A Decision Rule for Determining the Optimal Transplant Listing Window for Patients With a Fontan Physiology

The Fontan is a complex surgical procedure used as a palliative treatment for children with univentricular hearts. In the past, the mortality rate was high and the associated comorbidities as a result of the Fontan circulation were many. However, as research into the condition developed, better unde...

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Autor principal:	Laura Delaney
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/51b5855b546a4e38a612be8e7d5d7a1f
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spelling	oai:doaj.org-article:51b5855b546a4e38a612be8e7d5d7a1f2021-11-15T22:33:26ZA Decision Rule for Determining the Optimal Transplant Listing Window for Patients With a Fontan Physiology2381-468310.1177/23814683211057472https://doaj.org/article/51b5855b546a4e38a612be8e7d5d7a1f2021-11-01T00:00:00Zhttps://doi.org/10.1177/23814683211057472https://doaj.org/toc/2381-4683The Fontan is a complex surgical procedure used as a palliative treatment for children with univentricular hearts. In the past, the mortality rate was high and the associated comorbidities as a result of the Fontan circulation were many. However, as research into the condition developed, better understanding has led to a massive reduction in early mortality and a rapidly increasing population of such patients surviving well into adulthood. This has led to a large surge in patients with congenital heart disease being referred for cardiac transplant assessment. According to research, listing these patients at the optimal time is the key to improving transplant outcomes. However, determining that optimal time is unclear and controversial. In this article, I address this issue by developing an optimal timing rule that accounts for the factors faced by specialist cardiologists in determining when transplant ought to be considered for this cohort of patients.Laura DelaneySAGE PublishingarticleMedicine (General)R5-920ENMDM Policy & Practice, Vol 6 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine (General) R5-920
spellingShingle	Medicine (General) R5-920 Laura Delaney A Decision Rule for Determining the Optimal Transplant Listing Window for Patients With a Fontan Physiology
description	The Fontan is a complex surgical procedure used as a palliative treatment for children with univentricular hearts. In the past, the mortality rate was high and the associated comorbidities as a result of the Fontan circulation were many. However, as research into the condition developed, better understanding has led to a massive reduction in early mortality and a rapidly increasing population of such patients surviving well into adulthood. This has led to a large surge in patients with congenital heart disease being referred for cardiac transplant assessment. According to research, listing these patients at the optimal time is the key to improving transplant outcomes. However, determining that optimal time is unclear and controversial. In this article, I address this issue by developing an optimal timing rule that accounts for the factors faced by specialist cardiologists in determining when transplant ought to be considered for this cohort of patients.
format	article
author	Laura Delaney
author_facet	Laura Delaney
author_sort	Laura Delaney
title	A Decision Rule for Determining the Optimal Transplant Listing Window for Patients With a Fontan Physiology
title_short	A Decision Rule for Determining the Optimal Transplant Listing Window for Patients With a Fontan Physiology
title_full	A Decision Rule for Determining the Optimal Transplant Listing Window for Patients With a Fontan Physiology
title_fullStr	A Decision Rule for Determining the Optimal Transplant Listing Window for Patients With a Fontan Physiology
title_full_unstemmed	A Decision Rule for Determining the Optimal Transplant Listing Window for Patients With a Fontan Physiology
title_sort	decision rule for determining the optimal transplant listing window for patients with a fontan physiology
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/51b5855b546a4e38a612be8e7d5d7a1f
work_keys_str_mv	AT lauradelaney adecisionrulefordeterminingtheoptimaltransplantlistingwindowforpatientswithafontanphysiology AT lauradelaney decisionrulefordeterminingtheoptimaltransplantlistingwindowforpatientswithafontanphysiology
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A Decision Rule for Determining the Optimal Transplant Listing Window for Patients With a Fontan Physiology

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