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ORGAN PROCUREMENT

CHAPTER 9

© ANZDATA Registry

Figure 9.1Number of Donors** by Retrieval State (X) 2006 - 2010

( ) Donors Per Million

  2006 2007 2008 2009 2010

Queensland 36 (9) 39 (9) 48 (11) 47 (11) 49 (11)New South Wales + * 49 (7+) (7*) 53 (8+) (8*) 57 (8+) (8*) 68 (10+) (10*) 87 (12+) (12*)ACT + * 4 (7+) (12*) 1 (2+) (3*) 5 (9+) (14.5*) 8 (14+) (23*) 10 (17+) (28*)Victoria 46 (x) (9) 55 (11) 67 (13) 65 (x) (12) 98 (x) (18)Tasmania 8 (16) 1 (2) 8 (16) 5 (10) 10 (20)South Australia 36 (23) 27 (17) 43 (27) 33 (20) 31 (19)Northern Territory 2 (10) 3 (14) 3 (14) 2 (9) 2 (9)Western Australia 21 (10) 19 (9) 28 (13) 19 (8.5) 22 (10)Australia 202 (9.8) 198 (9.4) 259 (12.1) 247 (11.3) 309 (13.8)New Zealand 25 (6.0) 38 (9.0) 31 (7.3) 43 (10.0) 41 (9.4)

(x) Refers to donors retrieved by retrieval State (ie Albury-NSW donors retrieved by Victoria) + NSW population excludes residents of the NSW Southern Area Health Service (included in ACT population

* NSW population includes residents of the NSW Southern Area Health Service (excluded from ACT population)Medical services from the ACT service the NSW Southern Area Health Region. Population data—June 2008 ABS 3101.0

** This figure relates to the number of donors for whom the retrieval operation commenced for the purpose of transplantation.

It includes donors who may have been deemed medically unsuitable at the time of surgery or after removal of organs.

© ANZDATA Registry

Figure 9.2

Donors per Million Population and Donors per Thousand Deaths ( )Australian States - Australia and New Zealand 2004 - 2009

Year QLD NSW * ACT * VIC TAS SA NT WA AUST NZ

2004 10 (1.6) 9 (1.4) 19 (4.2) 9 (1.4) 4 (0.5) 25 (3.4) 5 (1.1) 12 (2.1) 11 (1.6) 10 (1.4)2005 9 (1.5) 8 (1.2) 28 (6.0) 10 (1.5) 4 (0.5) 13 (1.7) 20 (4.1) 15 (2.6) 10 (1.6) 7 (1.1)2006 9 (1.5) 7 (1.1) 12 (2.7) 9 (1.3) 16 (2.0) 23 (3.0) 10 (2.1) 10 (1.8) 10 (1.5) 9 (0.9)2007 9 (1.5) 8 (1.1) 3 (0.6) 11 (1.6) 2 (0.2) 17 (2.1) 14 (3.0) 9 (1.5) 9 (1.4) 9 (1.3)2008 11 (1.7) 8 (1.2) 14.5 (3.0) 13 (1.9) 16 (1.9) 27 (3.4) 14 (2.9) 13 (2.2) 12 (1.8) 7 (1.1)2009 11 (1.8) 10 (1.5) 14 (5.1) 12 (1.8) 10 (1.2) 20 (2.7) 9 (2.1) 9 (1.5) 11 (1.8) 10 (1.5)

© ANZDATA Registry

Figure 9.3

Donors per Thousand Deaths Aged < 75 years 2004 - 2009( ) Is the % Deaths < 75 years as a Proportion of all Deaths*

Year QLD NSW ACT VIC TAS SA NT WA AUST NZ

2004 4.0 (39%) 3.7 (35%) 10.1 (42%) 3.7 (34%) 1.4 (36%) 9.8 (34%) 1.4 (78%) 4.8

(40%) 4.3 (37%) 3.4 (48%)

2005 3.6 (39%) 3.2 (36%) 16.5 (36%) 4.4 (35%) 1.3 (37%) 4.8 (34%) 5.1 (78%) 6.3

(39%) 4.1 (37%) 2.7 (40%)

