ReviewJACC. Heart failure2023
Impact of the 2018 UNOS Heart Transplant Policy Changes on Patient Outcomes.
Review in JACC. Heart failure, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
42 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Concurrent Use of Kidney Replacement Therapy and Temporary Left Ventricular Assist Device in Cardiogenic Shock: A Systematic Review and Meta-Analysis.Blood purification · 2025Pooled it
- Temporal trends and post-transplant outcomes in anthracycline-induced cardiomyopathy: A contemporary United Network for Organ Sharing analysis.JHLT open · 2026Article
- Article
- Article
- Risk Factors and Prediction Models for Early and Long-Term Mortality Following Left Ventricular Assist Device Implantation.Journal of clinical medicine · 2026Article
- Device-Related Adverse Events and Outcomes in Patients With Temporary Mechanical Circulatory Support Placed at Referral Centers Versus Cardiogenic Shock Hub Centers: An Observational Analysis.Circulation. Heart failure · 2026Observational
- Real-time cardiac power output index predicts imminent need for extracorporeal membrane oxygenation after heart transplantation.JHLT open · 2026Article
- Closing the gap between trial and clinical reality in long-term left ventricular assist device use outcomes.ESC heart failure · 2026Article
- Potential Impact of the OPTN Status Escalation Policy for Adult Heart Transplant Candidates With Durable LVADs.Circulation. Heart failure · 2026Article
- Center Differences in PreTransplant Functional Status and Its Association With Survival After Heart Transplantation.Clinical transplantation · 2026Article
- Recent perioperative challenges in anesthesia during expansion of heart transplantation.Journal of cardiothoracic surgery · 2026Review
- Sex Differences in Heart Transplantation Outcomes: A 5-Year Review of the 2018 U.S. Allocation Policy.JACC. Advances · 2026Article
- The changing landscape of temporary mechanical circulatory support devices in the new heart allocation system: A US nationwide analysis.JTCVS open · 2026Article
- High-urgency heart transplantation and outcome trade-offs: early post-transplant infection and mortality.ESC heart failure · 2026Article
- Waitlist and post-transplant outcomes in rural communities with the current heart transplant allocation.JHLT open · 2026Article
- Outcomes among patients bridged to heart transplant with microaxial flow versus durable left ventricular assist device support.The Journal of thoracic and cardiovascular surgery · 2026Article
- CalShock: beyond the shock team, building on California's cardiogenic shock system of care.Heart failure reviews · 2026Article
- Heart Replacement Therapy in Young Patients: A Comparative Analysis of HeartMate 3 LVAD and Heart Transplant Using MOMENTUM 3 and UNOS Registry.JACC. Heart failure · 2026Article
- Increasing adoption of donation after circulatory death in high-risk heart transplant recipients: Insights into current practices in the United States.JTCVS open · 2026Article
- Short-Term Care Burden After Left Ventricular Assist Device Implantation and Heart Transplant in the United States.Journal of the American Heart Association · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
In 2018, the United Network for Organ Sharing implemented a 6-tier allocation policy to replace the prior 3-tier system. Given increasing listings of critically ill candidates for heart transplantation and lengthening waitlist times, the new policy aimed to better stratify candidates by waitlist mortality, shorten waiting times for high priority candidates, add objective criteria for common cardiac conditions, and further broaden sharing of donor hearts. There have been significant shifts in cardiac transplantation practices and patient outcomes following the implementation of the new policy, including changes in listing practices, waitlist time and mortality, transplant donor characteristics, post-transplantation outcomes, and mechanical circulatory support use. This review aims to highlight emerging trends in United States heart transplantation practice and outcomes following the implementation of the 2018 United Network for Organ Sharing heart allocation policy and to address areas for future modification.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.