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OPTN/SRTR 2019 Annual Data Report: Heart
Summary
The 2018 adult heart allocation policy shows improved short- and long-term survival rates for heart transplant recipients. This policy change has positively impacted patient outcomes following cardiac transplantation.
Area of Science:
- Cardiology
- Transplant Surgery
- Public Health Policy
Background:
- The adult heart allocation policy was enacted in 2016 and implemented in October 2018.
- The 2019 Annual Data Report offers initial findings on the policy's impact.
Purpose of the Study:
- To evaluate the early effects of the new adult heart allocation policy.
- To analyze trends in heart listings and transplants in 2019.
- To assess posttransplant mortality rates following the policy implementation.
Main Methods:
- Analysis of heart transplant data from the 2019 Annual Data Report.
- Comparison of transplant numbers and recipient demographics (adults vs. children).
- Examination of short-term (6 months, 1 year) and long-term (3 years, 5 years) mortality rates.
Main Results:
- In 2019, there were 4086 new heart transplant candidates and 3597 heart transplants performed (a 4.6% increase from 2018).
- Transplants included 509 pediatric and 3088 adult recipients.
- Posttransplant mortality rates demonstrated improvement across both adult and pediatric recipients compared to previous cohorts.
Conclusions:
- The new adult heart allocation policy appears to be associated with improved survival outcomes.
- Continued monitoring is essential to fully understand the long-term effects of the policy.
- The data indicates a positive trend in heart transplantation following the policy's implementation.
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