australia 2002 - 2007
DESCRIPTION
Aust 10 9 11 10 109. Donors Per Million Population. Australia 2002 - 2007. * NSW population excludes residents of the NSW Southern Area Health Service * ACT population includes residents of the NSW Southern Area Health Service. - PowerPoint PPT PresentationTRANSCRIPT
© ANZOD Registry
0
10
20
30
40
2002 2003 2004 2005 2006 2007
0
10
20
30
40 QLD NSW * ACT * VIC
TAS SA NT WA
Australia 2002 - 2007Donors Per Million Population
Aust 10 9 11 10 10 9 * NSW population excludes residents of the NSW Southern Area Health Service
* ACT population includes residents of the NSW Southern Area Health Service
© ANZOD Registry
33.8
26.926.423.221.720.720.1
16.315.315.114.113.011.410.5 9.87.2 6.0
17.718.8
International Donor Statistics 2006
Donors PMP
Source: IRODaT (International Registry of Organ Donation and Transplantation)
© ANZOD Registry
Number of Deceased Donors Solid Organ Transplantsand Patients on the Waiting List 2002 - 2007
Australia
668740721 634 789 736
198202204218179206
178817571690171616631824
0
500
1000
1500
2000
2500
3000
0
500
1000
1500
2000
2500
3000Deceased DonorsTransplantsWaiting List
2002 2003 2004 2005 2006 2007
© ANZOD Registry
Donor Gender – States, Australia, New Zealand 1993-1997 1998-2002 2003-2007
0%
50%
100%
Female Male
QLD NSW ACT VIC TAS SA NT WA AUST NZ
© ANZOD Registry
1999-2001 9 37 91 77 74 123 95 34 5
2002-2004 8 30 120 64 85 140 99 41 16
2005-2007 10 24 98 76 88 125 116 51 16
0-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75 +
Age Group of Deceased Donors
Australia 1999-2001 (545)
2002-2004 (603)
2005-2007 (604)
© ANZOD Registry
1999-2001 6 24 69 48 38 69 47 21 3
2002-2004 5 17 88 41 51 73 63 24 8
2005-2007 7 17 65 42 50 57 57 24 7
0-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75 +
Age and Gender Distribution of Donors
Australia Males 1999-2001 (325)
2002-2004 (370)
2005-2007 (326)
© ANZOD Registry
1999-2001 3 13 22 29 36 54 48 13 2
2002-2004 3 13 32 23 34 67 36 17 8
2005-2007 3 7 33 34 38 68 59 27 9
0-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75 +
Age and Gender Distribution of Donors
Australia Females 1999-2001 (220)
2002-2004 (233)
2005-2007 (278)
© ANZOD Registry
1999-2001 1 5 21 11 18 35 20 6 0
2002-2004 1 5 26 10 27 20 22 5 2
2005-2007 0 2 14 9 18 24 22 3 0
0-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75 +
Age Group of Deceased Donors
New Zealand 1999-2001 (117)
2002-2004 (118)
2005-2007 (92)
© ANZOD Registry
1999-2001 0 4 11 10 7 14 8 5 0
2002-2004 0 2 13 6 17 13 10 3 1
2005-2007 0 1 10 7 6 8 13 1 0
0-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75 +
Age and Gender Distribution of Donors
New Zealand Males 1999-2001 (59)
2002-2004 (65)
2005-2007 (46)
© ANZOD Registry
1999-2001 1 1 10 1 11 21 12 1 0
2002-2004 1 3 13 4 10 7 12 2 1
2005-2007 0 1 4 2 12 16 9 2 0
0-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75 +
Age and Gender Distribution of Donors
New Zealand Females 1999-2001 (58)
2002-2004 (53)
2005-2007 (46)
© ANZOD Registry
563 574
743
164129 139121 125
245
30 35 15
250261
385
1989-1994 1995-2000 2001-2007
CerebrovascularTrauma-RoadTrauma-Non RoadOtherCerebral Tumour
Cause of Donor Death
Australia
© ANZOD Registry
90
113
95
24 24 219
20 19
1 2 3
3442
58
1993-1997 1998-2002 2003-2007
CerebrovascularTrauma-RoadTrauma-Non RoadOtherCerebral Tumour
New Zealand
Cause of Donor Death
© ANZOD Registry
Mean Number of Recipients Per DonorTransplanted 1997 - 2007
2.0
3.0
4.0
5.0
1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 20072.0
3.0
4.0
5.0Australia
New Zealand
© ANZOD Registry
Waiting List vs Deceased Donor TransplantsAustralia 2003 - 2007
1488 1399 1407 1394 1388
342370377406325
2003 2004 2005 2006 2007
Kidneys Waiting List * Tx Performed **
