1Organización Nacional de Trasplantes, Madrid, Spain; 2Service Delivery and Safety (SDS), World Health Organization (WHO), Geneva, Switzerland.
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IntroductionThe GODT is the most comprehensive source of worldwide data concerning activities of organ donation and transplantation. National statistics are annually provided by official sources and collected and managed by the Spanish ONT, under a collaborative work with WHO.ObjectiveTo describe the current international transplant activities during 2015.MethodsThe data for the GODT are annually provided by national focal points designated by the Ministries of Health of the responding countries, by means of an ad hoc questionnaire. The United Nations Population Fund report is used as the data source of population. Regional rates are calculated by applying the population of the responding countries as the denominator. The most recent available national figures were used to avoid the missing data, whenever those for 2015 were not provided. Descriptive statistics have been performed with SPSS v.15.0 software. Data of 111 Member States have been analysed to describe the organ transplant activities in 2015.ResutlsThe 102 countries which have any transplant procedure, out of 111 included in this study, cover the 80.95% of the global population. 126,670 solid organs (kidney, liver, heart, lung, pancreas and small bowel) were reported to be transplanted, which represents the 5.7% of increase over 2014. Kidneys and livers were transplanted in a large proportion (66% and 22% respectively). The percentage of transplants from living donors was 32.4% of the total organs transplanted and this type of procedure was more frequent in the Southeast Asia Region (94.4%), the Eastern Mediterranean Region (66.6%) and Africa (63%). There were 84,347 kidneys transplanted (41.8% from living donors), 27,759 liver transplants (21% from living donors), 7,023 heart transplants, 5,046 lung transplants (0.4% from living donors), 2,299 pancreas transplants and 196 small bowel transplants. There were 16 countries performing only kidney living transplants. Therefore, the 6.6% of the global population had access to this therapeutic option alone. According to the transplant rates (per million population (pmp)) the most active region in organ transplantation was America with 51.4 pmp followed by Europe (45.7).ConclusionThe number of organs transplanted has increased over the previous year. There is a large variability in the number of transplantation practices between the six WHO regions as well as in the type of procedures (living vs deceased). AMR and EUR show higher activities and the transplants from deceased persons are more frequent than in SEAR, EMR or AFR where the living transplants are more prominent.The national focal points designated by the Ministries of Health of the respondent Member States.Reference:1. The Global Observatory on Donation and Transplantation (GODT): http://www.transplant-observatory.org/.