2006 3.8 (38%) 2.9 (34%) 7.0 (38%) 4.0 (33%) 5.6 (36%) 9.0 (32%) 2.8 (76%) 4.6

(39%) 4.1 (36%) 2.3 (39%)

2007 3.9 (38%) 3.0 (34%) 1.6 (40%) 4.9 (33%) 0.6 (35%) 5.9 (32%) 3.9 (77%) 3.9

(39%) 4.0 (35%) 3.4 (38%)

2008 4.7 (38%) 3.4 (33%) 8.1 (36%) 5.6 (33%) 5.5 (35%)

10.4 (31%) 3.9 (74%) 5.4

(38%) 5.0 (34%) 2.9 (38%)

2009 4.6 (35%) 4.2 (34%) 13.0 (39%) 5.4 (33%) 3.3 (36%) 7.9 (33%) 2.7 (77%) 3.7

(39%) 4.9 (35%) 3.9 (38%)

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Figure 9.4 Donor Gender – States, Australia, New Zealand 1996 - 2000 2001 - 2005 2006 - 2010

0%

25%

50%

75%

100%

Male Female

QLD NSW ACT VIC TAS SA NT WA AUST NZ

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651 690

943

184 142 191137 173

395

37 31 19

268295

438

1989-1995 1996-2002 2003-2010

CerebrovascularTrauma-RoadTrauma-Non RoadOtherCerebral Tumour

Cause of Donor Death

Australia

Figure 9.7 - Aust

© ANZDATA Registry

Figure 9.7 - NZ

104 100 103

26 261518 19 24

2 3 1

5436 35

1996-2000 2001-2005 2006-2010

CerebrovascularTrauma-RoadTrauma-Non RoadOtherCerebral Tumour

New Zealand

Cause of Donor Death

© ANZDATA Registry

Figure 9.8

Cause of Donor Death 2003 - 2010

  QLD NSW ACT VIC TAS SA NT WA AUST NZ *

CVA 45% 54% 53% 55% 42% 52% 61% 51% 52% 58%

Trauma (road) 21% 15% 20% 10% 13% 11% 22% 19% 15% 20%

Trauma (non-road) 14% 8% 12% 8% 18% 10% 11% 15% 11% 8%

Hypoxia-Anoxia 17% 18% 14% 22% 24% 23% 0% 11% 18% 10%

Cerebral Tumour 1% 1% 0% 1% 0% 1% 0% 2% 1% <1%

Other 2% 4% 1% 4% 3% 3% 6% 2% 3% 3%

* NZ 2006 - 2010

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Figure 9.9

Cause of Donor Death 2010

Causes of Death Australia New ZealandMale Female Total Male Female Total

CVA Cerebral Infarct 9 3 12 2 1 3Intracranial Haemorrhage 38 22 60 1 6 7Subarachnoid Haemorrhage 36 46 82 5 7 12

Road Trauma

Cyclist 4 1 5 1 1 2Motor Bike Accident 4 1 5 2 0 2Motor Vehicle Accident 11 8 19 1 4 5Pedestrian 9 5 14 0 0 0Other Road Accident 1 0 1 0 0 0

Other Trauma

Fall 13 1 14 0 2 2Felony / Crime - Assault 4 0 4 0 0 0Gunshot 1 0 1 1 0 1Other Accident 5 0 5 1 0 1

Hypoxia Anoxia

Asthma 3 0 3 0 0 0Carbon Monoxide 1 0 1 0 0 0Cardiac Arrest 21 20 41 1 0 1Choking 1 1 2 0 0 0Drowning 4 0 4 0 0 0Epilepsy 0 1 1 0 0 0Hanging 3 7 10 0 0 0Hydrocephalus 0 0 0 1 0 1Myocardial Infarction 1 0 1 0 0 0Overdose 1 0 1 0 0 0Pulmonary Embolism 0 2 2 0 0 0Secondary Collapse-Apert Syndrome 1 0 1 0 0 0Seizure 1 0 1 0 0 0

