Newsletter Europe 2009

COUNCILOF EUROPE

CONSEILDE LEUROPE

INTERNATIONAL FIGURES ON

DONATION AND TRANSPLANTATION - 2008

2009

NEWSLETTER

TRANSPLANTSEPTEMBER 2009

Vol. 14. N 1

NEWSLETTER TRANSPLANT 14-09:aula medica 24/7/09 10:00 Pgina I

AUSTRIAJacqueline Smits (ET)BELGIUMJacqueline Smits (ET)BULGARIADimitar BrunkovCYPRUSGeorge KyriakidesCZECH REPUBLICPavel BrezovskDENMARKFrank Pedersen (SKT)ESTONIAPeeter DmitrievFINLANDFrank Pedersen (SKT)FRANCECristelle CantrelleFabienne PessioneGERMANYJacqueline Smits (ET)GREECEStratos ChatzixirosHUNGARYEszter Miskovits IRELANDFreda ONeill ITALYAndrea RicciLATVIABaltTransplantLITHUANIAVita AnulytLUXEMBURGJacqueline Smits (ET)MALTANETHERLANDSJacqueline Smits (ET)POLANDJaroslaw CzerwinskiPORTUGALMaria Joo AguiarROMANIARosana TURCUSLOVAKIALudovit LacaSLOVENIAJacqueline Smits (ET)

SPAINCarmen MartinManuel SerranoDavid UruuelaSilvia MartinSWEDENFrank Pedersen (SKT)UNITED KINGDOM Toyab Hussain

(ET) EUROTRANSPLANT Austria, Bel-gium, Croatia, Germany, Luxemburg,Netherlands, Slovenia

(SKT) SCANDIATRANSPLANTDenmark, Finland, Norway, Sweden,Iceland

AUSTRALIALee ExcellCANADAMarianne TangCROATIAJacqueline Smits (ET)GEORGIAGia TomadzeICELANDFrank Pedersen (SKT)ISRAELTamar AshkenaziMOLDOVAIgor CodreanuNEW ZEALANDLee ExcellNORWAYFrank Pedersen (SKT)SWITZERLANDFranziska BeyelerTURKEYNuran ERDENUSAwww.unos.org

ARGENTINAMartn Alejandro TorresRicardo Rubn Ibarwww.grupopuntacana.org

BOLIVIAAna Claudia Pachecowww.grupopuntacana.orgBRASILwww.grupopuntacana.orgCHILEwww.grupopuntacana.orgCOLOMBIAJuan Gonzalo Lpez Casaswww.grupopuntacana.orgCOSTA RICACUBAJuan Alberto Falcn AlvarezJuan Carlos Michelenawww.grupopuntacana.orgDOMINICANAwww.grupopuntacana.orgECUADOREL SALVADORRal Armando Palomo EscobarGUATEMALARudolf A. Garca-Gallontwww.grupopuntacana.orgHONDURASMEXICOEnrique Martnez GutirrezOmar Snchez RamrezNICARAGUAPANAMADavid CrespoPARAGUAYHugo A. Espinoza C.PERUURUGUAYIns AlvarezRaul Jos Mizrajiwww.grupopuntacana.orgVENEZUELACarmen Luisa Lattuf de Milanswww.grupopuntacana.org

GRUPO PUNTA CANAArgentina, Bolivia, Brasil, Chile, Colombia, Costa Rica, Cuba, Dominicana, Ecuador, El Salvador, Espaa, Guatemala, Honduras, Mxico,Nicaragua, Panam, Paraguay, Per,Portugal, Puerto Rico, Uruguay y Venezuelawww.grupopuntacana.org

INTERNATIONAL FIGURES ON ORGAN, TISSUE & HEMATOPOIETIC STEM CELL DONATION

& TRANSPLANTATION ACTIVITIES. DOCUMENTS PRODUCED BY THE COMMITTEE

OF EXPERTS ON THE ORGANISATIONAL ASPECTS OF CO-OPERATION IN ORGAN TRANSPLANTATION (2008)

Editor: Rafael Matesanz

NATIONAL DATA PROVIDED BY:

