OPTN/SRTR 2019 Annual Data Report: Heart

M Colvin1,2, J M Smith1,3, Y Ahn1

  • 1Scientific Registry of Transplant Recipients, Hennepin Healthcare Research Institute, Minneapolis, MN.

Insights

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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