Evidence map›Paper›PMID 35384068›Full record

ArticleJournal of cardiac surgery2022

The effect of recipient BMI on waitlist and post-transplant outcomes after the 2018 heart transplant allocation policy change.

Jay N Patel, David G Rabkin, Brett W Sperry, Anju Bhardwaj, Joshua S Chung, Dmitry Abramov

Abstract read
In one paragraph

Article in Journal of cardiac surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Review
  2. How to select a patient for LVAD.Indian journal of thoracic and cardiovascular surgery · 2023
    Review
  3. 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

6 authors.

Jay N PatelDivision of Cardiology, Loma Linda Veterans Administration Healthcare System, Loma Linda, California, USA.ORCID https://orcid.org/0000-0001-9588-1880
David G RabkinDepartment of Cardiothoracic Surgery, Loma Linda University Medical Center, Loma Linda, California, USA.ORCID http://orcid.org/0000-0002-3083-9566
Brett W SperrySaint Luke's Mid America Heart Institute, Kansas City, Missouri, USA.ORCID https://orcid.org/0000-0002-8210-6401
Anju BhardwajDepartment of Advanced Cardiopulmonary, Therapies and Transplantation, The University of Texas-Houston, Houston, Texas, USA.ORCID https://orcid.org/0000-0003-2322-2442
Joshua S ChungDepartment of Cardiothoracic Surgery, Loma Linda University Medical Center, Loma Linda, California, USA.
Dmitry AbramovDepartment of Medicine, Division of Cardiology, Loma Linda University Medical Center, Loma Linda, California, USA.ORCID https://orcid.org/0000-0003-0571-3109

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe effects of recipient body mass index (BMI) on waitlist strategies, waitlist outcomes, and post-transplant outcomes among adult patients listed for heart transplantation under the updated 2018 allocation system have not been well characterized.

methodsThe United Network of Organ Sharing data set between October 2015 and March 2021 was analyzed, and patients were grouped based on recipient BMI and whether listing occurred in the old (pre-October 2018) or new allocation system.

resultsListing strategies differed by BMI group, but trends of increased use of temporary mechanical support and decreased use of durable support remained among all BMI groups, except those with BMI > 35 kg/m

conclusionsThe 2018 change to the heart transplant allocation system was associated with similar changes in the use of mechanical support for listing strategy across BMI ranges, except in the most obese, and improved waitlist outcomes across all BMI ranges. Post-transplant outcomes in the new allocation system are worse for patients with BMI > 30 kg/m

Indexed as

Heart TransplantationAdultBody Mass IndexHumansPolicyRetrospective StudiesWaiting Listsallocation systembody mass indexheart transplantmechanical supportpost-transplant outcomeswaitlist outcomes

Identifiers

PMID35384068
PMCPMC9320797

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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.