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Organ donation and transplantation in the UK – June 2019
Fiona Loud
Policy Director
Every day about 20
people in the UK develop
kidney failure
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
Kidneys 01.04.18 – 20.03.19
• 4,739 waiting
• 2409 transplants from deceased donors
• 935 transplants from living donors
• www.organdonation.nhs.uk
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
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
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
Adult living donor kidney transplants
Increase in altruistic
and paired exchange
donor transplants
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
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
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
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
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
Thank you
www.kidneycareuk.orgCheck out the Kidney Kitchenwww.kidneycareuk/transport
www.kidneycareuk/brexit
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