TABLE 3.
Outcomes of Veterans Waitlisted With UNOS for Fiscal Years 2014 to 2016
| Mortality on UNOS List | Transplants | Removed From VATC Listing | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Initial UNOS Listings | Count | Time From Listing to Mortality, d | Count | Time From Listing to Transplant, d | Overall | Failure to Meet Criteria | Patient Choice | Mortality After TRACER Closure and Prior to 3/31/17 | Mortality for Patients Not Transplanted at a VATC | On the UNOS List at 3/31/17 | |||
| Distances, miles | No. (%) | No. (%) | Median | IQR | No. (%) | Median | IQR | No. (%) | No. | No. | No. (%) | No. (%) | No. (%) |
| Heart | |||||||||||||
| < 100 | 20 (15.2) | 1 (5.0) | 142 | 142–142 | 12 (60.0) | 94 | 69–219 | - | - | - | - | 1 (5.0) | 7 (35.0) |
| 100 to 300 | 43 (32.6) | 4 (9.3) | 259 | 119–492 | 25 (58.1) | 133 | 37–236 | 5 (11.6) | 3 | 2 | 2 (40.0) | 6 (14.0) | 9 (20.9) |
| 301 to 500 | 26 (19.7) | 1 (3.8) | 232 | 232–232 | 15 (57.7) | 190 | 77–348 | 0 | 0 | 0 | - | 1 (3.8) | 10 (38.5) |
| > 500 | 43 (32.6) | 0 | - | - | 33 (76.7) | 206 | 47–340 | 4 (9.3) | 1 | 3 | - | 0 (0.0) | 6 (14.0) |
| All distances | 132 | 6 (4.5) | 215 | 142–320 | 85 (64.4) | 162 | 49–311 | 9 (6.8) | 4 | 5 | 2 (22.2) | 8 (6.1) | 32 (24.2) |
|
| |||||||||||||
| Kidney | |||||||||||||
| < 100 | 152 (10.9) | 10 (6.6) | 339 | 214–560 | 21 (13.8) | 397 | 121–780 | 13 (8.6) | 12 | 1 | 1 (7.7) | 11 (7.2) | 108 (71.1) |
| 100 to 300 | 409 (29.4) | 18 (4.4) | 199 | 103–551 | 62 (15.2) | 245 | 133–549 | 59 (14.4) | 27 | 32 | 9 (15.3) | 27 (6.6) | 270 (66.0) |
| 301 to 500 | 346 (24.8) | 16 (4.6) | 428 | 284–606 | 54 (15.6) | 246 | 84–663 | 59 (17.1) | 29 | 30 | 4 (6.8) | 20 (5.8) | 217 (62.7) |
| > 500 | 486 (34.9) | 18 (3.7) | 383 | 108–590 | 102 (21.0) | 256 | 115–457 | 85 (17.5) | 47 | 38 | 6 (7.1) | 24 (4.9) | 281 (57.8) |
| All distances | 1,393 | 62 (4.5) | 342 | 142–560 | 239 (17.2) | 255 | 113–571 | 216 (15.5) | 115 | 101 | 20 (9.3) | 82 (5.9) | 876 (62.9) |
|
| |||||||||||||
| Liver | |||||||||||||
| < 100 | 146 (21.5) | 14 (9.6) | 44 | 21–326 | 83 (56.8) | 123 | 29–353 | 25 (17.1) | 22 | 3 | 11 (44.0) | 25 (17.1) | 24 (16.4) |
| 100 to 300 | 246 (36.2) | 28 (11.4) | 123 | 56–243 | 139 (56.5) | 126 | 22–245 | 36 (14.6) | 28 | 8 | 19 (52.8) | 47 (19.1) | 43 (17.5) |
| 301 to 500 | 125 (18.4) | 15 (12.0) | 208 | 96–322 | 59 (47.2) | 129 | 27–279 | 21 (16.8) | 16 | 5 | 8 (38.1) | 23 (18.4) | 30 (24.0) |
| > 500 | 162 (23.9) | 15 (9.3) | 323 | 36–517 | 78 (48.1) | 80 | 15–200 | 27 (16.7) | 23 | 4 | 19 (70.4) | 34 (21.0) | 42 (25.9) |
| All distances | 679 | 72 (10.6) | 139 | 43–323 | 359 (52.9) | 113 | 24–263 | 109 (16.1) | 89 | 20 | 57 (52.3) | 129 (19.0) | 139 (20.5) |
|
| |||||||||||||
| Lung | |||||||||||||
| < 100 | 8 (13.1) | 0 | - | - | 7 (87.5) | 87 | 20–170 | 1 (12.5) | 1 | 0 | 1 (100.0) | 1 (12.5) | - |
| 100 to 300 | 6 (9.8) | 1 (16.7) | 128 | 128–128 | 4 (66.7) | 128 | 71–168 | 1 (16.7) | 1 | 0 | 1 (100.0) | 2 (33.3) | - |
| 301 to 500 | 14 (23.0) | 1 (7.1) | 15 | 15–15 | 12 (85.7) | 105 | 10–204 | 1 (7.1) | 1 | 0 | - | 1 (7.1) | - |
| > 500 | 33 (54.1) | 2 (6.1) | 122 | 22–221 | 25 (75.8) | 110 | 45–237 | 2 (6.1) | 1 | 1 | 1 (50.0) | 3 (9.1) | 4 (12.1) |
| All distances | 61 | 4 (6.6) | 75 | 19–175 | 48 (78.7) | 110 | 37–204 | 5 (8.2) | 4 | 1 | 3 (60.0) | 7 (11.5) | 4 (6.6) |
|
| |||||||||||||
| All organs | |||||||||||||
| < 100 | 326 (14.4) | 25 (7.7) | 183 | 37–396 | 123 (37.7) | 165 | 38–397 | 39 (12.0) | 35 | 4 | 13 (33.3) | 38 (11.7) | 139 (42.6) |
| 100 to 300 | 704 (31.1) | 51 (7.2) | 142 | 77–298 | 230 (32.7) | 150 | 38–291 | 101 (14.3) | 59 | 42 | 31 (30.7) | 82 (11.6) | 322 (45.7) |
| 301 to 500 | 511 (22.6) | 33 (6.5) | 294 | 118–445 | 140 (27.4) | 178 | 42–401 | 81 (15.9) | 46 | 35 | 12 (14.8) | 45 (8.8) | 257 (50.3) |
| > 500 | 724 (32.0) | 35 (4.8) | 326 | 83–555 | 238 (32.9) | 154 | 49–308 | 118 (16.3) | 72 | 46 | 26 (22.0) | 61 (8.4) | 333 (46.0) |
| All distances | 2,265 | 144 (6.4) | 227 | 81–407 | 731 (32.3) | 157 | 42–333 | 339 (15.0) | 212 | 127 | 82 (24.2) | 226 (10.0) | 1,051 (46.4) |
Abbreviations: IQR, interquartile range; UNOS, United Network for Organ Sharing, VATC, Veterans Affairs Transplant Center.