SECTION BELGIANTRANSPLANTCOORDINATORS

BTS 2017

DONOR

&

TRANSPLANT STATISTICS

2017

BELGIAN TRANSPLANT COORDINATORS 2017

President: D. Van Deynse (UCL)

Vice-President: N. Mauws (UZG)

Be-KPAC: G. Van Beeumen (UZA), N. Mauws (UZG)

Be-ThAC: W. Van Donink (UZA), D. Claes (UZL)

Be-LIAC: M.H. Delbouille (ULG), C. Walraevens (UZG)

Be-OPC: M.H. Delbouille (ULG), N. Mauws (UZG), G. Van Beeumen (UZA), B. Desschans (UZL), A. De Grauwe (UZB), D. Van Deynse (UCL), J. Gyssens (Erasme)

LDEP: N. Mauws (UZG)

Belgian Transplant Council: D. Van Deynse (UCL), N. Mauws (UZG)

Belgian Transplant Society: D. Van Deynse (UCL), N. Mauws (UZG)

OPC Eurotransplant: B. Desschans (UZL)

CSWG Eurotransplant: W. Van Donink (UZA)

Financial Committee Eurotransplant: L. Colenbie (UZG)

ETCO National Keymember: D. Van Deynse (UCL)

ACTIVITIES 2017

EDHEP training: 5 (NL) & 3 (FR) sessions

PRESENTATIONS:

School38%

Public37%

Professionals25%

DECEASED ORGAN DONOR

STATISTICS 2017

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

30,6

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

POTENTIAL DECEASED ORGAN DONORS 1990 – 2017

670640

621

677710

808

0

100

200

300

400

500

600

700

800

900

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

2015

2016

2017

n

POTENTIAL DECEASED ORGAN DONORS 1990 – 2017DBD VS DCD

456 460

254

348

0

100

200

300

400

500

600

700

800

900

2016 2017

DBD DCD

EFFECTIVE DECEASED ORGAN DONORS 1994 - 2017

n = 348

230

196

214

227

193 2

38 263

222

223

243

216

226

245

253

223

216

218 2

62

250

241

202

209

226

245

5

4

8

28 3

8

42 60

45

60

70

65

80 1

06 95

103

0

50

100

150

200

250

300

350

400

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

2015

2016

2017

= N

DBD DCD

DONOR ORIGIN

3137

2936 33 31 30

6963

7164 67 69 70

2011 2012 2013 2014 2015 2016 2017

= %

University Non-University

EFFECTIVE DCD 2005 - 2017

n= 103

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

Euthanasie 1 1 1 0 2 1 1 3 3 4 8 5 5

DCD IV 1 1 1 2 2 1

DCD III 8 27 38 37 57 41 57 67 62 74 96 89 98

DCD II 2 1 1 1 3 3 1

= N

% EFFECTIVE ORGAN DONORS 1990 - 2017

43

57

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

2015

2016

2017

Effective Refusals

% REASON OF NO DONATION 1991 - 2017

14,2

36,4

2,3

0,5

3,3

0

5

10

15

20

25

30

35

40

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

2015

2016

2017

= %

Family refusal

Medical CI

Objection Registry

Objection coronor

Other/unknown

DONOR PROFILE

(DECEASED ORGAN DONORS)

AGE OF EFFECTIVE DONORS 1990 - 2017

Note number of donors 1994: 230 vs 2017: 348

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 17

< 20 20-39 40-59 60+

CHILDREN (0 – 15Y) 2016 - 2017

1

6

1

3

1

1

1

0

1

2

3

4

5

6

7

8

2016 2017 2016 2017 2016 2017

0Y - 5Y 6Y - 10Y 11Y - 15Y

DBD DCD

AGE OF ORGAN DONORS 2017

Age DBD DCD Total

Donor max 89 79 89

Donor min 0 2 0

Mediaan (IQR) 53 (39-65) 56 (47-66) 54 (42-66)

