Daniel Ahn, MD, BS, discusses the need for pediatric heart transplant policy reform | Contemporary Pediatrics Daniel Jaechul Ahn, MD, BS, explains how status exceptions are used to navigate the current 3-status system and why policy reform is necessary.

Check out our post-doc Daniel Ahn's interview with
@contemppeds.bsky.social on the results of his recent paper in
@jaccjournals.bsky.social!

Full article can be viewed here: bit.ly/4t2l6yT

Status Exceptions and Misalignment of Medical Urgency in U.S. Pediatric Heart Transplantation: View all available purchase options and get full access to this article.

Check out the latest paper by one of our postdocs Daniel Ahn on status exceptions in US pediatric heart transplantation. Now online in the global cardiology flagship publication. @jaccjournals.bsky.social www.jacc.org/doi/10.1016/...

Development of a risk score predicting survival after adult heart transplantation in the United States In the US, donor hearts for transplant are currently allocated to the candidates with the highest risk of death on the waiting list, based on a categorical status-based system. The upcoming continuous...

Check out Lazenby et al. pub in
@jhlt.bsky.social "Development of a risk score predicting survival after adult heart transplantation in the United States." Our multivariable risk score outperformed existing models in predicting 1-year post-transplant survival. www.jhltonline.org/article/S105...

The association of place-based disadvantage and access to deceased donor heart transplantation US heart transplant candidates from socioeconomically disadvantaged communities have lower access to transplants. The place-based disadvantage index that best captures this disparity is still unknown....

Congrats to med student Alex Wang on 1st author pub in
@amjtransplant.bsky.social: The association of place-based disadvantage and access to deceased donor heart transplantation. Estimated association of 4 place-based disadvantage indices w/ transplant, death. www.amjtransplant.org/article/S160...

Association of the 2018 U.S. Heart Allocation Policy Change and the Survival Benefit of Heart Transplantation:

Read our latest pub by former med student Stratton Tolmie: Association of the 2018 U.S. Heart Allocation Policy Change and the Survival Benefit of Heart Transplantation | JACC: Heart Failure www.jacc.org/doi/10.1016/...

Policy change led to ^ survival benefit of transplants & transplantation rates.

Thanks for the shoutout! Our lab is proud to be part of such a stellar team of critical care experts. Learn more about the CLIF Consortium here: clif-consortium.github.io/website/

Association of the 2018 US Heart Allocation Policy Change and the Survival Benefit of Heart Transplantation Purpose: To determine if there is a significant improvement in survival benefit of scarce donor hearts as a result of the 2018 US heart allocation system policy change.

Congrats to our med student Stratton Tolmie on his first first-author paper in JHLT! Team found heart transplant candidates better stratified into highest priority status by medical acuity in post- '18 policy period (ie higher survival benefit of tx). www.jhltonline.org/article/S105...

A common longitudinal intensive care unit data format (CLIF) for critical illness research - Intensive Care Medicine Rationale Critical illness threatens millions of lives annually. Electronic health record (EHR) data are a source of granular information that could generate crucial insights into the nature and optim...

Check out our latest publication with the CLIF Consortium in
Intensive Care Medicine: link.springer.com/article/10.1...
CLIF developed a Common Longitudinal Intensive Care Unit (ICU) data Format (CLIF), an open-source database format to harmonize EHR data necessary to study critical illness.

Line graph comparing line trajectories for organ discard rate (percent) and out-of-sequence allocation rate (percent) over time from 2012 to 2024. Out-of-sequence allocation sees dramatic rise from less than 5% in 2012 to 19% in 2024. Discard rate rose from less than 20% before 2012 to 22% in 2024. There was a dip in discard rate to 16% around 2018.

Outstanding @nytimes.com and Brian Rosenthal article meticulously documenting dramatic rise in the rate of skipping patients on the organ transplant waitlist (“out of sequence allocation”).

This unethical practice undermines trust in the system. Read more here: www.nytimes.com/interactive/...

Please join FASPE and MacLean Center for Clinical Medical Ethics for their joint symposium "Business and Medical Ethics: Ensuring the Primacy of Patient Care" featuring keynote speaker @dhruvkhullar.bsky.social - Saturday March 8th at the Gleacher Center. Register: www.faspe-ethics.org/symposium/

They argue that "conflict" and "assent" UDNR types imply different ethical obligations for clinicians and should be documented transparently and distinctly from standard DNR orders in the EHR. pt 2/2

Addressing Inadequate Documentation of Unilateral Do-Not-Resuscitate Orders This Viewpoint discusses addressing inadequate documentation of unilateral do-not-resuscitate orders in the electronic health record.

Check out this JAMA pub by @ginapiscitello.bsky.social
Erin DeMartino MD & MacLean asst. dir. @wfparker.bsky.social - "Addressing Inadequate Documentation of Unilateral Do-Not-Resuscitate Orders." jamanetwork.com/journals/jam...
pt 1/2

Patients need AIs that provide life-saving clinical decision support to their doctors.

Patients don't need AIs that scour clinical documentation looking for ways to charge them more

@wfparker.bsky.social opening our panel on clinical algorithmic fairness at the 36th annual MacLean Center conference.