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器官获取与移植网络/器官共享联合系统2023年度数据报告:已故器官捐赠

OPTN/SRTR 2023 Annual Data Report: Deceased Organ Donation.

作者信息

Israni Ajay K, Zaun David A, Martinez Alina, Schaffhausen Cory R, Lozano Cinthia, McKinney Warren T, Miller Jonathan M, Snyder Jon J

机构信息

Scientific Registry of Transplant Recipients, Hennepin Healthcare Research Institute, Minneapolis, MN; Department of Medicine, University of Texas Medical Branch, Galveston, TX.

Scientific Registry of Transplant Recipients, Hennepin Healthcare Research Institute, Minneapolis, MN.

出版信息

Am J Transplant. 2025 Feb;25(2S1):S490-S517. doi: 10.1016/j.ajt.2025.01.026.

DOI:10.1016/j.ajt.2025.01.026
PMID:39947809
Abstract

The Annual Data Report is created using data from the Scientific Registry of Transplant Recipients (SRTR) to calculate variables such as organs recovered per donor, organs transplanted per donor, and organs recovered for transplant but not transplanted (ie, nonuse). SRTR uses data collected by the Organ Procurement and Transplantation Network. In 2023, there were 16,335 deceased donors, a 9.6% increase from 14,904 in 2022 and continuing the trend of increasing donors over the past decade. Donor characteristics have changed compared with 2013, with more donors with drug intoxication and cardiovascular mechanisms of death. In contrast, gunshot wound, blunt injury, and stroke have decreased as mechanisms of death in 2023 compared with 2013. The number of organs transplanted increased to 40,588 in 2023 (from 37,316 in 2022), including 10,818 left kidneys, 10,659 right kidneys, 372 en bloc kidneys, 917 pancreata, 9,910 livers, 95 intestines, 4,596 hearts, and 3,016 lungs. Compared with 2022, transplants of all organs increased. In 2023, 4,038 left kidneys, 4,220 right kidneys, 160 en block kidneys, 279 pancreata, 1,056 livers, 4 intestines, 68 hearts, and 260 lungs were not used. This nonuse of organs represents an opportunity to increase the number of transplants.

摘要

年度数据报告是利用移植受者科学注册系统(SRTR)的数据编制而成,用于计算诸如每位供者获取的器官数量、每位供者移植的器官数量以及获取用于移植但未进行移植(即未使用)的器官数量等变量。SRTR使用器官获取与移植网络收集的数据。2023年,有16335名已故供者,比2022年的14904名增加了9.6%,延续了过去十年供者数量增加的趋势。与2013年相比,供者特征发生了变化,药物中毒和心血管死亡机制导致的供者增多。相比之下,与2013年相比,2023年因枪伤、钝器伤和中风导致死亡的供者数量有所减少。2023年移植的器官数量增至40588个(2022年为37316个),包括10818个左肾、10659个右肾、372个整块肾脏、917个胰腺、9910个肝脏、95段肠道、4596颗心脏和3016个肺脏。与2022年相比,所有器官的移植数量均有所增加。2023年,有4038个左肾、4220个右肾、160个整块肾脏、279个胰腺、1056个肝脏、4段肠道、68颗心脏和260个肺脏未被使用。这些器官未被使用意味着有机会增加移植数量。

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