TY - JOUR
T1 - Exploring Physician Perceptions of the 2018 United States Heart Transplant Allocation System
AU - DEFILIPPIS, ERSILIA M.
AU - PSOTKA, MITCHELL A.
AU - KHAZANIE, PRATEETI
AU - COWGER, JENNIFER
AU - COGSWELL, REBECCA
N1 - Publisher Copyright:
© 2021 Elsevier Inc.
PY - 2022/4
Y1 - 2022/4
N2 - Background: After the implementation of the 2018 US heart transplant allocation system, the experience and perceptions of heart transplant clinicians have not been well-cataloged. Methods and Results: This web-based survey of both heart failure cardiologists and surgeons examined physician perspectives about the policy changes and whether the system is meeting its intended goals. The majority of participants (94%, n = 113) responded that the 2018 heart allocation system requires modification. Eighty-four percent reported using more temporary mechanical circulatory support to achieve higher status and 86% were concerned about the change in physician behavior and practices under the new system. Conclusions: Suggestions for possible improvement included higher status for patients on durable left ventricular assist device support, changes to criteria for status 2, modification of status exceptions, and advocacy for a heart allocation score.
AB - Background: After the implementation of the 2018 US heart transplant allocation system, the experience and perceptions of heart transplant clinicians have not been well-cataloged. Methods and Results: This web-based survey of both heart failure cardiologists and surgeons examined physician perspectives about the policy changes and whether the system is meeting its intended goals. The majority of participants (94%, n = 113) responded that the 2018 heart allocation system requires modification. Eighty-four percent reported using more temporary mechanical circulatory support to achieve higher status and 86% were concerned about the change in physician behavior and practices under the new system. Conclusions: Suggestions for possible improvement included higher status for patients on durable left ventricular assist device support, changes to criteria for status 2, modification of status exceptions, and advocacy for a heart allocation score.
KW - Heart transplantation
KW - mechanical circulatory support
KW - organ allocation
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U2 - 10.1016/j.cardfail.2021.11.027
DO - 10.1016/j.cardfail.2021.11.027
M3 - Article
C2 - 35039204
AN - SCOPUS:85122968833
SN - 1071-9164
VL - 28
SP - 670
EP - 674
JO - Journal of cardiac failure
JF - Journal of cardiac failure
IS - 4
ER -