Organ donation in the United States: 1988 through 1991.
1. During 1988 through 1991, the total number of cadaveric donors increased by 11% and the number of living donors increased by 25%. 2. During 1991, at least 1 kidney per donor was recovered from 94% of cadaveric donors. Livers were recovered from 70% of cadaveric donors; hearts from 47%, pancreases from 24%, lungs from 8%, and heart-lung combinations from 1%. The percentage of cadaveric donors from whom multiple organs were recovered increased by 23% between 1988 and 1991. 3. During 1988 through 1991, the largest group of cadaveric donors was White, male, age 19-35, with blood group O. During 1991, the primary cause of cadaveric-donor death was cerebrovascular. The largest group of living donors was also White and age 19-35; however, most donors were female. 4. Between 1988 and 1991, the percentage of cadaveric donors age 50-64 increased by 36% (from 11% in 1988 to 15% in 1991) and the percentage of cadaveric donors 65 years old or older increased by 200% (from 1% to 3%). 5. The percentage of White cadaveric donors declined by 4% between 1988 and 1991, while the percentage of Black donors increased by 16%. The percentage of Hispanic donors increased by 25% and that of Asian donors increased by 29%. 6. Throughout 1988 to 1991, the percentage of cadaveric hearts transplanted locally increased by 18% (from 55% to 65%). Interregional cadaveric kidney sharing also increased by 70% (from almost 10% to 17%). Local cadaveric liver transplantation increased by 80% (from 25% to 45%), resulting in a smaller percentage of livers shared interregionally. Local transplantation of cadaveric lungs increased by 173% (from 15% to 41%), reducing the lung discard/research rate by 69%, from 42% to 13%.
Ellison
M D
MD
United Network for Organ Sharing, Richmond, VA.
Breen
T J
TJ
Glascock
F
F
McGaw
L J
LJ
Daily
O P
OP
D000017:ABO Blood-Group System; D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D002102:Cadaver; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008875:Middle Aged; D016377:Organ Transplantation / Q000706:statistics & numerical data; D044469:Racial Groups; D012042:Registries; D012737:Sex Factors; D014019:Tissue Donors / Q000706:statistics & numerical data*; D009927:Tissue and Organ Procurement / Q000706:statistics & numerical data*; D014481:United States
D000017:ABO Blood-Group System