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OrganDonationand Transplantation Activities...AFR AMR EMR EUR SEAR WPR 74 11364 79 8911 713 6297 21...

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Organ Donation and Transplantation Activities EXECUTIVE SUMMARY 2018 INTERNATIONAL REPORT ON www.transplant-observatory.org October, 2020
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  • Organ Donation and Transplantation ActivitiesEXECUTIVE SUMMARY

    2018

    INTERNATIONAL REPORT ON

    www.transplant-observatory.org

    October, 2020

  • Global activity in organ transplantation Estimations 2018

    Kidney Liver Heart Lung Pancreas S. bowel

    95 479 34 074 8 311 6 475 2 338 163

    ≈ 146 840 solid organ transplants reported ≈ 6 % increase vs 2017≤ 10% of global needs36 % living kidney transplants 19 % living liver transplants 39 357 deceased donors reported

    Information of 86 Member States on organ transplantation activities (75% of the global population)

  • DECEASED DONATION ACTIVITY

  • Actual deceased

    organ donors2018*

  • 0,0 10,0 20,0 30,0 40,0 50,0 60,0

    Jordan (n=1)Nica ragua (n=1)

    Ma laysi a (n=7)Guatema la (n=5)

    Mongolia (n=1)Morocc o (n=12)

    Bol ivia (n=4)N. Macedonia (n=1)

    India (n=875)Leba non (n=4)

    Japan (n=95)Dom Republic (n=9)

    UAE (n=10)South Africa (n=92)

    Cyprus (n=2)Paraguay (n=13)

    Peru (n=65)Bulg aria (n=16)

    Rep of M oldova (n=10)Qa ta r (n=7)

    Serbia (n=23)Kuwait (n=12)

    Sa udi Arabia (n=96)Roma ni a (n=65)

    Thai land (n=261)Greece (n=45)

    Mexico (n=534)China (n=6302)

    Singa pore (n=26)Russia (n=646)Panama (n=27)

    Chil e (n=119)Costa Rica (n=35)

    Turkey (n=598)Ec ua dor (n=133)

    Colombia (n=398)Rep of Korea (n=449)

    Cuba (n=130)Germa ny (n=955)

    Luxembourg (n=7)Latvi a (n=24)

    Pola nd (n=498)New Z ea land (n=62)

    Israel (n=113)Slova kia (n=78)

    Argentina (n=701)Lithua nia (n=46)

    Netherla nds (n=281)Bra zil (n=3529)Irel and (n=81)

    Denma rk (n=100)Hung ary (n=168)

    Switzerland (n=158)Sweden (n=191)Norwa y (n=104)Canada (n=763)Finla nd (n=117)Sloveni a (n=46)Uruguay (n=77)

    Australi a (n=554)UK (n=1619)

    Austria (n=216)Italy (n=1466)Ma lta (n=10)

    Bela rus (n=238)Estonia (n=33)

    Czech Republic (n=282)France (n=1881)Belg ium (n=344)

    US A (n=10722)Ice land (n=10)

    Portug al (n=344)Croatia (n=169)Spain (n=2241)

    Rate Actual DBD Rate Actual DCD

    Deceased donation activities reported in 74/86 countries

    Actual deceased organ donors according to

    donor type pmp2018

    Deceased donors pmp

    DBD: 30 422 DCD: 8 935

  • HDI versusdeceaseddonationpmp2018

    0,0

    10,0

    20,0

    30,0

    40,0

    50,0

    0,4 0,5 0,6 0,7 0,8 0,9 1

    Dece

    ased

    dono

    rspm

    p

    HDI

    AFR AMR EMR EUR SEAR WPR

    WHO Regions:

    African Region (AFR)

    Region of the Americas (AMR)

    Eastern Mediterranean Region (EMR)

    European Region (EUR)

    South-East Region (SEAR)

    Western Pacific Region (WPR)

  • 0,0 5,0 10,0 15,0 20,0 25,0 30,0 35,0 40,0 45,0 50,0

    Algeria (0)Armenia (0)

    El Salvador (0)Georgia (0)

    Sudan (0)Syrian Arab Republic (0)

