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This reply discusses regional variations in LVAD utilization, indicating the need for improved coordination and education for cardiologists.
Beyond our recent study findings, LVAD utilization-as well as timely referral and sustained patient management-may indeed also be influenced by regional variations in organization and coordination in the Dutch context.On the other hand, institutional capacity has not been a limiting factor thus far [1].National education programs for cardiologists (e.g.CVOI-'Masterclass Heart Failure') and regional outreach programs for referring hospitals are organized.
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Drost et al. (2026) studied this question.
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