F. Transplants Facilitated by NYAP - Scientific Registry of Transplant

Transcription

Center for Donation and Transplant
OPO Code: NYAP
Public Report Release: December 16, 2015
Based on Data as of: October 31, 2015
SRTR OPO-Specific Report
Feedback?: [email protected]
1.877.970.SRTR (7787)
http://www.srtr.org
Table of Contents
User Guide
.....................................................................
A. Description of the Donation Service Area (DSA) Served by NYAP
B. US Population Density, Deaths, Death Rates, and Donations
............
2
6
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7
...............................................................
10
D. Description of Donors Recovered by NYAP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
15
E. Programs Transplanting Organs Procured by NYAP . . . . . . . . . . . . . . . . . . . . . . . . . . .
16
F. Transplants Facilitated by NYAP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
22
G. Counties Served by NYAP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
32
C. Organ Utilization
The data reported here were prepared by the Scientific Registry of Transplant Recipients (SRTR)
under contract with the Health Resources and Services Administration (HRSA).
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This report contains a wide range of useful information about the operations and performance
of the Organ Procurement Organization (OPO). The report is divided into seven main sections:
D. Description of Donors Recovered by NYAP
E. Programs Transplanting Organs Procured by NYAP
F. Transplants Facilitated by NYAP
G. Counties Served by NYAP
Some common abbreviations are used throughout the report:
Organ Designators:
HR: Heart
IN: Intestine
KI: Kidney
LI: Liver
LU: Lung
PA: Pancreas
Other Abbreviations:
DSA: Donation Service Area
DBD: Donation after Brain Death
DCD: Donation after Circulatory Death
Section A: Description of the Donation Service Area Served by NYAP
Section A provides a broad geographic overview of the area of the United States served by the
OPO. Figure A1 shows the DSA within the context of the nation with the location of the OPO’s
headquarters indicated on the map. Figure A2 zooms in on the OPO’s DSA and highlights
counties served by the OPO. SRTR staff worked with each OPO during 2013 to determine the
list of counties functionally served by the OPO. This list may not necessarily match the list of
official CMS-designated counties for each OPO. For a full description of the counties served,
see Section G. Figure A2 also shows the locations of transplant programs within the DSA. All
transplant programs within the DSA are identified in Table A1. Note that only programs that
performed at least one transplant of the various types from 07/01/2014 to 06/30/2015 are listed
in Table A1.
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Section B: US Population Density, Deaths, Death Rates, and Donations
Section B describes the population of the US served by the OPO. Figure B1 provides a map
of the population density of the US with the DSA highlighted. Summary statistics are provided
for the OPO along with an indication of where the OPO ranks among the 58 OPOs. Figures B2
and B3 are similar, but provide different perspectives, with Figure B2 focusing on deaths per
1000 population and Figure B3 focusing on deaths per 1000 square miles covered by the OPO.
Note that each of these maps, population data are derived from the US Census Bureau. For a
more detailed description of the counties served by this OPO, see section G.
Table B1 provides counts of deaths meeting the eligible death definition (as reported by each
donor hospital) along with counts of donors procured by the OPO (total donors and those
meeting the eligible death definition). To contextualize these numbers, minimum, maximum,
and average values for all 58 OPOs are provided. The observed donation rate per 100 eligible
deaths and the expected donation rate per 100 eligible deaths are provided. The expected
donation rate is determined from a statistical model and is described in the OSR Technical
Methods document. The standardized donation rate ratio is the observed donation rate divided
by the expected donation rate. The P Value indicates if the standardized donation rate ratio is
statistically significantly different from 1.0. If the P Value is less than 0.05, we have evidence
that the standardized ratio is either higher or lower than expected and that this difference is
likely not due to chance alone. Additionally, the 95% confidence interval (CI) of the standardized donation rate ratio will not include 1.0 if the P Value is less than 0.05. The standardized
donation rate ratio is put in context of all 58 OPOs in Figure B4. Figure B4 is arranged by the
number of eligible deaths within each DSA so that you can more easily compare the OPO with
OPOs of similar size. Finally, trends in donations per 100 eligible deaths over the five most
recent one-year periods are shown in Figure B5.
Table B2 provides counts of eligible deaths and actual donors procured from each of the donor
hospitals served by the OPO. “Additional Donors” are those donors that did not meet the eligible
death definition. Observed and expected donation rates per 100 eligible death are provided for
each donor hospital, but tests of whether each hospitals donation rate is significantly higher or
lower than expected are not performed due to generally small sample sizes within each donor
hospital.
Section C: Organ Utilization
Section C begins by providing 5-year trends in the numbers of organs transplanted by organ
type and donor type (donations after brain death [DBD] and donations after circulatory death
[DCD]). Figure C1, Figure C2, and Figure C3 present counts of transplants in total (Figure
C1), for DBD donors (Figure C2), and for DCD donors (Figure C3). For the purpose of counting transplants, right and left kidneys are counted separately, as are right and left lungs. The
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“Donors” count simply counts the donors from whom at least one organ was recovered for the
purpose of transplant. Table C1 then provides a full description of the numbers of donors authorized by each organ type along with the ultimate disposition of the organs for the most recent
one-year period. In Table C1, kidneys and lungs are counted individually yielding approximately
twice the number of organs authorized when compared to the other organs. Table C2 presents
organ-specific donation rates per 100 eligible deaths. Expected rates are based on a statistical
model detailed in the OSR Technical Methods document. If the P Value is less than 0.05, we
have evidence that the difference between the observed and expected organ-specific donation
rate is not simply due to chance. Figure C4 presents the standardized organ-specific donation
rate ratios along with their 95% confidence intervals (CI).
