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UNOS Report Identifies Recent Organ Donation Transplant Trends

Armen Hareyan's picture

As part of an ongoing effort to identify emerging trends in the field of organ donation and transplantation, more than 50 experts from many areas of the transplant community have prepared the comprehensive 2006 Annual Report of the Organ Procurement and Transplantation (OPTN) and U.S. Scientific Registry of Transplant Recipients (SRTR).

The SRTR works jointly with the OPTN to develop a report containing information on the scientific and clinical status of solid organ transplantation in the United States. The Annual Report gives data highlights and extensive reference tables at a national level regarding end-stage organ failure. These descriptions cover those patients on waiting lists and receiving transplants, as well as donors and transplants.

This Annual Report of the OPTN and SRTR represents the 16th such annual report and is based largely on data pertaining to the 10-year period from 1996 to 2005.

The 16th Annual Report was produced by the Scientific Registry of Transplant Recipients (SRTR) contractor, Arbor Research Collaborative for Health (formerly University Renal Research and Education Association), in collaboration with the Organ Procurement and Transplantation Network (OPTN) contractor, United Network for Organ Sharing (UNOS), under contract with the Health Resources and Services Administration (HRSA) of the Department of Health and Human Services (HHS).

The Health Resources and Services Administration's Division of Transplantation administers and oversees two contracts to facilitate the nation's allocation system for organ transplantation. The OPTN, contracted by the United Network for Organ Sharing (UNOS), is responsible for operating the national network for organ procurement and allocation, and works to promote organ donation. The SRTR, contracted by the Arbor Research Collaborative for Health (formerly URREA), provides analytical support for the ongoing evaluation of scientific and clinical status of solid organ transplantation. HRSA's Division of Transplantation (DoT) oversees these activities.

Contents of the Organ Donation And Transplant Report

  • Over 250 tables of comprehensive transplant data, showing both recent activity and 10-year trends

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  • Nine chapters with analysis and explanation of the data tables prepared by more than 40 national experts, including three "special focus" articles on organ offer acceptance rates, geographic variability in access to kidney transplantation, and repeat transplantation

  • Examinations of trends in waiting list patient counts and characteristics, highlighting the need for additional organ donors

  • Analyses of transplantation by organ, including patient outcome predictors and factors affecting patient survival

  • An overview of the unique clinical and policy issues of pediatric transplantation

  • Expanded analyses on use of immunosuppressive drugs after transplantation

  • A review of trends in organ donation and utilization and recent efforts to increase the number of donors

  • Detailed discussions of issues frequently raised by patients, physicians, policy makers and administrators