OPTN/SRTR 2023 Annual Data Report: Deceased Organ Donation

OPTN/SRTR 2023 Annual Data Report: Deceased Organ Donation

Ajay K. Israni1,2, David A. Zaun1, Alina Martinez3, Cory R. Schaffhausen1,4, Cinthia Lozano2, Warren T. McKinney1,4, Jonathan M. Miller1,4, Jon J. Snyder1,4,5

1Scientific Registry of Transplant Recipients, Hennepin Healthcare Research Institute, Minneapolis, MN

2Department of Medicine, University of Texas Medical Branch, Galveston, TX

3Organ Procurement and Transplantation Network, United Network for Organ Sharing, Richmond, VA

4Department of Medicine, Hennepin Healthcare, University of Minnesota, Minneapolis, MN

5Department of Epidemiology and Community Health, University of Minnesota, Minneapolis, MN

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.

Keywords: Organ donors, organ nonuse, organs recovered, organs transplanted

1 Introduction

This chapter reports data collected by the Organ Procurement and Transplantation Network to describe deceased donor characteristics over the past decade and deceased donor metrics, as well as data on organ disposition in 2023. The donor metrics include organs recovered per donor, organs transplanted per donor, and organs recovered for transplant and not transplanted (ie, nonuse).

2 Donors and Organs

In 2023, the overall count of deceased donors increased to a record high of 16,335, continuing the trend over the past decade of an increasing number of donors annually. This represents a doubling of the deceased donors over the past decade (from 8,144 in 2012) and a 9.6% increase from 14,904 in 2022 (Figure DD 1). Although the numbers of both DBD and DCD donors have increased annually, most of this increase in the past year was from DCD donors. In 2023, there were 5,463 DCD donors without normothermic regional perfusion (NRP), a 19.6% increase from 4,568 in 2022, and 431 DCD donors with NRP, more than double such donors compared with 2022 (Figure DD 2).

The record number of donors was accompanied by record numbers of organs authorized, organs recovered, and organs transplanted, all of which have increased annually since 2012. In 2023, the number of organs transplanted rose to 40,588, an 8.8% increase from 2022 (Figure DD 3).

3 Organs Recovered Per Donor

In 2023, there were 59,115 organs recovered, a 10.2% increase from 53,666 in 2022 (Figure DD 3). The ORPD for all organs was 3.30, similar to in 2022. Over the past decade, this ORPD has ranged from 3.30 to 3.55. Since each donor can potentially donate two kidneys, the organ-specific ORPD remained highest for kidneys at 1.89 in 2023 and was relatively stable since 2022. Over the past decade, the ORPD for kidneys has ranged from 1.80 to 1.90 (Figure DD 4). In 2023, from 15,745 donors, 775 left kidneys and 745 right kidneys were not recovered. The most common reasons for nonrecovery were diseased organ and poor organ function (Figure DD 22 and Figure DD 23).

Consistent with the decline in the ORPD for all organs combined, the ORPDs for pancreas, liver, and intestine have declined over the past decade. In 2023, from 16,335 donors, 11,562 pancreata were not recovered. The most common reasons were organ refused by all national program, donor medical history, and poor organ function (Figure DD 25). From the 16,335 donors, 4,328 livers were not recovered, with the most common reasons being organ refused by all national program and ruled out after evaluation in OR [operating room] (Figure DD 26); 15,401 intestines were not recovered, most commonly because organ refused by all national program and “Other” reason (Figure DD 27). The ORPDs for heart and lung have remained relatively stable over the past decade (Figure DD 5). In 2023, from the 16,335 donors, 9,312 hearts were not recovered, with the most common reasons being poor organ function and diseased organ (Figure DD 28); 11,365 lungs were not recovered, most commonly for poor organ function and organ refused by all national program (Figure DD 29).

The ORPD for all organs varies by DSA and in 2023 ranged from 2.35 to 3.71. Because the ORPD is an unadjusted number, it does not account for mix of donor types, including young, old, DBD, and DCD, which explains some of the differences seen between DSAs (Figure DD 6).

