45
DONOR & TRANSPLANT STATISTICS SECTION BELGIAN TRANSPLANTCOORDINATORS BTS 2016
DONOR
&
TRANSPLANT
STATISTICS
SECTION BELGIANTRANSPLANTCOORDINATORS
BTS 2016
President: D. Van Deynse (UCL)
Vice-Precident: N. Mauws (UZG)
Be-KPAC G.Van Beeumen (UZA), Nel ly Mauws (UZG)
Be-ThAC W.Van Donink (UZA), D.Claes (UZL)
Be-LIAC M.H.Delboui l le (Ulg) , Colenbie Luc (UZG)
Be-OPC M.H.Delboui l le (Ulg) , Nel ly Mauws (UZG), Gerda Van Beeumen (UZA), Bruno Desschans (UZL), Annelies De Grauwe(UZB), Dominique Van Deynse(UCL), Gyssens Johan (Erasm)
LDEP Nelly Mauws (UZG)
Belgian Transplant Counci l : D. Van Deynse (UCL), N. Mauws (UZG)
Belgian Transplant Society: D. Van Deynse (UCL), N. Mauws (UZG)
OPC Eurotransplant: Bruno Desschans (UZL)
CSWG Eurotransplant: W. Van Donink (UZA)
Financial Committee Eurotransplant: L. Colenbie (UZG)
ETCO National Keymember: D. Van Deynse (UCL)
BELGIAN TRANSPLANT COORDINATORS2016
EDHEP training: 5 (NL) & 0 (FR) sessions
PRESENTATIONS:
ACTIVITIES 2016
School38%
Public34%
Professionals28%
REGISTER NATIONAL DATABANK
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016PRO 27449 28999 30295 32557 58032 74331 88228 98980 104992 115744 156213 181194 204234 211205 247435
CONTRA 192542 192867 193585 193040 190257 191668 192959 189790 188504 187080 186704 186324 186612 187304 190964
0
50000
100000
150000
200000
250000
300000
Reg
istr
atio
ns
PRO CONTRA
DECEASED ORGAN DONOR STATISTICS 2016
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
0
5
10
15
20
25
30
35
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
Belgium
POTENTIAL DECEASED ORGAN DONORS 1990 - 2016
670640
621
677
456
254
0
100
200
300
400
500
600
700
800
19
90
19
91
19
92
19
93
19
94
19
95
19
96
19
97
19
98
19
99
20
00
20
01
20
02
20
03
20
04
20
05
20
06
20
07
20
08
20
09
20
10
20
11
20
12
20
13
20
14
20
15
20
16
DCD
710
EFFECTIVE DECEASED ORGAN DONORS 1994 - 2016
n = 321
230
196214 227
193
238263
222 223243
216 226245 253
223 216 218
262 250 241
202 209226
5
48
2838
42 60 45
6070
65
80
10695
0
50
100
150
200
250
300
350
19
94
19
95
19
96
19
97
19
98
19
99
20
00
20
01
20
02
20
03
20
04
20
05
20
06
20
07
20
08
20
09
20
10
20
11
20
12
20
13
20
14
20
15
20
16
= n
DCD
DBD
DONOR ORIGIN
3137
2936 33 31
6963
7164 67 69
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
2011 2012 2013 2014 2015 2016
Non-University
University
EFFECTIVE DCD2005 - 2016
n= 95
2 1 1 1 3 3 18
2738 37
57
41
5767
62
74
9689
1
1
1
2
2
1
3
4
8
5
0
20
40
60
80
100
120
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
Euthanasie
DCD IV
DCD III
DCD II
% EFFECTIVE ORGAN DONORS 1990 - 2016
45,2
54,8
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Refusals
Effective
% REASON OF NO DONATION1991 - 2016
13,1
35,7
1,51
3,5
0
5
10
15
20
25
30
35
40
= %
Family refusal
Medical CI
Objection Registry
Objection coronor
Other/unknown
DONOR PROFILE(DECEASED ORGAN DONORS)
AGE OF EFFECTIVE DONORS1990 - 2016
Note number of donors 1994: 230 vs 2016: 321
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
60+
40-59
20-39
< 20
Age DBD DCD Total
Donor max 87j 84j 87j
Donor min < 1j 11j < 1j
Mediaan (IQR) 55 (44 - 66) 57 (48-65) 55 (41-65)
