{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T22:46:48Z","timestamp":1789771608607,"version":"4.0.1"},"reference-count":21,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2022,11,24]],"date-time":"2022-11-24T00:00:00Z","timestamp":1669248000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>In 2021, over 100\u2009000 people were awaiting solid organ transplantation, yet only 44\u2009634 transplants were performed. The aim of this study is to evaluate trends in donor availability, waitlist additions, and transplants performed in the United States from 2001 to 2021.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a retrospective analysis to evaluate trends in donor availability, waitlist additions, and solid organ transplants for the 4 most common organs requiring transplants (kidney, liver, heart, and lung) between 2001 and 2021 according to OPTN data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Between 2001 and 2021, the overall number of transplants performed, donors available, and waitlist additions increased by 71%, 61%, and 54%, respectively. The number of kidney transplant waitlist additions significantly increased compared to other organs ( P &lt; .001). For each kidney transplant performed, there was a 2.25 increase in waitlist additions throughout the study period ( P &lt; .001). For each liver and heart transplant performed, there was a .92 and .80 increase in waitlist additions, respectively ( P &lt; .001). Lung transplants increased the most by 138% and there was an increase in waitlist additions for every transplant by 1.0 ( P &lt; .001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>There was an absolute increase in the annual number of transplants, donor recruitment, and patients added to the waitlist between 2001 and 2021. Kidney transplant waitlist additions are increasing at a rate outpacing the rates of donor recruitment and transplantation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00031348221135776","type":"journal-article","created":{"date-parts":[[2022,11,24]],"date-time":"2022-11-24T20:34:13Z","timestamp":1669322053000},"page":"5201-5209","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":14,"title":["National Analysis of Recent Trends in Organ Donation and Transplantation in the United States: Toward Optimizing Care Delivery and Patient Outcomes"],"prefix":"10.1177","volume":"89","author":[{"given":"Jeffrey","family":"Spardy","sequence":"first","affiliation":[{"name":"Herbert Wertheim College of Medicine, Florida International University, Miami, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Concepcion","sequence":"additional","affiliation":[{"name":"A.T. Still University School of Osteopathic Medicine, Mesa, AZ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Yeager","sequence":"additional","affiliation":[{"name":"Herbert Wertheim College of Medicine, Florida International University, Miami, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan","family":"Andrade","sequence":"additional","affiliation":[{"name":"A.T. Still University School of Osteopathic Medicine, Mesa, AZ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hillary","family":"Braun","sequence":"additional","affiliation":[{"name":"Department of Surgery, Zuckerberg General Hospital and Trauma Center, San Francisco, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adel","family":"Elkbuli","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Trauma and Surgical Critical Care, Orlando Regional Medical Center, Orlando, FL, USA"},{"name":"Department of Surgical Education, Orlando Regional Medical Center, Orlando, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,11,24]]},"reference":[{"key":"bibr1-00031348221135776","unstructured":"Organ Donation Step by Step. OneLegacy. https:\/\/www.onelegacy.org\/newsroom\/presskit\/organ_stepbystep.html. https:\/\/www.onelegacy.org\/newsroom\/presskit\/organ_stepbystep.html. Published January, 2021. Accessed January 30, 2022."},{"key":"bibr2-00031348221135776","unstructured":"Organ Procurement and Transplant Network National Data. US department of health and human services. https:\/\/optn.transplant.hrsa.gov\/data\/view-data-reports\/national-data\/#. Published January, 2022. Accessed February 10, 2022."},{"key":"bibr3-00031348221135776","unstructured":"Organ Donation Statistics. US Department of Health and Human Services. https:\/\/www.organdonor.gov\/learn\/organ-donation-statistics. Published December, 2021. Accessed January 30, 2022."},{"key":"bibr4-00031348221135776","volume-title":"Title 42-The Public Health and Welfare, Chapter 6A-Public Health Service, SubChapter 2-General Powers and Duties"},{"key":"bibr5-00031348221135776","doi-asserted-by":"publisher","DOI":"10.1111\/ajt.16493"},{"key":"bibr6-00031348221135776","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.2020060888"},{"key":"bibr7-00031348221135776","doi-asserted-by":"publisher","DOI":"10.1016\/j.trre.2020.100585"},{"key":"bibr8-00031348221135776","doi-asserted-by":"publisher","DOI":"10.1111\/j.1432-2277.2010.01201.x"},{"key":"bibr11-00031348221135776","doi-asserted-by":"publisher","DOI":"10.1111\/ajt.16502"},{"key":"bibr9-00031348221135776","doi-asserted-by":"publisher","DOI":"10.1097\/TXD.0000000000000974"},{"key":"bibr10-00031348221135776","doi-asserted-by":"publisher","DOI":"10.3949\/ccjm.85gr.18001"},{"key":"bibr12-00031348221135776","unstructured":"National Kidney Foundation. NKF statement: A path forward for increasing kidney transplantation. https:\/\/www.kidney.org\/news\/nkf-statement-path-forward-increasing-kidney-transplantation. Published January 11, 2019. Accessed February 7, 2022."},{"key":"bibr13-00031348221135776","doi-asserted-by":"publisher","DOI":"10.1001\/jamacardio.2020.4909"},{"key":"bibr14-00031348221135776","unstructured":"Cosgrove J. Organ transplants: Changes in allocation policies for donated livers and lungs (October, 2020). https:\/\/www.gao.gov\/assets\/gao-21-70-highlights.pdf"},{"key":"bibr15-00031348221135776","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-6143.2006.01268.x"},{"key":"bibr16-00031348221135776","unstructured":"Organ Donation Breakthrough Collaborative. Institute for healthcare improvement. http:\/\/www.ihi.org\/resources\/Pages\/ImprovementStories\/OrganDonationBreakthroughCollaborative.aspx#:\u223c:text=The_aim_of_the_Organ,or_higher_in_these_hospitals. Accessed February 10, 2022."},{"key":"bibr17-00031348221135776","unstructured":"Legislative Bill 863. Nebraska legislature. https:\/\/nebraskalegislature.gov\/FloorDocs\/107\/PDF\/Slip\/LB863.pdf. Published April, 2022. Accessed May 20, 2022."},{"key":"bibr18-00031348221135776","unstructured":"Live Organ Donation Expenses. Utah income taxes. https:\/\/incometax.utah.gov\/credits\/live-organ-donation. Accessed May 20, 2022."},{"key":"bibr19-00031348221135776","doi-asserted-by":"publisher","DOI":"10.1016\/j.trre.2020.100585"},{"key":"bibr20-00031348221135776","doi-asserted-by":"publisher","DOI":"10.1007\/s10620-018-5388-6"},{"key":"bibr21-00031348221135776","first-page":"348fs13","volume":"8","author":"VanEpps EM","year":"2021","journal-title":"Sci Transl Med"}],"updated-by":[{"DOI":"10.1177\/00031348241305412","type":"expression_of_concern","label":"Expression of concern","source":"publisher","updated":{"date-parts":[[2025,1,10]],"date-time":"2025-01-10T00:00:00Z","timestamp":1736467200000}}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348221135776","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00031348221135776","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348221135776","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:38:05Z","timestamp":1777379885000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00031348221135776"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11,24]]},"references-count":21,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2023,12]]}},"alternative-id":["10.1177\/00031348221135776"],"URL":"https:\/\/doi.org\/10.1177\/00031348221135776","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,11,24]]}}}