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April 1, 2026JHLT OpenOpen Access

Impact of the 2018 Allocation Criteria Change on Outcomes Following Cardiac Retransplantation Within 30 Days: Analysis of the UNOS Database

Jason Aubrey Melonie Abravanel Nabin Manandhar Shrestha Renzo Y Loyaga-Rendon Sangjin Lee Scott Chicotka Robert L. Hooker

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Key Points

To assess the effects of the 2018 heart allocation criteria change on early cardiac retransplantation outcomes.
Analysis of data from the United Network for Organ Sharing (UNOS) database.
Focus on outcomes following early retransplantation within 30 days of the initial procedure.
Comparison of survival rates before and after the allocation criteria change.
Evidence suggests unfavorable outcomes for patients undergoing early retransplantation.
Survival rates at the first-year mark were notably low for these patients.
Findings raise ethical questions regarding organ allocation for critically ill patients.

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Implication

Analysis demonstrates altered outcomes for early cardiac retransplantation after a policy change regarding organ allocation.

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Cite This Study

Aubrey et al. (2026) studied this question.

synapsesocial.com/papers/69e7138bcb99343efc98d006 https://doi.org/10.1016/j.jhlto.2026.100571

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