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ODT - International Benchmarking

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Presentation on theme: "ODT - International Benchmarking"— Presentation transcript:

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

2 Excellent data available in the UK
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 Canada has an audit for all deaths in each of the 64 hospitals in Ontario, but not across Canada Hungary, Norway, Poland, Switzerland may also have such a programme in place.

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

4 Deceased donor transplant rates in 2014
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 Organ specific transplant rates
AGChC(16)15 Organ specific transplant rates

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

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

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

11 Heart transplant rates
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= % 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 And 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= DBD DCD % of retrieved kidneys not transplanted And 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 Actual deceased donor rates in 2014
AGChC(16)15 Actual deceased donor rates in 2014

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

21 Highest key rates by team in 2014/15
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 Deceased donor rates in 2014
AGChC(16)15 Deceased donor rates in 2014 Source: Council of Europe – Transplant Newsletter

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

24 Kidney waiting list vs transplant
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 Pancreas waiting list vs transplant
AGChC(16)15 Pancreas 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

26 Liver waiting list vs transplant
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 Heart 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

28 Lung waiting list vs transplant
AGChC(16)15 Lung 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

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