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Editor's Note
October 28, 2020

United Network for Organ Sharing 2018 Heart Transplant Reallocation Policy: Aiming for Evidence-Based Policy

Author Affiliations
  • 1Division of Cardiology, Northwestern University Feinberg School of Medicine, Chicago, Illinois
  • 2Deputy Editor, JAMA Cardiology
  • 3Ahmanson-UCLA Cardiomyopathy Center, David Geffen School of Medicine, University of California, Los Angeles
  • 4Associate Editor for Health Care Quality and Guidelines, JAMA Cardiology
JAMA Cardiol. 2021;6(2):168. doi:10.1001/jamacardio.2020.5232

As editors of JAMA Cardiology, we greatly respect seeking the truth, endorsing benefits, and avoiding harms. These tenets are relatively straightforward to pursue for pharmacological therapies, devices, and interventional procedures. However, health policy creates new challenges and, in the case of the 2018 United Network for Organ Sharing (UNOS) heart transplant allocation policy, new concerns. It is out of our concerns of unintended consequences that we once again both publish and opine on the early experiences with this new policy.

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