ArticleAmerican journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons2022
An updated estimate of posttransplant survival after implementation of the new donor heart allocation policy.
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 21 papers.
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Who cites it
21 citing papers in PubMed.
- Temporal trends and post-transplant outcomes in anthracycline-induced cardiomyopathy: A contemporary United Network for Organ Sharing analysis.JHLT open · 2026Article
- Incidence and Management of Access Site Infection Following Trans-Axillary Implant of a Microaxial Left Ventricular Assist Device.Artificial organs · 2026Article
- Low rates of inotropic support and durable left ventricular assist device placement among status 2 heart transplant candidates with temporary mechanical circulatory support.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2026Article
- The changing landscape of temporary mechanical circulatory support devices in the new heart allocation system: A US nationwide analysis.JTCVS open · 2026Article
- Modernizing the national transplant database.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2025Review
- Impact of 2018 allocation system change on heart transplantation outcomes in china: a retrospective analysis.European journal of medical research · 2025Article
- Association of the 2018 U.S. Heart Allocation Policy Change and the Survival Benefit of Heart Transplantation.JACC. Heart failure · 2025Observational
- National Organ Procurement and Transplant Network Heart Allocation Policy: 6 Years Later.Circulation. Heart failure · 2025Review
- Survival machine learning methods for mortality prediction after heart transplantation in the contemporary era.PloS one · 2025Article
- The Colorado Heart Failure Acuity Risk Model: A Mortality Model for Waitlisted Cardiac Transplant Patients.JACC. Advances · 2025Article
- Post-transplant survival after normothermic regional perfusion versus direct procurement and perfusion in donation after circulatory determination of death in heart transplantation.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2024Observational
- Improved waitlist and comparable post-transplant outcomes in simultaneous heart-kidney transplantation under the 2018 heart allocation system.The Journal of thoracic and cardiovascular surgery · 2024Article
- Best practices for statistical analysis of pretransplant medical urgency.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2024Article
- The 2-year postoperative left heart function in marginal donor heart recipients assessing by speckle tracking echocardiography.The international journal of cardiovascular imaging · 2023Article
- Clinical trends, risk factors, and temporal effects of post-transplant dialysis on outcomes following orthotopic heart transplantation in the 2018 United States heart allocation system.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2023Article
- The Accuracy of Initial U.S. Heart Transplant Candidate Rankings.JACC. Heart failure · 2023Article
- Impact of the 2018 UNOS Heart Transplant Policy Changes on Patient Outcomes.JACC. Heart failure · 2023Review
- 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 · 2022Article
- Relationships between 2018 UNOS heart policy and transplant outcomes in metropolitan, micropolitan, and rural settings.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2022Article
- The effect of recipient BMI on waitlist and post-transplant outcomes after the 2018 heart transplant allocation policy change.Journal of cardiac surgery · 2022Article
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5 authors.
Funding
Abstract
The Organ Procurement and Transplant Network (OPTN) implemented a new heart allocation policy on October 18, 2018. Published estimates of lower posttransplant survival under the new policy in cohorts with limited follow-up may be biased by informative censoring. Using the Scientific Registry of Transplant Recipients, we used the Kaplan-Meier method to estimate 1-year posttransplant survival for pre-policy (November 1, 2016, to October 31, 2017) and post-policy cohorts (November 1, 2018, to October 31, 2019) with follow-up through March 2, 2021. We adjusted for changes in recipient population over time with a multivariable Cox proportional hazards model. To demonstrate the effect of inadequate follow-up on post-policy survival estimates, we repeated the analysis but only included follow-up through October 31, 2019. Transplant programs transplanted 2594 patients in the pre-policy cohort and 2761 patients in the post-policy cohort. With follow-up through March 2, 2021, unadjusted 1-year posttransplant survival was 90.6% (89.5%-91.8%) in the pre-policy cohort and 90.8% (89.7%-91.9%) in the post-policy cohort (adjusted HR = 0.93 [0.77-1.12]). Ignoring follow-up after October 31, 2019, the post-policy estimate was biased downward (1-year: 82.2%). When estimated with adequate follow-up, 1-year posttransplant survival under the new heart allocation policy was not significantly different.
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