United States pancreas transplants by major recipient categories, n=15,333, from October 1987 to June 2, 2004 are shown in Figure 2. The majority of the cases, 78% (n=11,898), have been simultaneous pancreas-kidney transplants (SPK); 16% (n=2427) are pancreas after kidney (PAK) transplants; 7% (n=1,008) are pancreas transplants alone (PTA). Solitary pancreas transplants, in particular PAK, increased significantly in recent years (p=0.0001). Of 1,444 records reported in 2003, the distribution of the 1,328 reported major recipient categories is: SPK 66% (n=883), PAK 25% (n=338), PTA 8% (n=107).

Figure 2
Pancreas transplants outside the US reported to the IPTR for 1988 through 2004 are shown by recipient category in Figure 3 (n=5017). Most of the cases are SPK 91% (n=4,336); compared to US totals, the proportion of PAK at 5% (n=234) and PTA at 4% (n=186) is lower, but there continues to be some increase in PAK and PTA transplants in 2000-2004. Of the 368 records reported for 2003, the distribution is: SPK 88% (n=300), PAK 7% (n=25), PTA 5% (n=17).

Figure 3
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