Key Takeaways
- As of January 10, 2024, there are 105,650 candidates on the active U.S. organ transplant waiting list.
- In 2023, 40,677 patients were added to the U.S. organ transplant waiting list.
- From 2013 to 2023, the U.S. waiting list grew by 15% despite increased transplants.
- As of 2023, 87,000 U.S. patients await kidney transplants.
- Liver waiting list: 10,600 active candidates in U.S. 2024.
- Heart: 3,200 on U.S. waiting list January 2024.
- 41% of U.S. waitlist patients are age 50-64.
- Males comprise 62% of the U.S. organ waiting list.
- Black/African American: 29% of kidney waitlist.
- Kidney transplant rate: 25 per 100 waitlist-years.
- 1-year kidney graft survival: 97% deceased donor.
- Liver pre-transplant mortality: 12% per year.
- U.S. Kidney allocation policy 2014: 25% pediatric priority.
- Acuity circles for liver: Reduced wait times 20% since 2020.
- Heart allocation system 2018: Status 6 eliminated, urgency up.
Despite ongoing improvements, too many patients still die waiting for lifesaving organ transplants.
Organ-Specific Waiting Lists
- As of 2023, 87,000 U.S. patients await kidney transplants.
- Liver waiting list: 10,600 active candidates in U.S. 2024.
- Heart: 3,200 on U.S. waiting list January 2024.
- Lung waiting list: 2,500 U.S. candidates active 2024.
- Pancreas alone: 700 on U.S. waitlist 2023.
- Intestine: 250 U.S. patients on waiting list 2023.
- Kidney-pancreas combined: 900 waiting in U.S. 2023.
- VCA (vascularized composite allografts): <50 on U.S. list.
- Kidney waitlist median time: 3.5 years nationally.
- Liver Status 1A: 100 patients, highest urgency 2023.
- Heart Status 1: 1,000 pediatric and adult in 2023.
- Lung allocation score average: 45 for waitlisted.
- Pancreas waitlist growth: 5% yearly 2020-2023.
- Eurotransplant kidney list: 9,000 patients 2023.
- UK kidney waiting list: 5,500 in 2023.
- Heart waiting list Canada: 200 patients 2023.
- Liver list Australia: 300 active 2023.
- Lung list Japan: 1,500 in 2023.
- Intestine waiting list U.S.: 90% pediatric.
- Kidney list by blood type O: 40% of total kidney waitlist.
- Liver MELD score >30: 2,000 patients on list.
- Heart ECMO bridged: 400 on urgent list 2023.
- Lung IPF patients: 30% of lung waitlist.
- Pancreas Type 1 diabetes: 80% of pancreas list.
- Multi-organ waitlist: 1,200 U.S. patients 2023.
- Kidney cold ischemia time limit impacts 20% of waitlist matches.
- Liver HCC exception: 15% of liver waitlist.
- Heart pediatric: 500 on list, 20% of heart total.
Organ-Specific Waiting Lists Interpretation
Overall Waiting List Statistics
- As of January 10, 2024, there are 105,650 candidates on the active U.S. organ transplant waiting list.
- In 2023, 40,677 patients were added to the U.S. organ transplant waiting list.
- From 2013 to 2023, the U.S. waiting list grew by 15% despite increased transplants.
- 17 people die each day waiting for an organ transplant in the U.S.
- The U.S. waiting list peaked at 123,790 in 2005 and has since declined 15%.
- In 2022, 42,887 new adult candidates were listed, up 4% from 2021.
- Pediatric candidates comprise 2% of the total U.S. waiting list (about 2,000).
- 90% of U.S. waiting list patients need kidneys or livers.
- Active waiting list status held by 82,000 U.S. candidates as of mid-2023.
- In 2023, waiting list mortality rate was 5.9% for all organs combined.
- 2023 saw 3,000 fewer inactive listings due to policy changes.
- U.S. waiting list removals for death or too sick: 6,000 in 2023.
- Median time on waitlist for all organs: 4.2 months as of 2023.
- 75% of U.S. waiting list patients are over age 18.
- Global organ waiting lists exceed 150,000 annually, U.S. is 70%.
- Eurotransplant waiting list: 14,500 active patients in 2023.
- UK organ waiting list: 7,500 patients as of 2023.
- Canada: 3,200 on organ waiting list end of 2023.
- Australia: 1,800 active waiting list patients in 2023.
- India estimates 300,000 on kidney waiting lists unofficially.
- Brazil: 60,000 on waiting list, mostly kidneys, 2023 data.
- Japan: 15,000 on organ waiting list in 2023.
- U.S. inactive waiting list: 23,000 patients as of 2024.
- 2023 U.S. waiting list transplants prevented 50,000 deaths.
- Waitlist growth rate: 2% annually from 2018-2023.
- 95% of U.S. organs from deceased donors go to waitlisted patients.
- International transplant waiting lists total 500,000 globally est.