4 Organs Transplanted Per Donor

The number of organs transplanted increased to 40,588 in 2023, from 37,316 in 2022 (Figure DD 3). However, the OTPD has declined over the past decade to 2.67 in 2023, from 3.02 in 2012. Because each donor can potentiality donate two kidneys, the organ-specific OTPD was highest for kidneys at 1.36 in 2023. This OTPD has fluctuated between 1.36 and 1.50 over the past decade (Figure DD 7). In 2023, the OTPD from DBD donors was 3.17, higher than the OTPDs of DCD donors with and without NRP: 2.67 and 1.70, respectively (Figure DD 10). The OTPD for kidneys varies by kidney donor profile index (KDPI) and this trend has been stable for the past decade. In 2023, the OTPD for kidneys was 1.95 for the highest quality kidneys, defined as KDPI of less than 20%. For kidneys with KDPI of 20-<35%, 35-<85%, and 85% or greater, the OTPDs were 1.84, 1.46, and 0.52, respectively (Figure DD 17). The percentage of deceased donors with KDPI of 85% or greater varies across OPOs and ranged from 1.2% to 14.3% (Figure DD 21). In 2023, from 15,745 donors, 10,818 left kidney transplants and 10,659 right kidney transplants were performed (Figure DD 22 and Figure DD 23). From 590 donors, 372 en bloc kidneys were transplanted (Figure DD 24).

In 2023, the OTPD for pancreas was 0.056, a 9.0% decrease from 0.061 in 2022. Over the past decade, the pancreas OTPD has decreased annually (Figure DD 8). In 2023, the OTPD for pancreata from DBD donors was 0.084, higher than the OTPDs from DCD donors with and without NRP: 0.0046 and 0.0060, respectively (Figure DD 12). In 2023, from 16,335 donors, 917 pancreata were transplanted, including 2 that were transplanted as islets (Figure DD 25).

The OTPD for liver was 0.61 in 2023, a 2.1% increase from 0.59 in 2022. This is likely a result of increased use of NRP. Prior to 2023, the OTPD for liver had typically decreased every year and was 0.73 in 2012 (Figure DD 8). In 2023, the OTPD for liver from DBD donors was 0.78, higher than the OTPDs from DCD donors with and without NRP: 0.54 and 0.26, respectively (Figure DD 13). In 2023, from 16,335 donors, 9,910 livers were transplanted (Figure DD 26).

The OTPD for intestine was 0.0058 in 2023, similar to 0.0056 in 2022. Over the past decade, the OTPD for intestine has declined, from 0.013 in 2012 (Figure DD 8). The intestines transplanted were primarily from DBD donors (Figure DD 14). In 2023, from 16,335 donors, 95 intestines were transplanted (Figure DD 27).

The OTPD for heart was 0.28 in 2023, almost identical to the 0.28 in 2022. Over the past decade, the OTPD for heart has declined slightly and was 0.30 in 2012 (Figure DD 8). In 2023, the OTPD for heart from DBD donors was 0.38, lower than the OTPD of 0.41 from DCD donors with NRP and higher than the OTPD of 0.079 from DCD donors without NRP (Figure DD 15). Thus, heart transplants stand out from all other organs, with the OTPD from DCD donors with NRP being the highest among all other types of heart donors. In 2023, from 16,335 donors, 4,596 hearts were transplanted (Figure DD 28).

The OTPD for lung was 0.35 in 2023, a 5.2% increase from 0.33 in 2022. This is likely from increased use of NRP. In 2023, the OTPD of lungs from DBD donors was 0.49, higher than the OTPDs from DCD donors with and without NRP: 0.18 and 0.098, respectively (Figure DD 16). In 2023, from 16,335 donors, 3,016 lungs were transplanted (Figure DD 29).

The OTPD for all organs combined varies by OPO and in 2023 ranged from 2.07 to 3.15 (Figure DD 9). The OTPD also varies by donor status; at 3.17, the OTPD from DBD donors was higher than the OTPDs for DCD donors with and without NRP, respectively: 2.66 and 1.70 (Figure DD 10). The percentage of DCD donors varies across DSAs and in 2023 ranged from 0% to 54% (Figure DD 19). The percentage of DCD donors with NRP across DSAs ranged from 0% to 14% (Figure DD 20).

5 Organs Recovered for Transplant but Not Transplanted

In 2023, there were 10,085 organs recovered for transplant but not transplanted (ie, nonuse), a 7.8% increase from 9,354 in 2022. These unused organs represent 19.3% of all organs recovered combined in 2023. The percentage of nonuse varies by organ and has increased annually since 2018. In 2023, kidney had the highest percentage of nonuse at 27.9%, followed by pancreas (22.8%), liver (9.6%), lung (9.0%), intestine (4.0%), and heart (1.5%) (Figure DD 18); by their numeric values, 4,038 left kidneys, 4,220 right kidneys, 160 en block kidneys, 279 pancreata, 1,056 livers, 260 lungs, 4 intestines, and 68 hearts were not used. Thus, 2023 represents the first year in the past decade that kidney had the highest percentage of nonuse.

