Changing Landscape of Procurement of Deceased Donor Organs: An Analysis of National Trends
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Wiley
2026
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| author | Elizabeth J. Bashian Eric W. Etchill Thomas F. O'Shea Ashtyn Philipsheck Nicholas R. Teman Michael T. Cain Jordan R. H. Hoffman |
| author_facet | Elizabeth J. Bashian Eric W. Etchill Thomas F. O'Shea Ashtyn Philipsheck Nicholas R. Teman Michael T. Cain Jordan R. H. Hoffman Elizabeth J. Bashian Eric W. Etchill Thomas F. O'Shea Ashtyn Philipsheck Nicholas R. Teman Michael T. Cain Jordan R. H. Hoffman |
| collection | Wiley Open Access |
| contents | Changing Landscape of Procurement of Deceased Donor Organs: An Analysis of National Trends Elizabeth J. Bashian Eric W. Etchill Thomas F. O'Shea Ashtyn Philipsheck Nicholas R. Teman Michael T. Cain Jordan R. H. Hoffman Clinical Transplantation ABSTRACT Background Donation after circulatory death (DCD) has historically been underutilized compared with donation after brain death (DBD). Advances in preservation strategies and policy reforms have accelerated DCD adoption, raising the potential for meaningful shifts in the US donor pool. Methods We analyzed national donor trends using Scientific Registry of Transplant Recipients (SRTR) Explorer data from 2015 to 2025. Donor type (DCD vs. DBD) was evaluated across organ types and organ procurement organizations (OPOs). Temporal trends were assessed and crossover intervals were identified. Results We identified an interval in which the 30‐day rolling donor count for DCD exceeded that of DBD for the first time (May 18 and June 18, 2025). During this period, DCD accounted for 52% of kidney, 44% of liver, and 26% of heart and lung recoveries. In 2025, DCD increased by 2.7 donors per day while DBD declined by 0.6 per day ( p < 0.001). Over the past decade, DCD growth outpaced DBD nearly threefold, with kidney and lung showing the steepest increases. Both high‐ and low‐volume OPOs demonstrated upward trends. Since reporting began in 2023, use of normothermic regional perfusion has expanded steadily. Conclusions This analysis identifies an interval in which the 30‐day rolling donor count for DCD exceeded that of DBD, reflecting a notable shift in donor‐availability trends. These findings underscore the need for standardized practices to ensure equitable allocation and minimize organ discard as reliance on DCD continues to grow. 10.1111/ctr.70442 http://onlinelibrary.wiley.com/termsAndConditions#vor |
| doi_str_mv | 10.1111/ctr.70442 |
| format | Artículo Open Access |
| id | wiley_oa_10_1111_ctr_70442 |
| institution | Wiley Open Access |
| license_str_mv | http://onlinelibrary.wiley.com/termsAndConditions#vor |
| publishDate | 2026 |
| publisher | Wiley |
| record_format | wiley_oa |
| spellingShingle | Changing Landscape of Procurement of Deceased Donor Organs: An Analysis of National Trends Elizabeth J. Bashian Eric W. Etchill Thomas F. O'Shea Ashtyn Philipsheck Nicholas R. Teman Michael T. Cain Jordan R. H. Hoffman Clinical Transplantation Changing Landscape of Procurement of Deceased Donor Organs: An Analysis of National Trends Elizabeth J. Bashian Eric W. Etchill Thomas F. O'Shea Ashtyn Philipsheck Nicholas R. Teman Michael T. Cain Jordan R. H. Hoffman Clinical Transplantation ABSTRACT Background Donation after circulatory death (DCD) has historically been underutilized compared with donation after brain death (DBD). Advances in preservation strategies and policy reforms have accelerated DCD adoption, raising the potential for meaningful shifts in the US donor pool. Methods We analyzed national donor trends using Scientific Registry of Transplant Recipients (SRTR) Explorer data from 2015 to 2025. Donor type (DCD vs. DBD) was evaluated across organ types and organ procurement organizations (OPOs). Temporal trends were assessed and crossover intervals were identified. Results We identified an interval in which the 30‐day rolling donor count for DCD exceeded that of DBD for the first time (May 18 and June 18, 2025). During this period, DCD accounted for 52% of kidney, 44% of liver, and 26% of heart and lung recoveries. In 2025, DCD increased by 2.7 donors per day while DBD declined by 0.6 per day ( p < 0.001). Over the past decade, DCD growth outpaced DBD nearly threefold, with kidney and lung showing the steepest increases. Both high‐ and low‐volume OPOs demonstrated upward trends. Since reporting began in 2023, use of normothermic regional perfusion has expanded steadily. Conclusions This analysis identifies an interval in which the 30‐day rolling donor count for DCD exceeded that of DBD, reflecting a notable shift in donor‐availability trends. These findings underscore the need for standardized practices to ensure equitable allocation and minimize organ discard as reliance on DCD continues to grow. 10.1111/ctr.70442 http://onlinelibrary.wiley.com/termsAndConditions#vor |
| title | Changing Landscape of Procurement of Deceased Donor Organs: An Analysis of National Trends |
| topic | Clinical Transplantation |
| url | https://onlinelibrary.wiley.com/doi/10.1111/ctr.70442 |