Notes on Sources: The articles in this report are based on the reference tables in the 2003 OPTN/SRTR Annual Report, which are not included in this publication. Many relevant data appear in figures and tables included here; other tables from the Annual Report that serve as the basis for this article include the following: Tables 1.1, 1.2, 2.1–2.4, 2.8, 2.9, and 3.1–3.18. All of these tables are also available online at http://www.ustransplant.org.
Organ donation and utilization in the USA
Article first published online: 14 MAY 2004
American Journal of Transplantation
Volume 4, Issue Supplement s9, pages 27–37, April 2004
How to Cite
Ojo, A. O., Heinrichs, D., Emond, J. C., McGowan, J. J., Guidinger, M. K., Delmonico, F. L. and Metzger, R. A. (2004), Organ donation and utilization in the USA. American Journal of Transplantation, 4: 27–37. doi: 10.1111/j.1600-6135.2004.00396.x
Funding: The Scientific Registry of Transplant Recipients (SRTR) is funded by contract #231-00-0116 from the Health Resources and Services Administration (HRSA). The views expressed herein are those of the authors and not necessarily those of the US Government. This is a US Government-sponsored work. There are no restrictions on its use.
- Issue published online: 14 MAY 2004
- Article first published online: 14 MAY 2004
- Deceased donors;
- donation rates;
- living donors;
- organ donation;
- organ procurement;
The processes leading to donor identification, consent, organ procurement, and allocation continue to dominate debates and efforts in the field of transplantation. A considerable shortage of donors remains while the number of patients needing organ transplantation increases.
This article reviews the main trends in organ donation practices and procurement patterns from both deceased and living sources in the USA. Although there have been increases in living donation in recent years, 2002 witnessed a much more modest growth of 1%. Absolute declines in living liver and lung donation were also noted in 2002.
In 2002, the number of deceased donors increased by only 1.6% (101 donors). Increased donation from deceased donors provides more organs for transplantation than a comparable increase in living donation, because on average 3.6 organs are recovered from each deceased donor. The total number of organs recovered from deceased donors increased by 2.1% (462 organs). Poor organ quality continued to be the major reason given for nonrecovery of consented organs from deceased donors.
The kidney is the organ most likely to be discarded after recovery. Over the past decade the discard rate of recovered kidneys has increased from 6% to 11%. Many of these are expanded criteria donor kidneys.