Press Release - Organización Nacional de Trasplantes

GABINETE DE PRENSA
MINISTERIO
DE SANIDAD, SERVICIOS SOCIALES
E IGUALDAD
Press Release
ONT presents 2015 data on donation and transplantation activities
Spain records the highest increase in the
number of organ donors in the history of
ONT, which has allowed to reach 39.7
donors p.m.p and to perform 4,769
transplants
 Organ donors increase by 10% and rise to a number of 1,851.
Our country, world leader over the last 24 years, is ahead from
the rest of the world and gets close to 40 donors p.m.p
 ONT records a historical increase in all transplants (+9.4%), with
a maximum in kidney (2,905), liver (1,162) and lung (294)
transplant activities
 The generosity of citizens and the implication of all
professionals of the transplant network have made possible to
perform 13 transplants a day, more than 1 transplant every 2
hours
 Donation after circulatory death (+ 63%) and the cooperation of
emergency care physicians with intensivists and donor
coordinators to ensure the identification of potential donors are
the keys for this new record
 For the very first time, all Autonomous Regions reach activities
over 30 donors p.m.p. Moreover, 4 are over 50 donors p.m.p and
10 over 40 donors p.m.p
 The ranking of Autonomous Regions is headed by La Rioja (78.9
p.m.p), followed by Cantabria (73.5), Navarre (54.6), Basque
Country (53.0), Extremadura (45.7) and Murcia (44.3)
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DE
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28071 - MADRID
TEL: 91 596 11 22
FAX: 91 596 15 86
SERVICIOS
12 January 2016.- Spain, world leader in donation and transplantation over
the last 24 years, beats its own record once again and registers the highest
increase in the number of donors in the history of ONT. This has allowed
reaching 39.7 donors per million population and a total of 4,769 patients
transplanted in 2015.
According to ONT´s data, the number of donors is of 1,851, with a 10%
increase, a new maximum in activity. Our country is even more ahead from
the rest of the world in terms of organ donation rates by getting close to 40
donors per million population. Spain is more than 20 points over the EU (19.6
donors p.m.p) and more than 13 over the United States (26.6 p.m.p).
Transplantation also increases by 9.4% compared with the previous year.
The generosity of citizens and the implication of all professionals of the
coordination and transplantation network have allowed Spain to perform 13
transplants a day during 2015, which means more than 1 transplant every
two hours.
This has been assured by the acting minister of Health, Social Services and
Equality, Alfonso Alonso, during a press conference to present ONT´s 2015
activity. Alonso, accompanied by the general secretary of Health, Javier
Castrodeza and ONT´s director, Rafael Matesanz, has highlighted “the great
strength of the Spanish transplantation system, which has shown again its
great capacity to improve in the patients´ benefit”.
“This ability to improve explains the Spanish world leadership in this field,
maintained in an uninterrupted manner during 24 years. A leadership which we
support and wish to maintain during many more years”, added the minister.
2015 STRATEGY
For Alonso, innovation and search for excellence in the benefit of patients
are signs of the identity of ONT. ONT has put in place a series of measures
– included under the 2015 Strategy - with the aim of increasing in a five year
period the number of donors by 10% and the number of transplants by 20%, to
reach the number of 5,000 patients transplanted by 2020. “Should this rhythm
be maintained, I am sure our country will reach the 5,000 transplants much
earlier than expected”.
Among the innovative measures developed by ONT, “the promotion of
donation after circulatory death and the cooperation of the hospital as a whole,
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TEL: 91 596 11 22
FAX: 91 596 15 86
SERVICIOS
especially emergency care physicians, in the identification of possible donors”
need to be highlighted, Alonso has underlined.
SOCIAL COHESION
After reiterating the Government compromise with the Spanish transplantation
system, the minister has reminded the role of donation and transplantation as
a factor of social cohesion in the country.
According to ONT´s data, one out of every four-five organs (22,6%) is
transplanted in a Region different from the one where donation took place, with
parallel flows of patients to gain access to transplants that are not performed at
their our region. “No Autonomous Region would be able to reach the current
results without cooperating with other Regions and the National Health System
as a whole” Alonso has underlined.