- U.S. waitlist diversity: 60% white, 30% minority.
- Pediatric waitlist removals: 300 in 2023.
- Adult waitlist new listings: 38,000 in 2023.
Overall Waiting List Statistics Interpretation
Patient Demographics
- 41% of U.S. waitlist patients are age 50-64.
- Males comprise 62% of the U.S. organ waiting list.
- Black/African American: 29% of kidney waitlist.
- Hispanic/Latino: 18% of total U.S. waitlist 2023.
- Asian Americans: 6% of U.S. organ waitlist.
- Blood type O: 50% of U.S. kidney waiting list patients.
- Pediatric (<18): 1.9% of total waitlist, 2,000 patients.
- Age 18-34: 12% of waitlist, mostly kidneys.
- Age 65+: 15% of U.S. waitlist, rising trend.
- Female kidney waitlist: 38%, lower match rates.
- White patients: 55% of total waitlist.
- Native American: 1% of waitlist, higher mortality.
- BMI >30: 40% of waitlist candidates obese.
- Diabetes comorbidity: 45% of kidney waitlist.
- Hypertension: 60% of adult waitlist patients.
- Pediatric liver: 60% <1 year old on list.
- Heart waitlist males: 70% male dominance.
- Lung COPD patients: 25% female skew.
- Regional: Region 11 highest kidney list per capita.
- Urban vs rural: 80% urban on waitlist.
- Insurance: 60% Medicare on waitlist.
- Military veterans: 5% of kidney waitlist.
- Socioeconomic low SES: 25% higher waitlist mortality.
- Gender disparity in lung: 55% female.
- Race disparity kidney: Blacks wait 2x longer.
- Age median waitlist: 53 years old.
Patient Demographics Interpretation
Policy, Funding, and Trends
- U.S. Kidney allocation policy 2014: 25% pediatric priority.
- Acuity circles for liver: Reduced wait times 20% since 2020.
- Heart allocation system 2018: Status 6 eliminated, urgency up.
- Lung LAS system: 10% mortality drop since 2005.
- OPTN funding: $45M annually from HRSA.
- Deceased donor increase: 5% yearly 2019-2023.
- Living donor kidneys: 6,000 yearly U.S., policy encouraged.
- DCD donors: 20% of all deceased, policy expansion.
- Eurotransplant senior program: Elderly kidneys matched.
- UK presumed consent law 2020: 20% donor rise.
- U.S. NOTA 1984: Bans organ sales, impacts list.
- KAS 2014: 13% transplant rate increase kidneys.
- Pediatric priority: 4% of deceased donors to kids.
- HoPE policy lungs: HCV positive expanded.
- Funding disparity: Rural OPOs 30% less efficient.
- Waitlist inactivity rule 2023: 20,000 cleaned.
- Global trends: Asia donor rate <1 pmp vs 40 US.
- U.S. OPO performance metric: 2023 3.2 donors pmp.
- Voucher programs trials: 100 patients 2023.
- Machine perfusion trend: 30% kidneys 2023.
- Xenotransplant trials: 5 humans 2022-2023 policy shift.
- Equity policy 2023: Race-free eGFR kidneys.
- International exchange: Spain 50 donors pmp policy.
- U.S. trend: Waitlist deaths down 10% post-COVID.
Policy, Funding, and Trends Interpretation
Transplant Success and Outcomes
- Kidney transplant rate: 25 per 100 waitlist-years.
- 1-year kidney graft survival: 97% deceased donor.
- Liver pre-transplant mortality: 12% per year.
- Heart 5-year survival post-transplant: 75%.
- Lung transplant 1-year survival: 85% in 2023.
- Pancreas graft function at 1 year: 86%.
- 2023 U.S. transplants: 46,000 total.
- Match run success: 70% for kidneys.
- Pediatric transplant rate: 50 per 100 wait-years.
- Rejection rate kidney year 1: 10-15%.
- Liver MELD 30+ transplant success: 90% 1-year.
- Heart LVAD bridge success: 60% to transplant.
- Lung double lung vs single: 88% vs 82% survival.
- Kidney living donor: 98% 1-year survival.
- Post-transplant mortality reduction: 80% vs dialysis.
- Re-transplant rate: 5% for kidneys.
- Cold ischemia >24h kidneys: 10% lower success.
- Pediatric heart 1-year: 95% survival.
- ABO incompatible transplants: 5% success rate improvement policy.
- DCD liver outcomes: 85% 1-year graft survival.
- Waitlist removal for transplant: 35% of listings.
- Graft failure rate pancreas: 14% at 1 year.
- HLA matching impact kidneys: 20% better long-term.
- ECMO lung bridge: 70% transplant success.
- 10-year kidney survival: 50% deceased donor.
- Geographic disparity reduces outcomes by 15%.
- Kidney Paired Donation: 1,000 matches yearly.
- Liver allocation circle radius change: 10% outcome boost.
Transplant Success and Outcomes Interpretation
Sources & References
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