Figures C5 and C6 present organs recovered per donor and organs transplanted per donor,
respectively. Each of these figures presents where the OPO stands relative to all 58 OPOs with
the OPO’s performance indicated by the diamond. The distribution of all 58 OPOs is shown
by the bell-shaped curve with the national average of all 58 OPOs indicated by the horizontal
line. Trends in organs transplanted per donor over the previous five 1-year periods are shown
in Figure C7.
Table C3 presents the Observed vs. Expected organ yields for the most recent 2-year period.
For a full description of the models used by the SRTR to estimate expected organ yields, please
visit our website at www.srtr.org. The Observed to Expected (O/E) organ-specific ratios are
then presented graphically in Figure C8 so that it can be seen where the OPO stands relative
to the other OPOs. In Figure C8, the x-axis is the number of donors procured by each OPO so
that one can compare the OPO with other OPOs that are relatively the same size.
Figures C9, C10, and C11 present data specific to donors after brain death (DBD) and donors
after circulatory death (DCD). Figure C9 shows 5-year trends in the number of organs transplanted per donor by DBD and DCD status with comparisons to the US as a whole. Figures
C10 and C11 present where the OPO stands in relation to all 58 OPOs with regards to organs
transplanted per DBD/DCD donor.
Section D: Description of Donors Recovered by NYAP
Section D presents tabular descriptions of the donor recovered by the OPO. Data are shown for
the most recent two years with comparisons to the US as a whole. Breakdowns are provided
for race, age, gender, blood type, cause of death, and DCD status.
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Section E: Programs Transplanting Organs Procured by NYAP
Section E presents “flight maps” showing locations of programs that transplanted organs from
the OPO. Separate maps are provided for each organ type. Note that all arrows originate from
the location of the OPO’s headquarters rather than the location of each donor hospital. In addition, many programs within the OPO’s DSA will not be visible on the map due to scale. Each
map is accompanied by a table providing the full detail of each program transplanting organs
recovered by the OPO. Geographic indicators are provided based on whether the program is
within the same DSA (Local), within the same OPTN region but not the same DSA (Regional),
or not within the same DSA or OPTN region (National).
Section F: Transplants Facilitated by NYAP
Section F provides tabular descriptions of the recipients that received organs that were procured by the OPO, regardless of where the transplant took place. Separate tables are provided
by each organ type along with separate tables for heart-lung recipients and kidney-pancreas
recipients. The most recent two years are provided along with data for the US as a whole for the
same two periods. Breakdowns are provided by demographic factors (race, age, and gender)
and clinical factors (blood type, PRA [kidney, pancreas, and kidney-pancreas only], medical
urgency status [if applicable], Expanded Criteria Donor status [kidney only], and primary cause
of disease).
Section G: Counties Served by NYAP
Table G1 presents the counties served by the OPO. Counties are ordered alphabetically within
state. For the purposes of this report, counties are those actually served by the OPO and do not
necessarily reflect CMS assignments. SRTR staff worked closely with the OPOs during 2013
to determine the correct county assignments. Please contact the SRTR at [email protected] if you
feel any counties are assigned in error. If more than one OPO serves different donor hospitals
within the same county, the county is indicated as a shared county and the OPO sharing the
county is indicated by OPO code. For the purpose of calculating population density, land area,
and death rates presented in Section B, the one-to-one CMS county to OPO assignment is
used.
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Figure A1. Donation service area of NYAP
Location of OPO headquarters
Figure A2. Counties served by NYAP
Table A1. Transplant programs* in NYAP's DSA
Hospital Name (Code)
HR IN KI LI LU PA
Albany Medical Center Hospital (NYAM)
X
X
The University of Vermont Medical
Center (VTMC)
X
X
Locations of transplant programs
(See Tables A1 and G1 for more details)
*Performed at least one transplant of that type from 07/01/2014 to 06/30/2015.
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Figure B1. Population density*
Population of NYAP's DSA:
2,683,876. This ranks 43rd among
the 58 DSAs (1st is the highest).
Persons Per
Square Mile
< 13
Land area of NYAP's DSA: 25,335
square miles. This ranks 36th
among the 58 DSAs (1st is the
highest).
13 - 33
33 - 67
67 - 189
> 189
*US Census Bureau, 2013 projected
population/2010 land area
Figure B2. Deaths per 1000 population*
Deaths within NYAP's DSA: 24,596.
This ranks 41st among the 58 DSAs
(1st is the highest).
Deaths Per
1000 Population
< 7.51
7.51 - 8.96
Death rate within NYAP's DSA:
9.16. This ranks 15th among the 58
DSAs (1st is the highest).
8.96 - 10.22
10.22 - 11.68
death (includes all deaths, not
limited to eligible deaths) and
population
> 11.68
Figure B3. Deaths per 1000 square miles*
Deaths per 1000 square miles
within NYAP's DSA: 971. This ranks
37th among the 58 DSAs (1st is the
highest).
Deaths Per
1000 Square
Miles
< 120
120 - 340
340 - 658
death (includes all deaths, not
limited to eligible deaths) and
population
658 - 1655
> 1655
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Table B1. Measures of donation rate*, 07/01/2014 to 06/30/2015
NYAP
National
_____________________________
Min.
