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J Heart Lung Transplant. 2016 May;35(5):547-9. doi: 10.1016/j.healun.2016.04.001. Epub 2016 Apr 16.

Major advantages and critical challenge for the proposed United States heart allocation system.

Author information

1
Advanced Heart Disease Section, Division of Cardiology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts. Electronic address: lstevenson@partners.org.
2
Artificial Heart Program, Department of Cardiothoracic Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
3
Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, Ohio.
4
Division of Cardiothoracic Surgery, University of Alabama at Birmingham, Birmingham, Alabama.
5
Post Heart Transplant Program, Stanford University, Stanford, California.

Abstract

The proposed new United States allocation system incorporates extensive research into an elegant plan designed to reduce wait list mortality while preserving post-transplant outcomes. All architects are to be congratulated. However, the future cannot be reliably modeled from the past as listing practices will evolve in response to new criteria. The new system should provide a major advance if and only if it is combined with a commitment to limit the number of listed patients overall and within each high priority status to the number that could reasonably undergo timely transplantation.

KEYWORDS:

ethics; heart donors; heart failure; heart transplantation; organ allocation; public policy

PMID:
27197770
DOI:
10.1016/j.healun.2016.04.001
[Indexed for MEDLINE]

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