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Clin Transpl. 2001:73-85.

The OPTN waiting list, 1988-2000.

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United Network for Organ Sharing (UNOS), Richmond, Virginia, USA.


More patients in the United states are waiting for organ transplants that at any time in the past and the remarkable growth of the UNOS waiting list has become a key issue for the transplant community. 1. On October 31, 2001, there were 84,277, registrations on the combined UNOS waiting list. Among these, 63% were awaiting kidney transplantation, and 22% were awaiting liver transplantation. 2. The majority of patients on the UNOS waiting list on October 31, 2000, were of blood type O (52%), white (55%) and male (58%), and awaiting their first transplant (87%). 3. The percentage transplanted within one year of listing has been declining for most organs, although that percentage has been somewhat stable for heart and lung between 1998-2000. 4. Blood type and medical urgency have a significant impact upon the percent transplanted within one year of listing for most organ types. Patients awaiting heart, pancreas, and intestinal transplants experience the highest probability of receiving a transplant within one year. 5. Deaths per patients waiting have declined since 1988 for most patients awaiting life-saving organs and have remained relatively low for those awaiting a kidney, pancreas, or kidney-pancreas transplant. Deaths were highest for lung and heart-lung patients, but appear to be declining.

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