Average
Max.
Eligible Deaths
48
39
163.97
587
Deceased Donors (All)
55
39
152.36
471
Deceased Donors Meeting Eligibility Criteria
31
29
119.91
398
Observed Donation Rate Per 100 Eligible Deaths
64.6
63.0
73.1
90.6
Expected Donation Rate Per 100 Eligible Deaths
80.0
Standardized Donation Rate Ratio (95% CI)
0.81 (0.62,0.97)
P Value
0.010
*The donation rate is calculated as the number of deceased donors meeting eligibility criteria per 100 eligible deaths.
Figure B4. Standardized donation rate ratios (observed/expected), 07/01/2014 to 06/30/2015
Standardized
Donation Rate Ratios
1.3
1.2
1.1
NYAP
1.0
Other OPOs
0.9
0.8
0
200
400
600
Eligible Deaths
Figure B5. Donations per 100 eligible deaths, 07/01/2010 to 06/30/2015
Jul 2010 to
Jun 2011
Jul 2011 to
Jun 2012
Jul 2012 to
Jun 2013
Jul 2013 to
Jun 2014
Jul 2014 to
Jun 2015
60
Kidney
Liver
14.6
4.7
8.9
4.8
4.2
Heart
12.2
4.7
14.3
3.2
10.4
0
68.3
55.8
60.7
64.5
60.4
20
70.7
62.8
62.5
66.1
62.5
40
19.5
18.6
25.0
12.9
18.8
Donations per
100 Eligible Deaths
80
Lung
Pancreas
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Table B2. Measures of donation rates by hospital, 07/01/2014 to 06/30/2015
Hospital Name
City, State
Donors
Meeting
Eligible
Observed Expected
Death Eligible Donation Donation Additional
Def.
Deaths Rate
Rate
Donors
Albany Medical Center
Albany, NY
14
20
70
75.8
14
St. Peter's Hospital
Albany, NY
0
0
--
--
1
St. Mary's Hospital-Amsterdam
Amsterdam, NY
1
1
100
72.8
0
Binghamton General
Binghamton, NY
1
1
100
77.9
0
Our Lady Of Lourdes Memorial Hospital
Binghamton, NY
1
1
100
79.1
0
Bassett Healthcare - Cooperstown
Cooperstown, NY
0
3
0
83.3
0
Glens Falls Hospital
Glens Falls, NY
0
0
--
--
1
Catskill Regional Medical Center
Harris, NY
0
1
0
78.2
0
Uhs Wilson Medical Center
Johnson City, NY
4
5
80
76.3
0
Kingston Hospital
Kingston, NY
0
0
--
--
1
Champlain Valley Physician's Hospital
Plattsburgh, NY
2
3
66.7
83.2
1
Northern Dutchess Hospital
Rhinebeck, NY
0
2
0
79.8
0
Saratoga Hospital
Saratoga Springs, NY
1
1
100
84.2
0
Ellis Hospital
Schenectady, NY
1
2
50
85.7
2
Faxton St. Luke's Healthcare
Utica, NY
1
1
100
81.1
1
St. Elizabeth Medical Center
Utica, NY
0
0
--
--
2
Fletcher Allen Healthcare, Vt
Burlington, VT
5
7
71.4
85.9
1
Total
31
48
24
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Figure C1. Total donors and organs transplanted
100
15
80
Donors
60
HR
10
IN
KI
40
LI
LU
5
PA
20
0
0
Jul-10
to
Jun-11
Jul-11
to
Jun-12
Jul-12
to
Jun-13
Jul-13
to
Jun-14
Jul-14
to
Jun-15
Jul-10
to
Jun-11
Jul-11
to
Jun-12
Jul-12
to
Jun-13
Jul-13
to
Jun-14
Jul-14
to
Jun-15
Figure C2. DBD donors and organs transplanted
15
80
60
Donors
40
HR
10
IN
KI
LI
20
0
LU
5
PA
0
Jul-10
to
Jun-11
Jul-11
to
Jun-12
Jul-12
to
Jun-13
Jul-13
to
Jun-14
Jul-10
to
Jun-11
Jul-14
to
Jun-15
Jul-11
to
Jun-12
Jul-12
to
Jun-13
Jul-13
to
Jun-14
Jul-14
to
Jun-15
Figure C3. DCD donors and organs transplanted
1.0
30
0.8
20
Donors
HR
0.6
IN
KI
LI
10
LU
0.4
PA
0.2
0
0.0
Jul-10
to
Jun-11
Jul-11
to
Jun-12
Jul-12
to
Jun-13
Jul-13
to
Jun-14
Jul-14
to
Jun-15
Jul-10
to
Jun-11
Jul-11
to
Jun-12
Jul-12
to
Jun-13
Jul-13
to
Jun-14
Jul-14
to
Jun-15
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Table C1. Organ utilization, 07/01/2014 to 06/30/2015
Organ
Heart
Intestine
Kidney
Liver
Lung
Pancreas
Organs
Authorized
Not Recovered*
Recovered
Not for Transplant*
53
51
110
53
106
53
38
47
7
6
87
48
5
4
1
8
9
2
Recovered
Recovered
for Transplant,
for Transplant,
Not Transplanted* Transplanted*
0
0
12
1
1
1
10
0
90
39
9
2
*Each liver or pancreas segment is counted separately. Pancreas islet cells are not included.