Average 54 55 52
AGE OF ORGAN DONORS 2016
Age Heart Lung Liver Kidney Pancreas
Oldest 2016 63 82 87 80 44
Oldest 2015 66 79 91 79 22
Oldest 2014 58 79 86 79 49
Number DBD DCD Total
Child donor <15j 2 1 3
CAUSE OF DEATH DONORS 2016DBD & DCD
10
16
21
114
2
2
4
3
30
22
2
19
25
11
5
17
2
4
6
1
4
1
0 20 40 60 80 100 120 140
Anoxia / Strangulation
Cardiovascular
Cerebral Ischemia
Euthanasie
ICB
Intoxication (suicide)
Meningitis
Other
Suicide (gunshot)
Trauma (other)
Trauma (road accident)
Tumor
= n
DBD
DCD
ORGANS USED FOR TXDBD VS DCD
3,6 3,73,8
3,7
3,43,5
3,4 3,3 3,33,1
2,5
2,0
2,4
2,7 2,7 2,72,6
2,3 2,3
2,7
0,0
0,5
1,0
1,5
2,0
2,5
3,0
3,5
4,0
4,5
5,0
2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
= n DBD
DCD
% USED ORGANS OF EFFECTIVE DONORS2010 - 2016
72,6
84,1
39,6
22,4
3,4
Kidney
Liver
Lung
Heart
Pancreas
0 10 20 30 40 50 60 70 80 90 100
2016
2015
2014
2013
2012
2016 = 56% of the donors are a tissuedonor
STATISTICS 2016
WAITINGLIST (WL)TRANSPLANTS (DECEASED DONORS)MORTALITY
HEART 2016
33 34 3229
34
43
58
67
59
76
9589
110
117
0
20
40
60
80
100
120
140
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
= n
Active WL
HEART 2016
89
7370
73 7275
68 68
76 77 75
82 82
70
0
20
40
60
80
100
120
140
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
TX
Active WL
HEART 2016
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
Mortality 14 12 17 10 12 21 22 19 23 16 23 19 13 20
TX 89 73 70 73 72 75 68 68 76 77 75 82 82 70
Active WL 33 34 32 29 34 43 58 67 59 76 95 89 110 117
0
20
40
60
80
100
120
140
= n
LUNG 2016
59
46
6056
52
76
9590
119
8185
82
102
122
0
20
40
60
80
100
120
140
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
Active WL
LUNG 2016
28 28
19
34
2115
11
21
129
25 6
3
4136
44
53
93
67
79
9399
120
99 97
108
126
0
20
40
60
80
100
120
140
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
Single Lung
Double Lung
Active WL
LUNG 2016
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
Mortality 10 10 8 7 5 6 9 7 9 10 16 11 1 7
Single Lung 28 28 19 34 21 15 11 21 12 9 2 5 6 3
Double Lung 41 36 44 53 93 67 79 93 99 120 99 97 108 126
Active WL 59 46 60 56 52 76 95 90 119 81 85 82 102 122
0
20
40
60
80
100
120
140
= n
LIVER 2016
184
243249
185176
189 191 193
172181 184 187
172 174
0
50
100
150
200
250
300
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
Active WL
LIVER 2016
23 20 2512 11
1812
3 70 2
104 1
212
183189
205
229
199208 207
255 250 254
203
247255
0
50
100
150
200
250
300
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
Split Liver Tx
Full Liver Tx
Active WL
LIVER 2016
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
Mortality 42 27 49 47 43 45 53 48 54 52 30 44 62 45
Split Liver Tx 23 20 25 12 11 18 12 3 7 0 2 10 4 1
Full Liver Tx 212 183 189 205 229 199 208 207 255 250 254 203 247 255
Active WL 184 243 249 185 176 189 191 193 172 181 184 187 172 174
0
50
100
150
200
250
300
= n
KIDNEY 2016
852
936 955911
840813
866914
883
791 770
878
813 797
0
200
400
600
800
1000
1200
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
Active WL
KIDNEY 2016
10 2 11 7 8 6 7 4 7 4 0 2 4 0
434
353 359
445 449 442 428404
474 480435
387
480453
0
200
400
