Author details

The current practice of combined organ transplant involving Heart-Lung or Heart-other is inconsistent at best. Patients for combined organ would be listed at a minimum as status 5 but the majority of patients would qualify for higher status. The actual allocation of combined thoracic/thoracic-abdominal organs is inconsistently applied and varies from OPO to OPO despite policies aiming to clarify this practice. Current efforts within the transplant community

Table 2. 2006 status with 2018 status and corresponding indications. The duration of listing varies by indication. 1: Renewable every 7 days. 2: Renewable every 14 days. 3: Discretionary 30-day period. 4: If Status 1 is not renewed. 5: If Status 2 is not renewed. 6: 14 days if clinical evidence of driveline infection, 42 days if bacteremia requiring antibiotic, 90 days if device pocket infection or recurrent bacteremia. 7: 14 days if two hospitalizations in 6 months, 90 days if 3 times in

Although the geographic distribution of organ offers has been addressed in the 2018 paradigm, the exact unit of correction is unclear. Equal 500 mile circles do not yield equal access to potential organ offers. Should geography be indexed to population? Should the number of

seek to standardize these practices.

40 Heart Transplantation

past 6 months. 8. Renewable every 90 days 9. 180 days.

Louis H. Stein<sup>1</sup> \*, Mohammad Choudhary<sup>1</sup> and Scott C. Silvestry<sup>2</sup>

\*Address all correspondence to: louis.stein@downstate.edu

1 Downstate Medical Center, Division of Cardiothoracic Surgery, State University of New York, Brooklyn, New York, United States

2 Florida Hospital Transplant Institute, Orlando, Florida, United States