    Venezuela (0)Nicaragua (1)Malaysia (7)

    Guatemala (5)Bolivia (4)

    North Macedonia (1)India (875)

    Panama (3)Dominican Republic (9)

    Cyprus (2)Paraguay (13)

    Peru (65)Bulgaria (16)

    Republic of Moldova (10)Qatar (7)

    Kuwait (12)Saudi Arabia (96)

    Romania (65)Greece (45)

    Mexico (534)Russian Federation (646)

    Costa Rica (35)Turkey (598)

    Ecuador (133)Colombia (398)

    Cuba (130)Germany (955)

    Luxembourg (7)Latvia (24)

    Poland (498)New Zealand (62)

    Israel (113)Slovakia (78)

    Argentina (701)Lithuania (46)

    Netherlands (281)Brazil (3529)

    Ireland (81)Denmark (100)Hungary (168)

    Switzerland (158)Sweden (191)Norway (104)Finland (117)Slovenia (46)Uruguay (77)

    Australia (554)United Kingdom (1619)

    Austria (216)Italy (1466)Malta (10)

    Belarus (238)Estonia (33)

    Czech Republic (282)France (1881)Belgium (344)

    United States of America (10722)Iceland (10)

    Portugal (344)Spain (2241)

    Actual deceased donorspmp by age

    2018

    ≤ 60 years > 60 years

  • Actual deceased donors according to

    age groups (%)2018

    0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

    Mongolia (n=1)Ni carag ua (n=1)

    Jordan (n=1)North M acedonia (n=1)

    Cyprus (n=2)Bol ivi a (n=4)

    Guatemala (n=5)Qatar (n=7)

    Malaysia (n=7)Morocco (n=12)Parag uay (n=13)

    Panama (n=27)South Africa (n=92)

    Thailand (n=261)Peru (n=65)

    Bul gari a (n=16)Saudi Arabia (n=96)

    Kuwait (n=12)Bel arus (n=238)Mexic o (n=534)

    Ec uador (n=133)Col ombia (n=398)

    UAE (n=10)Russi a (n=646)Brazil (n=3529)

    Cuba (n=130)Uruguay (n=77)

    Serbi a (n=23)US A (n=10722)Estonia (n=33)

    India (n=875)Costa Ri ca (n=35)

    Japan (n=95)Argentina (n=701)

    Dom Republ ic (n=9)Pol and (n=498)Sl ov ak ia (n=78)

    Rep of Korea (n=449)Ireland (n=81)Lebanon (n=4)Greece (n=45)Iceland (n=10)

    Austra lia (n=554)Romania (n=65)Austria (n=216)

    New Zealand (n=62)Hungary (n=168)

    Latv ia (n=24)Turkey (n=598)

    Bel gium (n=344)UK (n=1619)

    Si ng apore (n=26)Czech Republ ic (n=282)

    Israel (n=113)Malta (n=10)

    Rep of Moldov a (n=10)Germ any (n=955)

    Luxembourg (n=7)Lithuania (n=46)

    Netherlands (n=281)France (n=1881)Fi nland (n=117)

    Denmark (n=100)Switzerl and (n=158)

    Norway (n=104)Portugal (n=344)

    Sl ov enia (n=46)Spain (n=2241)

    Ita ly (n=1466)Sweden (n=191)

    < 18 years

    18-59 years

    ≥ 60 years

  • Israel: 2 (0.2)

    Controlled and uncontrolled DCDOnly controlled DCDOnly uncontrolled DCD

    Japan: 29 (0.2)

    China: 4,523 (3.2)*

    Russian Federation: 37 (0.3)

    Canada: 227 (6.1)

    United States: 2 133 (6.5)

    Australia: 154 (6.2)

    New Zealand: 9 (1.9)

    Actual donorsafter the

    circulatorydetermination

    of death2018

    absolute number (pmp)

    8 931 DCD donors werereported in 2018 (22.7 % of total actual deceased organdonors).

