OPTN/SRTR 2018 Annual Data Report: Deceased Organ Donation

Ajay Israni; David Zaun; Noelle Hadley; John D. Rosendale; Cory R Schaffhausen; Warren T McKinney; J. J. Snyder; Bert L Kasiske

doi:10.1111/ajt.15678

OPTN/SRTR 2018 Annual Data Report: Deceased Organ Donation

Ajay Israni, David Zaun, Noelle Hadley, John D. Rosendale, Cory R Schaffhausen, Warren T McKinney, J. J. Snyder, Bert L Kasiske

Research output: Chapter in Book/Report/Conference proceeding › Chapter

68 Scopus citations

Abstract

SRTR uses data collected by OPTN to calculate metrics such as donation rate, organ yield, and rate of organs recovered for transplant but not transplanted. In 2018, there were 10,721 deceased donors, and this number has been increasing since 2010. The number of deceased donor transplants increased to 29,676 in 2018 from 28,582 in 2017, and this number has been increasing since 2012. The recent increase may be due in part to the rising number of deaths of young people due to the opioid epidemic. In 2018, 4994 organs were discarded, slightly more than 4813 in 2017. In 2018, 3755 kidneys, 278 pancreata, 707 livers, 3 intestines, 23 hearts, and 317 lungs were discarded. These numbers suggest an opportunity to increase numbers of transplants by reducing discards.

Original language	English (US)
Title of host publication	American Journal of Transplantation
Pages	509-541
Number of pages	33
Volume	20 Suppl s1
Edition	s1
DOIs	https://doi.org/10.1111/ajt.15678
State	Published - Jan 2 2020

Publication series

Name	American Journal of Transplantation
Publisher	Wiley-Blackwell
ISSN (Print)	1600-6135

Bibliographical note

Funding Information:
Characteristic 2008 2018 N Percent N Percent KDPI <20% 1593 19.9% 1912 17.8% 21‐34% 876 11.0% 1337 12.5% 35‐85% 3596 45.0% 5034 47.0% >85% 1560 19.5% 1887 17.6% Unknown/missing 364 4.6% 551 5.1% HIV Not Positive 10,703 99.8% Positive 18 0.2% HCV Not Positive 7654 95.8% 10,148 94.7% Positive 335 4.2% 573 5.3% Citizenship US 7857 98.3% 9596 89.5% Non‐US 0 0.0% 305 2.8% Other/unkown 132 1.7% 820 7.6% COD Anoxia 1732 21.7% 4637 43.3% Stroke 3206 40.1% 2862 26.7% Head Trauma 2793 35.0% 2906 27.1% CNS Tumor 42 0.5% 37 0.3% Other/unkown 216 2.7% 279 2.6% Sex Female 3256 40.8% 4225 39.4% Male 4733 59.2% 6496 60.6% Age <18 years 879 11.0% 875 8.2% 18‐34 years 2086 26.1% 3155 29.4% 35‐49 years 2083 26.1% 2950 27.5% 50‐64 years 2216 27.7% 2946 27.5% ≥65 years 725 9.1% 795 7.4% Ethnicity Non‐Latino/unkown 6865 85.9% 9135 85.2% Latino 1124 14.1% 1586 14.8% Race White 6464 80.9% 8517 79.4% Black 1278 16.0% 1787 16.7% Asian 188 2.4% 253 2.4% Other/unkown 59 0.7% 164 1.5% DCD status DBD 7140 89.4% 8591 80.1% DCD 849 10.6% 2130 19.9% The publication was produced for the U.S. Department of Health and Human Services, Health Resources and Services Administration, by the Hennepin Healthcare Research Institute (HHRI) and by the United Network for Organ Sharing (UNOS) under contracts HHSH250201500009C and 234‐2005‐37011C, respectively. This publication lists non‐federal resources in order to provide additional information to consumers. The views and content in these resources have not been formally approved by the U.S. Department of Health and Human Services (HHS) or the Health Resources and Services Administration (HRSA). Neither HHS nor HRSA endorses the products or services of the listed resources. OPTN/SRTR 2018 Annual Data Report is not copyrighted. Readers are free to duplicate and use all or part of the information contained in this publication. Data are not copyrighted and may be used without permission if appropriate citation information is provided. Pursuant to 42 U.S.C. §1320b‐10, this publication may not be reproduced, reprinted, or redistributed for a fee without specific written authorization from HHS. Suggested Citations Full citation: Organ Procurement and Transplantation Network (OPTN) and Scientific Registry of Transplant Recipients (SRTR). OPTN/SRTR 2018 Annual Data Report. Rockville, MD: Department of Health and Human Services, Health Resources and Services Administration; 2019. Abbreviated citation: OPTN/SRTR 2018 Annual Data Report. HHS/HRSA. Publications based on data in this report or supplied on request must include a citation and the following statement: The data and analyses reported in the 2018 Annual Data Report of the U.S. Organ Procurement and Transplantation Network and the Scientific Registry of Transplant Recipients have been supplied by the United Network for Organ Sharing and the Hennepin Health‐care Research Institute under contract with HHS/HRSA. The authors alone are responsible for reporting and interpreting these data; the views expressed herein are those of the authors and not necessarily those of the U.S. Government. This report is available at srtr.transplant.hrsa.gov. Individual chapters, as well as the report as a whole, may be downloaded.

