Evidence map›Paper›PMID 41357391›Full record

ReviewWorld journal of transplantation2025

Impact of the United Network for Organ Sharing allocation criteria changes on temporary mechanical circulatory support use as a bridge to transplant.

Sriram Sunil Kumar, Shreya Arvind, Sanjana Nagraj, Maisha Maliha, Sumant Pargaonkar, Vikyath Satish, Sharanya Kaushik, Kuan-Yu Chi, Nikolaos Diakos, Miguel Alvarez Villela

Abstract readReview
In one paragraph

Review in World journal of transplantation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

10 authors.

Sriram Sunil KumarDepartment of Internal Medicine, Jacobi Medical Center/Albert Einstein College of Medicine, Bronx, NY 10461, United States.
Shreya ArvindDepartment of Internal Medicine, University of Connecticut, New Britain, CT 06030, United States.
Sanjana NagrajDivision of Cardiology, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, NY 10467, United States.
Maisha MalihaDepartment of Internal Medicine, Jacobi Medical Center/Albert Einstein College of Medicine, Bronx, NY 10461, United States.
Sumant PargaonkarDepartment of Internal Medicine, Jacobi Medical Center/Albert Einstein College of Medicine, Bronx, NY 10461, United States.
Vikyath SatishDepartment of Internal Medicine, Jacobi Medical Center/Albert Einstein College of Medicine, Bronx, NY 10461, United States.
Sharanya KaushikDepartment of Internal Medicine, Jacobi Medical Center/Albert Einstein College of Medicine, Bronx, NY 10461, United States.
Kuan-Yu ChiDepartment of Internal Medicine, Jacobi Medical Center/Albert Einstein College of Medicine, Bronx, NY 10461, United States.
Nikolaos DiakosDepartment of Cardiology, Texas Heart Institute, Houston, TX 77030, United States.
Miguel Alvarez VillelaDepartment of Cardiology, Lenox Hill Hospital/Northwell Health, New York, NY 10075, United States. malvarezvill@northwell.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Temporary mechanical circulatory support (tMCS) devices such as intra-aortic balloon pumps, veno-arterial extracorporeal membrane oxygenation, and percutaneous ventricular assist devices, play a major role in supporting patients with end-stage heart failure and bridging them to transplant. In 2018, the United Network for Organ Sharing heart allocation criteria was modified by increasing the number of statuses in the heart transplant waitlist to differentiate and favor the sickest patients awaiting transplantation. Within this new system, patients with tMCS devices receive the highest priority statuses. While the 2018 allocation system has reduced waitlist times and mortality for the highest-priority patients, some studies have shown a concomitant rise in the utilization of tMCS devices as bridge to transplant after its enaction. In this narrative review, we describe these changes in tMCS utilization and provide insights on how the upcoming creation of a continuous distribution allocation system may further impact these trends.

Indexed as

Allocation criteriaContinuous distributionHeart transplantationMechanical circulatory supportVentricular assist device

Identifiers

PMID41357391
PMCPMC12679246

What OpenQuestion holds

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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.