    (N = 22 countries)*1 705 DBCD donors

  • Actual donors after the circulatory

    determination of death in Europe

    2018absolute number (pmp)

    629 (13.6)28 (2.7)57 (1.0)

    138 (2.1)

    619 (9.3)4 (0.8)

    103 (9.0)

    164 (9.6)

    10 (1.0)

    37 (0.3)

    1 (0.5)

    4 (0.1)

    13 (1.2)

    15 (1.7)32 (3.8)

    > 3 PMP1-3 PMP< 1 PMP

  • GLOBAL ORGAN TRANSPLANT ACTIVITY

  • Global transplantation

    activities of solid organs

    2018*

  • 0,0 20,0 40,0 60,0 80,0 100,0 120,0

    Lux embourg (n=0)Senegal (n=0)

    Ethiopi a (n=3 7)Nigeria (n=93)

    Venezue la (n=40)Morocco (n=52)

    Kenya (n=77)Nicaragua (n=16)

    Malaysi a (n=85 )Armenia (n=12)

    Dominican Rep (n= 57)El Salvador (n= 34)

    Rep of Moldova (n=24)Bulgaria (n=42)Algeria (n=275 )Sudan (n=27 3)

    Paraguay (n= 46)Guatemala (n=11 5)

    Peru (n=220)South A frica (n=3 91 )

    Bolivia (n=77 )Pakistan (n=1395 )

    Serbia (n=64)India (n=10340)Georgia (n=3 0)

    North Macedoni a (n=1 7)UA E (n=85 )

    Thailand (n=8 11)Romania (n=263)

    Sy ria (n=251 )China (n=20201)Panama (n=63)Russ ia (n=2196)Mongolia (n=48)

    Greece (n=1 72)Cyprus (n=19)Cuba (n=186)

    Ecuador (n=279)Kuwait (n=74)

    Qatar (n= 51)Japan (n=243 1)

    Chile (n=3 49)Costa Rica (n=100)

    Lebanon (n=123)Singapore (n=129)

    Jordan (n=224)Colombia (n=1199)

    Mex ico (n=3 352)Ice land (n=9)Latvia (n= 63)

    Slovakia (n=201 )Poland (n=1472)

    Lithuania (n=11 3)S. Arabia (n=13 50)

    Braz il (n=8829)Malta (n=19)

    Germ any (n=3 959)Argentina (n=22 14)

    Bel arus (n=482)Slovenia (n=109)

    Hungary (n=505)Estonia (n=74)

    Ireland (n= 274)Denm ark (n=33 5)Uruguay (n=205)

    N Zealand (n= 285 )Italy (n=37 88)

    Turkey (n= 5599)Finland (n=392)

    Is rae l (n= 609)Switzerland (n=611 )

    Netherlands (n=1269)Australia (n=1857)Norway (n= 409)

    Rep.Korea (n=3910)Sweden (n=77 1)

    Canada (n=2853)UK (n=5335 )

    Portugal (n=8 29)Czech Rep (n= 884)

    Croatia (n=3 53)France (n=58 14)Austria (n=798)

    Bel gium (n=1047)US A (n=373 86)Spain (n=532 1)

    Kidney pmp Liver pmp

    Heart pmp Lung pmp

    Pancreas pmp Small Bowell pmp

    Transplantactivity per

    type of organ (pmp)