6 Change in Characteristics of Donors Over the Past Decade

During the past decade, there has been an increase in the use of organs from donors of lower estimated quality, as determined by higher KDPI donor kidneys. In 2023, 23.1% of donors had a KDPI of 85% or greater, up from 17.6% of donors in 2013. Consistent with this trend, in 2023 there was a decline in the percentage of donors with a KDPI of less than 20% compared with 2013. There was also an increase in the use of human immunodeficiency virus–positive (nucleic acid test) donors, hepatitis C virus–positive (antibody or nucleic acid test) donors, donors aged 65 years or older, and DCD donors (Table DD 1).

Donor mechanisms of death have changed over the past decade. Drug intoxication as mechanism of death increased to 16.6% in 2023, from 6.8% in 2013. Cardiovascular mechanism of death has also increased: 21.4% in 2023 versus 15.6% in 2013. In contrast, gunshot wound, blunt injury, and stroke have decreased as mechanisms of death in 2023 compared with 2013. Donor causes of death have also changed during this period. Anoxia as cause of death increased to 49.4% in 2023, from 31.4% in 2013; stroke and head trauma also increased (Table DD 2).

List of Figures

List of Tables




**Overall counts of deaths and donors, 2012-2023.** The number and source of donors.

Figure DD 1: Overall counts of deaths and donors, 2012-2023. The number and source of donors.




**Overall counts of deceased donors, DBD donors, and DCD donors with and without NRP, 2012-2023.** The number of deceased donors, DBD donors, and DCD donors. Deceased donor counts include all donors for whom at least one organ was recovered for transplant. DBD, donation after brain death; DCD, donation after circulatory death; NRP, normothermic regional perfusion.

Figure DD 2: Overall counts of deceased donors, DBD donors, and DCD donors with and without NRP, 2012-2023. The number of deceased donors, DBD donors, and DCD donors. Deceased donor counts include all donors for whom at least one organ was recovered for transplant. DBD, donation after brain death; DCD, donation after circulatory death; NRP, normothermic regional perfusion.




**Overall counts of authorized, recovered, and transplanted organs, 2012-2023.** The number of authorized , recovered, and transplanted organs.

Figure DD 3: Overall counts of authorized, recovered, and transplanted organs, 2012-2023. The number of authorized , recovered, and transplanted organs.




**Organs recovered per donor, all organs and kidney.** Average number of overall organs and kidneys recovered per donor, calculated as the sum of recovered organs and by organ type; e.g., up to two kidneys can be recovered from each donor, but only one heart.

Figure DD 4: Organs recovered per donor, all organs and kidney. Average number of overall organs and kidneys recovered per donor, calculated as the sum of recovered organs and by organ type; e.g., up to two kidneys can be recovered from each donor, but only one heart.




**Organs recovered per donor, pancreas, liver, intestine, heart, and lung.** Average number of organs other than kidneys recovered per donor, calculated as the sum of recovered organs and by organ type. Pancreata recovered for islet transplant are excluded.

Figure DD 5: Organs recovered per donor, pancreas, liver, intestine, heart, and lung. Average number of organs other than kidneys recovered per donor, calculated as the sum of recovered organs and by organ type. Pancreata recovered for islet transplant are excluded.




**Organs recovered per donor by DSA, 2023.** Average number of organs recovered per donor, calculated as the sum of recovered organs and by organ type; e.g., up to two kidneys can be recovered from each donor, but only one heart. Pancreata recovered for islet transplant are excluded. DSA, donation service area.

Figure DD 6: Organs recovered per donor by DSA, 2023. Average number of organs recovered per donor, calculated as the sum of recovered organs and by organ type; e.g., up to two kidneys can be recovered from each donor, but only one heart. Pancreata recovered for islet transplant are excluded. DSA, donation service area.




**Organs transplanted per donor, all organs and kidney.** Average number of overall organs and kidneys transplanted per donor. As organs divided into segments (liver, lung, pancreas, intestine) may account for more than one transplant, the number or organs transplanted may exceed the number recovered. Based on a count of recovered organs that are transplanted, which differs from number of transplant operations. Pancreata recovered for islet transplant are excluded.

