OPTN VCA Waiting List Trends

J. Wainright, C. Wholley, W. Cherikh, J. Musick, D. Klassen.

UNOS, Richmond, VA.

Meeting: 2018 American Transplant Congress

Abstract number: B374

Keywords: Waiting lists

Session Information

Session Name: Poster Session B: VCA

Session Type: Poster Session

Date: Sunday, June 3, 2018

Session Time: 6:00pm-7:00pm

Presentation Time: 6:00pm-7:00pm

Location: Hall 4EF

Since the start of the OPTN VCA waiting list (WL), 49 candidates– 53.1% male, 81.6% white, & 75.5% <45 yrs – were added to the WL.

Characteristic of Candidates	Upper Limb (n=19)	Head and Neck (n=10)	Uterine (n=13)	Abdominal Wall (n=4)	Penile (n=3)	*All VCA (n=49)*
Male (%)	12 (63.2)	8 (80.0)	0 (0.0)	3 (75.0)	3 (100.0)	*26 (53.1)*
White	14 (73.7)	10 (100.0)	12 (92.3)	1 (25.0)	3 (100.0)	*40 (81.6)*
Black	2 (10.5)	0 (0.0)	1 (7.7)	2 (50.0)	0 (0.0)	*5 (10.2)*
Hispanic	3 (15.8)	0 (0.0)	0 (0.0)	1 (25.0)	0 (0.0)	*4 (8.2)*
<18	1 (5.3)	0 (0.0)	0 (0.0)	1 (25.0)	0 (0.0)	*2 (4.1)*
18-34	8 (42.1)	4 (40.0)	11 (84.6)	1 (25.0)	1 (33.3)	*25 (51.0)*
35-44	5 (26.3)	1 (10.0)	2 (15.4)	2 (50.0)	0 (0.0)	*10 (20.4)*
45-54	2 (10.5)	4 (40.0)	0 (0.0)	0 (0.0)	1 (33.3)	*7 (14.3)*
55+	3(15.8)	1 (10.0)	0 (0.0)	0 (0.0)	1 (33.3)	*5 (10.2)*

Of these, 21 received deceased donor transplants (6 bilateral upper limb, 4 unilateral upper limb, 5 craniofacial, 1 scalp, 1 abdominal wall, 1 penile, & 3 uterine), & 6 received living donor uterine TXs. VCA registrations increased in 2016 after uterine & penile TXs were introduced in the US. The overall size of the VCA WL remained fairly constant over the past year (n=17 on 11/1/17), but the WL shifted from upper limb and craniofacial candidates to more penile and uterine candidates (17.6% bilateral upper limb, 17.6% unilateral upper limb, 11.8% craniofacial, 5.9% craniofacial/scalp, 29.4% uterine, 11.8% penile, & 5.9% abdominal wall). Waiting times for VCA vary; median time waiting for those TXed was 161 days (IQR:74-367).

CITATION INFORMATION: Wainright J., Wholley C., Cherikh W., Musick J., Klassen D. OPTN VCA Waiting List Trends Am J Transplant. 2017;17 (suppl 3).

To cite this abstract in AMA style:

Wainright J, Wholley C, Cherikh W, Musick J, Klassen D. OPTN VCA Waiting List Trends [abstract]. https://atcmeetingabstracts.com/abstract/optn-vca-waiting-list-trends/. Accessed May 16, 2025.

« Back to 2018 American Transplant Congress