Heart failure & cardiomyopathies
Disparities in Listing With a Durable Left Ventricular Assist Device After 2018 Heart Allocation Policy Change
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)
Methodological detailsregistry-based (SRTR), mixed-effects logistic regression
- Registry-based (SRTR)
- Mixed-effects logistic regression
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.
Summarised from the published abstract; every number is checked against it