State-Level US Transplant Waitlists and Survival Rates in 2025

Findings

966 Patients on Alabama Waitlists

Alabama centers logged 966 patients on kidney transplant waitlists in the SRTR State Aggregates Dataset, 2025.SRTR — State Aggregates Dataset, 2025 This total spans 3 centers, exceeding the national average waitlist size of 198 patients per state by 768 patients. Arkansas waitlists registered 198 patients across 2 centers, highlighting scale differences in the same dataset. The centers_by_state table aggregates these figures, linking state_fips to waitlist_counts column for rankings. High-waitlist states like Alabama reached volumes over 1000 patients in similar metrics, driving transplant counts to 1249. Centers by State Directory lists these entries, enabling queries on waitlist_additions, where one Alabama center added 451 patients. Correlation appears between center numbers and waitlist sizes, as Alabama's 3 centers supported 966 patients versus Arkansas's 198. Nationally, 236 centers fed into state-level rolls, with top states holding 40% of all waitlists. States reporting over 1000 waitlist patients mirrored Alabama's 966 in pushing higher transplant outputs. Kidney waitlists in states with 147 liver centers showed parallel growth patterns per SRTR records.

Engineers pull Alabama's state_fips row from states table to join with city_crime—no, transplant_centers table holds center_id, state_name, and waitlist_size columns. Alabama row sums to 966 across its 3 centers. Population denominators in patient_demographics table allow per-capita waitlist rates, using SRTR-standard metrics. Arkansas entry totals 198 patients, with center_count column at 2. Dataset filters exclude states below 2 centers, yielding 226 valid records for aggregation. Waitlist Trends Analysis charts these over time, referencing waitlist_size and center_count fields. Multi-organ programs in Alabama contributed to 451 additions at one facility, per program-specific data.

97.3% Survival Rate Variations by State

Alabama centers achieved 97.3% average 1-year kidney survival rates across 3 facilities in 2025 SRTR data.SRTR — Program-Specific Reports, 2025 This mark stood 1.4 points above the national kidney benchmark. Arkansas facilities averaged 95.9% survival over 2 centers and 599 transplants. Survival_rates table stores these values in one_year_survival column, joined via center_id to states table. High-waitlist states maintained elevated rates, correlating with volumes like Alabama's 966 patients. Dataset aggregates from 236 centers nationwide support state comparisons excluding those under 2 centers, per 226 records. Survival Rates Breakdown details risk-adjusted figures, pulling from patient_outcomes table.

National benchmarks derive from total kidney transplants numbering 105852 across states. Alabama's 97.3% tied to its 3 centers, while Arkansas hit 95.9% with 198 waitlist patients. SRTR State Aggregates Dataset flags variations by state_fips, enabling per-state averages. Liver center counts at 147 in certain states linked to kidney survival trends indirectly. Program-specific reports log center-level data, aggregated upward without alteration. States averaging 198 waitlists saw survival clusters around national norms, but Alabama exceeded by 1.4 points with 966 patients.

105852 Transplant Volume Aggregates

Total kidney transplants reached 105852 across states in 2025, with high-waitlist areas performing 20% more than baseline.SRTR — State Aggregates Dataset, 2025 Alabama doubled the average per-state volume of 599 transplants, aligning with its 966 waitlist patients and 3 centers. Arkansas centers completed 599 transplants, matching the national average but below Alabama's output. Transplant_volumes table captures these in annual_tx column, linked to state_name and center_count. States with 966 or higher waitlists drove 1249 transplants in comparable groups. National Transplant Overview sums these from 236 centers, where top states covered 40% of waitlists.

Average transplants per state hit 599, but exclusions for under 2 centers left 226 records for clean aggregation. Arkansas's 599 transplants spanned 2 centers with 198 waitlist patients. Alabama's multi-center setup with 3 facilities supported doubled volumes versus the 599 norm. Dataset records from states with 147 liver centers showed kidney transplant upticks. High-waitlist states like those at 966 patients logged 20% extra transplants nationally. Centers_by_state directory enables volume queries via tx_count column.

Coverage and Limitations

SRTR, the Scientific Registry of Transplant Recipients, maintains the official source for these aggregates through annual data releases tied to calendar-year snapshots.US Health Resources — State Health Stats, 2025 The 2025 vintage captures program-specific reports from 236 kidney centers, aggregated at state level after excluding jurisdictions with fewer than 2 centers, resulting in 226 analyzable records. Release cadence follows federal reporting cycles, with initial drops in spring followed by provisional updates; full revisions appear in subsequent vintages, flagged via dataset version tags like "v2025r1" for audit trails. Coverage gaps stem from statutory thresholds: single-center states drop out to avoid volatility in small-sample risk adjustments, preserving statistical validity per OPTN bylaws. Snapshot data in this API reflects the frozen 2025 cut-off, differing from live SRTR portals that ingest post-period revisions quarterly. Engineers note that waitlist figures like Alabama's 966 patients represent point-in-time tallies from contributing centers table, not rolling admissions. Limitations include non-reporting facilities omitted entirely, and multi-organ correlations—such as states with 147 liver centers—rely on cross-dataset joins without causal inference. Vintage controls ensure reproducibility: query parameters specify year=2025 to match these 105852 total transplants. Public-records protocols under FOIA mandate raw submission retention, but SRTR normalizes via standardized denominators for survival rates like 97.3% in Alabama. Revision history logs appear in metadata files, detailing imputation flags for missing center-level data under 11 transplants annually. Geographic scopes limit to metro-statistical areas implicitly through zip-derived state_fips, excluding territories. Downstream interlinking connects to UNOS waitlist logs for validation, though API endpoints here prioritize SRTR Program-Specific Reports. Coverage edges exclude pediatric-only programs unless kidney-augmented, and aggregate transplants like Arkansas's 599 avoid double-counting multi-list patients. Data-pipeline steps involve ingest from NEMSIS-equivalent transplant submissions, normalization against Census population estimates, and aggregation excluding outliers below volume thresholds. Internal cross-references expand via Arkansas State Insights for granular center breakdowns, while national totals tie to overall benchmarks. OPTN policy governs de-identification, stripping patient-level identifiers post-risk adjustment. Quarterly cadence previews flag pending revisions, but this 2025 extract locks at release to enable stable state comparisons like 95.9% Arkansas survival versus 97.3% Alabama. Methodological restraint preserves verbatim SRTR fields: waitlist_size, tx_volume, one_year_survival without derived metrics. Extension to prior periods requires vintage joins, surfacing trends in waitlist growth from states averaging 198 patients. Portal limitations note no real-time feeds; users reference static extracts for backtesting. SRTR's audit logs document compliance with HIPAA-safe harbor rules, ensuring aggregates like 40% top-state waitlist share remain untraceable to individuals. Future releases may incorporate machine-readable revisions via API diffs, but current scope adheres to 226-state filter for robustness.

PlainTransplant aggregates reveal Alabama's 966 waitlist patients and 97.3% survival across 3 centers outpace Arkansas's 198 patients, 95.9% rates, and 599 transplants at 2 facilities, within a national pool of 105852 procedures from 236 centers and 226 eligible states; methodological filters and SRTR vintage controls underpin these state-level insights for volume, waitlist, and outcome tracking.SRTR — Program-Specific Reports, 2025