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Variability in Status 1 Exception Practices and Candidate Outcomes After the 2018 U.S. Heart Allocation Changes | Synapse
March 3, 2026
Variability in Status 1 Exception Practices and Candidate Outcomes After the 2018 U.S. Heart Allocation Changes
NN
Nikhil Narang
TC
Thomas Cascino
University of Michigan
JC
Jennifer A. Cowger
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Key Points
Candidate outcomes differ significantly due to variability in status 1 exception practices across the U.S.
The adjustment in heart allocation in 2018 has led to distinct outcomes, highlighting this variability.
Observational analysis of heart transplant candidates shows how changes in policies impact results and allocation fairness.
This variability in practices suggests the need for standardized guidelines to enhance equitable organ allocation.
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Narang et al. (Sun,) studied this question.
synapsesocial.com/papers/69a76647badf0bb9e87dc678
https://doi.org/https://doi.org/10.1016/j.cardfail.2025.12.011