Organizacin Nacional de Trasplantes (ONT) SpainRafael MatesanzBeatriz MahilloMarina Alvarez

Foot Note: For the purposes of this Newsletter the following definitions were used:Organ donor: Every potential donor transferred to the operating theatre from whom, at least, one solid organ has been retrievedMultiorgan donor: Every donor from whom, at least, two different solid organs have been retrievedAbsolute number: Include all figures corresponding to all donors/patients adults and childrenPaediatric: Includes only paediatric activity (patients under 15 years old)

AULA MDICA EDICIONES. Isabel Colbrand, 10-12 - 2 planta. 28050 Madrid (Espaa)Tel. 91 358 64 78. Fax 91 358 99 79. Depsito legal: M-9.990-1996

NEWSLETTER TRANSPLANT 14-09:aula medica 24/7/09 10:00 Pgina II

1

NEWSLETTER

TRANSPLANT 2009

INTERNATIONAL FIGURES ON DONATION AND TRANSPLANTATION ACTIVITY. YEAR 2008 ........................... 3

INTERNATIONAL DATA ON ORGAN DONATION AND TRANSPLANTATION ACTIVITY, WAITING LISTAND FAMILY REFUSALS. YEAR 2008 ................................................................................................... 25

INTERNATIONAL DATA ON TISSUES AND HEMATOPOIETIC STEM CELL DONATION ANDTRANSPLANTATION ACTIVITY. YEAR 2008 ............................................................................................. 39

THE DECLARATION OF ISTANBUL ON ORGAN TRAFFICKING AND TRANSPLANT TOURISM. YEAR 2008 ... 49

CONTENTS

NEWSLETTER TRANSPLANT 14-09:aula medica 24/7/09 10:00 Pgina 1

COUNCILOF EUROPE

CONSEILDE LEUROPE

2

NEWSLETTER TRANSPLANT 14-09:aula medica 24/7/09 10:00 Pgina 2

3

International Figures onDonation and

Transplantation Activity.Year 2008

COUNCILOF EUROPE

CONSEILDE LEUROPE

NEWSLETTER TRANSPLANT 14-09:aula medica 24/7/09 10:00 Pgina 3

4

6.3

20.5

16.5

15.2 23.8 13

.0

11.2

14.6

11.8

18.4

14.7

19.1 20.6

18.3

18.7

2.9 1.

1

8.9

3.6

9.8

21.1

34.2

25.3

11.8

18.4

14.7

12.8

25.7

18.6

26.7

9.7

DEC

EASE

D O

RG

AN

DO

NO

RS

Ann

ual R

ate

p.m

.p. 2

008

18.6

NEWSLETTER TRANSPLANT 14-09:aula medica 27/7/09 12:00 Pgina 4

5

58.1

45.5

28.2 43.8 23

.5

21.2

33.5

35.7

31.3

25.7

32.1 43.3

25.7

35.6

10.8 2.

7

21.5

23.2

83.0

19.4

29.1

48.3

45.4

38.0

33.2

38.2

46.5

45.7

6.2

49.4

15.0

KID

NEY

TR

AN

SPLA

NT

in

clud

ed a

ll th

e co

mbi

natio

ns

Ann

ual R

ate

p.m

.p. 2

008

1.6

15.6

NEWSLETTER TRANSPLANT 14-09:aula medica 24/7/09 10:01 Pgina 5

6

37.6

30.7

26.5 41.5 23

.0

20.7

26.6

22.2

27.3

23.3

29.3 36.4

25.7

33.6

5.5 1.

1

16.9

5.7

34.0

11.7

26.9

44.9

41.9

22.6

30.9

23.0

21.5

41.4

6.2

44.8

13.5

DEC

EASE

D D

ON

OR

SK

IDN

EY TR

AN

SPLA

NT

Ann

ual R

ate

p.m

.p. 2

008

NEWSLETTER TRANSPLANT 14-09:aula medica 24/7/09 10:01 Pgina 6

7

20.5

14.8

1.7 2.3 0.

4

0.5

6.9

13.5

3.9

2.4

2.8 7.0 2.0

5.3 1.

