Highlights ■ Logistical factors were not responsible for most organ rejections in the single national waiting list. ■ Refusal information was operator dependent, as the reason for refusal was generic in most cases. ■ It is possible to increase the use of organs offered to the National Transplant Center by converting more offers into transplants performed through a more detailed study of the reasons for refusal. ABSTRACT Objective: To investigate the outcomes and reasons for the refusal of organs offered […]