Publisher Copyright:
© 2020, Blackwell Publishing Ltd. All rights reserved

Keywords

Donation rate
eligible death
organ discard
organ yield

PubMed: MeSH publication types

Review
Journal Article

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1111/ajt.15678

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title = "OPTN/SRTR 2018 Annual Data Report: Deceased Organ Donation",

abstract = "SRTR uses data collected by OPTN to calculate metrics such as donation rate, organ yield, and rate of organs recovered for transplant but not transplanted. In 2018, there were 10,721 deceased donors, and this number has been increasing since 2010. The number of deceased donor transplants increased to 29,676 in 2018 from 28,582 in 2017, and this number has been increasing since 2012. The recent increase may be due in part to the rising number of deaths of young people due to the opioid epidemic. In 2018, 4994 organs were discarded, slightly more than 4813 in 2017. In 2018, 3755 kidneys, 278 pancreata, 707 livers, 3 intestines, 23 hearts, and 317 lungs were discarded. These numbers suggest an opportunity to increase numbers of transplants by reducing discards.",

keywords = "Donation rate, eligible death, organ discard, organ yield",

author = "Ajay Israni and David Zaun and Noelle Hadley and Rosendale, {John D.} and Schaffhausen, {Cory R} and McKinney, {Warren T} and Snyder, {J. J.} and Kasiske, {Bert L}",

