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Potential Impact of the Proposed Revised UNOS Thoracic Organ Allocation System

Prashant Rao1, Richard Smith2, Zain Khalpey3

  • 1Sarver Heart Center, University of Arizona, Tucson, Arizona.

Seminars in Thoracic and Cardiovascular Surgery
|February 8, 2018
PubMed

Insights

The proposed heart transplant allocation system in the US expands tiers and distinguishes mechanical circulatory support devices. This revision aims for a fairer system for heart allocation amid rising waitlists and advanced therapies.

Area of Science:

  • Cardiology
  • Transplant Medicine
  • Medical Ethics

Background:

  • Current US heart allocation system faces challenges.
  • Increasing heart transplant waiting list.
  • Evolving device therapy for advanced heart failure.

Observation:

  • The current system requires revision.
  • Mechanical circulatory support devices are advancing.
  • Existing allocation tiers may not reflect current needs.

Findings:

  • A proposed new heart allocation system expands existing tiers.
  • The revision allows for greater distinction between mechanical circulatory support devices.
  • The proposed system addresses concerns with the current allocation framework.

Implications:

  • The revised system aims for more equitable heart allocation.
  • Improved distinction of device therapy can optimize patient candidacy.
  • Potential for reduced waiting times and improved outcomes for heart failure patients awaiting transplant.

Keywords:
heart allocationtransplantventricular assist device

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