5

4.6

17.4

48.6

7.6

2.2

3.4

3.5

15.4

2.3

15.3

25.1

4.2

4.6

1.5

LIV

ING

KID

NEY

TRA

NSP

LAN

TA

nnua

l Rat

e p.

m.p

. 200

8

1.6

15.6

NEWSLETTER TRANSPLANT 14-09:aula medica 24/7/09 10:01 Pgina 7

8

16.5

15.8

8.8 1.5

6.4

13.7

8.0

2.2

3.6

9.3 13.9

10.9

14.7

2.1 1.

2

5.3

8.4

7.6

17.8

24.0

15.9

11.0

13.2

11.9

8.0 21

.6

25.8

1.8

LIV

ER T

RA

NSP

LAN

TA

nnua

l Rat

e p.

m.p

. 200

8

NEWSLETTER TRANSPLANT 14-09:aula medica 24/7/09 10:01 Pgina 8

9

8.1

4.9

3.9

1.6

4.7

3.6

4.9

2.2

5.7 7.4 3.0

4.5

0.3 0.

4

1.5

0.7

2.7

5.7

6.3

6.0

3.8

0.9

2.1

1.6

7.0

3.9

1.5

HEA

RT TR

AN

SPLA

NT

Hea

rt-L

ung

TX I

nclu

ded

Ann

ual R

ate

p.m

.p. 2

008

NEWSLETTER TRANSPLANT 14-09:aula medica 24/7/09 10:01 Pgina 9

10

6.3

5.6

2.3

0.3

3.3

3.3

1.9 14.3

0.3

7.0

1.6

4.2

3.4

5.3

0.9

2.3

3.4

7.7

0.4

0.6

LUN

G T

RA

NSP

LAN

TSi

ngle

+ D

oubl

e Lu

ngH

eart

-Lun

g TX

Inc

lude

dA

nnua

l Rat

e p.

m.p

. 200

8

NEWSLETTER TRANSPLANT 14-09:aula medica 24/7/09 10:01 Pgina 10

11

2.1

1.1

0.4

0.5

1.6

0.5

2.5 4.1 3.2

0.2

0.1

1.5

1.1

2.3

1.3

2.2

2.7

3.6

0.9

1.7

1.3

1.2

PAN

CR

EAS

TRA

NSP

LAN

Tin

clud

ed a

ll th

e co

mbi

natio

ns

Ann

ual R

ate

p.m

.p. 2

008

NEWSLETTER TRANSPLANT 14-09:aula medica 24/7/09 10:01 Pgina 11

12

1.9

0.4

0.5

1.5

0.5

2.2 3.7 3.2

0.2

1.5

0.8

1.9

1.1

2.0

2.7

2.7

0.7

1.7

0.9

1.2

KID

NEY

-PA

NC

REA

STR

AN

SPLA

NT

Ann

ual R

ate

p.m

.p. 2

008

1.1

NEWSLETTER TRANSPLANT 14-09:aula medica 24/7/09 10:01 Pgina 12

13

5

NEWSLETTER TRANSPLANT 14-09:aula medica 27/7/09 12:00 Pgina 13

14

CA

NA

DA

US

A

AU

ST

RA

LIA

NEW

ZEA

LAN

D

Popu

latio

n (m

illion

inha

bitan

ts): 3

3.3D

ecea

sed

Org

an D

. - in

clud

ed N

HBD

- (p

mp)

486

(14.6)

Dec

ease

d D

onor

K

idne

y TX

(pmp

)80

3 (24

.1)Li

ving

Kid

ney

TX (p

mp)

474

(14.2)

Live

r TX

in

clud

ed a

ll th

e co

mbi

natio

ns -

(pmp

)54

5 (13

.6)H

eart

TX

-inc

lude

d H

eart

-Lun

g TX

- (p

mp)

1680

(5.0)

Hea

rt-L

ung

TX (p

mp)

40(0.