Cerebral Tumour

Glioma (Malignant) 1 0 1 0 0 0Glioma (Benign) 0 0 0 1 0 1Meningioma (Benign) 0 1 1 0 0 0Oligoastrocytoma (Benign) 0 1 1 0 0 0

Other

Acute Obstructive Hydrocephalus 1 0 1 0 0 0Cerebral Oedema 7 3 10 1 0 1Medullary Neurosarcoid 0 1 1 0 0 0Meningioma (Benign) 0 0 0 0 1 1Meningitis (Gram Negative) 1 0 1 0 0 0Meningitis (Pneumococcal) 0 1 1 0 0 0Self Inflicted Stab Wound 0 0 0 1 0 1Snake Bite 0 1 1 0 0 0Suicide-Nail Gun 1 0 1 0 0 0

Total   183 126 309 19 22 41

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Figure 9.10

Cause of Donor Death Related to Age Group 2010

 

Australia   

Total

New Zealand   

TotalAge Groups Age Groups

0-14 15-34 35-54 55 on 0-14 15-34 35-54 55 on

CVA 0 11 64 79 154 (50%) 0 4 12 6 22 (54%)

Trauma (road) 1 23 15 5 44 (14%) 0 6 1 2 9 (22%)

Trauma (non-road) 0 4 12 8 24 (8%) 0 1 1 2 4 (10%)

Hypoxia-Anoxia 5 17 24 22 68 (22%) 0 2 0 0 2 (5%)

Cerebral Tumour 0 1 2 0 3 (1%) 0 0 0 1 1 (2%)

Other 3 7 5 1 16 (5%) 0 1 1 1 3 (7%)

Total 9 63 122 115 309 0 14 15 12 41

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Figure 9.11

Donation after Cardiac Death Donors 1989 - 2010

  QLD NSW ACT VIC TAS SA NT WA Aust NZ

1989 0 0 0 1 0 1 0 0 2 -1990 0 2 0 0 0 1 0 0 3 -1991 0 2 0 0 0 0 0 0 2 -1992 0 1 0 0 0 0 0 0 1 -1993 0 0 0 0 0 0 0 0 0 01994 0 0 0 0 0 1 0 0 1 11995 0 3 0 1 0 0 0 0 4 01996 1 1 0 0 0 0 0 0 2 01997 0 2 0 0 0 1 0 0 3 11998 0 0 0 0 0 2 0 0 2 01999 1 0 0 0 0 0 0 0 1 02000 0 0 0 0 0 0 1 0 1 02001 0 1 0 1 0 0 0 0 2 02002 0 0 0 0 0 1 1 0 2 02003 0 1 0 0 0 0 0 0 1 02004 0 2 0 0 0 0 0 1 3 02005 0 8 0 0 0 1 0 0 9 02006 0 4 0 1 0 3 0 0 8 02007 0 8 0 9 0 2 0 0 19 02008 5 10 2 3 0 3 0 0 23 22009 5 15 2 17 0 3 0 0 42 22010 13 24 3 24 0 5 0 0 69 1Total 25 84 7 57 0 24 2 1 200 7

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Figure 9.12Donation After Cardiac Death Donors 1989 - 2010

Organs Transplanted or Sent to Tissue Bank in Australia Donor State 89 90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 10 Total Queensland                                               Kidneys 0 0 0 0 0 0 0 2 0 0 2 0 0 0 0 0 0 0 0 10 8 25 47 Lungs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 3 5 Cornea 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 8 10 Bone 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 6 8 Heart Valves 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 3 2 3 10

Total 0 0 0 0 0 0 0 5 0 0 3 0 0 0 0 0 0 0 0 15 12 45 80 New South Wales                                               Kidneys 0 4 3 2 0 0 5 2 4 0 0 0 0 0 2 4 16 8 13 18 27 45 153 Liver 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 4 6 13 Lungs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 4 5 8 19 Cornea 0 2 0 0 0 0 0 2 0 0 0 0 2 0 0 4 10 2 8 8 4 20 62 Bone 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 3 5 Heart Valves 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 5 3 3 6 6 10 35

