ArticleAmerican journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons2022
Pediatric heart transplant waiting times in the United States since the 2016 allocation policy change.
Article in American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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17 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.
- Myocardial recovery in children supported with a durable ventricular assist device-a systematic review.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2023Pooled it
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- Status Exceptions and Misalignment of Medical Urgency in U.S. Pediatric Heart Transplantation.Journal of the American College of Cardiology · 2026Article
- Use of the AM-PAC 6 Clicks Basic Mobility Short Forms as a Measure of Functional Change in the Pediatric Heart Failure Population.Archives of rehabilitation research and clinical translation · 2026Article
- Limitations of ventricular assist devices in pediatrics: When one size does not fit all.JHLT open · 2026Article
- Orthotopic heart transplantation for Fontan failure: experience and treatment strategy-a case report.General thoracic and cardiovascular surgery cases · 2026Article
- Fate of Discarded Hearts Donated After Circulatory Death: Is There an Opportunity for Novel Use?Annals of thoracic surgery short reports · 2025Article
- Utilization of Exception Requests After Implementation of the National Heart Review Board for Pediatrics.Pediatric transplantation · 2025Article
- Neonatal paracorporeal ventricular assist device as bridge to neonatal heart transplant: Case report.JTCVS techniques · 2025Article
- Advancement of the Dragon Heart 7-Series for Pediatric Patients With Heart Failure.Artificial organs · 2025Article
- Tracheostomy as a Management Option After Listing for Pediatric Cardiac Transplantation.Pediatric transplantation · 2025Article
- Heart transplantation from donation after circulatory death: a meta-analysis of national registries.Annals of cardiothoracic surgery · 2024Article
- Programmatic Palliative Care Consultations in Pediatric Heart Transplant Evaluations.Pediatric cardiology · 2024Article
- Organizational challenges for partial heart transplantation.Future cardiology · 2024Review
- Characterization of Green Fluorescent Protein in Heart Valves of a Transgenic Swine Model for Partial Heart Transplant Research.Journal of cardiovascular development and disease · 2023Article
- Impact of 2016 UNOS pediatric heart allocation policy changes on VAD utilization, waitlist, and post-transplant survival outcomes in children with CHD versus Non-CHD.Clinical transplantation · 2023Article
- Rehabilitation in Pediatric Heart Failure and Heart Transplant.Frontiers in pediatrics · 2021Review
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9 authors at 2 institutions in 1 country.
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Abstract
We describe waiting times for pediatric heart transplant (HT) candidates after the 2016 revision to the US allocation policy. The OPTN database was queried for pediatric HT candidates listed between 7/2016 and 4/2019. Of the 1789 included candidates, 65% underwent HT, 14% died/deteriorated, 8% were removed for improvement, and 13% were still waiting at the end of follow-up. Most candidates were status 1A at HT (81%). Median wait times differ substantially by listing status, blood type, and recipient weight. The likelihood of HT was lower in candidates <25 kg and in those with blood type O; The <25 kg, blood type O subgroup experiences longer wait times and higher wait list mortality. For status 1A candidates, median wait times were 108 days (≤25 kg, blood type O), 80 days (≤25 kg, non-O), 47 days (>25 kg, O), and 24 days (>25 kg, non-O). We found that centers with more selective organ acceptance practices, based on a lower median Pediatric Heart Donor Assessment Tool (PH-DAT) score for completed transplants, experience longer status 1A wait times for their listed patients. These data can be used to counsel families and to select appropriate advanced heart failure therapies to support patients to transplant.
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