    2018

    Solid organ transplants reported in 84/86 countries

  • Kidney transplantation

    activities 2018*

  • 0,0

    10,0

    20,0

    30,0

    40,0

    50,0

    60,0

    70,0

    80,0

    0,0

    10,0

    20,0

    30,0

    40,0

    50,0

    60,0

    70,0

    80,0

    Eth

    iop

    ia

    Nig

    eria

    Ve

    nezu

    ela

    Mor

    occ

    o

    Ke

    nya

    Mal

    ays

    ia

    Nic

    ara

    gu

    a

    Re

    p o

    f M

    old

    ova

    Bu

    lga

    ria

    Sou

    th A

    fric

    a

    Arm

    enia

    Serb

    ia

    Geo

    rgia

    Pe

    ru

    Dom

    Rep

    ub

    lic

    El S

    alv

    ad

    or

    Pa

    kis

    tan

    Ind

    ia

    Pa

    rag

    ua

    y

    Alg

    eria

    Sud

    an

    Gu

    atem

    ala

    Bo

    livia

    Uni

    ted

    Ara

    b E

    mir

    ate

    s

    Mon

    golia

    Re

    pub

    lic o

    f N

    ort

    h…

    Ch

    ina

    Ro

    man

    ia

    Ru

    ssia

    Tha

    ilan

    d

    Pa

    na

    ma

    Ch

    ile

    Co

    sta

    Ric

    a

    Gre

    ece

    Syria

    Sing

    ap

    ore

    Jap

    an

    Ecu

    ad

    or

    Cu

    ba

    Cyp

    rus

    Qa

    tar

    Ku

    wa

    it

    Co

    lom

    bia

    Leb

    ano

    n

    Jord

    an

    Mex

    ico

    Po

    lan

    d

    Slov

    enia

    Slov

    ak

    ia

    Ger

    ma

    ny

    La

    tvia

    Bra

    zil

    Lit

    hua

    nia

    S. A

    rab

    ia

    Ice

    lan

    d

    Arg

    enti

    na

    Hu

    nga

    ry

    Irel

    and

    Ita

    ly

    Be

    laru

    s

    N. Z

    eala

    nd

    Den

    ma

    rk

    Re

    p o

    f K

    orea

    Swit

    zerl

    and

    Fin

    lan

    d

    Cro

    ati

    a

    No

    rwa

    y

    Est

    oni

    a

    Swe

    den

    Aus

    tra

    lia

    Uru

    gua

    y

    Ca

    na

    da

    Be

    lgiu

    m

    Aus

    tria

    Isra

    el

    Tur

    key

    Mal

    ta

    Cze

    ch R

    epu

    blic

    Po

    rtu

    gal

    UK

    Fra

    nce

    Net

    herl

    and

    s

    USA

    Spa

    in

    Kidney tx from DD (pmp)

    Kidney tx from LD (pmp)

    Total Kidney tx (pmp)

    84/86 countries reported kidney transplant activities (living or deceased) in 2018

    ü95 479 kidney transplants

    ü6% increase vs 2017

    ü36% from living donors

    Kidney transplants per million population (pmp). 2018

  • Kidneytransplantsby WHO regions2018

    Absolute number (pmp);% kidney tx from deceased donors

    Kidney from LD

    Kidney from DD

    AMR 36 541 (37.2 pmp)

    69%

    AFR705 (1.5 pmp)

    18%

    EMR 3 207 (8.8 pmp)

    6%

    EUR27 917 (35.4 pmp)

    72%

    SEAR 8 604 (6.0 pmp)

    19%

    WPR 18 505 (11.1 pmp)

    72%

    Rates (pmp) are calculated by applying the population of the responding countries

  • Liver transplantation

    activities 2018*

  • 0,0

    5,0

    10,0

    15,0

    20,0

    25,0

    30,0

    35,0

    Moro

    cco

    Boliv

    ia

    Malay

    sia

    Alge

    ria

    Dom

    . Rep

    ublic

    Para

    guay

    Jorda

    n

    Kuwa

    itCu

    ba

    Pakis

    tan

    Unite

    d Ar

    ab…

    Peru

    India

    Leba

    non

    Sout

    h Afr i

    ca

    Thail

    and

    Ecua

    dor

    Serb

    ia

    Mexic

    o

    Bulga

    ria

    Gree

    ce

    Rep

    of Mo

    ldova

    Qata

    r

    Latv

    ia

    Japa

    n

    Geor

    gia

    Russia

    Roma

    nia

    Pana

    maCh

    ina Chile

    Colom

    bia

    Costa

    Rica

    Lithu

    ania

    Slova

    kia

    Singa

    pore

    Urug

    uay

    Denm

    ark

    Mong

    olia

    Eston

    ia

    S. Ar

    abia

    Hung

    ary

    Polan

    d

    Bela

    rus

    N Ze

    alan

    dBr

    azil

    Arge

    ntina

    Germ

    any

    Neth

    erlan

    ds

    Irelan

    d

    Finlan

    d

    Slove

    nia

    Austr

    alia

    Israe

    l

    Cana

    da UK

    Swed

    en

    Norw

    ay

    Switz

    erlan

    d

    Turk

    ey

    Fran

    ce

    Czec

    h Rep

    Austr

    iaIta

    ly

    Portu

    gal

    USASp

    ain

    Belgi

    um

    Rep

    of Ko

    rea

    Croa

    tia

    Liver Transplants form deceased and living donorsper million population (pmp). 2018

