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International Donor Statistics 1997 % of Multiple Organ Donors. Donors PMP. % Mult . Donors. 71% N/A 81% 82% 70% 65% 80% N/A 80% 76%. Eurotransplant: Germany, Austria, Belgium, Luxembourg, The Netherlands - PowerPoint PPT Presentation
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© ANZOD Registry
14.5 15.011.6
29.0
20.5
13.5 14.510.3
20.6
14.5
Euro-Trans
France Italy Spain Port. Scan. UK USA Can. AUST
International Donor Statistics 1997International Donor Statistics 1997% of Multiple Organ Donors% of Multiple Organ Donors
Donors PMP
% Mult. Donors
Eurotransplant: Germany, Austria, Belgium, Luxembourg, The NetherlandsScandia Transplant: Denmark, Finland, Norway, Sweden
Source: Council of Europe 1997
71% N/A 81% 82% 70% 65% 80% N/A 80% 76%
Figure 2
© ANZOD Registry
0
10
20
30
40
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
1994 (183) 1995 (184) 1996 (194) 1997 (190)
Donors Per Month in Australia 1994 - 1997
Number of Donors
Figure 6
© ANZOD Registry
25
2118 18 17
14
5
03
5
1915
19 20
15
40
24
18
11
19
26
117
2
0-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84
1995 (184) 1996 (194) 1997 (190)
Age Group (%) Cadaver DonorsAustralia 1995 -
1997
Figure 10
© ANZOD Registry
3 4
31
22 2117
5
02
5
2320
6
02
6
35
62
0
17
12
18
27
14 15
26
0-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84
Age Group
1995 (120) 1996 (113) 1997 (120)
Age and Gender Distribution of
DonorsAustralia 1995 -1997Males
Figure 11
© ANZOD Registry
15
8 10 95
04 5
913
1917
301 2
97
22
7 7
1
13 1311
14
0-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84
Age Group
1995 (64) 1996 (81) 1997 (70)
Females
Figure 12
Age and Gender Distribution of DonorsAustralia 1995 -1997
© ANZOD Registry
0
11
26
1720
14
6 6
0
6
33
8 8
25
17
30
107 7
17
2
36
21
0-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74
1995 (35) 1996 (36) 1997 (42)
Age Group (%) Cadaver DonorsNew Zealand 1995 - 1997
Figure 13
© ANZOD Registry
02
7
4 43
12
0 0
7
21
5
200
1
13
13
43
1
0-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74
Age Group
1995 (23) 1996 (17) 1997 (26)
Males
Age and Gender Distribution of DonorsNew Zealand 1995 -1997
Figure 14
© ANZOD Registry
02 2 2
32
100
2
5
12
4 4
10
32 2
0
54
0
0-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74
Age Group
1995 (12) 1996 (19) 1997 (16)
Females
Age and Gender Distribution of DonorsNew Zealand 1995 -1997
Figure 15
© ANZOD Registry
Cerebral Tumour
3%
CVA46%
Other9%
Road Trauma
29%
Trauma13%
Cause of Death - All DonorsAustralia 1989 - 1997
n=1831Figure 16
© ANZOD Registry
Road Trauma
32%
CVA49%
Trauma13%
Other6%
n=182Figure 17
Cause of Death - All DonorsNew Zealand 1993 - 1997
© ANZOD Registry
A40%
B9%
048%
AB3%
n=1831
Figure 29
Blood Group of DonorsAustralia 1989 - 1997
© ANZOD Registry
AB3%
047%
B10%
A40%
n=182
Figure 30
Blood Group of DonorsNew Zealand 1993 - 1997
© ANZOD Registry
Waiting List vs Cadaver TransplantsAustralia 1993 - 1997
1320 14121575
1452 1504
393 339 346 361 357
1993 1994 1995 1996 1997
* Source of Waiting List - Accord Newsletter
Kidneys Waiting List *Tx Performed
Figure 50
© ANZOD Registry
300 323261
64 63 70 70 81
1993 1994 1995 1996 1997
* Source of Waiting List - NZ Tissue Typing Laboratory
