2008ANZODa

Donors Per Million Population
Australia 2002 - 2007
40
QLD
NSW *
ACT *
VIC
TAS
SA
NT
WA
40
30
30
20
20
10
10
0
0
Aust
2002
2003
2004
2005
2006
2007
10
9
11
10
10
9
* NSW population excludes residents of the NSW Southern Area Health Service
* ACT population includes residents of the NSW Southern Area Health Service
© ANZOD Registry
International Donor Statistics 2006
Donors PMP
33.8
A
N
Z
7.2 6.0
U
us K
tr
al
G ia
re
ec
e
18.817.7
16.315.315.1
14.113.0
11.410.5 9.8
Sp
ai
n
U
B SA
el
gi
u
Fr m
an
ce
Ita
Fi ly
nl
an
Ire d
C
l
ze an
ch d
R
e
H
un p
ga
N ry
or
G wa
er y
m
a
Sw ny
ed
C en
an
ad
Po a
l
D and
en
m
ar
k
26.926.4
23.221.7
20.720.1
Source: IRODaT
(International Registry of Organ Donation and Transplantation)
© ANZOD Registry
Number of Deceased Donors Solid Organ Transplants
and Patients on the Waiting List 2002 - 2007
3000
Deceased Donors
Transplants
Waiting List
2500
2000
1788
1824
Australia
3000
2500
1663
1716
1757
1690
1500
2000
1500
1000
721
634
500
206
789
179
218
736
1000
740
668
500
204
202
198
0
0
2002
2003
2004
2005
2006
2007
© ANZOD Registry
Donor Gender – States, Australia, New Zealand
1993-1997
1998-2002
2003-2007
Female
Male
100%
50%
0%
QLD
NSW
ACT
VIC
TAS
SA
NT
WA
AUST
NZ
© ANZOD Registry
Age Group of Deceased Donors
Australia
1999-2001 (545)
2002-2004 (603)
2005-2007 (604)
1999-2001
2002-2004
2005-2007
0-4
5-14
9
8
10
37
30
24
15-24 25-34 35-44 45-54 55-64 65-74
91
120
98
77
64
76
74
85
88
123
140
125
95
99
116
34
41
51
75 +
5
16
16
© ANZOD Registry
Age and Gender Distribution of Donors
Males
1999-2001 (325)
2002-2004 (370)
2005-2007 (326)
1999-2001
2002-2004
2005-2007
0-4
5-14
6
5
7
24
17
17
Australia
15-24 25-34 35-44 45-54 55-64 65-74
69
88
65
48
41
42
38
51
50
69
73
57
47
63
57
21
24
24
75 +
3
8
7
© ANZOD Registry
Age and Gender Distribution of Donors
Females
1999-2001 (220)
2002-2004 (233)
2005-2007 (278)
0-4
1999-2001
2002-2004
2005-2007
3
3
3
Australia
5-14 15-24 25-34 35-44 45-54 55-64 65-74 75 +
13
13
7
22
32
33
29
23
34
36
34
38
54
67
68
48
36
59
13
17
27
2
8
9
© ANZOD Registry
Age Group of Deceased Donors
New Zealand
1999-2001 (117)
2002-2004 (118)
2005-2007 (92)
1999-2001
2002-2004
2005-2007
0-4
5-14
1
1
0
5
5
2
15-24 25-34 35-44 45-54 55-64 65-74
21
26
14
11
10
9
18
27
18
35
20
24
20
22
22
6
5
3
75 +
0
2
0
© ANZOD Registry
Age and Gender Distribution of Donors
Males
1999-2001 (59)
2002-2004 (65)
2005-2007 (46)
1999-2001
2002-2004
2005-2007
0-4
5-14
0
0
0
4
2
1
New Zealand
15-24 25-34 35-44 45-54 55-64 65-74
11
13
10
10
6
7
7
17
6
14
13
8
8
10
13
5
3
1
75 +
0
1
0
© ANZOD Registry
Age and Gender Distribution of Donors
Females
1999-2001 (58)
2002-2004 (53)
2005-2007 (46)
1999-2001
2002-2004
2005-2007
0-4
5-14
1
1
0
1
3
1
New Zealand
15-24 25-34 35-44 45-54 55-64 65-74
10
13
4
1
4
2
11
10
12
21
7
16
12
12
9
1
2
2
75 +
0
1
0
© ANZOD Registry
Cause of Donor Death
Cerebrovascular
Trauma-Road
Trauma-Non Road
Other
Cerebral Tumour
Australia
743
574
563
385
261
164
245
139
129 125
