What We Learned from Changing Patterns of Deceased Organ Donors

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Abstract

Introduction

There was continuous increment of organ donor since after legislation of transplantation law in year 2000 in Korea, and we have 573 deceased donor in 2016 last year, but still the number of donors were far behind of waiting list. Many patients waiting for kidney and liver were received organs from living related donor but we have more concern about donor safety.

Methods

In order to learn the trend of organ donation in Korea, and to establish future plan for organ donation activation from these results, we reviewed donor characteristics from the data registry of KONOS from 2008 through 2015.

Results

Male donor is predominant (68.4% vs 31.6%) and donor age is shifted from 35‐45 to 50‐60 years old. Old age donor more than 75 years old occupy 2.2% in 2015. Among ABO blood group, type A donor were most frequent and least in AB type. About cause of brain death, cerebrovascular disease, head trauma and anoxia, CNS tumors were in their order but interestingly, we have more anoxia recent years because of increasing the suicide. Average organ procurement per donor was 3.23 in 2008 but nearly the same in 2015(3.25). Most common organs procured were kidney (more than 55%). In case of renal transplantation, 10 year living donor graft survival was 91.1% and 85.7% in deceased donor.

Conclusion

Even though we have increasing organ donors every year, we are still experiencing organ shortage to cover the waiting list. Changing pattern of causes of deceased donor and increasing number of aged donor suggest us to prepare future donor activation plan.

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