** Includes kidneys sent from New Zealand
* Source: NOMS (National Organ Matching System)
© ANZOD Registry
370301 339
433
559
67 57 47 41 65
2003 2004 2005 2006 2007
Kidneys Waiting List *Tx Performed **
** Not included kidneys sent to Australia: 2004 (1) 2005 (4)
Waiting List vs Deceased Donor TransplantsNew Zealand 2003 - 2007
* Source of Waiting List – NZ Donor Coordinators
© ANZOD Registry
Total Donors 198
No request for kidney donation 6
Request for donation 192
No consent given 0
Consent given 192 Donors
Kidneys not retrieved 26
Kidneys retrieved 358
Kidneys not transplanted 9
Kidneys Transplanted 349
(342 Recipients Transplanted) Kidneys en bloc 3
Double adult 4
Australia New Zealand
Outcome of Request for Kidney Donation 2007
Total Donors 38
No request for kidney donation 1
Request for donation 37
No consent given 0
Consent given 37 Donors
Kidneys not retrieved 6
Kidneys retrieved 68
Kidneys not transplanted 3
Kidneys Transplanted 65
(65 Recipients Transplanted) Kidneys en bloc 0
Double adult 0
© ANZOD Registry
3 4
35
21
3240
146
25
0-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84
Donor Age Group
Donors (180) Kidney Recipients (342)
Age of Donors Providing Transplanted Kidneys - Australia 2007
© ANZOD Registry
0 15 6
129
1 01
0-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84
Donor Age Group
Donors (35) Kidney Recipients (65)
Age of Donors Providing Transplanted Kidneys - New Zealand 2007
© ANZOD Registry
6099
7234 41
7093
50 3265
105
370
97
342
QLD NSW/ACT VIC/TAS SA/NT WA AUST NZ
2006
2007
Deceased Donor Kidney Transplants by Transplant State 2006 – 2007
Australia and New Zealand
© ANZOD Registry
Primary Deceased Patient and Graft Survival Australia 2001 - 2006
Kidney
60%
70%
80%
90%
100%
0 3 6 9 12 24
Months
60%
70%
80%
90%
100%
Patient (n=1875)
Graft (n=1875)
© ANZOD Registry
Primary Deceased Patient and Graft Survival New Zealand 2001 - 2006
Kidney
60%
70%
80%
90%
100%
0 3 6 9 12 24
Months
60%
70%
80%
90%
100%
Patient (n=304)
Graft (n=304)
© ANZOD Registry
Primary Deceased Kidney Graft Survival Terminal Serum Creatinine 2001 - 2006
Australia
60%
70%
80%
90%
100%
0 3 6 9 12 24
Months
60%
70%
80%
90%
100%
<= 120 (n=1621)
> 120 (n=235)
Serum Creatinine
© ANZOD Registry
Waiting List vs Deceased Donor TransplantsAustralia 2003 - 2007
104133
177 163 157 151163
120125110
2003 2004 2005 2006 2007
** Includes split livers and NZ livers transplanted in Australiax Includes one hepatocyte transplant
LiverWaiting List * Tx Performed **
x
© ANZOD Registry
Waiting List vs Deceased Donor TransplantsNew Zealand 2003 - 2007
15 1217 13
3137 34
2432 30
2003 2004 2005 2006 2007
** Includes livers from Australia transplanted in New Zealand (8) 2003, (7) 2004, (6) 2005, (11) 2006, (8) 2007
Liver Waiting List * Tx Performed **
© ANZOD Registry
Total Donors 198
No request for liver donation 10
Request for donation 188
No consent given 2
Consent given 186 Donors
Livers not retrieved 46
Livers retrieved 140
Livers not transplanted 7
Livers Transplanted 133 *
* 147 Recipients Transplanted
118 whole livers 28 split livers - 1 reduced size
Australia New Zealand
Outcome of Request for Liver Donation 2007
Total Donors 38
No request for liver donation 0
Request for donation 38
No consent given 0
Consent given 38 Donors
Livers not retrieved 6
Livers retrieved 32
Livers not transplanted 0
Livers Transplanted 32 *
* 34 Recipients Transplanted
29 whole livers 4 split livers – 1 reduced size
© ANZOD Registry
2 3
30
1624 23
113
21
0-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84
Donor Age Group
Donors (133)
Age of Donors Providing Transplanted Livers - Australia 2007
+ Number of livers transplanted into two recipients
(7)+ (3)+ (2)+ (1)+ (1)+
