Potential Impact of the Proposed Revised UNOS Thoracic Organ Allocation System

被引：25
|
作者：
Rao, Prashant [1 ]
Smith, Richard [2 ]
Khalpey, Zain [3 ]
机构：
[1] Univ Arizona, Sarver Heart Ctr, Tucson, AZ 85724 USA
[2] Univ Arizona, Dept Perfus & Artificial Heart Programs, Tucson, AZ 85724 USA
[3] Univ Arizona, Dept Cardiothorac Surg, Tucson, AZ 85724 USA
来源：
SEMINARS IN THORACIC AND CARDIOVASCULAR SURGERY | 2018年 / 30卷 / 02期
关键词：
heart allocation; transplant; ventricular assist device; VENTRICULAR ASSIST DEVICES; HEART-TRANSPLANTATION; CANDIDATES; MORTALITY; NETWORK; DESTINY;
D O I：
10.1053/j.semtcvs.2018.01.001
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
The current United States heart allocation system faces 2 main challenges: an evolving landscape of device therapy in advanced heart failure and a rapidly increasing transplant waiting list. The proposed new heart allocation system involves expansion of the 3 tiers and enables greater distinction between different types of mechanical circulatory support devices. In this review, we discuss how the proposed revision reconciles key concerns of the current system to create a more fair and equitable allocation of hearts in the United States. © 2018 Elsevier Inc.
引用
收藏
页码：129 / 133
页数：5
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