    Liver tx from DD (pmp)

    Liver tx from LD (pmp)

    Domino tx (pmp)

    Total Liver tx (pmp)

    70/86 countries reported liver transplant activities (living or deceased) in 2018

    ü 34 074 liver transplants

    ü 5% increase vs 2017

    ü 19% from living donors

  • Liver transplants by WHO Regions 2018

    Absolute numbers and % per donor type

    0%

    10%

    20%

    30%

    40%

    50%

    60%

    70%

    80%

    90%

    100%

    AFR AMR EMR EUR SEAR WPR

    7411364

    79

    8911

    713

    6297

    21755

    507

    1578

    1344

    2295

    0 15 1 31 1 1

    DOMINO LD DD

    TOTAL LIVER TX (pmp) 95 (0.2) 12 221 (12.4) 587 (1.6) 10 520 (13.3) 2 058 (1.4) 8 593 (5.1)% DD 78 94 14 85 35 73Countries with liveractivity 2 16 8 34 2 8

    *Rates (pmp) are calculated by applying the population of the responding countries

  • Heart transplantation

    activities 2018*

  • 0,00,10,20,20,20,30,30,30,40,40,40,40,40,60,70,70,8

    1,01,11,11,2

    1,61,61,61,7

    2,02,2

    2,93,03,13,23,33,43,4

    3,83,93,93,94,0

    4,34,34,5

    5,25,25,4

    5,96,4

    6,66,6

    6,97,07,0

    7,48,5

    8,810,5

    11,0

    0,0 2,0 4,0 6,0 8,0 10,0 12,0

    Malaysia (n=1)Jordan (n=1)

    India (n=241)Mexico (n=26)Panama (n=1)

    Paraguay (n=2)Lebanon (n=2)China (n=490)Romania (n=7 )

    Peru (n=12)Thailand (n= 26)

    United Arab Emirates (n=4)Japan (n=55)

    Bulgaria (n=4)Greece (n=8)

    South Afr ica (n=42)Saudi Arabia (n=27)

    Singapore (n=6)Turkey (n=91)Serbia (n=10)

    Colombia (n=57)Latvia (n=3)

    Costa Rica (n=8)Chile (n=30)

    Brazil (n=358)Russia (n= 285)

    Netherlands (n=38)UK (n=194)

    Argentina (n=132)Israel (n=26)

    Portugal (n= 33)Slovakia (n=18)

    Rep of Korea (n=176)Lithuania (n=10)

    Ireland (n=18)Poland (n=147)

    Germany (n=318)Italy (n=233)

    Uruguay (n=14)N Zealand (n=20)

    Belarus (n=41)Denmark (n=26)Aus tralia (n=128)Canada (n=193)Norway (n=29)

    Switzerland (n=50)Hungary (n=62)Sweden (n=66)Belgium (n=76)

    Spain (n=321)Czech Rep (n=74)

    France (n=459)Aus tria (n=65)Finland (n=47)Croatia (n=37)USA (n=3440)

    Slovenia (n=23)

    Heart transplantsper million population (pmp).