600
800
1000
1200
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
Kidney en bloc
Kidney Tx
Active WL
KIDNEY 2016
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
Mortality 25 36 30 50 21 23 30 34 37 30 28 27 43 33
Kidney en bloc 10 2 11 7 8 6 7 4 7 4 0 2 4 0
Kidney Tx 434 353 359 445 449 442 428 404 474 480 435 387 480 453
Active WL 852 936 955 911 840 813 866 914 883 791 770 878 813 797
0
200
400
600
800
1000
1200
= n
PANCREAS 2016
25
19
24
36
27
36
2826
32
37
44 44
40
0
5
10
15
20
25
30
35
40
45
50
2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
Active WL
PANCREAS 2016
2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
Islet Tx 18 14 5 13 12 12 7 15 19 9 7 11 12
Vascular Tx 24 24 26 19 19 13 22 18 13 8 11 9 11
Active WL 25 19 24 36 27 36 28 26 32 37 44 44 40
Mortaliteit 1 1 1 2 4 4 2
0
5
10
15
20
25
30
35
40
45
50
= n
INTESTINE-TX1999 - 2016
1 1
0
3
0
3
1
2
3
2
1
0
4
2
0
4
0 00
1
2
3
4
5
1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
Intestine Tx
TRANSPLANTED VS PROCURED ORGANS2016
Remark procured: liver incl 1 liver for split & 2 single lung donors
70
255 256
453
110
72
240
271
449
110
0
50
100
150
200
250
300
350
400
450
500
Heart Lung Liver Kidney Pancreas Intestine
= n Transplanted (n= organ)
Procured
LIVING DONOR
LIVING DONOR TRANSPLANTS 2016
57
63
68
57
67
32
4240
33
46
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
Kidney
Liver
Living liver: 3 domino transplants
Results
• 2013 : no transplants
• 2014 : 2 couples transplanted
• 2015: 5 couples transplanted
• 2016: no transplants
LIVING DONOR EXCHANGE PROGRAM
Run 1: april 2013 – Run 6: march 2015 2013 – 2016: 6 runs / 36 couples Run 7: march 2017 (16 couples)
LIVING DONOR EXCHANGE PROGRAM
2
8
1110
86
7
8
56
5
0
2
4
6
8
10
12
14
16
18
Run 1 Run 2 Run 3 Run 4 Run 5 Run 6
LDEP - overview runs 2013 - 2016
New
Old
LIVING DONOR EXCHANGE PROGRAM
ABO- inc49%XM
51%
Reason of participating
Partner67%
Father - Son8%
Sisters5%
Brothers in law6%
Friends8%
Family6%
Relationship donor - recipient
SUMMARY
DONOR Increase of 15% positive registrations in the national registry in 2016
Highest number of potential donors (= potential + effective donors)
increase of 5%
Effective donors (+2%) : Increase of amount DBD donors: 70% DBD in 2016 (66% DBD in 2015)
84% is a liverdonor- 3,4% is a pancreasdonor
Potential donors: 36% donor refusals for medical reasons (highest number)
Family refusals remains stable (13,1%)
CONCLUSION 2016 VS 2015ORGAN DONATION
HEART Slight increase of the waitinglist (+6%) Decrease of transplantations (-17%) Higher mortality on WL (17%)
LUNG Waitinglist and transplantations still increases (+16% & +12%) Higher mortality on WL (6%)
LIVER Waitinglist and transplantations remains the same (+1% & +2%) Lower mortality on WL = 26% in 2016 / 36% in 2015 Increase of living donation (+28%) – highest number
CONCLUSION 2016 VS 2015TRANSPLANTATION
Kidney Slight decrease of WL and transplantations (-2% & -6%)
Increase in living donation (+15%)
Pancreas Decrease of WL (-10%)
Amount of vascular transplantations remains the same
CONCLUSION 2016 VS 2015TRANSPLANTATION
THANK YOU FOR YOURATTENTION
