Regional Variation in Lung Discard — VitalMatch

VitalMatch · Data summary

Where a donor dies shapes whether the lungs are used.

Lung discard varies markedly across the eleven OPTN regions — a signal of practice variation, not just donor mix, and an opportunity for consistent objective assessment.

Source: OPTN/UNOS STAR file, Dec 2025 release · lung donors by REGION of recovery (pooled, all years).

3.3×

The highest-discard region (Region 2, 15.0%) discards lungs at 3.3× the rate of the lowest (Region 6, 4.6%). Some of this is donor case-mix; the residual is practice variation that standardized assessment could compress.

01 · Regional spread

Lung discard rate by OPTN region

Discarded ÷ recovered lungs, pooled across years, for each of the eleven regions. Highest highlighted, lowest muted.

Discard rate by region (%)
Practice variation of this size is a classic target for decision support: a consistent, objective donor-lung read would narrow the spread by anchoring accept/decline calls to organ quality rather than local convention.

02 · Region key

What the eleven regions cover

OPTN's regions are geographic groupings of donation service areas. Virginia and Vermont are split across two regions each.

RegionStates & territoriesDiscardDonors
1CT · ME · MA · NH · RI · E. VT8.9%1,674
2DE · DC · MD · NJ · PA · WV · N. VA15.0%6,644
3AL · AR · FL · GA · LA · MS · PR7.3%9,093
4OK · TX6.0%6,720
5AZ · CA · NV · NM · UT5.8%9,144
6AK · HI · ID · MT · OR · WA4.6%1,977
7IL · MN · ND · SD · WI9.6%5,206
8CO · IA · KS · MO · NE · WY7.1%4,770
9NY · W. VT10.0%1,842
10IN · MI · OH8.0%6,093
11KY · NC · SC · TN · VA7.8%6,691