Organ
Heart
Kidney
Liver
Lung
Pancreas
Observed
Expected
P Value
18.8
62.5
60.4
10.4
4.2
28.9
74.0
73.4
19.0
13.3
0.081
0.086
0.060
0.097
<0.01
*Organ-specific rates are calculated as the number of
deceased donors meeting eligibility criteria donating at
least one organ of that type per 100 eligible deaths.
Figure C4. Standardized donation rate ratio,
07/01/2014 to 06/30/2015
Standardized donation rate ratio
Table C2. Organ specific donation rates per 100
eligible deaths*, 07/01/2014 to 06/30/2015
1.00
0.84
0.65
0.50
0.82
0.55
0.32
0.20
0.10
0.05
HR
KI
LI
LU
PA
Figure C5. Organs recovered per donor, 07/01/2014 to 06/30/2015 (unadjusted for donor
characteristics)
0.45
3.8
0.40
3.6
0.35
3.4
3.2
3.0
1.9
0.06
1.8
0.30
0.04
1.7
0.25
0.02
1.6
0.20
ALL
0.08
HR
0.00
NYAP
0.90
0.5
0.85
0.4
0.80
0.65
0.2
0.1
0.2
0.70
KI
0.3
0.3
0.75
1.5
IN
0.4
0.6
0.95
LI
0.1
LU
PA
OPO Average
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Figure C6. Organs transplanted per donor, 07/01/2014 to 06/30/2015 (unadjusted for donor
characteristics)
3.6
3.4
0.08
0.40
3.2
0.25
2.6
ALL
1.4
1.1
0.00
HR
IN
KI
NYAP
0.20
0.4
0.15
0.7
0.3
0.10
0.6
0.2
0.05
1.3
1.2
0.25
0.5
0.8
1.5
0.02
0.20
0.9
1.6
0.04
0.30
2.8
0.6
1.7
0.06
0.35
3.0
2.4
1.8
0.45
0.1
0.5
LI
LU
0.00
PA
OPO Average
Figure C7. Trends in organs transplanted per donor
7
1.0
1.0
0.8
0.8
4
0.6
0.6
3
0.4
0.4
6
5
ALL
HR
IN
1.0
0.8
0.8
0.8
0.6
0.6
0.6
0.4
0.4
0.4
0.2
0.2
0.0
LI
0.17
0.07
0.23
0.07
0.16
1.0
0.75
0.65
0.75
0.73
0.71
1.0
0.0
0.2
KI
Jul-2010 to
Jun-2011
Jul-2011 to
Jun-2012
Jul-2012 to
Jun-2013
0.0
LU
0.0
1.57
1.44
1.30
1.41
1.64
0.0
0.5
0.00
0.00
0.02
0.00
0.00
0.2
0.12
0.05
0.09
0.05
0.04
0.0
0.20
0.19
0.2
0.28
0.14
0.18
2.83
2.40
2.68
2.39
2.73
0
1.5
1.0
2
1
2.0
PA
Jul-2013 to
Jun-2014
Jul-2014 to
Jun-2015
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Table C3. Observed and expected organ yield, 07/01/2013 to 06/30/2015
Number of Donors: 114
Observed Number of
Transplanted Organs
Expected Number of
Transplanted Organs
Observed Number of
Transplanted Organs
per 100 Donors
Expected Number of
Transplanted Organs
per 100 Donors
Observed per 100 Expected per 100
Observed to Expected
(O/E) Ratio
P Value
Aggregate Organ
Heart Intestine Kidney
Liver
Lung* Pancreas
284
18
0
173
81
7
5
297
25
2
168
78
14
9
249.1
15.8
0
151.8
71.1
6.1
4.4
260.3
22.2
1.5
147.8
68.8
12.2
7.8
-11.2
-6.4
-1.5
4
2.3
-6.1
-3.4
0.96
0.71
0
1.03
1.03
0.5
0.56
0.092
0.028
0.172
0.438
0.404
<0.01
0.064
*Lung yield is calculated as the number of donors that had at least one lung transplanted.
