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Review of the allocation criteria for heart transplant in Spain in 2023. SEC-Heart Failure Association/ONT/SECCE consensus document

Abstract: Heart transplant (HT) remains the best therapeutic option for patients with advanced heart failure (HF). The allocation criteria aim to guarantee equitable access to HT and prioritize patients with a worse clinical status. To review the HT allocation criteria, the Heart Failure Association of the Spanish Society of Cardiology (HFA-SEC), the Spanish Society of Cardiovascular and Endovascular Surgery (SECCE) and the National Transplant Organization (ONT), organized a consensus conference involving adult and pediatric cardiologists, adult and pediatric cardiac surgeons, transplant coordinators from all over Spain, and physicians and nurses from the ONT. The aims of the consensus conference were as follows: a) to analyze the organization and management of patients with advanced HF and cardiogenic shock in Spain; b) to critically review heart allocation and priority criteria in other transplant organizations; c) to analyze the outcomes of patients listed and transplanted before and after the modification of the heart allocation criteria in 2017; and d) to propose new heart allocation criteria in Spain after an analysis of the available evidence and multidisciplinary discussion. In this article, by the HFA-SEC, SECCE and the ONT we present the results of the analysis performed in the consensus conference and the rationale for the new heart allocation criteria in Spain.

 Fuente: Revista Española de Cardiología, 2023

 Editorial: Doyma

 Año de publicación: 2023

 Nº de páginas: 10

 Tipo de publicación: Artículo de Revista

 DOI: 10.1016/j.rec.2023.11.001

 ISSN: 0300-8932,1579-2242,1885-5857

 Url de la publicación: https://doi.org/10.1016/j.rec.2023.11.001

Autoría

GONZÁLEZ-COSTELLO, JOSÉ

PÉREZ-BLANCO, ALICIA

DELGADO-JIMÉNEZ, JUAN

MIRABET, SONIA

SANDOVAL, ELENA

CUENCA-CASTILLO, JOSÉ

CAMINO, MANUEL

SEGOVIA-CUBERO, JAVIER

SÁNCHEZ-SALADO, JOSÉ CARLOS

PÉREZ DE LA SOTA, ENRIQUE

ALMENAR-BONET, LUIS

FARRERO, MARTA

ZATARAÍN, EDUARDO

GARCÍA-COSÍO, MARÍA DOLORES

GARRIDO, IRIS

BARGE-CABALLERO, EDUARDO

GÓMEZ-BUENO, MANUEL