Total 0 6 3 2 0 0 5 5 5 0 0 0 2 0 2 8 31 13 27 39 47 92 287 ACT                                               Kidneys 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 4 12 Liver 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 Lungs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 1 3 Cornea 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 4 6 Heart Valves 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 1 3

Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 4 12 26 Victoria                                               Kidneys 2 0 0 0 0 0 2 0 0 0 0 0 1 0 0 0 0 0 12 6 30 33 86 Liver 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 0 2 5 Lungs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 5 1 7 13 27 (L) Lung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 (R) Lung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 Pancreas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 Cornea 2 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 2 10 4 20 37 77 Bone 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 3 7 Heart Valves 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 4 1 2 11 19 Tissue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 3 6

Total 4 0 0 0 0 0 2 0 0 0 0 0 4 0 0 0 0 3 35 16 64 102 230 South Australia                                               Kidneys 2 0 0 0 0 0 0 0 1 4 0 0 0 2 0 0 2 4 2 5 6 10 38 Liver 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 2 4 Lungs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 2 4 Cornea 2 2 0 0 0 2 0 0 2 0 0 0 0 2 0 0 0 2 0 0 4 6 22 Bone 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 3 Heart Valves 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 4

Total 5 3 0 0 0 3 0 0 3 4 0 0 0 4 0 0 2 9 5 5 11 21 75Northern Territory                                               Kidneys 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0 0 0 0 0 0 0 4Western Australia                                               Kidneys 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 2

Australian Total 9 9 3 2 0 3 7 10 8 4 3 2 6 6 2 10 33 25 67 85 138 272 704

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Figure 9.13

Donation after Cardiac Death Donors 1989 - 2010Organs Transplanted or Sent to Tissue Bank in Australia

Organs 89 90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 10 Total

Kidneys 4 4 3 2 0 0 7 4 5 4 2 2 1 4 2 6 18 12 27 43 75 117 342 Liver 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 4 12 24 Lungs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 8 7 14 27 58 (L) Lung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 (R) Lung 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 Pancreas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 Cornea 4 4 0 0 0 2 0 4 2 0 0 0 4 2 0 4 10 6 18 14 28 75 177 Bone 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 4 3 12 23 Heart Valves 0 1 0 0 0 0 0 2 1 0 1 0 1 0 0 0 5 3 8 12 11 26 71 Tissue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 3 6

Total 9 9 3 2 0 3 7 10 8 4 3 2 6 6 2 10 33 25 67 85 138 272 704

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Figure 9.14

Multiple Organ Retrieval 2005 - 2010

Number of

Organs

Australia New Zealand

2005 2006 2007 2008 2009 2010 2005 2006 2007 2008 2009 2010

Single 17% 11% 15.5% 17% 17% 19% 14% 8% 16% 19% 16% 22%

Two 22% 23% 23% 23% 20% 32% 34% 24% 40% 23% 35% 29%

Three 17% 23% 23% 25% 27% 20% 21% 44% 26% 39% 33% 29%

Four 32% 23% 20% 20% 19% 18% 28% 12% 18% 16% 9% 12%

Five 10% 18% 15.5% 14% 14% 9% 3% 12% 0% 3% 2% 0%

No organs 2% 1% 3% 1% 3% 2% 0% 0% 0% 0% 5% 7%

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Figure 9.15

State by State Comparison of Multiple Organ Retrieval 2010

Number of

OrgansQLD NSW ACT VIC TAS SA NT WA AUST NZ

Single 14 (29%) 18 (20%) 0 (0%) 18 (18%) 1 (10%) 7 (22.5%) 0 (0%) 2 (9%) 60 (19%) 9 (22%)

Two 14 (29%) 31 (35%) 3 (30%) 24 (25%) 5 (50%) 8 (26%) 1 (50%) 12 (55%) 98 (32%) 12 (29%)

Three 12 (24%) 12 (14%) 4 (40%) 22 (23%) 0 (0%) 7 (22.5%) 0 (0%) 4 (18%) 61 (20%) 12 (29%)

Four 8 (16%) 13 (15%) 1 (10%) 21 (22%) 3 (30%) 4 (13%) 1 (50%) 4 (18%) 57 (18%) 5 (12%)