Waiting List vs Cadaver TransplantsNew Zealand 1993 -
1997KidneysWaiting List *Tx Performed
NB Kidneys sent to Australia: 1994 (4) 1996 (1) 1997 (2)
N/A N/A
Figure 51
© ANZOD Registry
38
3236
46
21
12
3
21
0-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84
Donor Age Group
Australia 1997Donors for Period (182) Kidney Transplants (355)
Age of Kidney Donors
Figure 53
© ANZOD Registry
04
15
39 7
13
0-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74
Donor Age Group
New Zealand 1997
Donors for Period (42) Kidney Transplants (83) ** 2 Transplanted in Australia
Figure 54
Age of Kidney Donors
© ANZOD Registry
Total Donors 190
No request for donation 3 Request for donation 187
No consent given 0
Consent given 187 Donors
Kidneys not retrieved 8
Kidneys retrieved 366
Kidneys not transplanted 9
Kidneys en bloc 2
Kidneys Transplanted 355
Total Donors 42
No request for donation 0
Request for donation 42
No consent given 0
Consent given 42 Donors
Kidneys not retrieved 0
Kidneys retrieved 84
Kidney not transplanted 1
Kidneys Transplanted 83 *
* 2 Transplanted in Australia
Australia New Zealand
Outcome of Request for Kidney Donation 1997
Figure 57Figure 58
© ANZOD Registry
Waiting List vs Cadaver TransplantsAustralia 1993 - 1997
29 40 49 3955
110 117 124142 152
1993 1994 1995 1996 1997
* Source of Waiting List - Accord NewsletterTotals include split livers and NZ donated livers transplanted in Australia
Liver Waiting List *Tx Performed
Figure 67
© ANZOD Registry
37
2924
33
12
2
15
0-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74
Donor Age Group
Australia 1997
Donors for Period (125) Liver Recipients (130)
* Number of livers transplanted into two recipients
(1) *
(1) *
(3) *
Age of Liver Donors
Figure 70
© ANZOD Registry
0
4
8
13 33
0-4 5-14 15-24 25-34 35-44 45-54 55-64
Donor Age Group
New Zealand 1997
Donors for Period (22) Liver Transplants (22)
Figure 71
Age of Liver Donors
© ANZOD Registry
Australia
Total Donors 190
No request for donation 25
Request for donation 165
No consent given 3
Consent given 162 Donors
Livers not retrieved 32
Livers retrieved 130
Livers not transplanted 5
Livers Transplanted 125 * * 130 recipients transplanted
Total Donors 42
No request for donation 7
Request for donation 35
No consent given 1
Consent given 34 Donors
Livers not retrieved 12
Livers retrieved 22
Livers not transplanted 0
Livers Transplanted 22
Outcome of Request for Liver Donation 1997New Zealand
Figure 73
Figure 72
© ANZOD Registry
Primary Liver Graft Survival 1986 - 1997Primary Liver Graft Survival 1986 - 1997According to Donor AgeAccording to Donor Age
20%
40%
60%
80%
100%
0 1 2 3 4 5 6 7 8 9 10
Years
20%
40%
60%
80%
100%
0-10 (89) 11-40 (660) 41-50 (217) 51-60 (107) >60 (19)
Log Rank 11-40 vs 51-60 p = 0.003 11-40 vs >60 p = 0.043
Figure 75
© ANZOD Registry
Primary Liver Graft Survival 1986 - 1997Primary Liver Graft Survival 1986 - 1997According to GenderAccording to Gender
20%
40%
60%
80%
100%
0 1 2 3 4 5 6 7 8 9 10
Years
20%
40%
60%
80%
100%
Female (496)
Male (692)Log Rank p = ns
Figure 76
© ANZOD Registry
Primary Liver Graft Survival 1986 - 1997Primary Liver Graft Survival 1986 - 1997According to Recipient-Donor CombinationsAccording to Recipient-Donor Combinations