© ANZOD Registry
0 14
69 9
201
0-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84
Donor Age Group
Donors (32)
Age of Donors Providing Transplanted Livers - New Zealand 2007
(1)+
+ Number of livers transplanted into two recipients
(1)+
© ANZOD Registry
3153 40
14 19 322851 40
18 1430
157 151
QLD NSW VIC SA WA AUST NZ
20062007
Liver Transplants by Transplant StateAustralia and New Zealand 2006 - 2007
© ANZOD Registry
Deceased Patient and Graft Survival Australia 2002 - 2006
60%
70%
80%
90%
100%
0 3 6 9 12 24 36
Months
60%
70%
80%
90%
100%
Patient (n=907)
Graft (n=962)
Liver
© ANZOD Registry
6536 41 40
5366 74 75 71 59
2003 2004 2005 2006 2007
Waiting List vs Deceased TransplantsAustralia 2003 - 2007
HeartWaiting List * Tx Performed **
** Includes hearts sent from New Zealand
© ANZOD Registry
124
87105
88106
79101
87101
83
2003 2004 2005 2006 2007
Waiting List vs Deceased TransplantsAustralia 2003 - 2007
Waiting List * Tx Performed **
** Includes lungs sent from New Zealand
Heart/Lungs Double LungsSingle Lungs
© ANZOD Registry
49
6 5 62 4
138 9
2003 2004 2005 2006 2007
Waiting List vs Deceased TransplantsNew Zealand 2003 - 2007
HeartWaiting List * Tx Performed **
* Source of waiting list - NZ Donor Coordinators
** Not included hearts sent to Australia 2003 (3), 2004 (2), 2005 (3), 2006 (1), 2007 (3)
© ANZOD Registry
9 710 8
5
149 8 10 9
2003 2004 2005 2006 2007
Waiting List vs Deceased TransplantsNew Zealand 2003 - 2007
Waiting List * Tx Performed **
* Source of waiting list - NZ Donor Coordinators
** Not included number of lungs sent to Australia 2003 (9), 2004 (3), 2005 (3), 2006 (3), 2007 (4)
Heart/Lungs Double LungsSingle Lungs
© ANZOD Registry
Total Donors 198
No request for heart donation 37
Request for donation 161
No consent given 13
Consent given 148 Donors
Hearts not retrieved 73
Hearts retrieved 75
Hearts not transplanted 13
Hearts Transplanted 62
Heart only - 56 Heart/Lungs - 6
Australia New Zealand
Outcome of Request for Heart Donation 2007
Total Donors 38
No request for heart donation 5
Request for donation 33
No consent given 0
Consent given 33 Donors
Hearts not retrieved 21
Hearts retrieved 12
Hearts not transplanted 0
Hearts Transplanted 12
Heart only - 12Heart/Lungs - 0
© ANZOD Registry
0 3
21
11 10 70
10
0-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74
Donor Age Group
Donors (62)
Age of Donors Providing TransplantedHearts - Australia 2007
© ANZOD Registry
0 1 1 2
6
1 01
0-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74
Donor Age Group
Donors (12)
Age of Donors Providing TransplantedHearts - New Zealand 2007
© ANZOD Registry
18 2032
7
77
815 21 23
6
65
9
QLD NSW VIC WA AUST NZ
2006
2007
Heart Transplants by Transplant State Australia and New Zealand 2006 - 2007
Includes Hearts and Heart/Lungs
© ANZOD Registry
Total Donors 198
No request for heart
valves donation 98
Request for donation 100
No consent given 19
Consent given 81 Donors
Hearts not retrieved 36
Hearts retrieved 45
Valves stored - 42
Australia New Zealand
Outcome of Request for Heart Valve Donation 2007
Total Donors 38
No request for heart
valves donation 18
Request for donation 20
No consent given 4
Consent given 20 Donors
Hearts not retrieved 6
Hearts retrieved 14
Valves stored - 14
© ANZOD Registry
Total Donors 198
No request for lung donation 40
Request for donation 158
No consent given 11
Consent given 147 Donors
Lungs not retrieved 140
Lungs retrieved 154
Lungs not transplanted 4
Lungs Transplanted 150 (Double lung - 65 recipients) (Heart/double lung - 6 recipients) (Single lung - 8 recipients)
Australia New Zealand
Outcome of Request for Lung Donation 2007
Total Donors 38
No request for lung donation 6
Request for donation 32
No consent given 0