Five 1 (2%) 11 (13%) 1 (10%) 10 (10%) 1 (10%) 4 (13%) 0 (0%) 0 (0%) 28 (9%) 0 (0%)

No organs 0 (0%) 3 (3%) 1 (10%) 2 (2%) 0 (0%) 1 (3%) 0 (0%) 0 (0%) 7 (2%) 3 (7%)

Total 49 88 10 97 10 31 2 22 309 41

NB: 2 kidneys = 1 organ, 2 lungs = 1 organOn occasions when only one kidney is retrieved, this is also defined as one organ

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Figure 9.16

Organs Transplanted per Donor 2010

  QLD NSW ACT VIC TAS SA NT WA AUST NZ

No. Organs Transplanted 160 285 34 303 32 94 7 72 987 112

No. of Donors 49 88 10 97 10 31 2 22 309 41

Mean per Donor 3.3 3.2 3.4 3.1 3.2 3.0 3.5 3.3 3.2 2.7

Double Lungs = one organKidney-Pancreas, Kidney-Heart, Kidney-Liver, Heart/Lungs = two organs

© ANZDATA Registry

Figure 9.17

Number of Organs Per DonorTransplanted 2000 - 2010

2.0

3.0

4.0

5.0

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 20102.0

3.0

4.0

5.0AustraliaNew Zealand

© ANZDATA Registry

Figure 9.18

Organs Transplanted by Donor State in Australia and New Zealand 2010

OrgansTransplanted QLD NSW ACT VIC TAS SA NT WA AUST NZ

Kidney 94 156 18 164 17 53 4 42 548 52Liver 27 49 6 51 5 16 2 17 173 30Liver (Left) 3 6 2 2 1 2 0 0 16 2Liver (Right) 3 6 2 2 1 1 0 0 15 2Heart 11 17 1 24 2 4 0 6 65 11Heart/Lungs 0 0 0 0 0 1 0 2 3 0

Lungs 15 33 2 43 2 10 1 4 110 12

Lung (Left) 2 1 0 0 0 1 0 0 4 0

Lung (Right) 1 1 1 2 0 1 0 0 6 0

Pancreas 1 14 1 12 2 3 0 1 34 3

Pancreas Islets 3 2 1 3 1 2 0 0 12 0

Intestines 0 0 0 0 1 0 0 0 1 0

Total 160 285 34 303 32 94 7 72 987 112

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Figure 9.19 - Aust

1394 1388 1298 1310 1223

550446459342370

2006 2007 2008 2009 2010

Waiting List vs Deceased Donor TransplantsAustralia 2006 - 2010

K idneys Waiting List * Tx Performed **

** Includes kidneys sent from New Zealand

* Source: NOMS (National Organ Matching System)

© ANZDATA Registry

Figure 9.19 - NZ

433559 570

449 479

41 65 53 54 50

2006 2007 2008 2009 2010

K idneys Waiting List *Tx Performed **

** Not included kidneys sent to Australia: 2010 (2)

* Source of Waiting List – NZ Donor Coordinators

Waiting List vs Deceased Donor TransplantsNew Zealand 2006 - 2010

© ANZDATA Registry

Total Donors 309No request for kidney

donation 1Request for donation 308

No consent given 3

Consent given 305 Donors

Kidneys not retrieved 40

Kidneys retrieved 570

Kidneys not transplanted 16

Kidneys Transplanted 554(548 Recipients Transplanted)

Kidneys en bloc 2Double adult 4

Australia New Zealand

Outcome of Request for K idney Donation 2010

Total Donors 41No request for kidney

donation 0Request for donation 41

No consent given 0

Consent given 41 Donors

Kidneys not retrieved 20

Kidneys retrieved 62

Kidneys not transplanted 6

Kidneys Transplanted 56(52 Recipients Transplanted)

Kidneys en bloc 0Double adult 4

Figure 9.20

Refer to Appendices for reasons kidneys were not requested, not retrieved and not transplanted.

For more detail please refer to Website: www.anzdata.org.au/anzod