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Proceedings from the metrics forum in heart transplantation for performance monitoring. American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons Kobashigawa, J., Hall, S., Farr, M., Blumberg, E., Michael Borkon, A., Colvin, M., Copeland, H., Eisen, H., Johnson, M., Jorde, U., Khush, K., Kirklin, J. K., Patel, J., Pinney, S., Saadaeijahromi, H., Schold, J. D., Stehlik, J., Consensus Conference Participants 2021

Abstract

Regulatory oversight for heart transplant programs is currently under review by the United Network for Organ Sharing (UNOS). There is concern whether 1-year patient and graft survival truly represent heart transplant center performance. Thus, a forum was organized by the Thoracic and Critical Care Community of Practice (TCC COP) of the American Society of Transplantation (AST) for the heart transplant community to voice their opinions on matters involving program performance monitoring by UNOS. A TCC COP work group was formed to review outcome metrics for adult heart transplantation and culminated in a virtual community forum (72 participants representing 61 heart transplant programs) on November 12-13, 2020. One-year post-transplant survival is still considered an appropriate and important measure to assess program performance. Waitlist mortality and offer acceptance rate as pre-transplant metrics could also be useful measures of program performance, recognizing that outside factors may influence these metrics. In depth discussion of these metrics and other issues including auditing thresholds, innovations to reduce risk-averse behavior and personally designed program scorecards are included in this meeting proceedings.

View details for DOI 10.1111/ajt.16901

View details for PubMedID 34866328