note = "Funding Information: Characteristic 2008 2018 N Percent N Percent KDPI <20% 1593 19.9% 1912 17.8% 21‐34% 876 11.0% 1337 12.5% 35‐85% 3596 45.0% 5034 47.0% >85% 1560 19.5% 1887 17.6% Unknown/missing 364 4.6% 551 5.1% HIV Not Positive 10,703 99.8% Positive 18 0.2% HCV Not Positive 7654 95.8% 10,148 94.7% Positive 335 4.2% 573 5.3% Citizenship US 7857 98.3% 9596 89.5% Non‐US 0 0.0% 305 2.8% Other/unkown 132 1.7% 820 7.6% COD Anoxia 1732 21.7% 4637 43.3% Stroke 3206 40.1% 2862 26.7% Head Trauma 2793 35.0% 2906 27.1% CNS Tumor 42 0.5% 37 0.3% Other/unkown 216 2.7% 279 2.6% Sex Female 3256 40.8% 4225 39.4% Male 4733 59.2% 6496 60.6% Age <18 years 879 11.0% 875 8.2% 18‐34 years 2086 26.1% 3155 29.4% 35‐49 years 2083 26.1% 2950 27.5% 50‐64 years 2216 27.7% 2946 27.5% ≥65 years 725 9.1% 795 7.4% Ethnicity Non‐Latino/unkown 6865 85.9% 9135 85.2% Latino 1124 14.1% 1586 14.8% Race White 6464 80.9% 8517 79.4% Black 1278 16.0% 1787 16.7% Asian 188 2.4% 253 2.4% Other/unkown 59 0.7% 164 1.5% DCD status DBD 7140 89.4% 8591 80.1% DCD 849 10.6% 2130 19.9% The publication was produced for the U.S. Department of Health and Human Services, Health Resources and Services Administration, by the Hennepin Healthcare Research Institute (HHRI) and by the United Network for Organ Sharing (UNOS) under contracts HHSH250201500009C and 234‐2005‐37011C, respectively. This publication lists non‐federal resources in order to provide additional information to consumers. The views and content in these resources have not been formally approved by the U.S. Department of Health and Human Services (HHS) or the Health Resources and Services Administration (HRSA). Neither HHS nor HRSA endorses the products or services of the listed resources. OPTN/SRTR 2018 Annual Data Report is not copyrighted. Readers are free to duplicate and use all or part of the information contained in this publication. Data are not copyrighted and may be used without permission if appropriate citation information is provided. Pursuant to 42 U.S.C. §1320b‐10, this publication may not be reproduced, reprinted, or redistributed for a fee without specific written authorization from HHS. Suggested Citations Full citation: Organ Procurement and Transplantation Network (OPTN) and Scientific Registry of Transplant Recipients (SRTR). OPTN/SRTR 2018 Annual Data Report. Rockville, MD: Department of Health and Human Services, Health Resources and Services Administration; 2019. Abbreviated citation: OPTN/SRTR 2018 Annual Data Report. HHS/HRSA. Publications based on data in this report or supplied on request must include a citation and the following statement: The data and analyses reported in the 2018 Annual Data Report of the U.S. Organ Procurement and Transplantation Network and the Scientific Registry of Transplant Recipients have been supplied by the United Network for Organ Sharing and the Hennepin Health‐care Research Institute under contract with HHS/HRSA. The authors alone are responsible for reporting and interpreting these data; the views expressed herein are those of the authors and not necessarily those of the U.S. Government. This report is available at srtr.transplant.hrsa.gov. Individual chapters, as well as the report as a whole, may be downloaded. Publisher Copyright: {\textcopyright} 2020, Blackwell Publishing Ltd. All rights reserved",

year = "2020",

month = jan,

day = "2",

doi = "10.1111/ajt.15678",

language = "English (US)",

volume = "20 Suppl s1",

series = "American Journal of Transplantation",

publisher = "Wiley-Blackwell",

pages = "509--541",

booktitle = "American Journal of Transplantation",

edition = "s1",

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TY - CHAP

T1 - OPTN/SRTR 2018 Annual Data Report

T2 - Deceased Organ Donation

AU - Israni, Ajay

AU - Zaun, David

AU - Hadley, Noelle

AU - Rosendale, John D.

AU - Schaffhausen, Cory R

AU - McKinney, Warren T

AU - Snyder, J. J.