Figure C8. Observed/expected yield by organ, 07/01/2013 to 06/30/2015 (adjusted)
1.3
1.1
0.9
0.7
0
3.2
2.4
1.6
0.8
0
200
600
1000
Number of Donors
0
1
0.9
0.8
0
200
600
1000
Number of Donors
1
0.9
200
600
1000
Number of Donors
0
200
600
1000
Number of Donors
Pancreas
1.3
Obs/Exp Ratio
1.1
1.1
Lung
Obs/Exp Ratio
Obs/Exp Ratio
Liver
1.2
Kidney
Obs/Exp Ratio
1.5
Intestine
Obs/Exp Ratio
Obs/Exp Ratio
Heart
1.1
0.9
0.7
0.5
2.9
2.4
1.9
1.4
0.9
0.4
0
NYAP
200
600
1000
Number of Donors
0
200
600
1000
Number of Donors
Other OPOs
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Figure C9. Trends in total organs transplanted per DBD/DCD donor
4
Jul-2010 to
Jun-2011
Jul-2011 to
Jun-2012
Jul-2012 to
Jun-2013
Jul-2013 to
Jun-2014
Jul-2014 to
Jun-2015
3
2
DBD(NYAP)
DBD(US)
DCD(NYAP)
1.9
1.9
1.8
1.9
1.9
2.0
1.5
1.1
1.9
2.2
3.2
3.3
3.2
3.2
3.3
3.1
2.6
3.0
2.5
0
2.9
1
DCD(US)
Figure C10. Total organs transplanted per DBD donor, 07/01/2014 to 06/30/2015 (unadjusted for
donor characteristics)
3.8
0.5
3.6
3.4
3.0
0.08
1.6
2.6
0.2
ALL
HR
0.00
1.2
IN
1.0
0.30
0.6
0.25
0.85
0.5
0.20
0.80
0.4
0.15
0.75
0.3
0.10
0.70
0.2
0.05
0.90
1.4
0.02
0.7
0.95
0.04
0.3
2.8
1.8
0.06
0.4
3.2
0.10
0.65
KI
NYAP
0.1
LI
LU
0.00
PA
OPO Average
Figure C11. Total organs transplanted per DCD donor, 07/01/2014 to 06/30/2015 (unadjusted for
donor characteristics)
2.5
1.5
1.0
Insufficient
Data
Insufficient
Data
2.0
0.5
0.0
1.0
2.0
3.0
ALL
HR
IN
1.5
0.6
1.0
0.4
0.5
0.0
NYAP
0.4
0.20
0.3
0.15
0.2
0.10
0.1
0.05
0.8
0.2
KI
0.0
LI
0.0
LU
0.00
PA
OPO Average
Page: 14
OPO Code: NYAP
1.877.970.SRTR (7787)
http://www.srtr.org
D. Description of Donors Recovered by NYAP
Table D1. Characteristics of all deceased donors recovered, 07/01/2013 to 06/30/2015
This OPO
Jul 2013- Jul 2014Jun 2014 Jun 2015
Number of Donors
Race (%)
White
African-American
Hispanic/Latino
Asian
Other
Age (%)
0-1 Years
2-11 Years
12-17 Years
18-34 Years
35-49 Years
50-64 Years
65+ Years
Gender (%)
Male
Female
Blood Type (%)
O
A
B
AB
Cause of Death (%)
Anoxia
Stroke
CNS Tumor
Head Trauma
Other
Unknown
Donors After Cardiac Death (%)
United States
Jul 2013- Jul 2014Jun 2014 Jun 2015
59
55
8,412
8,837
91.5
6.8
0.0
1.7
0.0
85.5
10.9
3.6
0.0
0.0
66.3
17.1
13.1
2.8
0.7
65.2
16.8
14.3
2.9
0.9
1.7
1.7
0.0
18.6
28.8
35.6
13.6
1.8
3.6
5.5
34.5
18.2
27.3
9.1
2.3
3.4
4.3
28.2
26.1
28.0
7.6
2.6
3.4
4.3
29.8
26.3
27.2
6.6
59.3
40.7
60.0
40.0
59.7
40.3
60.6
39.4
39.0
44.1
15.3
1.7
34.5
47.3
14.5
3.6
47.6
37.1
12.1
3.2
47.7
36.8
11.7
3.8
52.5
28.8
0.0
16.9
1.7
0.0
20.3
45.5
20.0
0.0
30.9
3.6
0.0
32.7
32.8
32.8
0.5
31.4
2.5
0.0
15.0
34.7
31.3
0.4
30.9
2.8
0.0
15.6
Page: 15
OPO Code: NYAP
1.877.970.SRTR (7787)
http://www.srtr.org
Figure E1. Programs transplanting hearts procured by NYAP, 07/01/2014 to 06/30/2015*
* Transplants within the local area of the OPO are not always visible on the map due to scale. See Table E1 for full details.
Table E1. Programs transplanting hearts procured by NYAP, 07/01/2014 to 06/30/2015
Montefiore Medical Center (NYMA)
Mount Sinai Medical Center (NYMS)
NY Presbyterian Hospital/Columbia Univ. Medical Center (NYCP)
Strong Memorial Hospital, University of Rochester Medical Center (NYFL)
Hospital of the University of Pennsylvania (PAUP)
Inova Fairfax Hospital (VAFH)
Sentara Norfolk General Hospital (VANG)
The Cleveland Clinic Foundation (OHCC)
Tufts Medical Center (MANM)
Geography*
Regional
Regional
Regional
Regional
National
National
National
National
National
Transplants
1
1
1
2
1
1
1
1
1
* Local = within same DSA; Regional = within same OPTN region, but not same DSA; National = not within same DSA or OPTN region
Page: 16
OPO Code: NYAP
1.877.970.SRTR (7787)
http://www.srtr.org
