The Journal of Heart and Lung Transplantation
Volume 29, Issue 3 , Pages 235-239 , March 2010

Effects of the 2006 U.S. thoracic organ allocation change: Analysis of local impact on organ procurement and heart transplantation

  • Jose N. Nativi, MD

      Affiliations

    • U.T.A.H. Cardiac Transplant Program, Salt Lake City, Utah
    • University of Utah Health Sciences Center, Salt Lake City, Utah
    • ,
  • Abdallah G. Kfoury, MD

      Affiliations

    • U.T.A.H. Cardiac Transplant Program, Salt Lake City, Utah
    • Intermountain Medical Center, Salt Lake City, Utah
    • ,
  • Craig Myrick

      Affiliations

    • Intermountain Donor Services, Salt Lake City, Utah
    • ,
  • Melissa Peters

      Affiliations

    • Intermountain Donor Services, Salt Lake City, Utah
    • ,
  • Dale Renlund, MD

      Affiliations

    • U.T.A.H. Cardiac Transplant Program, Salt Lake City, Utah
    • University of Utah Health Sciences Center, Salt Lake City, Utah
    • Intermountain Medical Center, Salt Lake City, Utah
    • ,
  • Edward M. Gilbert, MD

      Affiliations

    • U.T.A.H. Cardiac Transplant Program, Salt Lake City, Utah
    • University of Utah Health Sciences Center, Salt Lake City, Utah
    • George E. Wahlen Veterans Affairs Medical Center, Salt Lake City, Utah
    • ,
  • Feras Bader, MD

      Affiliations

    • U.T.A.H. Cardiac Transplant Program, Salt Lake City, Utah
    • University of Utah Health Sciences Center, Salt Lake City, Utah
    • George E. Wahlen Veterans Affairs Medical Center, Salt Lake City, Utah
    • ,
  • Arun K. Singhal, MD

      Affiliations

    • U.T.A.H. Cardiac Transplant Program, Salt Lake City, Utah
    • University of Utah Health Sciences Center, Salt Lake City, Utah
    • ,
  • Melanie Everitt, MD

      Affiliations

    • U.T.A.H. Cardiac Transplant Program, Salt Lake City, Utah
    • Primary Children's Medical Center, Salt Lake City, Utah
    • ,
  • Patrick Fisher, DO, PhD

      Affiliations

    • U.T.A.H. Cardiac Transplant Program, Salt Lake City, Utah
    • Intermountain Medical Center, Salt Lake City, Utah
    • ,
  • David A. Bull, MD

      Affiliations

    • U.T.A.H. Cardiac Transplant Program, Salt Lake City, Utah
    • University of Utah Health Sciences Center, Salt Lake City, Utah
    • George E. Wahlen Veterans Affairs Medical Center, Salt Lake City, Utah
    • ,
  • Craig Selzman, MD

      Affiliations

    • U.T.A.H. Cardiac Transplant Program, Salt Lake City, Utah
    • University of Utah Health Sciences Center, Salt Lake City, Utah
    • ,
  • Josef Stehlik, MD, MPH

      Affiliations

    • U.T.A.H. Cardiac Transplant Program, Salt Lake City, Utah
    • University of Utah Health Sciences Center, Salt Lake City, Utah
    • George E. Wahlen Veterans Affairs Medical Center, Salt Lake City, Utah
    • Corresponding Author InformationReprint requests: Josef Stehlik, MD, Department of Cardiology, University of Utah Health Sciences Center, 50 North Medical Drive, 4A100 SOM, Salt Lake City, UT 84132. Telephone: 801-582-1565 (x4543). Fax: 801-584-2532

References 

  1. Allen MD, Fishbein DP, McBride M, et al. Who gets a heart? (Rationing and rationalizing in heart transplantation). West J Med. 1997;166:326–336
  2. Williams MC, Creger JH, Belton AM, et al. The organ center of the United Network for Organ Sharing and twenty years of organ sharing in the United States. Transplantation. 2004;77:641–646
  3. Renlund DG, Taylor DO, Kfoury AG, et al. New UNOS rules: historical background and implications for transplantation management. J Heart Lung Transplant. 1999;18:1065–1070
  4. UNOS Board of Directors. Policy 3.7 Organ Distribution: Allocation of thoracic organs. http://www.unos.org/PoliciesandBylaws2/policies/pdfs/policy_9.pdfaccessed March 25, 2009
  5. Stevenson LW, Warner SL, Hamilton MA, et al. Modeling distribution of donor hearts to maximize early candidate survival. Circulation. 1992;86(suppl):II-224–II-230
  6. Krakauer H, Lin MJ, Bailey RC. Projected survival benefit as criterion for listing and organ allocation in heart transplantation. J Heart Lung Transplant. 2005;24:680–689
  7. Lim E, Ali Z, Ali A, et al. Comparison of survival by allocation to medical therapy, surgery, or heart transplantation for ischemic advanced heart failure. J Heart Lung Transplant. 2005;24:983–989
  8. Warren J. New heart allocation scheme ok'd by OPTN/UNOS Board will decrease waitlist deaths for adults, pediatrics. Transplant News. 2005;15:4
  9. United Network for Organ Sharing. Regional data report. http://www.unos.org/data/about/viewDataReports.aspaccessed March 25, 2009
  10. Mulligan MS, Shearon TH, Weill D, et al. Heart and lung transplantation in the United States, 1997–2006. Am J Transplant. 2008;8:977–987
  11. Vega JD, Moore J, Murray S, et al. Heart transplantation in the United States, 1998–2007. Am J Transplant. 2009;9:932–941
  12. Lietz K, Miller LW. Improved survival of patients with end-stage heart failure listed for heart transplantation. J Am Coll Cardiol. 2007;50:1282–1290
  13. Deng MC, Smits JM, Young JB. Proposition: the benefit of cardiac transplantation in stable outpatients with heart failure should be tested in a randomized trial. J Heart Lung Transplant. 2003;22:113–117
  14. Smedira NG. Allocating hearts. J Thorac Cardiovasc Surg. 2006;131:775–776
  15. Shah NR, Ewald GA, Horstmanshof DA, et al. Should UNOS Status 2 patients be transplanted?. J Heart Lung Transplant. 2005;24(suppl):S69
  16. Mokadam NA, Ewald GA, Damiano RJ, et al. Deterioration and mortality among patients with United Network for Organ Sharing status 2 heart disease: caution must be exercised in diverting organs. J Thorac Cardiovasc Surg. 2006;131:925–926
  17. De Meester JM, Smits JM, Heinecke J, et al. Comparative Outcome and Clinical Profiles in Transplantation (COCPIT) Study Group (Effect of receiving a heart transplant: analysis of a national cohort entered on to a waiting list, stratified by heart failure severity). BMJ. 2000;321:540–545
  18. Jimenez J, Bennett-Edwards L, Higgins R, et al. Should stable UNOS status 2 patients be transplanted?. J Heart Lung Transplant. 2005;24:178–183
  19. Taylor DO, Edwards LB, Aurora P, et al. Registry of the International Society for Heart and Lung Transplantation: twenty-fifth official adult heart transplant report—2008. J Heart Lung Transplant. 2008;27:943–956

PII: S1053-2498(09)00428-8

doi: 10.1016/j.healun.2009.05.036

The Journal of Heart and Lung Transplantation
Volume 29, Issue 3 , Pages 235-239 , March 2010

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