einstein (São Paulo). 30/jul/2025;23:eAO1598.
Analysis of outcomes and reasons for refusing organs offered by the National Transplant Center
DOI: 10.31744/einstein_journal/2025AO1598
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 on a single national list managed by the National Transplant Center.
Methods:
This retrospective cohort study was conducted with a quantitative approach, using data from offers of organs not used in the states and the Federal District, but offered to the National Transplant Center for national distribution.
Results:
Of the 22,824 offers of unused organs in the states to the National Transplant Center, 8,483 (37%) were accepted and 14,341 (63%) refused. Of the accepted organs, 6,433 (76%) were implanted and 2,050 (24%) were not used.
Conclusion:
The use of organs at the interstate (national) level could be improved, and ascertaining the reasons for refusal could contribute to intervention strategies.
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