    2018

    ü 8 311 heart transplants

    ü 5% increase vs 2017

    57/86 countries reported heart transplant activities in 2018

  • Heart transplants by WHO Regions 2018

    WHO Region Number of Heart Transplants (pmp)

    Number of Paediatric Heart Transplants (pmp)

    (

  • Lung transplantation

    activities 2018*

  • 0,00,10,10,10,20,20,20,20,30,30,30,40,40,40,50,60,60,7

    1,01,01,1

    1,41,8

    2,42,42,6

    2,83,13,3

    4,04,3

    4,64,9

    5,25,6

    5,85,96,0

    6,67,4

    7,88,0

    9,09,8

    10,113,3

    00 02 04 06 08 10 12 14

    Mexico (n=3)Ecuador (n=1)

    Peru (n=4)India (n=191)

    Lebanon (n=1)Russia (n=28)

    Romania (n=4)United Arab Emirates (n=2)

    China (n=403)Colombia (n=17)Singapore (n=2)Costa Rica (n=2)

    South Africa (n=23)Belarus (n=4)

    Turkey (n=43)Japan (n=71)

    Brazil (n=121)Chile (n=13)

    Argentina (n=44)Saudi Arabia (n=35)

    Poland (n=43)Uruguay (n=5)

    Rep of Korea (n=92)Hungary (n=23)

    Italy (n=14 4)Portugal (n=27)

    UK (n=189)Estonia (n=4)

    Finland (n=18)Czech Rep (n=42)Denmark (n=25)

    Germany (n=375)Switzerland (n=42)

    Netherlands (n=89 )Norway (n=30)Ireland (n=28)

    France (n=382)N Zealand (n=28)

    Israel (n=56)Sweden (n=74)

    USA (n=2562)Spain (n=369)

    Australia (n=222)Canada (n=361)

    Belgium (n=116)Austria (n=117)

    Lung transplantsper million population (pmp). 2018

    ü 6 475 lung transplants

    ü 6% increase vs 2017

    46/86 countries reported lung transplant activities in 2018

  • Lung transplants by WHO regions2018

    WHO Region Number of Lung Transplants (pmp)

    Number of Paediatric Lung

    Transplants (pmp)(

  • Pancreas transplantation

    activities 2018*

  • Pancreas transplants by WHO regions2018

    WHO RegionN. of Pancreas

    Tx (pmp)*

    N. of countries with any activity

    AFR 8 (0.0) 1AMR 1 343 (1.4) 8EMR 8 (0.0) 1EUR 801 (1.0) 25

    SEAR 29 (0.0) 2

    WPR 149 (0.1) 4

    ü 2 338 pancreas transplants

    ü 4% increase vs 2017

    41/86 countries reported pancreas transplant activities in 20180,00,00,00,10,10,10,10,10,20,20,30,40,50,50,5

    0,70,7

    0,90,91,01,11,21,21,31,31,41,41,51,5

    1,81,8

    2,02,12,1

    2,32,8

    3,13,33,4

    4,14,2

    0,0 0,5 1,0 1,5 2,0 2,5 3,0 3,5 4,0 4,5

    Mexico (n=1)India (n=25)

    Turkey (n=4)Thailand (n=4)

    Peru (n=2)Belarus (n=1)Russia (n=17)

    South Africa (n=8)Colombia (n=10)

    Saudi Arabia (n=8)Japan (n=34)

    Chile (n=7)Hungary (n=5)Poland (n=20)

    Latvia (n=1)Italy (n=41)

    Brazil (n=150)Denmark (n=5)

    Israel (n=8)Ireland (n=5)

    Rep of Korea (n=58)Germany (n=95)

    France (n=78)N Zealand (n=6)

    Switzerland (n=11)Belgium (n=16)Slovenia (n=3)Estonia (n=2)

    Canada (n=57)Spain (n=82)

    Sweden (n=18)Argentina (n=89)

    Australia (n=51)Netherlands (n=36)

    Austria (n=20)Norway (n=15)USA (n=1027)

    UK (n=217)Portugal (n=35)

    Czech Rep (n=43)Finland (n=23)

    Pancreas transplants

    per million population

    (pmp). 2018

    *Rates (pmp) are calculated by applying the population of the responding countries

  • Small Bowel transplantation

    activities 2018*

  • Small bowel transplants by WHO region2018

    ü 163 transplants of small bowel

    ü 1% increase vs 2017

    16/86 countries reported small bowel transplant activities in 2018

    Small bowel transplants

    per million population (pmp). 2018

    WHO Region

    N. of S. BowelTx (pmp)*

    N. of countries with any activity

    AFR 0 (0.0) 0AMR 109 (0.1) 3EMR 4 (0.0) 1EUR 43 (0.1) 8SEAR 2 (0.0) 1WPR 5 (0.0) 3

    0,0 0,1 0,1 0,2 0,2 0,3 0,3 0,4 0,4

    India (n=2)

