Impact of 2018 Donor Heart Allocation Policy Change on Patients on Biventricular Support: A UNOS Database Analysis

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Cohort analysis reveals policy change reduced waitlist times and improved post-transplant survival for patients on biventricular support.

Biventricular support utilization decreased significantly post-policy change, in both waitlisted and transplanted patients.
Median waitlist time fell from 88 days pre-policy change to 22 days post, highlighting improved access.
Analysis used UNOS database records spanning nearly 11 years to compare outcomes of biventricular patients pre- and post-policy change.
Results suggest policy revision may benefit hearts for transplant, but decreases usage of biventricular devices.

Rahimov et al. (2025) studied this question.

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