121
35
30
1989-1994
250
1995-2000
15
2001-2007
© ANZOD Registry
Cause of Donor Death
Cerebrovascular
Trauma-Road
Trauma-Non Road
Other
Cerebral Tumour
New Zealand
113
95
90
58
42
34
24 20
24
9
1993-1997
21 19
3
2
1
1998-2002
2003-2007
© ANZOD Registry
Mean Number of Recipients Per Donor
Transplanted 1997 - 2007
5.0
Australia
New Zealand
5.0
4.0
4.0
3.0
3.0
2.0
2.0
1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007
© ANZOD Registry
Waiting List vs Deceased Donor Transplants
Australia 2003 - 2007
Kidneys
1488
Waiting List *
Tx Performed **
1407
1399
325
2003
406
2004
377
2005
1394
1388
342
370
2006
2007
* Source: NOMS (National Organ Matching System)
** Includes kidneys sent from New Zealand
© ANZOD Registry
Waiting List vs Deceased Donor Transplants
New Zealand 2003 - 2007
Kidneys
Waiting List *
Tx Performed **
559
433
370
339
301
67
57
47
41
65
2003
2004
2005
2006
2007
* Source of Waiting List – NZ Donor Coordinators
** Not
included kidneys sent to Australia: 2004 (1) 2005 (4)
© ANZOD Registry
Outcome of Request for Kidney Donation 2007
Australia
Total Donors 198
No request for kidney
donation 6
New Zealand
Total Donors 38
No request for kidney
donation 1
Request for donation 192
Request for donation 37
No consent given 0
No consent given 0
Consent given 192 Donors
Consent given 37 Donors
Kidneys not retrieved 26
Kidneys not retrieved 6
Kidneys retrieved 358
Kidneys not transplanted 9
Kidneys Transplanted 349
(342 Recipients Transplanted)
Kidneys en bloc 3
Double adult 4
Kidneys retrieved 68
Kidneys not transplanted 3
Kidneys Transplanted 65
(65 Recipients Transplanted)
Kidneys en bloc 0
Double adult 0
© ANZOD Registry
Age of Donors Providing Transplanted
Kidneys - Australia 2007
Donors (180)
Kidney Recipients (342)
40
35
32
25
3
0-4
21
14
6
4
5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84
Donor Age Group
© ANZOD Registry
Age of Donors Providing Transplanted
Kidneys - New Zealand 2007
Donors (35)
Kidney Recipients (65)
12
9
6
5
0
0-4
1
1
1
0
5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84
Donor Age Group
© ANZOD Registry
Deceased Donor Kidney Transplants
by Transplant State 2006 – 2007
Australia and New Zealand
2006
2007
60 70
QLD
105 97
NSW/ACT
370
99 93
VIC/TAS
72
50
SA/NT
342
41
34 32
WA
AUST
65
NZ
© ANZOD Registry
Primary Deceased Patient and Graft Survival
Australia 2001 - 2006
Kidney
100%
100%
90%
90%
80%
80%
Patient (n=1875)
70%
Graft
70%
(n=1875)
60%
60%
0
3
6
9
12
24
Months
© ANZOD Registry
Primary Deceased Patient and Graft Survival
New Zealand 2001 - 2006
Kidney
100%
100%
90%
90%
80%
80%
Patient (n=304)
70%
Graft
70%
(n=304)
60%
60%
0
3
6
9
12
24
Months
© ANZOD Registry
Primary Deceased Kidney Graft Survival
Terminal Serum Creatinine 2001 - 2006
Australia
100%
100%
90%
90%
80%
80%
Serum Creatinine
<= 120 (n=1621)
70%
70%
> 120 (n=235)
60%
60%
0
3
6
9
12
24
Months
© ANZOD Registry
Waiting List vs Deceased Donor Transplants
Australia 2003 - 2007
Waiting List *
Tx Performed **