Figure DD 7: Organs transplanted per donor, all organs and kidney. Average number of overall organs and kidneys transplanted per donor. As organs divided into segments (liver, lung, pancreas, intestine) may account for more than one transplant, the number or organs transplanted may exceed the number recovered. Based on a count of recovered organs that are transplanted, which differs from number of transplant operations. Pancreata recovered for islet transplant are excluded.




**Organs transplanted per donor, pancreas, liver, intestine, heart, and lung.** Average number of organs other than kidneys transplanted per donor. As organs divided into segments (liver, lung, pancreas, intestine) may account for more than one transplant, the number or organs transplanted may exceed the number recovered. Based on a count of recovered organs that are transplanted, which differs from number of transplant operations. Pancreata recovered for islet transplant are excluded.

Figure DD 8: Organs transplanted per donor, pancreas, liver, intestine, heart, and lung. Average number of organs other than kidneys transplanted per donor. As organs divided into segments (liver, lung, pancreas, intestine) may account for more than one transplant, the number or organs transplanted may exceed the number recovered. Based on a count of recovered organs that are transplanted, which differs from number of transplant operations. Pancreata recovered for islet transplant are excluded.




**Organs transplanted per donor, by DSA, 2023.** Average number of organs transplanted per donor. As organs divided into segments (liver, lung, pancreas, intestine) may account for more than one transplant, the number or organs transplanted may exceed the number recovered. Based on a count of recovered organs that are transplanted, which differs from number of transplant operations. DSA-level means are shown. Pancreata recovered for islet transplant are excluded. DSA, donation service area.

Figure DD 9: Organs transplanted per donor, by DSA, 2023. Average number of organs transplanted per donor. As organs divided into segments (liver, lung, pancreas, intestine) may account for more than one transplant, the number or organs transplanted may exceed the number recovered. Based on a count of recovered organs that are transplanted, which differs from number of transplant operations. DSA-level means are shown. Pancreata recovered for islet transplant are excluded. DSA, donation service area.




**Organs transplanted per donor, by DBD and DCD status.** Average number of organs transplanted per donor. As organs divided into segments (liver, lung, pancreas, intestine) may account for more than one transplant, the number of organs transplanted may exceed the number recovered. Based on a count of recovered organs that are transplanted, which differs from number of transplant operations. Pancreata recovered for islet transplant are excluded. DBD, donation after brain death; DCD, donation after circulatory death; NRP, normothermic regional perfusion.

Figure DD 10: Organs transplanted per donor, by DBD and DCD status. Average number of organs transplanted per donor. As organs divided into segments (liver, lung, pancreas, intestine) may account for more than one transplant, the number of organs transplanted may exceed the number recovered. Based on a count of recovered organs that are transplanted, which differs from number of transplant operations. Pancreata recovered for islet transplant are excluded. DBD, donation after brain death; DCD, donation after circulatory death; NRP, normothermic regional perfusion.




**Kidneys transplanted per donor, by DBD and DCD status.** Average number of kidneys transplanted per donor. Based on a count of recovered kidneys that are transplanted, which differs from number of transplant operations. DBD, donation after brain death; DCD, donation after circulatory death; NRP, normothermic regional perfusion.

Figure DD 11: Kidneys transplanted per donor, by DBD and DCD status. Average number of kidneys transplanted per donor. Based on a count of recovered kidneys that are transplanted, which differs from number of transplant operations. DBD, donation after brain death; DCD, donation after circulatory death; NRP, normothermic regional perfusion.




**Pancreata transplanted per donor, by DBD and DCD status.** Average number of pancreata transplanted per donor. Pancreata divided into segments may account for more than one transplant, thus the number of pancreata transplanted may exceed the number recovered. Based on a count of recovered pancreata that are transplanted, which differs from number of transplant operations. Pancreata recovered for islet transplant are excluded. DBD, donation after brain death; DCD, donation after circulatory death; NRP, normothermic regional perfusion.

Figure DD 12: Pancreata transplanted per donor, by DBD and DCD status. Average number of pancreata transplanted per donor. Pancreata divided into segments may account for more than one transplant, thus the number of pancreata transplanted may exceed the number recovered. Based on a count of recovered pancreata that are transplanted, which differs from number of transplant operations. Pancreata recovered for islet transplant are excluded. DBD, donation after brain death; DCD, donation after circulatory death; NRP, normothermic regional perfusion.




