Heart failure & cardiomyopathiesCohort study
Disparities in Listing With a Durable Left Ventricular Assist Device After 2018 Heart Allocation Policy Change
- Retrospective cohort study
- registry-based (SRTR)
- mixed-effects logistic regression
Authors' conclusion
After the 2018 heart allocation policy change, candidates from more vulnerable communities became more likely to be listed with a BTT-LVAD.
Study context
- Population
- Adult heart transplant candidates initially listed 2014–2024, US SRTR
- Participants
- 43,342 candidates
- Exposure
- Postpolicy vs prepolicy period, by neighbourhood deprivation
- Postpolicyn = 25,687
- Prepolicyn = 17,655reference
- Outcome
- Odds of listing with a BTT-LVAD by ADI (interaction of ADI and policy period)
Main finding
As reported in the abstract
Listing with BTT-LVAD by ADI
Odds ratio (95% CI)P value
Prepolicyper ADI, prepolicy
1.00(0.98–1.02)
P > 0.9Postpolicyper ADI, postpolicy; 10th vs 1st decile 59% higher odds
1.05(1.03–1.08)
P < 0.001Per ADI, as printed
- Impact of ADI differed significantly between policy periods
- P < 0.001
Observational data: associations, not effects.
Further findings
Listed with BTT-LVAD
P < 0.001
Original publication
Disparities in Listing With a Durable Left Ventricular Assist Device After 2018 Heart Allocation Policy Change. JACC Heart Fail. Published 3 August 2026. doi:10.1016/j.jchf.2026.103241
Summarised from the published abstract; every number is checked against it