Liver
177
110
133
2003
104
2004
x
163
125
2005
157
163 151
120
2006
2007
** Includes split livers and NZ livers transplanted in Australia
x Includes one hepatocyte transplan t
© ANZOD Registry
Waiting List vs Deceased Donor Transplants
New Zealand 2003 - 2007
Liver
Waiting List *
Tx Performed **
37
34
32
24
15
2003
12
2004
17
2005
31 30
13
2006
2007
** Includes livers from Australia transplanted in New Zealand
(8) 2003, (7) 2004, (6) 2005, (11) 2006, (8) 2007
© ANZOD Registry
Outcome of Request for Liver Donation 2007
Australia
Total Donors 198
No request for liver
donation 10
New Zealand
Total Donors 38
No request for liver
donation 0
Request for donation 188
Request for donation 38
No consent given 2
No consent given 0
Consent given 186 Donors
Consent given 38 Donors
Livers not retrieved 46
Livers retrieved 140
Livers not transplanted 7
Livers not retrieved 6
Livers retrieved 32
Livers not transplanted 0
Livers Transplanted 133 *
Livers Transplanted 32 *
* 147 Recipients Transplanted
* 34 Recipients Transplanted
118 whole livers
28 split livers - 1 reduced size
29 whole livers
4 split livers – 1 reduced size
© ANZOD Registry
Age of Donors Providing Transplanted
Livers - Australia 2007
Donors (133)
(1)+
(7)+
(3)+
(2)+
30
21
2
0-4
(1)+
24
16
3
23
11
3
5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84
Donor Age Group
+ Number of livers transplanted into two recipients
© ANZOD Registry
Age of Donors Providing Transplanted
Livers - New Zealand 2007
Donors (32)
(1)+
(1)+
9
9
6
4
0
0-4
1
1
2
0
5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84
Donor Age Group
+ Number of livers transplanted into two recipients
© ANZOD Registry
Liver Transplants by Transplant State
Australia and New Zealand 2006 - 2007
2006
2007
31 28
QLD
157 151
53 51
NSW
40 40
VIC
14 18
19 14
SA
WA
32 30
AUST
NZ
© ANZOD Registry
Deceased Patient and Graft Survival
Australia 2002 - 2006
Liver
100%
100%
90%
90%
80%
80%
Patient (n=907)
70%
Graft
70%
(n=962)
60%
60%
0
3
6
9
12
24
36
Months
© ANZOD Registry
Waiting List vs Deceased Transplants
Australia 2003 - 2007
Waiting List *
Tx Performed **
Heart
36
2003
75
74
65 66
2004
41
2005
71
40
2006
53 59
2007
** Includes hearts sent from New Zealand
© ANZOD Registry
Waiting List vs Deceased Transplants
Australia 2003 - 2007
Heart/Lungs
Double Lungs
Single Lungs
124
79
2003
87
101
2004
Waiting List *
Tx Performed **
105
87
2005
88
101
2006
106
83
2007
** Includes lungs sent from New Zealand
© ANZOD Registry
Waiting List vs Deceased Transplants
New Zealand 2003 - 2007
Waiting List *
Tx Performed **
Heart
13
9
4
2
4
6
5
8
6
9
2003
2004
2005
2006
2007
* Source of waiting list - NZ Donor Coordinators
** Not included hearts sent to Australia
2003 (3), 2004 (2), 2005 (3), 2006 (1), 2007 (3)
© ANZOD Registry
Waiting List vs Deceased Transplants
New Zealand 2003 - 2007
Heart/Lungs
Double Lungs
Single Lungs
Waiting List *
Tx Performed **
14
9
7
9
10
8
8
10
9
5
2003
2004
2005
2006
2007