    Brazil (n=4)

    Rep of Korea (n=1)

    Argentina (n=1)

    Japan (n=3)

    Germany (n=3)

    Australia (n=1)

    France (n=3)

    Czech Rep (n=1)

    Netherlands (n=2)

    Israel (n=1)

    Saudi Arabia (n=4)

    Spain (n=6)

    Sweden (n=2)

    USA (n=104)

    UK (n=25)

    *Rates (pmp) are calculated by applying the population of the responding countries

  • Methods and definitions

    An ad hoc standard questionnaire for the activities related to organ donation and transplantation practices is annually distributed to the identified health authorities and focal points contributing to the global database.

    The definitions applied for the completion of the standardized questionnaire are derived from the WHO Global Glossary on Donation and Transplantation, which is accessible at http://www.transplant-observatory.org/download/global-glossary/or through the WHO website (http://www.who.int/transplantation/activities/en/).

    Definitions and explanations about how to complete the questionnaire can be found at the Global Observatory on Donation and Transplantation website (http://www.transplant-observatory.org/ ).

    Actual donor (=donor): a deceased person from whom at least one organ has been recovered for the purpose of organ removal. DBD: a deceased donor whose death has been determined by neurological criteria.DCD: a deceased donor whose death has been determined by circulatory criteria.

  • Transplants are counted as those performed only within the country. Counts for the multiorgan or double organ transplants are counted as follows:

    o One double kidney transplant is considered as one transplant.

    o One heart-lung transplant is counted as one lung transplant and one heart transplant.

    o One double lung transplant is considered as one transplant.

    o One Kidney-pancreas transplant is counted as one kidney transplant and one pancreas transplant.

    Counts for the number of recipients transplanted: For more than one organ transplanted into the same recipient, count as one recipient.

    Specific indicators have been added to the questionnaire along the years, in order to provide further information about the donation and transplantation activities performed around the globe.

  • The data provided correspond to the period from January 1st to December 31st 2018.

    Only countries reporting data for 2018 have been included in this report.

    To calculate rates per million population, the State of World Population reports, from the United Nations Population Fund (UNFPA), has been used as the source to estimate the population size.

    Data were analysed using descriptive statistics. Statistical analysis was performed with SPSS software (version 25.0) and the Excel tool was used for the creation of bar charts.

    The official maps are annually produced by the Information Evidence and Research (IER) Department at the WHO, derived from a datasheet of the Global Database.

    o DBD: Actual donors after brain deatho DCD: Actual donors after circulatory death (DCD)o DD: Actual deceased organ donorso LD: Living organ donorso GODT: Global Observatory on Donation and Transplantation

    Acronyms

    o ONT: Organización Nacional de Trasplantes, Spaino pmp: per million populationo Tx: Transplants o WHO: World Health Organization

  • Disclaimer

    The data and information presented here are published in order to promote transparency in transplantation activities.

    Whenever possible this information has been confirmed by official national sources. However, in some instances, there are still provisional estimates. It is therefore anticipated that some data presented may be modified without prior notice.

    As the facts displayed here are not definitive, they cannot be reproduced or quoted unless shown with the appropiatewarning and the date.

    For any references to this report, the following should be quoted: Organ Donation and Transplantation Activities 2018 Report. GlobalObservatory on Donation and Transplantation (GODT).

    For citations of the 2018 GODT data please quote the following: Those 2018 data are based on the Global Observatory on Donationand Transplantation (GODT) data, produced by the WHO-ONT collaboration.

    For any references in Charts and bar chart, please quote: * Data of the WHO-ONT Global Observatory on Donation andTransplantation.

  • ACKNOWLEDGEMENTS

    The GODT team is grateful to the identified focal points in Member States for their valuable

    contribution to the database, the Council of Europe for its contribution through the Newsletter

    Transplant and the Information Evidence and Research (IER) Department at WHO for the

    production of the global maps.


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