canadian organ replacement register (corr) preliminary statistics on organ donation, transplantation...
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Canadian Organ Replacement Register (CORR)
Preliminary Statistics on Organ Donation, Transplantation and Waiting List:
2005 CORR Preliminary ReportDr. J.S. Gill
Presented at
CST Annual Meeting, Banff
Friday March 18, 2005
*Figures updated July 22, 2005
Active Transplant Programs, Canada, December 31, 2004 (Number)
PROV Kidney Heart Liver Panc/
K-P
Lung Bowel
NS 2 1 1 0 0 0
QC 8 5 3 2 1 0
ON 7 4 3 2 1 2
MB 1 0 0 0 1 0
SK 1 0 0 0 0 0
AB 2 1 1 2 1 1
BC 3 1 1 1 1 0
Total 24 12 9 7 5 3
*In 2004, the liver program in Halifax resumed and a living liver program commenced at St-Luc (Montreal).
Organ Donors,1 Canada, 1995-2004 (Number)
1 Deceased donors are defined as donors originating in Canada where at least one solid organ was used for transplant. Data are from Quarterly Reports provided by Canadian OPOs.
Source: Canadian Organ Replacement Register, Canadian Institute for Health Information (2005)
0
50
100
150
200
250
300
350
400
450
500
Deceased 437 420 429 415 421 471 420 405 428 414
Living 230 265 283 368 392 409 447 440 431 468
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
Organ Donors, Canada and Provinces, 2004 (Rate per million population)1
1 Crude rate.
Source: Canadian Organ Replacement Register, Canadian Institute for Health Information (2005)
0.0
5.0
10.0
15.0
20.0
25.0
30.0
Deceased 13.0 7.4 16.9 9.0 6.0 12.3 18.0 10.2
Living 14.7 18.8 24.7 14.1 12.0 17.1 5.8 11.1
CAN BC AB SK MB ON QC ATL
Transplants,1 Canada, 1995-2004 (Number)
1 Includes living and deceased donors and combination transplants. Excludes islet cell transplants unless done in combination with a solid organ. Data are from Quarterly Reports provided by Canadian OPOs.
Source: Canadian Organ Replacement Register, Canadian Institute for Health Information (2005)
1,542 1,564 1,610 1,6231,728
1,8821,785 1,789 1,801 1,773
0
200
400
600
800
1,000
1,200
1,400
1,600
1,800
2,000
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
Transplants,1 Canada, 1995-2004 (Rate per million population)2
1 Includes living and deceased donors and combination transplants. Excludes islet cell transplants unless done in
combination with a solid organ. Data are from Quarterly Reports provided by Canadian OPOs
2Crude rate.
Source: Canadian Organ Replacement Register, Canadian Institute for Health Information (2005)
52.6 52.8 53.8 53.856.8
61.357.5 57.0 56.9 55.5
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
Renal Transplants,1 Canada 1995-2004 (Number)
1 Does not include combination transplants.
Source: Canadian Organ Replacement Register, Canadian Institute for Health Information (2005)
938 943 970 993 1,013
1,1041,053 1,027 1,044 1,013
0
200
400
600
800
1,000
1,200
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
Distribution of Renal Transplants by Donor Type, Canada 1995-2004
Source: Canadian Organ Replacement Register, Canadian Institute for Health Information (2005)
0%
20%
40%
60%
80%
100%
LURD 36 45 53 73 92 97 89 108 113 96
LRD 193 220 233 291 289 291 309 290 285 317
DEC 709 678 684 629 632 716 655 629 646 600
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
Distribution of Renal Transplants by Donor Type and Treatment Province, 2004
Source: Canadian Organ Replacement Register, Canadian Institute for Health Information (2005)
0%
20%
40%
60%
80%
100%
LURD 31 17 3 2 24 11 8
LRD 47 50 11 12 147 32 18
DEC 53 71 18 14 214 198 32
BC AB SK MB ON QC ATL
Liver Transplants by Donor Type, Canada, 1995-2004 (Number)
Source: Canadian Organ Replacement Register, Canadian Institute for Health Information (2005)
0
50
100
150
200
250
300
350
400
450
Living 0 1 0 3 9 19 44 42 35 53
Deceased 319 349 340 335 369 384 339 339 366 364
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
Single Lung, Bilateral Lung and Heart-Lung Transplants,1 Canada, 1995-2004 (Number)
1 Includes living and deceased donors.
Source: Canadian Organ Replacement Register, Canadian Institute for Health Information (2005)
0
20
40
60
80
100
120
140
160
Heart-lung 8 4 7 7 5 4 3 7 2 3
Bilateral Lung 45 43 52 46 56 86 84 96 95 103
Single Lung 27 29 34 30 30 34 39 36 21 29
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
Heart Transplants, Canada, 1995-2004 (Number)
Source: Canadian Organ Replacement Register, Canadian Institute for Health Information (2005)
181167 163
154166
173161 164
157143
0
20
40
60
80
100
120
140
160
180
200
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
Simultaneous Kidney-Pancreas Transplants, Canada, 1995-2004 (Number)
Source: Canadian Organ Replacement Register, Canadian Institute for Health Information (2005)
1519
30
40
5147
33
44
38
45
0
10
20
30
40
50
60
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
Islet Cell Transplant Recipients, Canada, 1995-2004 (Number)
Source: Canadian Organ Replacement Register, Canadian Institute for Health Information (2005)
0
10
20
30
40
50
Vancouver 0 0 0 0 7 13
Edmonton 12 21 21 36 25 29
1999 2000 2001 2002 2003 2004
Transplants Performed in 2004, Canada and US (Rate per million population)1,2
1Crude rate.