* Source of waiting list - NZ Donor Coordinators
** Not included number of lungs sent to Australia
2003 (9), 2004 (3), 2005 (3), 2006 (3), 2007 (4)
© ANZOD Registry
Outcome of Request for Heart Donation 2007
Australia
Total Donors 198
No request for heart
donation 37
New Zealand
Total Donors 38
No request for heart
donation 5
Request for donation 161
Request for donation 33
No consent given 13
No consent given 0
Consent given 148 Donors
Consent given 33 Donors
Hearts not retrieved 73
Hearts retrieved 75
Hearts not transplanted 13
Hearts Transplanted 62
Hearts not retrieved 21
Hearts retrieved 12
Hearts not transplanted 0
Hearts Transplanted 12
Heart only - 56
Heart only - 12
Heart/Lungs - 6
Heart/Lungs - 0
© ANZOD Registry
Age of Donors Providing Transplanted
Hearts - Australia 2007
Donors (62)
21
10
0
0-4
11
10
3
7
0
5-14 15-24 25-34 35-44 45-54 55-64 65-74
Donor Age Group
© ANZOD Registry
Age of Donors Providing Transplanted
Hearts - New Zealand 2007
Donors (12)
6
0
0-4
1
1
1
2
1
0
5-14 15-24 25-34 35-44 45-54 55-64 65-74
Donor Age Group
© ANZOD Registry
Heart Transplants by Transplant State
Australia and New Zealand 2006 - 2007
Includes Hearts and Heart/Lungs
2006
2007
77
65
32
18 15
20 21
QLD
NSW
23
8
7 6
VIC
WA
AUST
9
NZ
© ANZOD Registry
Outcome of Request for Heart Valve Donation 2007
Australia
Total Donors 198
No request for heart valves
donation 98
New Zealand
Total Donors 38
No request for heart valves
donation 18
Request for donation 100
Request for donation 20
No consent given 19
No consent given 4
Consent given 81 Donors
Consent given 20 Donors
Hearts not retrieved 36
Hearts not retrieved 6
Hearts retrieved 45
Hearts retrieved 14
Valves stored - 42
Valves stored - 14
© ANZOD Registry
Outcome of Request for Lung Donation 2007
Australia
Total Donors 198
No request for lung
donation 40
New Zealand
Total Donors 38
No request for lung
donation 6
Request for donation 158
Request for donation 32
No consent given 11
No consent given 0
Consent given 147 Donors
Consent given 32 Donors
Lungs not retrieved 140
Lungs retrieved 154
Lungs not transplanted 4
Lungs not retrieved 38
Lungs retrieved 26
Lungs not transplanted 0
Lungs Transplanted 150
Lungs Transplanted 26
(Double lung - 65 recipients)
(Double lung - 13 recipients)
(Heart/double lung - 6 recipients)
(Single lung - 8 recipients)
(Heart/double lung - 0 recipients)
(Single lung - 0 recipients)
© ANZOD Registry
Age of Donors Providing Transplanted
Lungs - Australia 2007
Donors (75)
21
14
0
0-4
10
15
3
5-14
12
0
15-24 25-34 35-44 45-54 55-64 65-74
Donor Age Group
© ANZOD Registry
Age of Donors Providing Transplanted
Lungs - New Zealand 2007
Donors (13)
7
0
0-4
0
1
3
0
2
0
5-14 15-24 25-34 35-44 45-54 55-64 65-74
Donor Age Group
© ANZOD Registry
Lung Transplant Recipients 2006 - 2007
by Transplant State - Australia and NZ
2006
2007
101
83
47
35 30
35
12 11
QLD
7
NSW
VIC
10
7
WA
AUST
9
NZ
© ANZOD Registry
Bilateral Sequential (Double) and Single
Lung Transplants by State 2006 - 2007
