DONOR & TRANSPLANT STATISTICS 2017 SECTION BELGIAN TRANSPLANTCOORDINATORS

Transcription

1 DONOR & TRANSPLANT STATISTICS 217 SECTION BELGIAN TRANSPLANTCOORDINATORS BTS 217

2 BELGIAN TRANSPLANT COORDINATORS 217 President: D. Van Deynse (UCL) Vice-President: N. Mauws (UZG) Be-KPAC: G. Van Beeumen (UZA), N. Mauws (UZG) Be-ThAC: W. Van Donink (UZA), D. Claes (UZL) Be-LIAC: M.H. Delbouille (ULG), C. Walraevens (UZG) Be-OPC: M.H. Delbouille (ULG), N. Mauws (UZG), G. Van Beeumen (UZA), B. Desschans (UZL), A. De Grauwe (UZB), D. Van Deynse (UCL), J. Gyssens (Erasme) LDEP: N. Mauws (UZG) Belgian Transplant Council: D. Van Deynse (UCL), N. Mauws (UZG) Belgian Transplant Society: D. Van Deynse (UCL), N. Mauws (UZG) OPC Eurotransplant: B. Desschans (UZL) CSWG Eurotransplant: W. Van Donink (UZA) Financial Committee Eurotransplant: L. Colenbie (UZG) ETCO National Keymember: D. Van Deynse (UCL)

3 ACTIVITIES 217 EDHEP training: 5 (NL) & 3 (FR) sessions PRESENTATIONS: [CATEGORIENA AM] [PERCENTAGE] [CATEGORIENA AM] [PERCENTAGE] [CATEGORIENA AM] [PERCENTAGE]

4 REGISTER NATIONAL DATABANK Registrations PRO CONTRA PRO CONTRA

5 DECEASED ORGAN DONOR STATISTICS 217

6 DONORS PMI / BELGIUM 23,9 21,2 22, ,5 24,8 25,7 24,3 29,2 28,8 27,4 25, ,4 3,

7 POTENTIAL DECEASED ORGAN DONORS n

8 POTENTIAL DECEASED ORGAN DONORS DBD VS DCD DBD DCD

9 EFFECTIVE DECEASED ORGAN DONORS = N DBD DCD n = 348

10 DONOR ORIGIN University Non-University = %

11 EFFECTIVE DCD = N Euthanasie DCD IV DCD III DCD II n= 13

12 % EFFECTIVE ORGAN DONORS % 9% 8% 7% 57 6% 5% 4% 3% 2% 43 1% % Effective Refusals

13 % REASON OF NO DONATION , = % ,2 Family refusal Medical CI Objection Registry Objection coronor Other/unknown ,3 2,3,5 217

14 DONOR PROFILE (DECEASED ORGAN DONORS)

15 AGE OF EFFECTIVE DONORS % 9% 8% 7% 6% 5% 4% 3% 2% 1% % < Note number of donors 1994: 23 vs 217: 348

16 CHILDREN ( 15Y) Y - 5Y 6Y - 1Y 11Y - 15Y DBD DCD

17 AGE OF ORGAN DONORS 217 Age DBD DCD Total Donor max Donor min 2 Mediaan (IQR) 53 (39-65) 56 (47-66) 54 (42-66) Average Age Heart Lung Liver Kidney Pancreas Oldest Oldest Oldest Oldest

18 CAUSE OF DEATH DONORS 217 DBD & DCD DBD DCD TUMOR TRAUMA (ROAD ACCIDENT) TRAUMA (OTHER) SUICIDE (GUNSHOT) OTHER MENINGITIS INTOXICATION (SUICIDE) ICB EUTHANASIE CEREBRAL ISCHEMIA CARDIOVASCULAR ANOXIA / STRANGULATION = N 2

