CAQ Corner: Evolution of liver allocation policy
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DOI: 10.1002/lt.26497
Abstract: The US urgencybased liver transplantation (LT) policy has two components: allocation and distribution of donor livers. The Model for EndStage Liver Disease (MELD) score, the metric of waitlist mortality, was implemented on February 29, 2002.… read more here.
Keywords: liver allocation; policy; caq corner; corner evolution ... See more keywords
Impact of 2018 UNOS Allocation Policy Change on VAD Outcomes
Sign Up to like & getrecommendations! Published in 2021 at "Journal of Heart and Lung Transplantation"
DOI: 10.1016/j.healun.2021.01.356
Abstract: Purpose In October 2018 the UNOS Allocation Policy for heart transplantation was changed to prioritize more critically-ill patients. Before the allocation change, patients with ventricular assist devices (VADs) were listed as Status 1B which was… read more here.
Keywords: change; allocation policy; policy change; policy ... See more keywords
I"IABP"ntentions and E"ECMO"xpectations of New Heart Transplant Donor Organ Allocation Policy.
Sign Up to like & getrecommendations! Published in 2020 at "ASAIO Journal"
DOI: 10.1097/mat.0000000000001285
Abstract: To the Editor: We appreciate Lebreton et al’s1 response to our editorial on heart transplant organ allocation policy and its “Unintended” consequences on transplant listing practices in general context of direct transplant from extracorporeal membrane… read more here.
Keywords: organ allocation; allocation policy; transplant; policy ... See more keywords
Bridge to Heart Transplant With Temporary Mechanical Circulatory Support: Trends and Outcomes in the 2018 Allocation Policy Era.
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DOI: 10.1097/mat.0000000000002352
Abstract: The United Network for Organ Sharing (UNOS) 2018 heart allocation policy prioritizes patients receiving temporary mechanical circulatory support (tMCS) given the high waitlist mortality rate of this group. This study evaluates national trends and waitlist… read more here.
Keywords: heart; mortality; policy; allocation policy ... See more keywords
We (now) know what we are, but not what we may be.
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DOI: 10.1097/tp.0000000000002644
Abstract: I the current issue of Transplantation, Bowring et al from Johns Hopkins University examine the impact of broader regional sharing on geographic disparity in access to liver transplantation. The investigators use Scientific Registry Transplant Recipients… read more here.
Keywords: allocation policy; policy; transplantation; disparity ... See more keywords
Perceptions and Early Outcomes of the Acuity Circles Allocation Policy Among Liver Transplant Centers in the United States
Sign Up to like & getrecommendations! Published in 2022 at "Transplantation Direct"
DOI: 10.1097/txd.0000000000001427
Abstract: Background. Recently, a new liver allocation policy called the acuity circles (AC) framework was implemented to decrease geographic disparities in transplant metrics across donor service areas. Early analyses have examined the changes in outcomes because… read more here.
Keywords: acuity circles; policy; allocation policy; united states ... See more keywords
Early Assessment of National Kidney Allocation Policy Change.
Sign Up to like & getrecommendations! Published in 2022 at "Journal of the American College of Surgeons"
DOI: 10.1097/xcs.0000000000000096
Abstract: BACKGROUND The new kidney allocation changes with elimination of donor service areas (DSAs) and Organ Procurement and Transplantation Network regions were initiated to improve equity in organ allocation. The aim of this evaluation was to… read more here.
Keywords: kidney; allocation; organ donors; allocation policy ... See more keywords
Heart Transplant Equity: Effect of 2018 Allocation Policy Change on Recipient Mortality and Morbidity by Race and Ethnicity.
Sign Up to like & getrecommendations! Published in 2025 at "Journal of the American College of Surgeons"
DOI: 10.1097/xcs.0000000000001374
Abstract: BACKGROUND In 2018, the US heart allocation policy was changed from 3-tiers to 6-tiers for a more granular assessment of patients' medical urgency. Given previous studies showing significant discrepancies in post-transplant outcomes among Black and… read more here.
Keywords: allocation change; mortality; change; post allocation ... See more keywords
Trends in Mechanical Circulatory Support utilization, Left Ventricular Assist Device implantation and Transplant during Cardiogenic Shock Hospitalizations, after the New Heart Allocation Policy
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DOI: 10.1101/2024.10.23.24316025
Abstract: Background In October 2018, a new heart allocation policy was implemented to risk stratify patients listed for transplant, prioritizing patients supported with temporary mechanical circulatory support (MCS). The policy changes may have had an impact… read more here.
Keywords: allocation policy; cardiogenic shock; policy; transplant ... See more keywords
Heart Transplantation Utilizing Brain‐Dead Donors Procured From Extended Distances Under the 2018 New Allocation Policy
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DOI: 10.1111/ctr.70122
Abstract: There are limited data regarding outcomes of a new heart allocation policy on recovering brain‐death donors (DBD) from extended distances. read more here.
Keywords: allocation policy; heart; brain; extended distances ... See more keywords
Pediatric impacts of multiorgan transplant allocation policy in the United States
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DOI: 10.1111/petr.14253
Abstract: Multiorgan transplantation is increasingly common, driving recent increased attention to multiorgan allocation policies. read more here.
Keywords: impacts multiorgan; transplant allocation; allocation policy; pediatric impacts ... See more keywords