1)Lu

ng T

X

incl

uded

all

the

com

bina

tions

- (p

mp)

1350

(4.1)

Panc

reas

TX

incl

uded

all

the

com

bina

tions

- (p

mp)

85 (8

2.6)

Popu

latio

n (m

illion

inha

bitan

ts): 3

03.9

Dec

ease

d O

rgan

D. -

incl

uded

NH

BD -

(pmp

)79

84 (2

6.3)

Dec

ease

d D

onor

K

idne

y TX

(pmp

)10

550

(34.7)

Livi

ng K

idne

yTX

(pmp

)59

67 (1

9.6)

Live

r TX

in

clud

ed a

ll th

e co

mbi

natio

ns -

(pmp

)63

18 (2

0.8)

Hea

rt T

X -i

nclu

ded

Hea

rt-L

ung

TX -

(pmp

)21

630

(7.1)

Hea

rt-L

ung

TX (p

mp)

270

(0.1)

Lung

TX

in

clud

ed a

ll th

e co

mbi

natio

ns -

(pmp

)14

780

(4.9)

Panc

reas

TX

incl

uded

all

the

com

bina

tions

- (p

mp)1

2730

(4.2)

Popu

latio

n (m

illion

inha

bitan

ts): 2

1.4D

ecea

sed

Org

an D

. - in

clud

ed N

HBD

- (p

mp)

259

(12.1)

Dec

ease

d D

onor

K

idne

y TX

(pmp

)45

9 (21

.5)Li

ving

Kid

ney

TX (p

mp)

352

(16.4)

Live

r TX

in

clud

ed a

ll th

e co

mbi

natio

ns -

(pmp

)19

50(9.

1)H

eart

TX

-inc

lude

d H

eart

-Lun

g TX

- (p

mp)

850

(3.9)

Hea

rt-L

ung

TX (p

mp)

50(0.

2)Lu

ng T

X

incl

uded

all

the

com

bina

tions

- (p

mp)

1150

(5.4)

Panc

reas

TX

incl

uded

all

the

com

bina

tions

- (p

mp)

320

(1.5)

Popu

latio

n (m

illion

inha

bitan

ts): 4

.3D

ecea

sed

Org

an D

. - in

clud

ed N

HBD

- (p

mp)

310

(7.3)

Dec

ease

d D

onor

K

idne

y TX

(pmp

)53

(12.4

)Li

ving

Kid

ney

TX (p

mp)

68 (1

5.9)

Live

r TX

in

clud

ed a

ll th

e co

mbi

natio

ns -

(pmp

)24

0(5.

6)H

eart

TX

-inc

lude

d H

eart

-Lun

g TX

- (p

mp)

100

(2.3)

Hea

rt-L

ung

TX (p

mp)

-

Lung

TX

in

clud

ed a

ll th

e co

mbi

natio

ns -

(pmp

)14

0(3.

2)Pa

ncre

as

TX

incl

uded

all

the

com

bina

tions

- (p

mp)

40(0.

9)

NEWSLETTER TRANSPLANT 14-09:aula medica 24/7/09 10:01 Pgina 14

15

DEC

EASE

D O

RG

AN

DO

NO

RS

Ann

ual R

ate

p.m

.p. 2

008

3.1

16.6

0.7

0.6

1.8

9.6

2.2 13.1

19.1

2.1

7.1

7.2

3.3

NEWSLETTER TRANSPLANT 14-09:aula medica 24/7/09 10:01 Pgina 15

16

KID

NEY

TR

AN

SPLA

NT

in

clud

ed a

ll th

e co

mbi

natio

ns

Ann

ual R

ate

p.m

.p. 2

008

21.8

12.8

10.7

6.3

5.1

7.3

14.6

8.7 24.1

12.3

20.5

9.6

36.7

5.2

NEWSLETTER TRANSPLANT 14-09:aula medica 24/7/09 10:01 Pgina 16

17

DEC

EASE

D D

ON

OR

S K

IDN

EYTR

AN

SPLA

NT

/ LIV

ING

K

IDN

EY TR

AN

SPLA

NT

Ann

ual R

ate

p.m

.p. 2

008

5.3 15.9

12.1 0.7

0.7 10.0

1.1 5.30.0 5.1

3.6 3.613

.3 1.3

4.2 4.5 18.9 5.2

12.3

11.0 9.5

6.4 3.6

34.5 2.1

1.2 4.0

NEWSLETTER TRANSPLANT 14-09:aula medica 24/7/09 10:01 Pgina 17

18

LIV

ER T

RA

NSP

LAN

TA

nnua

l Rat

e p.

m.p

. 200

80.

