PREFACE
This publication was developed for the Health Resources and Services Administration, Healthcare Systems Bureau, Division of Transplantation, by the Organ Procurement and Transplantation Network (OPTN) contractor, the United Network for Organ Sharing (UNOS), and the Scientific Registry of Transplant Recipients (SRTR) contractor, the Arbor Research Collaborative for Health (formerly URREA), under contracts 234-2005-37011C and 234-2005-37009C, respectively.
Both contracts require an Annual Data Report, though each contractor has separate responsibilities within the report. Arbor Research coordinated the descriptive chapters and prepared the data-related sections of this report, including the Data Tables, Glossary, and Technical Notes. UNOS arranged for the report’s production and dissemination.
This Annual Report of the U.S. Organ Procurement and Transplantation Network (OPTN) and the Scientific Registry of Transplant Recipients (SRTR) represents the 17th such annual report and is based largely on data pertaining to the 10-year period from 1997 to 2006.
This preface describes the changes from previous reports and also serves as an introduction to the sections that follow.
Overviews and Highlights
More than 40 experts from many areas of the transplant community contributed to this year’s report, continuing the format established in 2002. Chapters I through IX, coordinated by SRTR staff, present these experts’ descriptions of data highlights and trends. These chapters function as more than simple summaries; they are multi-authored and peer-reviewed analyses, complete with references, separate figures, and additional explanatory tables. Some of the chapters address topics traditional to the Annual Report, including trends in organ-specific and pediatric transplantation and donation. Additionally, several of the chapters discuss current organ allocation policy or innovative areas of research within the transplant field.
Three of the chapters address topics that have not been examined in detail in previous annual reports: transplant tourism (Chapter VII), the development of a LYFT-based system for kidney allocation (Chapter VIII), and an introduction to the methods and concepts of the SRTR center-specific reports (Chapter IX). We are pleased to note that slightly modified versions of all nine chapters are also being published as stand-alone, peer-reviewed articles in "The 2007 SRTR Report on the State of Transplantation," a special issue of The American Journal of Transplantation.
Data Tables
Fifteen topic-specific sections of descriptive data include the summary tables referenced in the preceding chapters, as well as detailed data from the last 10 years on the following topics:
· donor, recipient, and waiting list candidate characteristics
· organ procurement and disposition
· waiting list activity, such as time to transplant and transplant and mortality rates
· Post transplant outcomes, such as graft survival, patient survival, and development of malignancies
· summarized organ procurement organization and transplant center activity
· immunosuppression use
Detailed descriptions of how the data are collected and computed are in the Technical Notes.
Resources
The Technical Notes describe all the data presented in this report, including the calculations and methods used to create the tables. The notes follow the topical order of the data tables. The Glossary and Key to Selected Acronyms introduce readers to clinical and statistical terms that may be unfamiliar. The Resources section also includes a comprehensive List of Figures included in the report and a full set of Data Collection Worksheets.
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Suggested Citation (Full) : 2007 Annual Report of the U.S. Organ Procurement and Transplantation Network and the Scientific Registry of Transplant Recipients: Transplant Data 1997-2006. Health Resources and Services Administration, Healthcare Systems Bureau, Division of Transplantation, Rockville, MD.
Suggested Citation (Abbreviated):2007 OPTN/SRTR Annual Report 1997-2006. HHS/HRSA/HSB/DOT.
Publications based upon data in this report or supplied upon request must include the above citation as well as the following statement:
The data and analyses reported in the 2007 Annual Report of the U.S. Organ Procurement and Transplantation Network and the Scientific Registry of Transplant Recipients have been supplied by UNOS and Arbor Research under contract with HHS. The authors alone are responsible for reporting and interpreting these data; the views expressed herein are those of the authors and not necessarily those of the U.S. Government.