Figure 1. Flowchart of the Study Population and Outcomes.

Study follow-up extended until August 2018. Surviving patients in the cohort were followed up for a mean of 5.4 years before censoring. Of 5669 candidates who died without receiving a transplant, 2644 were on the waiting list and 3025 died after delisting. The deaths occurring after delisting were identified via linkage to the Social Security Death Master File.

^aRefers to patients who were registered for heart transplant with an inactive status, but who were never converted to an active status (eg, 1A, 1B, or 2).