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Organ donation and transplantation in the UK – June 2019
Fiona Loud
Policy Director
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Every day about 20
people in the UK develop
kidney failure
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International data – transplant rates
28.326.9
25.1 24.9
22.121.1
19.218.3
16.815.3
11.5 11.510 10 9.9 9.8
7.6
5.9
2.5
0
5
10
15
20
25
30
35
Tra
ns
pla
nts
pm
p
Country
Liver transplant rates for Europe, Australia and the USA, 2017
4.5
3.8
3.1 3
2.6 2.5
2
1.6 1.5 1.5 1.51.2 1.1
0.90.7 0.6 0.6
0 00
1
2
3
4
5
6
Tra
ns
pla
nts
pm
p
Country
Pancreas transplant rates for Europe, Australia and the USA,
201770.5
63.6
58.2 57.6
52.1 51.7 51.4
47.945.1 45
43.6 42.439.3
37.8
30.628.6 28.3
26.323.4
0
10
20
30
40
50
60
70
Tra
ns
pla
nts
pm
p
Country
Deceased and living donor kidney transplant rates for Europe,
Australia and the USA, 2017
8.6
7.87.6
6.6 6.6
6.15.9
4.4 4.4
3.8 3.8
3.33
2.42.2
1
0 0 00
1
2
3
4
5
6
7
8
9
Tra
nsp
lan
ts p
mp
Country
Lung transplant rates for Europe, Australia and the USA, 2017
10.1
7.9
7.3
6.66.3
6
5.4
4.7 4.74.5 4.5 4.4
4
3.33.1
2.92.6
2.2
0.7
0
2
4
6
8
10
Tra
nsp
lan
ts p
mp
Country
Heart transplant rates for Europe, Australia and the USA, 2017
LUNGHEART
KIDNEY PANCREAS LIVER
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Kidneys 01.04.18 – 20.03.19
• 4,739 waiting
• 2409 transplants from deceased donors
• 935 transplants from living donors
• www.organdonation.nhs.uk
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Impact of opt-out legislation?
Minimal impact Likely impact High impact
High Impact: In 5 years we could see, per annum:
~600 more donors than currently & ~1600 more transplants:
• 900-950 kidneys
• 400-450 livers
• 50-100 pancreas, heart, lung
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Deceased donors
611 624 637 652705
780 772 785829
955
288335
373436
507540
510
579 584619
0
200
400
600
800
1000
1200
Nu
mb
er
DBD Donors DCD Donors DBD
DCD
UK
UK
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Deceased and living donor transplants
9611062 1046 1055 1101 1148 1092 1081 1046 1051
25692660 2706
2916
3118
35083340
35283710
4039
0
500
1000
1500
2000
2500
3000
3500
4000
4500
2008-2009
2009-2010
2010-2011
2011-2012
2012-2013
2013-2014
2014-2015
2015-2016
2016-2017
2017-2018
Nu
mb
er
LD transplants DD transplants Over the last ten years
57% increase
in DD transplants
9% increase in LD
transplants
32.4
17.9
16.115.1 15.1 14.5
12.6
9.4
7.5 7.2 6.8 6.86.1
5.3 5.34.1 3.8
2.6 2
0
5
10
15
20
25
30
35
Tra
ns
pla
nts
pm
p
Country
Living donor kidney transplant rates for Europe, Australia and the USA, 2017
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Adult living donor kidney transplants
Increase in altruistic
and paired exchange
donor transplants
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Living kidney sharing scheme – exchange types
D1 R1
D2 R2
2-way
D1
R1
D2
R2
D3R3
3-way
AD
D1 R1
WL
Short Altruistic
Donor Chains
AD
D1 R1
D2 R2
WL
Long Altruistic
Donor Chains
From
April
2015
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This year compared
with last year:
1.9% more
deceased donors
1.3% fewer
DD transplants
What about 2018/19?
Fewer heart and lung transplants
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Median waiting times (months) to adult DD
organ transplant
Waiting time - months
Organ2012/13 report
2017/18 report
Kidney 38 25.5
Liver 5 3.5
Pancreas 12 11.5
Lung 9.5 9
Non-urgent heart 34* 35
Urgent heart 1* 1
Waiting times generally
falling or remaining constant
* 2014/15 report
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Median waiting time to adult kidney transplant
0
200
400
600
800
1000
1200
1400
1600
2005-2009 2006-2010 2007-2011 2008-2012 2009-2013
Me
dia
n w
ait
ing
tim
e (
da
ys)
Year of patients registered
Median waiting time to kidney only transplant in the UK, for patients registered 1 April 2005 - 31 March 2013
White
Asian
Black
Other
By Blood Group
By Ethnicity
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0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Kidne
y
Pan
crea
s
Live
r
Hea
rt
Lung
Died
Removed
Became urgent
Still waiting
Transplanted
Patient outcomes one year
after listing for transplant
Urgent heart patients and super-urgent liver patients excluded
Many patients still
die waiting for a
transplant
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Thank you
www.kidneycareuk.orgCheck out the Kidney Kitchenwww.kidneycareuk/transport
www.kidneycareuk/brexit