19 ORGANS USED FOR TX 217 DBD VS DCD 5, 4,5 = n 4, 3,5 3, 2,5 2, 3,6 3,7 2,5 2, 3,8 2,4 3,7 3,5 3,4 2,7 2,7 2,7 3,4 3,3 3,3 2,6 2,3 2,3 3,1 2,7 3,6 2,5 1,5 1,,5, DBD DCD

20 % USED ORGANS OF EFFECTIVE DONORS ,7 74,4 6 % ,8 23,6 4, Kidney Liver Lung Heart Pancreas 217 = 54% of the donors are a tissuedonor

21 STATISTICS 217 WAITINGLIST (WL) TRANSPLANTS (DECEASED DONORS) MORTALITY

22 HEART 217 Active WL 14 = n

23 HEART 217 TX Active WL = n

24 HEART = n Mortality TX Active WL

25 LUNG 217 Active WL = n

26 LUNG Single Lung Double Lung Active WL = n

27 LUNG = n Mortality Single Lung Double Lung Active WL

28 LIVER 217 Active WL = n

29 LIVER 217 Split Liver Tx Full Liver Tx Active WL = n

30 LIVER = n Mortality Split Liver Tx Full Liver Tx Active WL

31 KIDNEY Active WL = n

32 KIDNEY Kidney en bloc Kidney Tx Active WL 1 8 = n

33 KIDNEY = n Mortality Kidney en bloc Kidney Tx Active WL

34 PANCREAS Active WL = n

35 PANCREAS = n Islet Tx Vascular Tx Active WL Mortaliteit

36 INTESTINE-TX Intestine Tx ( = n)

37 TRANSPLANTED VS PROCURED ORGANS 217 Transplanted Procured = N HEART LUNG LIVER KIDNEY PANCREAS INTESTINE Remark transplanted: 3 single lungtx, 9 split livers Remark procured: 1 single lungdonors, 12 split livers & 1x kidneys en bloc

38 LIVING DONOR

39 LIVING DONOR TRANSPLANTS 217 Kidney Liver Living liver: 3 domino transplants

40 LIVING DONOR EXCHANGE PROGRAM RESULTS 213: no transplants 214: 2 couples transplanted 215: 5 couples transplanted 216: no transplants 217: no transplants

41 LIVING DONOR EXCHANGE PROGRAM (LDEP) Old New 4 = N COUPLES RUN 1 RUN 2 RUN 3 RUN 4 RUN 5 RUN 6 RUN 7 RUN 8 RUN : 9 runs / 46 participating couples Runs: 2x / year

42 LIVING DONOR EXCHANGE PROGRAM 217 Reason of participating Relationship donor - recipient Family 9% Grandpare nt 4% XM 53% ABO- inc 47% Friends 9% Sister/ brother 11% Partner 56% Parent 11% ABO- inc XM Partner Sister/brother Family Parent Friends Grandparent

43 CONCLUSIONS

44 CONCLUSION 217 VS 216 ORGAN DONATION DONOR Increase of 9% positive registrations in the national registry in 217 Highest number of potential donors (= potential + effective donors), increase of 12% Effective donors (+8%) : Stable amount of DBD donors: 7% DBD 83% is a liverdonor, 5% is a pancreasdonor Potential donors: 36% donor refusals for medical reasons (highest number) Slight increase of family refusals (14,2% vs 13,1% in 216)

45 CONCLUSION 217 VS 216 TRANSPLANTATION HEART Slight decrease of the waitinglist (-13%) Increase of transplantations (+11%) Lower mortality on WL (-1%) LUNG Waitinglist increases (+7%), number of transplantations decreases (-6%) LIVER Waitinglist and transplantations increase (+16% & +5%) Lower mortality on WL = -13% Decrease of living donation (-22%) lowest number since 215

46 CONCLUSION 217 VS 216 TRANSPLANTATION Kidney Slight increase of WL and transplantations (+6,5% & +7%) Slight decrease in living donation (-6%) Pancreas Decrease of WL (-7,5%) Increase in vascular transplantations (+27%), decrease in islets transplantation (-33%)

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