Average 51 54 52

Age Heart Lung Liver Kidney Pancreas

Oldest 2017 68 81 89 81 50

Oldest 2016 63 82 87 80 44

Oldest 2015 66 79 91 79 22

Oldest 2014 58 79 86 79 49

CAUSE OF DEATH DONORS 2017DBD & DCD

23

19

12

108

2

4

7

4

37

28

1

21

35

3

5

20

4

2

6

7

ANOXIA / STRANGULAT ION

CARDIOVASCULAR

CEREBRAL ISCHEMIA

EUTHANAS IE

ICB

INTOXICAT ION (SU IC IDE )

MENINGIT IS

OTHER

SUIC IDE (GUNSHOT)

TRAUMA (OTHER )

TRAUMA (ROAD ACCIDENT)

TUMOR

= N

DBD DCD

% USED ORGANS OF EFFECTIVE DONORS

2017 = 54% of the donors are a tissuedonor

74,4

82,7

36,8

23,6

4,9

2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

0

10

20

30

40

50

60

70

80

90

100

%

Kidney Liver Lung Heart Pancreas

STATISTICS 2017

WAI T I NGL I ST (WL )

TR ANSP LANTS (DEC EASED DO NO R S )

MO RTAL I TY

HEART 2017

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

Mortality 14 12 17 10 12 21 22 19 23 16 23 19 13 20 18

TX 89 73 70 73 72 75 68 68 76 77 75 82 82 70 79

Active WL 33 34 32 29 34 43 58 67 59 76 95 89 110 117 103

0

20

40

60

80

100

120

140

= n

LUNG 2017

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

Mortality 10 10 8 7 5 6 9 7 9 10 16 11 1 7 8

Single Lung 28 28 19 34 21 15 11 21 12 9 2 5 6 3 3

Double Lung 41 36 44 53 93 67 79 93 99 120 99 97 108 126 118

Active WL 59 46 60 56 52 76 95 90 119 81 85 82 102 122 143

0

20

40

60

80

100

120

140

160

= n

LIVER 2017

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

Mortality 42 27 49 47 43 45 53 48 54 52 30 44 62 45 39

Split Liver Tx 23 20 25 12 11 18 12 3 7 0 2 10 4 1 9

Full Liver Tx 212 183 189 205 229 199 208 207 255 250 254 203 247 255 260

Active WL 184 243 249 185 176 189 191 193 172 181 184 187 172 174 201

0

50

100

150

200

250

300

= n

KIDNEY 2017

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

Mortality 25 36 30 50 21 23 30 34 37 30 28 27 43 33 31

Kidney en bloc 10 2 11 7 8 6 7 4 7 4 0 2 4 0 0

Kidney Tx 434 353 359 445 449 442 428 404 474 480 435 387 480 453 485

Active WL 852 936 955 911 840 813 866 914 883 791 770 878 813 797 849

0

200

400

600

800

1000

1200

= n

PANCREAS 2017

2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

Islet Tx 18 14 5 13 12 12 7 15 19 9 7 11 12 8

Vascular Tx 24 24 26 19 19 13 22 18 13 8 11 9 11 14

Active WL 25 19 24 36 27 36 28 26 32 37 44 44 40 37

Mortaliteit 1 1 1 2 4 4 2 3

0

5

10

15

20

25

30

35

40

45

50

= n

INTESTINE-TX 1999 - 2017

1 1

0

3

0

3

1

2

3

2

1

0

4

2

0

4

0 0

3

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

Intestine Tx ( = n)

LIVING DONOR

LIVING DONOR TRANSPLANTS 2017

Living liver: 3 domino transplants

13 1315

10

25

32

41 4245

49 49

40

57

63

68

57

6763

20

2730

40

25 24

18

26

13

23

3337

32

4240

33

46

36

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 2017

Kidney Liver

LIVING DONOR EXCHANGE PROGRAM 2017

ABO- inc47%XM

53%

Reason of participating

ABO- inc XM

Partner56%

Parent11%

Sister/brother11%

Friends9%

Family9%

Grandparent…

Relationship donor -recipient

Partner ParentSister/brother FriendsFamily Grandparent