**Livers transplanted per donor, by DBD and DCD status.** Average number of livers transplanted per donor. Livers divided into segments may account for more than one transplant, thus the number of livers transplanted may exceed the number recovered. Based on a count of recovered livers that are transplanted, which differs from number of transplant operations. DBD, donation after brain death; DCD, donation after circulatory death; NRP, normothermic regional perfusion.

Figure DD 13: Livers transplanted per donor, by DBD and DCD status. Average number of livers transplanted per donor. Livers divided into segments may account for more than one transplant, thus the number of livers transplanted may exceed the number recovered. Based on a count of recovered livers that are transplanted, which differs from number of transplant operations. DBD, donation after brain death; DCD, donation after circulatory death; NRP, normothermic regional perfusion.




**Intestines transplanted per donor, by DBD and DCD status.** Average number of intestines transplanted per donor. Intestines divided into segments may account for more than one transplant, thus the number of intestines transplanted may exceed the number recovered. Based on a count of recovered intestines that are transplanted, which differs from number of transplant operations. DBD, donation after brain death; DCD, donation after circulatory death; NRP, normothermic regional perfusion.

Figure DD 14: Intestines transplanted per donor, by DBD and DCD status. Average number of intestines transplanted per donor. Intestines divided into segments may account for more than one transplant, thus the number of intestines transplanted may exceed the number recovered. Based on a count of recovered intestines that are transplanted, which differs from number of transplant operations. DBD, donation after brain death; DCD, donation after circulatory death; NRP, normothermic regional perfusion.




**Hearts transplanted per donor, by DBD and DCD status.** Average number of hearts transplanted per donor. Based on a count of recovered hearts that are transplanted, which differs from number of transplant operations. DBD, donation after brain death; DCD, donation after circulatory death; NRP, normothermic regional perfusion.

Figure DD 15: Hearts transplanted per donor, by DBD and DCD status. Average number of hearts transplanted per donor. Based on a count of recovered hearts that are transplanted, which differs from number of transplant operations. DBD, donation after brain death; DCD, donation after circulatory death; NRP, normothermic regional perfusion.




**Lungs transplanted per donor, by DBD and DCD status.** Average number of lungs transplanted per donor. Lungs divided into segments may account for more than one transplant, thus the number of lungs transplanted may exceed the number recovered. Based on a count of recovered lungs that are transplanted, which differs from number of transplant operations. DBD, donation after brain death; DCD, donation after circulatory death; NRP, normothermic regional perfusion.

Figure DD 16: Lungs transplanted per donor, by DBD and DCD status. Average number of lungs transplanted per donor. Lungs divided into segments may account for more than one transplant, thus the number of lungs transplanted may exceed the number recovered. Based on a count of recovered lungs that are transplanted, which differs from number of transplant operations. DBD, donation after brain death; DCD, donation after circulatory death; NRP, normothermic regional perfusion.




**Kidneys transplanted per donor, by KDPI.** Average number of kidneys transplanted per donor. Based on a count of recovered kidneys that are transplanted, which differs from number of transplant operations. KDPI, kidney donor profile index.

Figure DD 17: Kidneys transplanted per donor, by KDPI. Average number of kidneys transplanted per donor. Based on a count of recovered kidneys that are transplanted, which differs from number of transplant operations. KDPI, kidney donor profile index.




**Organs recovered for transplant and not transplanted.** Percents are calculated as the difference between the number of organs recovered and the number of organs transplanted, divided by the number of organs recovered. Pancreata recovered for islet transplant are excluded.

Figure DD 18: Organs recovered for transplant and not transplanted. Percents are calculated as the difference between the number of organs recovered and the number of organs transplanted, divided by the number of organs recovered. Pancreata recovered for islet transplant are excluded.




**The percentage of DCD donors across DSAs from all donors, 2023.** Percentage of DCD donors within a DSA. DCD, donation after circulatory death; DSA, donation service area.

Figure DD 19: The percentage of DCD donors across DSAs from all donors, 2023. Percentage of DCD donors within a DSA. DCD, donation after circulatory death; DSA, donation service area.




**The percentage of DCD donors with NRP across DSAs from all donors, 2023.** Percentage of DCD donors with NRP within a DSA. DCD, donation after circulatory death; DSA, donation service area; NRP, normothermic regional perfusion.

Figure DD 20: The percentage of DCD donors with NRP across DSAs from all donors, 2023. Percentage of DCD donors with NRP within a DSA. DCD, donation after circulatory death; DSA, donation service area; NRP, normothermic regional perfusion.




