SECTION BELGIANTRANSPLANTCOORDINATORS
BTS 2017
DONOR
&
TRANSPLANT STATISTICS
2017
BELGIAN TRANSPLANT COORDINATORS 2017
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)
ACTIVITIES 2017
EDHEP training: 5 (NL) & 3 (FR) sessions
PRESENTATIONS:
School38%
Public37%
Professionals25%
DECEASED ORGAN DONOR
STATISTICS 2017
DONORS PMI / BELGIUM
23,9
21,222,7
2627,5
24,825,7
24,3
29,2 28,827,4
25,3
28 28,4
30,6
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
POTENTIAL DECEASED ORGAN DONORS 1990 – 2017
670640
621
677710
808
0
100
200
300
400
500
600
700
800
900
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
n
POTENTIAL DECEASED ORGAN DONORS 1990 – 2017DBD VS DCD
456 460
254
348
0
100
200
300
400
500
600
700
800
900
2016 2017
DBD DCD
EFFECTIVE DECEASED ORGAN DONORS 1994 - 2017
n = 348
230
196
214
227
193 2
38 263
222
223
243
216
226
245
253
223
216
218 2
62
250
241
202
209
226
245
5
4
8
28 3
8
42 60
45
60
70
65
80 1
06 95
103
0
50
100
150
200
250
300
350
400
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
= N
DBD DCD
DONOR ORIGIN
3137
2936 33 31 30
6963
7164 67 69 70
2011 2012 2013 2014 2015 2016 2017
= %
University Non-University
EFFECTIVE DCD 2005 - 2017
n= 103
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Euthanasie 1 1 1 0 2 1 1 3 3 4 8 5 5
DCD IV 1 1 1 2 2 1
DCD III 8 27 38 37 57 41 57 67 62 74 96 89 98
DCD II 2 1 1 1 3 3 1
= N
% EFFECTIVE ORGAN DONORS 1990 - 2017
43
57
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
Effective Refusals
% REASON OF NO DONATION 1991 - 2017
14,2
36,4
2,3
0,5
3,3
0
5
10
15
20
25
30
35
40
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
= %
Family refusal
Medical CI
Objection Registry
Objection coronor
Other/unknown
DONOR PROFILE
(DECEASED ORGAN DONORS)
AGE OF EFFECTIVE DONORS 1990 - 2017
Note number of donors 1994: 230 vs 2017: 348
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17
< 20 20-39 40-59 60+
CHILDREN (0 – 15Y) 2016 - 2017
1
6
1
3
1
1
1
0
1
2
3
4
5
6
7
8
2016 2017 2016 2017 2016 2017
0Y - 5Y 6Y - 10Y 11Y - 15Y
DBD DCD
AGE OF ORGAN DONORS 2017
Age DBD DCD Total
Donor max 89 79 89
Donor min 0 2 0
Mediaan (IQR) 53 (39-65) 56 (47-66) 54 (42-66)
Average 51 54 52
Age Heart Lung Liver Kidney Pancreas
Oldest 2017 68 81 89 81 50
Oldest 2016 63 82 87 80 44
Oldest 2015 66 79 91 79 22
Oldest 2014 58 79 86 79 49
CAUSE OF DEATH DONORS 2017DBD & DCD
23
19
12
108
2
4
7
4
37
28
1
21
35
3
5
20
4
2
6
7
ANOXIA / STRANGULAT ION
CARDIOVASCULAR
CEREBRAL ISCHEMIA
EUTHANAS IE
ICB
INTOXICAT ION (SU IC IDE )
MENINGIT IS
OTHER
SUIC IDE (GUNSHOT)
TRAUMA (OTHER )
TRAUMA (ROAD ACCIDENT)
TUMOR
= N
DBD DCD
% USED ORGANS OF EFFECTIVE DONORS
2017 = 54% of the donors are a tissuedonor
74,4
82,7
36,8
23,6
4,9
2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
0
10
20
30
40
50
60
70
80
90
100
%
Kidney Liver Lung Heart Pancreas
STATISTICS 2017
WAI T I NGL I ST (WL )
TR ANSP LANTS (DEC EASED DO NO R S )
MO RTAL I TY
HEART 2017
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Mortality 14 12 17 10 12 21 22 19 23 16 23 19 13 20 18
TX 89 73 70 73 72 75 68 68 76 77 75 82 82 70 79
Active WL 33 34 32 29 34 43 58 67 59 76 95 89 110 117 103
0
20
40
60
80
100
120
140
= n
LUNG 2017
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Mortality 10 10 8 7 5 6 9 7 9 10 16 11 1 7 8
Single Lung 28 28 19 34 21 15 11 21 12 9 2 5 6 3 3
Double Lung 41 36 44 53 93 67 79 93 99 120 99 97 108 126 118
Active WL 59 46 60 56 52 76 95 90 119 81 85 82 102 122 143
0
20
40
60
80
100
120
140
160
= n
LIVER 2017
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Mortality 42 27 49 47 43 45 53 48 54 52 30 44 62 45 39
Split Liver Tx 23 20 25 12 11 18 12 3 7 0 2 10 4 1 9
Full Liver Tx 212 183 189 205 229 199 208 207 255 250 254 203 247 255 260
Active WL 184 243 249 185 176 189 191 193 172 181 184 187 172 174 201
0
50
100
150
200
250
300
= n
KIDNEY 2017
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Mortality 25 36 30 50 21 23 30 34 37 30 28 27 43 33 31
Kidney en bloc 10 2 11 7 8 6 7 4 7 4 0 2 4 0 0
Kidney Tx 434 353 359 445 449 442 428 404 474 480 435 387 480 453 485
Active WL 852 936 955 911 840 813 866 914 883 791 770 878 813 797 849
0
200
400
600
800
1000
1200
= n
PANCREAS 2017
2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Islet Tx 18 14 5 13 12 12 7 15 19 9 7 11 12 8
Vascular Tx 24 24 26 19 19 13 22 18 13 8 11 9 11 14
Active WL 25 19 24 36 27 36 28 26 32 37 44 44 40 37
Mortaliteit 1 1 1 2 4 4 2 3
0
5
10
15
20
25
30
35
40
45
50
= n
INTESTINE-TX 1999 - 2017
1 1
0
3
0
3
1
2
3
2
1
0
4
2
0
4
0 0
3
1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Intestine Tx ( = n)
LIVING DONOR
LIVING DONOR TRANSPLANTS 2017
Living liver: 3 domino transplants
13 1315
10
25
32
41 4245
49 49
40
57
63
68
57
6763
20
2730
40
25 24
18
26
13
23
3337
32
4240
33
46
36
0
10
20
30
40
50
60
70
80
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Kidney Liver
LIVING DONOR EXCHANGE PROGRAM 2017
ABO- inc47%XM
53%
Reason of participating
ABO- inc XM
Partner56%
Parent11%
Sister/brother11%
Friends9%
Family9%
Grandparent…
Relationship donor -recipient
Partner ParentSister/brother FriendsFamily Grandparent