Contemporary Pediatric Heart Transplant Waitlist Mortality.
Alyssa PowerKurt R SweatAlvin RothJohn C DykesBeth KaufmanMichael MaSharon ChenSeth A HollanderElizabeth ProfitaDavid N RosenthalLynsey BarkoffChiu-Yu ChenRyan R DaviesChristopher S AlmondPublished in: Journal of the American College of Cardiology (2024)
The 2016 allocation revisions were not independently associated with the decline in pediatric HT waitlist mortality. The 3-tier classification system fails to adequately capture patient-specific risks. A more flexible allocation system that accurately reflects patient-specific risks and considers transplant benefit is urgently needed.