2Canadian population used was 31,946,316. US population used was 295,652,989.
3Includes single and bilateral lung transplants.
Source: Canadian Organ Replacement Register, Canadian Institute for Health Information (2005)
18.8
12.9 13.0
4.5 4.1
31.6
22.420.9
6.84.0
0
5
10
15
20
25
30
35
Dec Kidney LD Kidney Liver Heart Lung(3)
CORR UNOS
Waiting List
• As of December 31, 2004, there were 4,004 patients waiting for an organ transplant in Canada – appears to be fairly constant since 2001
• Patients waiting for a kidney transplant comprise 72% of the waiting list (n=2,872).
• During 2004, 224 people died while waiting for an organ, which included 96 (43%) patients waiting for a liver transplant and 55 (25%) patients waiting for a kidney.
Patients Waiting for Transplants at Year-end (December 31), Canada, 1995-2004 (Number)
1Excludes patients waiting for islet cell transplants.
Source: Canadian Organ Replacement Register, Canadian Institute for Health Information (2005)
2,5922,829 2,874
3,2293,514
3,8003,964 3,956 3,914 4,013
0
500
1,000
1,500
2,000
2,500
3,000
3,500
4,000
4,500
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
Distribution of Patients Waiting for Transplants by Organ Type (extra-renal), Canada, December 31, 2004
Source: Canadian Organ Replacement Register, Canadian Institute for Health Information (2005)
667
125155
22
109
51 50
0
100
200
300
400
500
600
700
Liver Heart Bi-lung S-lung Kid-Panc Panc Islet Cell
Total Patient Deaths for 2004, Canada (Number)
Source: Canadian Organ Replacement Register, Canadian Institute for Health Information (2005)
55
96
2633
103 1
0
10
20
30
40
50
60
70
80
90
100
Kidney Liver Heart Bi-lung S-lung Kid-Panc Bowel
Transplants1 and Waiting List at Year-end,2 Canada, 1995-2004 (Number)
1Includes single and combination transplants.
2Waiting list includes active and on-hold patients and excludes patients who died while on the waiting list. Excludes patients waiting for islet cell transplants.
Source: Canadian Organ Replacement Register, Canadian Institute for Health Information (2005)
0
500
1,000
1,500
2,000
2,500
3,000
3,500
4,000
4,500
Transplants 1,542 1,564 1,610 1,623 1,728 1,882 1,785 1,789 1,801 1,773
Waiting List 2,592 2,829 2,874 3,229 3,514 3,800 3,964 3,956 3,914 4,013
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
Patients Waiting for a Transplant by Organ Type, Canada and US,1 20042 (Rate per million population)3
1Waiting list includes active and on-hold patients and excludes patients dying on the waiting list.
2Canadian data as of December 31, 2004. Canadian population used was 31,946,316. US data as of March 13, 2005. US population used was 295,652,989.
3Crude rate.
4Includes single and bilateral lungs.
Source: Canadian Organ Replacement Register, Canadian Institute for Health Information (2005)
89.9
20.93.9 5.5 3.4
206.3
58.5
10.9 12.8 8.2
0.0
20.0
40.0
60.0
80.0
100.0
120.0
140.0
160.0
180.0
200.0
220.0
Kidney Liver Heart Lung(4) Kid-Panc
Canada US
Median Wait Times (Start of Dialysis to First Deceased Kidney Donor Transplant), Provinces, 2003
Source: Canadian Organ Replacement Register, Canadian Institute for Health Information (2005)
973.5
1,575.5
816
533.5
1,1771,236
907
665.5
0
250
500
750
1,000
1,250
1,500
1,750
2,000
CAN BC AB SK MB ON QC ATL
Median Wait Time (days) by Medical Status and ABO, All Liver Transplants, Canada, 20041
1For some groups, number of recipients is very small. Based on recipient wait times only.
Source: Canadian Organ Replacement Register, Canadian Institute for Health Information (2005)
88
168.5183
245
1.5 2 6
0
50
100
150
200
250
300
A AB B O
Non-urgent Urgent
Median Wait Time (days) by Medical Status and ABO, All Heart Transplants, Canada, 20041
1For some groups, number of recipients is very small. Based on recipient wait times only.
Source: Canadian Organ Replacement Register, Canadian Institute for Health Information (2005)
58 64
86
166
11 16
5343
0
20
40
60
80
100
120
140
160
180
200
A AB B O
Non-urgent Urgent
Median Wait Time (days) by Medical Status and ABO, All Lung Transplants, Canada, 20041
1For some groups, number of recipients is very small. Based on recipient wait times only.
Source: Canadian Organ Replacement Register, Canadian Institute for Health Information (2005)
225
404.5
486.5
258
4912
270
138.5
0
50
100
150
200
250
300
350
400
450
500
A AB B O
Non-urgent Urgent
Acknowledgements
• The Canadian Organ Replacement Register (CORR) is a register of the Canadian Institute for Health Information.
• CORR data would not exist without the support of transplant programs and organ procurement organizations across Canada.
• CORR has support and participation from the CSN, CST, The Kidney Foundation of Canada, CANNT and CAT.
Financial Support
• CORR is funded by the Federal, Provincial and Territorial Ministries of Health via the Canadian Institute for Health Information.
• CORR receives support from The Kidney Foundation of Canada for the printing of the its annual report.