92.

50.

1

4.1

7.0

4.4

5.7

0.4

0.9

NEWSLETTER TRANSPLANT 14-09:aula medica 24/7/09 10:01 Pgina 18

19

HEA

RT TR

AN

SPLA

NT

Hea

rt -

Lung

TX

Inc

lude

dA

nnua

l Rat

e p.

m.p

. 200

80.

10.

3

1.7

2.5

1.1

1.1

3.3

0.2

NEWSLETTER TRANSPLANT 14-09:aula medica 24/7/09 10:01 Pgina 19

20

LUN

G T

RA

NSP

LAN

TSi

ngle

+ D

oubl

e Lu

ngH

eart

- Lu

ng T

X I

nclu

ded

Ann

ual R

ate

p.m

.p. 2

008

0.3

0.8

0.5

0.3

1.2

NEWSLETTER TRANSPLANT 14-09:aula medica 24/7/09 10:01 Pgina 20

21

KID

NEY

- PA

NC

REA

STR

AN

SPLA

NT

Ann

ual R

ate

p.m

.p. 2

008

0.1

0.1

1.9

0.2

1.8

NEWSLETTER TRANSPLANT 14-09:aula medica 24/7/09 10:01 Pgina 21

22

17

NEWSLETTER TRANSPLANT 14-09:aula medica 24/7/09 10:01 Pgina 22

23

NEWSLETTER TRANSPLANT 14-09:aula medica 24/7/09 10:01 Pgina 23

24

NEWSLETTER TRANSPLANT 14-09:aula medica 24/7/09 10:01 Pgina 24

25

International Data on OrganDonation and Transplantation Activity,

Waiting List and Family Refusals.Year 2008

COUNCILOF EUROPE

CONSEILDE LEUROPE

NEWSLETTER TRANSPLANT 14-09:aula medica 24/7/09 10:01 Pgina 25

26

DO

NAT

ION

AN

D T

RA

NSP

LAN

TATI

ON

AC

TIVI

TY

EUR

OP

EAN

UN

ION

CO

UN

TRIE

SC

OU

NTR

IES

AU

STR

IAB

ELG

IUM

BU

LGA

RIA

CY

PR

US

CZE

CH

. R.

DEN

MA

RK

ESTO

NIA

FIN

LAN

DFR

AN

CE

GER

MA

NY

Pop

ulat

ion

(mill

ion

inha

bita

nts)

8.3

10.7

7.0

0.7

10.4

5.5

1.3

5.3

63.6

82.2

DO

NAT

ION

Dec

ease

d O

rgan

D. -

incl

uded

NH

BD

- (p

mp)

172

(20.

6)27

4 (2

5.7)

8 (1

.1)

13 (1

8.6)

198

(19.

1)65

(11.

8)31

(23.

8)81

(15.

2)16

10 (2

5.3)

1199

(14.

6)N

HB

Don

ors

(pm

p)3

(0.4

)42

(3.9

)0

-1

(0.1

)-

0-

47 (0

.7)

-%

Mul

tiorg

an d

onor

s76

.785

7010

054

.165

265

93.7

86.7

TRA

NSP

LAN

TATI

ON

KID

NE

YTX

in

clud

ed a

ll th

e co

mbi

natio

ns -

(pm

p)36

1 (4

3.3)

487

(45.

7)19

(2.7

)58

(83.

0)33

4 (3

2.1)

196

(35.

7)57

(43.

8)15

0 (2

8.2)

2885

(45.

4)27

53 (3

3.5)

% (L

ivin

g TX

/ To

tal T

X)16

.19.

257

.958

.68.

137

.85.

36

7.6

20.5

Pae

diat

ric