The articles in this report are based on the reference tables in the 2008 OPTN/SRTR Annual Report. Table numbers are noted in brackets and may be found online at: http://www.ustransplant.org.
Organ Donation and Utilization in the United States: 1998–2007
Article first published online: 26 MAR 2009
No claim to original US government works Journal compilation © 2009 The American Society of Transplantation and the American Society of Transplant Surgeons
American Journal of Transplantation
Special Issue: The 2008 SRTR Report on the State of Transplantation
Volume 9, Issue 4p2, pages 879–893, April 2009
How to Cite
Tuttle-Newhall, J. E., Krishnan, S. M., Levy, M. F., McBride, V., Orlowski, J. P. and Sung, R. S. (2009), Organ Donation and Utilization in the United States: 1998–2007. American Journal of Transplantation, 9: 879–893. doi: 10.1111/j.1600-6143.2009.02565.x
- Issue published online: 26 MAR 2009
- Article first published online: 26 MAR 2009
- Deceased donor organs;
- living donor transplantation;
- organ utilization;
Organ transplantation remains the only life-saving therapy for many patients with organ failure. Despite the work of the Organ Donation and Transplant Collaboratives, and the marked increases in deceased donors early in the effort, deceased donors only rose by 67 from 2006 and the number of living donors declined during the same time period. There continues to be increases in the use of organs from donors after cardiac death (DCD) and expanded criteria donors (ECD). This year has seen a major change in the way organs are offered with increased patient safety measures in those organ offers made by OPOs using DonorNet©. Unfortunately, the goals of 75% conversion rates, 3.75 organs transplanted per donor, 10% of all donors from DCD sources and 20% growth of transplant center volume have yet to be reached across all donation service areas (DSAs) and transplant centers; however, there are DSAs that have not only met, but exceeded, these goals. Changes in organ preservation techniques took place this year, partly due to expanding organ acceptance criteria and increasing numbers of ECDs and DCDs. Finally, the national transplant environment has changed in response to increased regulatory oversight and new requirements for donation and transplant provider organizations.