Figure E2. Programs transplanting intestines procured by NYAP, 07/01/2014 to 06/30/2015*
Table E2. Programs transplanting intestines procured by NYAP, 07/01/2014 to 06/30/2015
No data available for this table, 07/01/2014 to 06/30/2015
Page: 17
OPO Code: NYAP
1.877.970.SRTR (7787)
http://www.srtr.org
Figure E3. Programs transplanting kidneys procured by NYAP, 07/01/2014 to 06/30/2015*
Table E3. Programs transplanting kidneys procured by NYAP, 07/01/2014 to 06/30/2015
The University of Vermont Medical Center (VTMC)
New York-Presbyterian Hospital/Weill Cornell Medical Center (NYNY)
State University of New York Upstate Medical University (NYUM)
University Hospital of State University of New York at Stony Brook (NYSB)
Westchester Medical Center (NYWC)
Allegheny General Hospital (PAAG)
Tampa General Hospital (FLTG)
University of California Davis Medical Center (CASM)
University of Iowa Hospitals and Clinics and Iowa City VA Medical Center (IAIV)
Geography*
Local
Local
Regional
Regional
Regional
Regional
Regional
Regional
National
National
National
National
Transplants
41
19
7
4
6
6
2
1
1
1
1
1
Page: 18
OPO Code: NYAP
1.877.970.SRTR (7787)
http://www.srtr.org
Figure E4. Programs transplanting livers procured by NYAP, 07/01/2014 to 06/30/2015*
Table E4. Programs transplanting livers procured by NYAP, 07/01/2014 to 06/30/2015
New York University Medical Center (NYUC)
Strong Memorial Hospital, University of Rochester Medical Center (NYFL)
Westchester Medical Center (NYWC)
UMass Memorial Medical Center (MAUM)
Geography*
Regional
Regional
Regional
Regional
Regional
Regional
National
Transplants
11
11
4
8
2
2
1
Page: 19
OPO Code: NYAP
1.877.970.SRTR (7787)
http://www.srtr.org
Figure E5. Programs transplanting lungs procured by NYAP, 07/01/2014 to 06/30/2015*
Table E5. Programs transplanting lungs procured by NYAP, 07/01/2014 to 06/30/2015
Hospital of the University of Pennsylvania (PAUP)
University of Maryland Medical System (MDUM)
Geography*
Regional
National
National
Transplants
6
2
1
Page: 20
OPO Code: NYAP
1.877.970.SRTR (7787)
http://www.srtr.org
Figure E6. Programs transplanting pancreata procured by NYAP, 07/01/2014 to 06/30/2015*
Table E6. Programs transplanting pancreata procured by NYAP, 07/01/2014 to 06/30/2015
The University of Vermont Medical Center (VTMC)
Geography*
Local
Local
Transplants
1
1
Page: 21
OPO Code: NYAP
1.877.970.SRTR (7787)
http://www.srtr.org
Table F1. Characteristics of deceased donor heart-lung recipients
Page: 22
OPO Code: NYAP
1.877.970.SRTR (7787)
http://www.srtr.org
Table F2. Characteristics of deceased donor heart recipients
This OPO
Jul 2013- Jul 2014Jun 2014 Jun 2015
Total Number of Transplants
Race (%)
White
African-American
Hispanic/Latino
Asian
Other
Age (%)
0-1 Years
2-11 Years
12-17 Years
18-34 Years
35-49 Years
50-64 Years
65+ Years
Gender (%)
Male
Female
Blood Type (%)
O
A
B
AB
Medical Urgency Status (%)
1A
1B
2
Other
Primary Cause of Disease (%)
Cardiomyopathy
Coronary Artery Disease
Valvular Heart Disease
Congenital Heart Disease
Retransplant/Graft Failure
Other
Missing
United States
Jul 2013- Jul 2014Jun 2014 Jun 2015
8
10
2,546
2,786
75.0
12.5
0.0
12.5
0.0
60.0
20.0
20.0
0.0
0.0
65.9
20.6
8.4
3.9
1.2
61.9
21.8
11.4
3.7
1.2
12.5
0.0
0.0
12.5
0.0
50.0
25.0
0.0
0.0
0.0
0.0
20.0
40.0
40.0
6.4
4.8
4.6
9.3
16.5
40.5
17.9
5.9
5.4
5.0
9.1
15.2
43.0
16.5
37.5
62.5
90.0
10.0
70.3
29.7
70.9
29.1
25.0
62.5
12.5
0.0
20.0
60.0
10.0
10.0
40.7
38.3
15.1
5.9
39.9
39.6
14.8
5.7
87.5
0.0
12.5
0.0
80.0
20.0
0.0
0.0
70.1
26.1
3.8
0.0
69.8
26.5
3.7
0.0
62.5
25.0
0.0
12.5
0.0
0.0
0.0
60.0
40.0
0.0
0.0
0.0
0.0
0.0
55.9
31.7
1.3
10.2
0.0
0.6
0.2
56.3
31.3
0.9
10.6
0.0
0.6
0.2
Page: 23
OPO Code: NYAP
1.877.970.SRTR (7787)
http://www.srtr.org
