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Heart-transplant rules meant to save more children haven't worked as hoped, study finds

from The Philadelphia Inquirer

A national rule meant to increase the number of heart transplants for the sickest children has not resulted in improved survival, a new study has found. The March 2016 change in how organs are allocated gave first priority to children born with significant heart defects, such as when most of the left side is missing. Those with a kind of pumping deficiency called cardiomyopathy, on the other hand, were in most cases given lower priority — on the theory that their cases were more manageable with medication. But since the change took effect, physicians have been more likely to seek special exceptions for certain cardiomyopathy patients, bumping them up to top-priority status and partly undoing the intent of the policy, the authors wrote in the American Journal of Transplantation. more

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