Consent given 32 Donors
Lungs not retrieved 38
Lungs retrieved 26
Lungs not transplanted 0
Lungs Transplanted 26 (Double lung - 13 recipients) (Heart/double lung - 0 recipients) (Single lung - 0 recipients)
© ANZOD Registry
0 3
21
1015 12
0
14
0-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74
Donor Age Group
Donors (75)
Age of Donors Providing TransplantedLungs - Australia 2007
© ANZOD Registry
0 0 13
7
200
0-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74
Donor Age Group
Donors (13)
Age of Donors Providing TransplantedLungs - New Zealand 2007
© ANZOD Registry
12
3547
7
101
11
30 35
7
83
10 9
QLD NSW VIC WA AUST NZ
20062007
Lung Transplant Recipients 2006 - 2007 by Transplant State - Australia and NZ
© ANZOD Registry
10 11
3328 29
47
3
38
02201
96
2006 2007 2006 2007 2006 2007 2006 2007
BLS
Single
Bilateral Sequential (Double) and Single Lung Transplants by State 2006 - 2007
QLD NSW VIC WA
© ANZOD Registry
29 30 3242 38
25 28 33 3428
2003 2004 2005 2006 2007
Pancreas Waiting List **Tx Performed
Waiting List vs Deceased TransplantsAustralia 2003 - 2007
(7)*(5)*
* Islets
(8)*(6)*
(7)*(3)*
(6)*(1)*
(4)*(7)*
© ANZOD Registry
Total Donors 198
No request for pancreas donation 31
Request for donation 167
No consent given 9
Consent given 158 Donors
Pancreas not retrieved 62
Pancreas retrieved 96
Pancreas not transplanted 63
Pancreas Transplanted 28 Islets Transplanted 5
(Kidney/Pancreas - 25) (Pancreas only - 3)
Australia New Zealand
Outcome of Request for Pancreas Donation 2007
Total Donors 38
No request for pancreas donation 12
Request for donation 26
No consent given 0
Consent given 26 Donors
Pancreas not retrieved 25
Pancreas retrieved 1
Pancreas not transplanted 0
Pancreas Transplanted 1 Islets Transplanted 0
(Kidney/Pancreas - 1) (Pancreas only - 0)
© ANZOD Registry
04
15
41 0 0
4
0-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74
Donor Age Group
Donors (33) Pancreas Transplants (28)Islets Transplants (5)+
Age of Donors Providing Transplanted
Pancreas and Islets - Australia 2007
(1)+
(1)+
(1)+
(1)+
(1)+
© ANZOD Registry
20151050
Years Post Transplant
100
80
60
40
20
0
%Pancreas Graft Survival
According to Donor Age Groups 1987 - 2007
< 19 (n=112)
> 40 (n =58)
20-39 (n=194)
© ANZOD Registry
20151050
Years Post Transplant
100
80
60
40
20
0
%Pancreas Graft Survival
According to Cause of Donor Death 1987 - 2007
Cerebrovascular Disease (n=118)
--------- Trauma (n=210)
© ANZOD Registry
18 17
2621
2631
4133
73
8
3340 3734
31
16
31
13 15
1998 1999 2000 2001 2002 2003 2004 2005 2006 2007
Transplanted *
Research-Islet Separation
Acceptance of Pancreas for Transplantationand Research Australia 1998 - 2007
* Includes 23 Pancreas Islets transplanted from 2002-2007
© ANZOD Registry
Total Donors 38
No request for corneal donation 12
Request for donation 26
No consent given 5
Consent given 21 Donors
Corneas not retrieved 2
Corneas retrieved 40
Corneas not suitable 0
Corneas
Sent to Eye Bank 40
Total Donors 198
No request for corneal donation 36
Request for donation 162
No consent given 58
Consent given 104 Donors
Corneas not retrieved 72
Corneas retrieved 136
Corneas not suitable 11
Corneas
Sent to Eye Bank 125
Australia New Zealand
Outcome of Request for Corneal Donation 2007
© ANZOD Registry
Total Donors 198
No request for bone donation 105
Request for donation 93
No consent given 48
Consent given 45 Donors
Bone not retrieved 34
Bone retrieved 11
Bone not transplanted 0
Bone Stored 11
Australia New Zealand
Outcome of Request for Bone Donation 2007
Total Donors 38
No request for bone donation 21
Request for donation 17
No consent given 1
Consent given 16 Donors
Bone not retrieved 16
Bone retrieved 0
Bone not transplanted 0
Bone Stored 0