Table F3. Characteristics of deceased donor intestine recipients
Page: 24
OPO Code: NYAP
1.877.970.SRTR (7787)
http://www.srtr.org
Table F4. Characteristics of deceased donor kidney recipients (demographic)
This OPO
Jul 2013- Jul 2014Jun 2014 Jun 2015
Race (%)
White
African-American
Hispanic/Latino
Asian
Other
Unknown
Age (%)
0-1 Years
2-11 Years
12-17 Years
18-34 Years
35-49 Years
50-64 Years
65+ Years
Gender (%)
Male
Female
United States
Jul 2013- Jul 2014Jun 2014 Jun 2015
80
88
11,360
11,871
76.2
11.2
8.8
2.5
1.2
0.0
72.7
12.5
8.0
6.8
0.0
0.0
43.9
31.0
16.5
7.3
1.4
0.0
38.7
34.1
17.9
7.4
1.9
0.0
0.0
0.0
1.2
7.5
17.5
47.5
26.2
0.0
1.1
3.4
13.6
23.9
39.8
18.2
0.2
1.5
2.4
8.4
23.1
42.5
22.0
0.1
1.9
2.4
11.4
25.7
39.5
19.1
60.0
40.0
51.1
48.9
61.3
38.7
60.6
39.4
Page: 25
1.877.970.SRTR (7787)
http://www.srtr.org
OPO Code: NYAP
Table F5. Characteristics of deceased donor kidney recipients (clinical)
This OPO
Jul 2013- Jul 2014Jun 2014 Jun 2015
Blood Type (%)
O
A
B
AB
Calculated Panel Reactive Antibody (CPRA%)
0-9
10-79
80+
Glomerular Diseases
Tubular and Interstitial Disease
Polycystic Kidneys
Congenital, Familial, Metabolic
Diabetes
Renovascular & Vascular Diseases
Neoplasms
Hypertensive Nephrosclerosis
Other Kidney
Missing
Kidney from Expanded Criteria Donor (%)
Yes
No
United States
Jul 2013- Jul 2014Jun 2014 Jun 2015
80
88
11,360
11,871
33.8
45.0
17.5
3.8
26.1
51.1
15.9
6.8
45.1
37.0
13.1
4.8
45.5
35.7
13.0
5.8
47.5
36.2
16.2
46.6
33.0
20.5
53.7
27.9
18.5
54.3
24.0
21.8
11.2
1.2
15.0
2.5
25.0
2.5
1.2
31.2
10.0
0.0
30.7
3.4
8.0
5.7
19.3
0.0
0.0
11.4
21.6
0.0
21.2
4.6
8.2
3.0
27.8
0.2
0.4
24.3
9.8
0.3
22.9
4.3
7.0
3.3
25.0
0.2
0.4
25.8
10.6
0.4
18.8
81.2
10.2
89.8
14.5
85.5
12.2
87.8
Page: 26
1.877.970.SRTR (7787)
http://www.srtr.org
OPO Code: NYAP
Table F6. Characteristics of deceased kidney-pancreas recipients
This OPO
Jul 2013- Jul 2014Jun 2014 Jun 2015
Race (%)
White
African-American
Hispanic/Latino
Asian
Other
Age (%)
0-1 Years
2-11 Years
12-17 Years
18-34 Years
35-49 Years
50-64 Years
65+ Years
Gender (%)
Male
Female
Blood Type (%)
O
A
B
AB
0-9
10-79
80+
United States
Jul 2013- Jul 2014Jun 2014 Jun 2015
0
1
728
725
------
100.0
0.0
0.0
0.0
0.0
61.1
21.6
13.5
3.0
0.8
56.4
22.8
16.3
4.0
0.6
--------
0.0
0.0
0.0
0.0
100.0
0.0
0.0
0.0
0.1
0.0
23.8
53.3
22.7
0.1
0.0
0.1
0.0
24.7
53.1
21.9
0.1
---
100.0
0.0
61.1
38.9
64.4
35.6
-----
100.0
0.0
0.0
0.0
48.4
34.1
12.9
4.7
46.5
37.5
11.9
4.1
----
100.0
0.0
0.0
68.4
26.1
5.5
71.9
23.3
4.8
Page: 27
OPO Code: NYAP
1.877.970.SRTR (7787)
http://www.srtr.org
Table F7. Characteristics of deceased donor liver recipients (demographic)
This OPO
Jul 2013- Jul 2014Jun 2014 Jun 2015
Race (%)
White
African-American
Hispanic/Latino
Asian
Other
Age (%)
0-1 Years
2-11 Years
12-17 Years
18-34 Years
35-49 Years
50-64 Years
65+ Years
Gender (%)
Male
Female
United States
Jul 2013- Jul 2014Jun 2014 Jun 2015
43
39
6,327
6,635
67.4
14.0
7.0
11.6
0.0
43.6
15.4
28.2
12.8
0.0
68.3
10.8
14.7
5.1
1.1
68.5
10.8
14.5
4.7
1.4
0.0
4.7
0.0
4.7
9.3
65.1
16.3
0.0
2.6
5.1
0.0
7.7
59.0
25.6
3.2
2.9
1.4
5.0
14.5
57.1
15.8
3.0
3.1
1.5
6.0
14.4
55.6
16.4
72.1
27.9
76.9
23.1
65.2
34.8
66.2
33.8
Page: 28
OPO Code: NYAP
1.877.970.SRTR (7787)
http://www.srtr.org
Table F8. Characteristics of deceased donor liver recipients (clinical)
This OPO
Jul 2013- Jul 2014Jun 2014 Jun 2015
Blood Type (%)
O
A
B
AB
Medical Urgency Status (%)
Status 1A
Status 1B
MELD 6-10
MELD 11-14
MELD 15-20
MELD 21-30
MELD 31-40
PELD <= 10
PELD 11-14
PELD 15-20
PELD 21-30
PELD >= 31
Acute Hepatic Necrosis
Non-Cholestatic Cirrhosis
Cholestatic Liver Disease/Cirrhosis
Biliary Atresia
Metabolic Diseases
Malignant Neoplasms
Other
Missing
United States
