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ODT - International Benchmarking

AGChC(16)15. ODT - International Benchmarking. Board Meeting 2016. AGChC(16)15. Excellent data available in the UK UK Transplant Registry All donors, transplants and patients listed for transplant Dates back to 1972 Potential Donor Audit Audits all deaths in ICU since 2002

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ODT - International Benchmarking

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  1. AGChC(16)15 ODT - International Benchmarking Board Meeting 2016

  2. AGChC(16)15 • Excellent data available in the UK • UK Transplant Registry • All donors, transplants and patients listed for transplant • Dates back to 1972 • Potential Donor Audit • Audits all deaths in ICU since 2002 • Some other countries have a national PDA (e.g. Italy, Spain, France, Australia), but little has been published • The Council of Europe’s Transplant Newsletter has provided valuable data on donation and transplant rates per million of population

  3. AGChC(16)15 Donor and transplant rates pmp

  4. AGChC(16)15 Deceased donor transplant rates in 2014 Source: Council of Europe – Transplant Newsletter

  5. AGChC(16)15 Family refusal rates, 2014 Note – limited international data available on family refusal rates Source: Council of Europe – Transplant Newsletter

  6. AGChC(16)15 Organ specific transplant rates

  7. AGChC(16)15 Kidney transplant rates Deceased and living donor kidney transplant rates, 2014 Source: Council of Europe – Transplant Newsletter *Deceased and living donor transplants

  8. AGChC(16)15 Kidney transplant rates Living donor kidney transplant rates, 2014 Source: Council of Europe – Transplant Newsletter

  9. AGChC(16)15 Liver transplant rates Source: Council of Europe – Transplant Newsletter

  10. AGChC(16)15 Pancreas transplant rates Source: Council of Europe – Transplant Newsletter

  11. AGChC(16)15 Heart transplant rates Source: Council of Europe – Transplant Newsletter

  12. AGChC(16)15 Lung transplant rates Source: Council of Europe – Transplant Newsletter

  13. AGChC(16)15 Organ utilisation

  14. AGChC(16)15 Donors by age group 2015

  15. AGChC(16)15 Donors by age group 2015

  16. Discard rates for kidneys from deceased donors, 2014 AGChC(16)15 No. kidneys retrieved N= 2986 14754 2432 700 % adult deceased donor kidney transplants from a DCD ~ 11% in Spain ~ 15% in US ~ 37% in UK ~ 26% in Australia 24% overall DCD DBD 19% overall % of retrieved kidneys not transplanted DCD DBD 10% overall DCD DBD Overall Source: ONT – Spain data, OPTN - US data ANZ - Australia data, NHSBT - UK data ¹ 2012 data

  17. Discard rates for kidneys from deceased donors, 2014, by donor age AGChC(16)15 No. kidneys retrieved N= 64 54 159 239 433 391 863 491 1085 300 4 32 24 105 112 194 198 349 44 277 DBD DCD % of retrieved kidneys not transplanted Donor age Source: ONT – Spain data, NHSBT - UK data

  18. AGChC(16)15 What donor rate could we reach in the UK if every team achieved the level of the best?

  19. AGChC(16)15 Actual deceased donor rates in 2014

  20. AGChC(16)15 Actual DCD donor rates in 2014

  21. AGChC(16)15 Highest key rates by team in 2014/15 Team range…. Neurological Death Testing (Northern) = 95% (68-95%) Referral DBD (Northern) = 100% (92-100%) Referral DCD (Northern) = 88% (68-88%) Approach DBD (South Wales) = 98% (91-98%) Approach DCD (South West) = 61% (32-61%) Consent/Authorisation DBD (South West) = 80% (55-80%) Consent/Authorisation DCD (South East) = 64% (44-64%) Source: Council of Europe – Transplant Newsletter

  22. AGChC(16)15 Deceased donor rates in 2014 Source: Council of Europe – Transplant Newsletter

  23. AGChC(16)15 Are more patients waiting in the UK?

  24. AGChC(16)15 Kidney waiting list vs transplant Waiting list Active waiting list patients pmp Source: Council of Europe – Transplant Newsletter * Spain data is not available **Patients on waiting list as at 31 December 2014

  25. AGChC(16)15 Pancreas waiting list vs transplant Waitinglist Active waiting list patients pmp Source: Council of Europe – Transplant Newsletter *Patients on waiting list as at 31 December 2014

  26. AGChC(16)15 Liver waiting list vs transplant Waiting list Active waiting list patients pmp Source: Council of Europe – Transplant Newsletter *Patients on waiting list as at 31 December 2014

  27. Heart waiting list vs transplant AGChC(16)15 Waiting list Active waiting list patients pmp Source: Council of Europe – Transplant Newsletter *Patients on waiting list as at 31 December 2014

  28. Lung waiting list vs transplant AGChC(16)15 Waiting list Active waiting list patients pmp Source: Council of Europe – Transplant Newsletter *Patients on waiting list as at 31 December 2014

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