**The percentage of kidney donors with KDPI of 85% or greater among deceased donor kidney transplant recipients across DSAs, 2023.** Percentage of kidney donors within a DSA with a donor KDPI of 85% or greater. DSA, donation service area; KDPI, kidney donor profile index.

Figure DD 21: The percentage of kidney donors with KDPI of 85% or greater among deceased donor kidney transplant recipients across DSAs, 2023. Percentage of kidney donors within a DSA with a donor KDPI of 85% or greater. DSA, donation service area; KDPI, kidney donor profile index.




**Organ use chart for reported left kidneys, 2023.** A summary of the consent, recovered, transplanted, or nonuse status for donated left kidneys. The number of left and right kidneys may not equal the total number of donors. or, operating room; tx, transplant.

Figure DD 22: Organ use chart for reported left kidneys, 2023. A summary of the consent, recovered, transplanted, or nonuse status for donated left kidneys. The number of left and right kidneys may not equal the total number of donors. or, operating room; tx, transplant.




**Organ use chart for reported right kidneys, 2023.** A summary of the consent, recovered, transplanted, or nonuse status for donated right kidneys. The number of left and right kidneys may not equal the total number of donors. hiv, human immunodeficiency virus; or, operating room; tx, transplant.

Figure DD 23: Organ use chart for reported right kidneys, 2023. A summary of the consent, recovered, transplanted, or nonuse status for donated right kidneys. The number of left and right kidneys may not equal the total number of donors. hiv, human immunodeficiency virus; or, operating room; tx, transplant.




**Organ use chart for reported en bloc kidneys, 2023.** A summary of the consent, recovered, transplanted, or nonuse status for donated en bloc kidneys. The number of en bloc kidneys may not equal the total number of donors. or, operating room; tx, transplant.

Figure DD 24: Organ use chart for reported en bloc kidneys, 2023. A summary of the consent, recovered, transplanted, or nonuse status for donated en bloc kidneys. The number of en bloc kidneys may not equal the total number of donors. or, operating room; tx, transplant.




**Organ use chart for pancreas, 2023.** A summary of the consent, recovered, transplanted, or nonuse status for donated pancreas. cha, common hepatic artery; hx, history; hiv, human immunodeficiency virus; ipda-sma, inferior pancreaticoduodenal artery-superior mesenteric artery; pa, pancreas; pi, pancreas islets; rha, right hepatic artery; tx, transplant.

Figure DD 25: Organ use chart for pancreas, 2023. A summary of the consent, recovered, transplanted, or nonuse status for donated pancreas. cha, common hepatic artery; hx, history; hiv, human immunodeficiency virus; ipda-sma, inferior pancreaticoduodenal artery-superior mesenteric artery; pa, pancreas; pi, pancreas islets; rha, right hepatic artery; tx, transplant.




**Organ use chart for liver, 2023.** A summary of the consent, recovered, transplanted, or nonuse status for donated livers. hiv, human immunodeficiency virus; or, operating room; tx, transplant.

Figure DD 26: Organ use chart for liver, 2023. A summary of the consent, recovered, transplanted, or nonuse status for donated livers. hiv, human immunodeficiency virus; or, operating room; tx, transplant.




**Organ use chart for intestine, 2023.** A summary of the consent, recovered, transplanted, or nonuse status for donated intestines. hiv, human immunodeficiency virus; or, operating room; tx, transplant.

Figure DD 27: Organ use chart for intestine, 2023. A summary of the consent, recovered, transplanted, or nonuse status for donated intestines. hiv, human immunodeficiency virus; or, operating room; tx, transplant.




**Organ use chart for heart, 2023.** A summary of the consent, recovered, transplanted, or nonuse status for donated hearts. hiv, human immunodeficiency virus; Hx, history; or, operating room; tx, transplant.

Figure DD 28: Organ use chart for heart, 2023. A summary of the consent, recovered, transplanted, or nonuse status for donated hearts. hiv, human immunodeficiency virus; Hx, history; or, operating room; tx, transplant.




**Organ use chart for lung, 2023.** A summary of the consent, recovered, transplanted, or nonuse status for donated lungs. hiv, human immunodeficiency virus; Hx, history; or, operating room; tx, transplant.

Figure DD 29: Organ use chart for lung, 2023. A summary of the consent, recovered, transplanted, or nonuse status for donated lungs. hiv, human immunodeficiency virus; Hx, history; or, operating room; tx, transplant.