascular Medicine Yale School of Medicine New Haven CT.ORCID 0000-0003-2384-2545
Tariq AhmadSection of Cardiovascular Medicine Yale School of Medicine New Haven CT.ORCID 0000-0001-7596-4697
Yale University · USDuke University · USLynn University · USRogers (United States) · US

Funding

NRSA Training CoreTL1TR001864 · NCATS · YALE UNIVERSITY · PI CANTLEY, LLOYD G, EDELMAN, E. JENNIFER · 2016 to 2025
$9.9M
NCATS NIH HHS TL1 TR001864
6 · The paper itself

Abstract

Background Because of discrepancies between donor supply and recipient demand, the cardiac transplantation process aims to prioritize the most medically urgent patients. It remains unknown how recipients with the lowest medical urgency compare to others in the allocation process. We aimed to examine differences in clinical characteristics, organ allocation patterns, and outcomes between cardiac transplantation candidates with the lowest and highest medical urgency. Methods and Results We performed a retrospective analysis of the United Network for Organ Sharing database. Patients listed for cardiac transplantation between January 2011 and May 2020 were stratified according to status at time of transplantation. Baseline recipient and donor characteristics, waitlist survival, and posttransplantation outcomes were compared in the years before and after the 2018 allocation system change. Lower urgency patients in the old system were older (58.5 versus 56 years) and more likely female (54.4% versus 23.8%) compared with the highest urgency patients, and these trends persisted in the new system (

Indexed as

Heart TransplantationDatabases, FactualFemaleHumansMaleRetrospective StudiesSurvival AnalysisTissue DonorsTreatment OutcomeWaiting Listsadvanced heart failureheart transplantationoutcomes researchUNOS

Identifiers

PMID34743559
PMCPMC9075266
OpenAlexW3211562357

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.