Jul 2013- Jul 2014Jun 2014 Jun 2015
43
39
6,327
6,635
37.2
41.9
18.6
2.3
38.5
38.5
12.8
10.3
44.4
36.5
14.1
5.0
45.2
35.8
13.9
5.1
9.3
0.0
18.6
14.0
25.6
11.6
18.6
2.3
0.0
0.0
0.0
0.0
0.0
0.0
35.9
12.8
15.4
25.6
7.7
2.6
0.0
0.0
0.0
0.0
4.5
1.7
14.0
11.8
16.9
21.0
26.3
1.8
0.4
0.5
0.7
0.3
4.2
1.8
15.5
12.1
16.4
21.5
25.0
1.6
0.5
0.6
0.6
0.3
7.0
27.9
2.3
0.0
7.0
55.8
0.0
0.0
10.3
51.3
10.3
0.0
2.6
25.6
0.0
0.0
4.7
60.0
7.2
2.8
3.3
18.4
3.6
0.0
4.3
60.3
7.7
2.6
3.7
17.5
3.8
0.0
Page: 29
1.877.970.SRTR (7787)
http://www.srtr.org
OPO Code: NYAP
Table F9. Characteristics of deceased donor lung recipients
This OPO
Jul 2013- Jul 2014Jun 2014 Jun 2015
Race (%)
White
African-American
Hispanic/Latino
Asian
Other
Age (%)
0-1 Years
2-11 Years
12-17 Years
18-34 Years
35-49 Years
50-64 Years
65+ Years
Gender (%)
Male
Female
Blood Type (%)
O
A
B
AB
Congenital Disease
Primary Pulmonary Hypertension
Cystic Fibrosis
Idiopathic Pulmonary Fibrosis
Emphysema/COPD
Retransplant/Graft Failure
Other
Missing
United States
Jul 2013- Jul 2014Jun 2014 Jun 2015
2
6
1,881
1,990
100.0
0.0
0.0
0.0
0.0
83.3
0.0
16.7
0.0
0.0
81.6
8.8
7.2
2.0
0.4
82.6
8.2
7.1
1.6
0.5
0.0
0.0
0.0
0.0
50.0
50.0
0.0
0.0
0.0
0.0
0.0
16.7
66.7
16.7
0.4
0.8
1.8
11.0
11.3
45.8
29.0
0.3
0.4
1.3
9.8
12.6
47.4
28.2
0.0
100.0
66.7
33.3
60.2
39.8
61.7
38.3
50.0
0.0
50.0
0.0
33.3
33.3
16.7
16.7
46.4
39.1
10.7
3.8
43.9
40.3
11.6
4.2
0.0
0.0
50.0
50.0
0.0
0.0
0.0
0.0
0.0
0.0
16.7
83.3
0.0
0.0
0.0
0.0
0.0
4.0
13.5
53.2
26.3
0.0
3.1
0.0
0.0
3.8
13.3
54.6
25.3
0.0
3.1
0.0
Page: 30
1.877.970.SRTR (7787)
http://www.srtr.org
OPO Code: NYAP
Table F10. Characteristics of deceased donor pancreas recipients
This OPO
Jul 2013- Jul 2014Jun 2014 Jun 2015
Race (%)
White
African-American
Hispanic/Latino
Asian
Other
Age (%)
0-1 Years
2-11 Years
12-17 Years
18-34 Years
35-49 Years
50-64 Years
65+ Years
Gender (%)
Male
Female
Blood Type (%)
O
A
B
AB
0-9
10-79
80+
United States
Jul 2013- Jul 2014Jun 2014 Jun 2015
3
1
260
250
100.0
0.0
0.0
0.0
0.0
100.0
0.0
0.0
0.0
0.0
82.7
8.8
7.3
0.4
0.8
73.2
12.0
11.6
2.0
1.2
0.0
0.0
0.0
0.0
66.7
33.3
0.0
0.0
0.0
0.0
0.0
100.0
0.0
0.0
3.1
8.5
1.2
20.8
36.2
28.8
1.5
5.6
9.6
2.0
16.8
42.0
24.0
0.0
33.3
66.7
0.0
100.0
54.2
45.8
45.2
54.8
33.3
33.3
33.3
0.0
100.0
0.0
0.0
0.0
39.2
42.7
13.1
5.0
50.0
31.6
16.0
2.4
0.0
100.0
0.0
0.0
100.0
0.0
55.4
37.3
7.3
38.4
56.0
5.6
Page: 31
OPO Code: NYAP
1.877.970.SRTR (7787)
http://www.srtr.org
G. Counties Served by NYAP
Table G1. Counties served by NYAP
State Name
Massachusetts
New York
New York
New York
New York
New York
New York
New York
New York
New York
New York
New York
New York
New York
New York
New York
New York
New York
New York
New York
New York
New York
New York
New York
New York
New York
Vermont
Vermont
Vermont
Vermont
Vermont
Vermont
Vermont
County Name
Berkshire County
Albany County
Broome County
Clinton County
Columbia County
Delaware County
Dutchess County
Essex County
Franklin County
Fulton County
Greene County
Hamilton County
Herkimer County
Montgomery County
Oneida County
Otsego County
Rensselaer County
Saratoga County
Schenectady County
Schoharie County
St. Lawrence County
Sullivan County
Tioga County
Ulster County
Warren County
Washington County
Addison County
Bennington County
Chittenden County
Franklin County
Grand Isle County
Lamoille County
Rutland County
County FIPS
25003
36001
36007
36019
36021
36025
36027
36031
36033
36035
36039
36041
36043
36057
36065
36077
36083
36091
36093
36095
36089
36105
36107
36111
36113
36115
50001
50003
50007
50011
50013
50015
50021
Shared with
MAOB
NYRT
NYFL
NYFL
Page: 32

F. Transplants Facilitated by NYAP - Scientific Registry of Transplant

Transcription

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