AU - Kasiske, Bert L

N1 - Funding Information: Characteristic 2008 2018 N Percent N Percent KDPI <20% 1593 19.9% 1912 17.8% 21‐34% 876 11.0% 1337 12.5% 35‐85% 3596 45.0% 5034 47.0% >85% 1560 19.5% 1887 17.6% Unknown/missing 364 4.6% 551 5.1% HIV Not Positive 10,703 99.8% Positive 18 0.2% HCV Not Positive 7654 95.8% 10,148 94.7% Positive 335 4.2% 573 5.3% Citizenship US 7857 98.3% 9596 89.5% Non‐US 0 0.0% 305 2.8% Other/unkown 132 1.7% 820 7.6% COD Anoxia 1732 21.7% 4637 43.3% Stroke 3206 40.1% 2862 26.7% Head Trauma 2793 35.0% 2906 27.1% CNS Tumor 42 0.5% 37 0.3% Other/unkown 216 2.7% 279 2.6% Sex Female 3256 40.8% 4225 39.4% Male 4733 59.2% 6496 60.6% Age <18 years 879 11.0% 875 8.2% 18‐34 years 2086 26.1% 3155 29.4% 35‐49 years 2083 26.1% 2950 27.5% 50‐64 years 2216 27.7% 2946 27.5% ≥65 years 725 9.1% 795 7.4% Ethnicity Non‐Latino/unkown 6865 85.9% 9135 85.2% Latino 1124 14.1% 1586 14.8% Race White 6464 80.9% 8517 79.4% Black 1278 16.0% 1787 16.7% Asian 188 2.4% 253 2.4% Other/unkown 59 0.7% 164 1.5% DCD status DBD 7140 89.4% 8591 80.1% DCD 849 10.6% 2130 19.9% The publication was produced for the U.S. Department of Health and Human Services, Health Resources and Services Administration, by the Hennepin Healthcare Research Institute (HHRI) and by the United Network for Organ Sharing (UNOS) under contracts HHSH250201500009C and 234‐2005‐37011C, respectively. This publication lists non‐federal resources in order to provide additional information to consumers. The views and content in these resources have not been formally approved by the U.S. Department of Health and Human Services (HHS) or the Health Resources and Services Administration (HRSA). Neither HHS nor HRSA endorses the products or services of the listed resources. OPTN/SRTR 2018 Annual Data Report is not copyrighted. Readers are free to duplicate and use all or part of the information contained in this publication. Data are not copyrighted and may be used without permission if appropriate citation information is provided. Pursuant to 42 U.S.C. §1320b‐10, this publication may not be reproduced, reprinted, or redistributed for a fee without specific written authorization from HHS. Suggested Citations Full citation: Organ Procurement and Transplantation Network (OPTN) and Scientific Registry of Transplant Recipients (SRTR). OPTN/SRTR 2018 Annual Data Report. Rockville, MD: Department of Health and Human Services, Health Resources and Services Administration; 2019. Abbreviated citation: OPTN/SRTR 2018 Annual Data Report. HHS/HRSA. Publications based on data in this report or supplied on request must include a citation and the following statement: The data and analyses reported in the 2018 Annual Data Report of the U.S. Organ Procurement and Transplantation Network and the Scientific Registry of Transplant Recipients have been supplied by the United Network for Organ Sharing and the Hennepin Health‐care Research Institute under contract with HHS/HRSA. The authors alone are responsible for reporting and interpreting these data; the views expressed herein are those of the authors and not necessarily those of the U.S. Government. This report is available at srtr.transplant.hrsa.gov. Individual chapters, as well as the report as a whole, may be downloaded. Publisher Copyright: © 2020, Blackwell Publishing Ltd. All rights reserved

PY - 2020/1/2

Y1 - 2020/1/2

N2 - SRTR uses data collected by OPTN to calculate metrics such as donation rate, organ yield, and rate of organs recovered for transplant but not transplanted. In 2018, there were 10,721 deceased donors, and this number has been increasing since 2010. The number of deceased donor transplants increased to 29,676 in 2018 from 28,582 in 2017, and this number has been increasing since 2012. The recent increase may be due in part to the rising number of deaths of young people due to the opioid epidemic. In 2018, 4994 organs were discarded, slightly more than 4813 in 2017. In 2018, 3755 kidneys, 278 pancreata, 707 livers, 3 intestines, 23 hearts, and 317 lungs were discarded. These numbers suggest an opportunity to increase numbers of transplants by reducing discards.

AB - SRTR uses data collected by OPTN to calculate metrics such as donation rate, organ yield, and rate of organs recovered for transplant but not transplanted. In 2018, there were 10,721 deceased donors, and this number has been increasing since 2010. The number of deceased donor transplants increased to 29,676 in 2018 from 28,582 in 2017, and this number has been increasing since 2012. The recent increase may be due in part to the rising number of deaths of young people due to the opioid epidemic. In 2018, 4994 organs were discarded, slightly more than 4813 in 2017. In 2018, 3755 kidneys, 278 pancreata, 707 livers, 3 intestines, 23 hearts, and 317 lungs were discarded. These numbers suggest an opportunity to increase numbers of transplants by reducing discards.

KW - Donation rate

KW - eligible death

KW - organ discard

KW - organ yield

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DO - 10.1111/ajt.15678

M3 - Chapter

C2 - 31898414

VL - 20 Suppl s1

T3 - American Journal of Transplantation

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BT - American Journal of Transplantation

ER -

OPTN/SRTR 2018 Annual Data Report: Deceased Organ Donation

Abstract

Publication series

Bibliographical note

Keywords

PubMed: MeSH publication types

UN SDGs

Publisher link

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