20%
40%
60%
80%
100%
0 1 2 3 4 5 6 7 8 9 10
Years
20%
40%
60%
80%
100%
M M (382)
M F (214)
F M (309)
F F (283)Log Rank p = ns
Figure 77
© ANZOD Registry
20%
40%
60%
80%
100%
0 1 2 3 4 5 6 7 8 9 10
Years
20%
40%
60%
80%
100%
CVD (432)
Trauma (596)
Tumour (27)
Primary Liver Graft Survival 1986 - 1997Primary Liver Graft Survival 1986 - 1997According to Donor Cause of DeathAccording to Donor Cause of Death
Log Rank CVD vs Trauma p = ns Trauma vs Tumour p = ns
Figure 78
© ANZOD Registry
Primary Liver Graft Survival 1986 - 1997Primary Liver Graft Survival 1986 - 1997According to Gender and Cause of DeathAccording to Gender and Cause of Death
20%
40%
60%
80%
100%
0 1 2 3 4 5 6 7 8 9 10
Years
20%
40%
60%
80%
100%
M:CVD (190)
M:Trauma (408)
M:C. Tumour (12)
F:CVD (242)
F:Trauma (190)
F:C.Tumour (15)Log Rank p = ns
Figure 79
© ANZOD Registry
Primary Liver Graft Survival 1986 - 1997Primary Liver Graft Survival 1986 - 1997 According to Inotrope Use According to Inotrope Use
20%
40%
60%
80%
100%
0 1 2 3 4 5 6 7 8
Years
20%
40%
60%
80%
100%
Yes (858)
No (175)
Log Rank p = ns
Figure 80
© ANZOD Registry
Primary Liver Graft Survival 1986 - 1997Primary Liver Graft Survival 1986 - 1997According to Graft Ischaemia TimeAccording to Graft Ischaemia Time
20%
40%
60%
80%
100%
0 1 2 3 4 5 6 7 8 9 10
Years
20%
40%
60%
80%
100%
0-6 (55)
6-12 (274) 12-16 (60)
>16 (3)Log Rank p = ns
Hours
Figure 81
© ANZOD Registry
88
122 12096 102102
90 93 87 91
1993 1994 1995 1996 1997* Source of Waiting List: Accord Newsletter
Australia 1993 - 1997
Heart Waiting List *Tx Performed
Figure 82
Waiting List vs Cadaver Transplants
© ANZOD Registry
75 81 76 86 7771 77 77 7286
1993 1994 1995 1996 1997* Source of Waiting List: Accord Newsletter
Australia 1993 - 1997
Heart/Lungs - Lungs Waiting List *Tx Performed
Figure 83
Waiting List vs Cadaver Transplants
© ANZOD Registry
7 63
9 8810
1214 14
1993 1994 1995 1996 1997
* Source of Waiting List: July 1997Auckland Transplant Co-ordinators
New Zealand 1993 - 1997
Heart Waiting List *Tx Performed
Figure 84
Waiting List vs Cadaver Transplants
© ANZOD Registry
03 4 4 3
15
811
4
1993 1994 1995 1996 1997
* Source of Waiting List: July 1997Auckland Transplant Co-Ordinators
New Zealand 1993 - 1997
Heart/Lungs - Lungs Waiting List *Tx Performed
Figure 85
Waiting List vs Cadaver Transplants
© ANZOD Registry
0 3
20 2129
3 0
17
0-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74
Donor Age Group
Age of Heart Donors
Donors for Period (93) Heart Transplants (93) *
Australia 1997
* Includes three hearts used with lung blocFigure 84
© ANZOD Registry
0 0
10
03
0 03
0-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74
Donor Age Group
Donors for Period (16) Heart Transplants (16) *
New Zealand 1997
* Includes one heart used with lung blocFigure 89
Age of Heart Donors
© ANZOD Registry
Australia
Total Donors 190
No request for donation 39
Request for donation 151
No consent given 8
Consent given 143 Donors
Hearts not retrieved 45
Hearts retrieved 98
Hearts not transplanted 5
Hearts Transplanted 93
Total Donors 42
No request for donation 8
Request for donation 34
No consent given 1
Consent given 33 Donors
Hearts not retrieved 17
Hearts retrieved 16
Hearts not transplanted 0
Hearts Transplanted 16