BLS
Single
38
33
29
28
11
10
1
9
0
2
2
6
43
7
0
2006 2007
2006 2007
2006 2007
2006 2007
QLD
NSW
VIC
WA
© ANZOD Registry
Waiting List vs Deceased Transplants
Australia 2003 - 2007
Pancreas
(8)*
Waiting List **
Tx Performed
(7)*
(6)*
(6)*
(3)*
(4)*
(1)*
29 25
30 28
32 33
2003
2004
2005
(7)*
(7)*
42
34
2006
*
(5)*
38
28
2007
* Islets
© ANZOD Registry
Outcome of Request for Pancreas Donation 2007
Australia
Total Donors 198
No request for pancreas
donation 31
New Zealand
Total Donors 38
No request for pancreas
donation 12
Request for donation 167
Request for donation 26
No consent given 9
No consent given 0
Consent given 158 Donors
Consent given 26 Donors
Pancreas not retrieved 62
Pancreas retrieved 96
Pancreas not transplanted 63
Pancreas Transplanted 28
Islets Transplanted 5
(Kidney/Pancreas - 25)
(Pancreas only - 3)
Pancreas not retrieved 25
Pancreas retrieved 1
Pancreas not transplanted 0
Pancreas Transplanted 1
Islets Transplanted 0
(Kidney/Pancreas - 1)
(Pancreas only - 0)
© ANZOD Registry
Age of Donors Providing Transplanted
Pancreas and Islets - Australia 2007
Pancreas Transplants (28)
Islets Transplants
(5)+
Donors (33)
(1)+
(1)+
4
4
(1)+ (1)+
(1)+
15
4
0
0-4
1
0
0
5-14 15-24 25-34 35-44 45-54 55-64 65-74
Donor Age Group
© ANZOD Registry
Pancreas Graft Survival
According to Donor Age Groups
1987 - 2007
100
%
80
60
40
20
-------
< 19 (n=112)
-------
> 40 (n =58)
--------
20-39 (n=194)
0
0
5
10
15
20
Years Post Transplant
© ANZOD Registry
Pancreas Graft Survival
According to Cause of Donor Death
1987 - 2007
100
80
%
60
40
------- --
20
Cerebrovascular Disease (n=118)
--------- Trauma (n=210)
0
0
5
10
15
20
Years Post Transplant
© ANZOD Registry
Acceptance of Pancreas for Transplantation
and Research Australia 1998 - 2007
Transplanted *
Research-Islet Separation
26
18
21
17
7
1998
3
1999
8
2000
31
26
13
16
15
2001
2002
2003
31 31
34 33
2004
2005
4140
33
2006
37
2007
* Includes 23 Pancreas Islets transplanted from 2002-2007
© ANZOD Registry
Outcome of Request for Corneal Donation 2007
Australia
Total Donors 198
No request for corneal
donation 36
New Zealand
Total Donors 38
No request for corneal
donation 12
Request for donation 162
Request for donation 26
No consent given 58
No consent given 5
Consent given 104 Donors
Consent given 21 Donors
Corneas not retrieved 72
Corneas not retrieved 2
Corneas retrieved 136
Corneas not suitable 11
Corneas
Sent to Eye Bank 125
Corneas retrieved 40
Corneas not suitable 0
Corneas
Sent to Eye Bank 40
© ANZOD Registry
Outcome of Request for Bone Donation 2007
Australia
Total Donors 198
No request for bone
donation 105
Request for donation 93
New Zealand
Total Donors 38
No request for bone
donation 21
Request for donation 17
No consent given 48
No consent given 1
Consent given 45 Donors
Consent given 16 Donors
Bone not retrieved 34
Bone retrieved 11
Bone not transplanted 0
Bone Stored 11
Bone not retrieved 16
Bone retrieved 0
Bone not transplanted 0
Bone Stored 0
© ANZOD Registry