Major advantages and critical challenge for the proposed United States heart allocation system

被引：63

作者：

Stevenson, Lynne Warner ^{[1
]}

Kormos, Robert L. ^{[2
]}

Young, James B. ^{[3
]}

Kirklin, James K. ^{[4
]}

Hunt, Sharon A. ^{[5
]}

机构：

[1] Harvard Univ, Brigham & Womens Hosp, Adv Heart Dis Sect, Div Cardiol,Med Sch, Boston, MA 02115 USA

[2] Univ Pittsburgh, Med Ctr, Artificial Heart Program, Dept Cardiothorac Surg, Pittsburgh, PA USA

[3] Case Western Reserve Univ, Cleveland Clin, Lerner Coll Med, Cleveland, OH 44106 USA

[4] Univ Alabama Birmingham, Div Cardiothorac Surg, Birmingham, AL USA

[5] Stanford Univ, Post Heart Transplant Program, Stanford, CA 94305 USA

来源：

JOURNAL OF HEART AND LUNG TRANSPLANTATION | 2016年 / 35卷 / 05期

关键词：

heart transplantation; heart failure; organ allocation; ethics; heart donors; public policy;

D O I：

10.1016/j.healun.2016.04.001

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The proposed new United States allocation system incorporates extensive research into an elegant plan designed to reduce wait list mortality while preserving post-transplant outcomes. All architects are to be congratulated. However, the future cannot be reliably modeled from the past as listing practices will evolve in response to new criteria. The new system should provide a major advance if and only if it is combined with a commitment to limit the number of listed patients overall and within each high priority status to the number that could reasonably undergo timely transplantation. (C) 2016 International Society for Heart and Lung Transplantation. All rights reserved.

引用

页码：547 / 549

页数：3

共 2 条

[1] Crisis Awaiting Heart Transplantation Sinking the Lifeboat [J].

Stevenson, Lynne Warner .

JAMA INTERNAL MEDICINE, 2015, 175 (08) :1406-1409

[2] Implant Strategies Change Over Time and Impact Outcomes [J].

Teuteberg, Jeffrey J. ;

Stewart, Garrick C. ;

Jessup, Mariell ;

Kormos, Robert L. ;

Sun, Benjamin ;

Frazier, O. H. ;

Naftel, David C. ;

Stevenson, Lynne W. .

JACC-HEART FAILURE, 2013, 1 (05) :369-378

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