Outcome of Request for Heart Donation 1997New Zealand
Figure 90Figure 91
© ANZOD Registry
0 3
1812
23
40
9
0-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74
Donor Age Group
Age of Lung Donors
Donors for Period (69) Lung Transplants (132) Number of Recipients Double (47) - Single (38)
Australia 1997
Includes three double lungs transplanted with heart blocFigure 94
© ANZOD Registry
01
21 1
0 00
0-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74
Donor Age Group
Donors for Period (5) Lung Transplants (7) Number of Recipients Double (2) - Single (3)
New Zealand 1997
Includes one double lungs transplanted with heart blocFigure 95
Age of Lung Donors
© ANZOD Registry
Australia
Total Donors 190
No request for donation 44
Request for donation 146
No consent given 4
Consent given 142 Donors
Lungs not retrieved 151
Lungs retrieved 133
Lung not transplanted 1
Lungs Transplanted 132 (Double lung 47 recipients) (Single lung 38 recipients)
Total Donors 42
No request for donation 11
Request for donation 31
No consent given 1
Consent given 30 Donors
Lungs not retrieved 25
Lungs retrieved 10
Lungs not transplanted 3
Lungs Transplanted 7 (Double lung 2 recipients) (Single lung 3 recipients)
Outcome of Request for Lung Donation 1997New Zealand
Figure 96Figure 97
© ANZOD Registry
1723
1924
28
1115 13 12
16
1993 1994 1995 1996 1997
* Source of Waiting List: Accord Newsletter
Waiting List vs Cadaver Transplants
Australia 1993 - 1997Pancreas Waiting List *
Tx Performed
Figure 99
© ANZOD Registry
02
8
1 0 0
5
0-4 5-14 15-24 25-34 35-44 45-54 55-64
Donor Age Group
Australia 1997
Donors for Period (16) Pancreas Transplants (16)
Age of Pancreas Donors
Figure 100
© ANZOD Registry
Australia
Total Donors 190
No request for donation 91
Request for donation 99
No consent given 10
Consent given 89 Donors
Pancreas not retrieved 63
Pancreas retrieved 26
Pancreas not transplanted 10
Pancreas Transplanted 16
Total Donors 42
No request for donation 36
Request for donation 6
No consent given 2
Consent given 4 Donors
Pancreas not retrieved 3
Pancreas retrieved 1
Pancreas not transplanted 1
Pancreas Transplanted 0
Outcome of Request for Pancreas Donation 1997New Zealand
Figure 102Figure 103
© ANZOD Registry
Australia
Total Donors 190
No request for donation 37
Request for donation 153
No consent given 46
Consent given 107 Donors
Corneas not retrieved 18
Corneas retrieved 196
Corneas not transplanted 20
Corneas Transplanted 128 Corneas Stored 48
Total Donors 42
No request for donation 21
Request for donation 21
No consent given 3
Consent given 18 Donors
Corneas not retrieved 5
Corneas retrieved 31
Corneas not transplanted 0
Corneas Transplanted 2 Corneas Stored 29
Outcome of Request for Corneal Donation 1997New Zealand
Figure 104Figure 105
© ANZOD Registry
Australia
Total Donors 190
No request for donation 146 Request for donation 44
No consent given 19
Consent given 25 Donors
Bone not retrieved 9
Bone retrieved 16
Bone not transplanted 0
Bone Stored 16
Total Donors 42
No request for donation 28
Request for donation 14
No consent given 3
Consent given 11 Donors
Bone not retrieved 5
Bone retrieved 6
Bone not transplanted 0
Bone Stored 6
Outcome of Request for Bone Donation 1997New Zealand
Figure 106Figure 107