Alonso has thanked the solidarity of the Spanish society and the implication of
all professionals who participate of the process of donation and
transplantation. “We all should feel proud of these achievements which make
possible that our citizens have the highest possibilities of receiving a transplant
when they need it”, he has added.
2015 ACTIVITY
ONT´s director, Rafael Matesanz, has further detailed the 2015 donation and
transplantation activity.
ONT´s 2015 data reach maximum historical levels in number of organ donors,
with a total of 1,851, which entails a 10% increase compared with the
previous year. The same applies to solid organ transplants (4,769), which
increase by a mean of 9.4% in all types, with maximum historical levels in the
case of kidney, liver and lung transplantation.
In total, 2,905 kidney (+8.5%), 1,162 liver (+9%), 299 heart (13%), 294 lung
(+12%), 97 pancreas (+20%) and 12 small bowel (+100%) transplants have
been performed (see table below)
Organ donation and
transplantation in
Spain
Donors
Kidney Tx
Liver Tx
Heart Tx
Lung Tx
2013
2014
2015
1,655
2,552
1,093
249
285
1,682
2,678
1,068
265
262
1,851
2,905
1,162
299
294
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FAX: 91 596 15 86
SERVICIOS
Pancreas Tx
Small Bowel Tx
92
8
81
6
97
12
Total organ Tx
4,279
4,360
4,769
DONATION AFTER CIRCULATORY DEATH AND EMERGENCY CARE
Matesanz has also made reference to the innovations introduced by ONT to
optimize organ donation, such as the promotion of donation after circulatory
death, and a higher cooperation between the ICUs and the rest of hospital units,
particularly the emergency department and all critical care units in general terms,
along with the implementation of the ACCORD-Spain Plan. With the participation
of 69 hospitals, this plan aims at facilitating the identification of possible donors
outside of the ICUs. “The data make evident the effectiveness of the measures
adopted”, he has assured.
Donation after circulatory death consolidates as the most evident way of
increasing the number of transplants, with a total of 314 donors, representing a
63% increase. This type of donation already represents 17% of the overall
deceased donation activity. At present, a total of 51 Spanish hospitals have an
active programme of donation after circulatory death.
Matesanz has also underlined the implication of professionals from
emergency care, one of the keys explaining this new achievement in the
increase in the number of donors: “The cooperation of emergency care
physicians and the Spanish Society of Emergency Care (SEMES) with
intensivists and donor coordinators has been essential for this increase in the
number of donors” ONT´s director has assured.
To the contrary, live kidney donation has decreased (-8%) with a total of 388
transplants (compared with 423 in 2014 and 382 in 2013). Out of these, 37 have
been performed in the framework of the kidney paired exchange programme.
Live kidney transplants represent 13.3% of the overall kidney transplantation
activity at present.
With regards to the donor profile, it is important to underline that 65.2% of donors
died as a result of a cerebrovascular accident. In parallel, the number of donors
dead in the context of a traffic accident decreases, representing 4.2% of all
donors, the lowest percentage ever recorded since the initiation of transplantation
in Spain. Since the approval of the new Road Safety Act in 2005, donors dead
because of a traffic accident have decreased by 70%.
Similarly, the progressive aging of organ donors continues. For the fifth
consecutive year, more than a half of organ donors are aged over 60 years.
Concretely, 53.3% of organ donors are aged over 60, almost one third over
70 and 10% over 80 years.
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FAX: 91 596 15 86
SERVICIOS
Family refusals decrease and reach levels of 15.3% (provisional data). The
number of patients on the waiting list remains stable over the years, with small
variations (5,513 in 2012, 5,418 in 2013, 5,571 in 2014 and 5,552 in 2015).
RECORD IN ORGAN DONORS IN ONE DAY
The important activity registered by ONT during the last year reached a
maximum last 14 December 2015, date when a new record in the number of
donors in 24 hours was reached, with a total of 16 donors, 15 deceased and 1
living organ donor. These donors allowed performing 38 transplants in one
single day. 29 hospitals, from 11 Autonomous Regions participated in the
different procedures. 6 transplant teams needed to travel by air, which implied the
participation of 12 airports. More than 600 persons cooperated.
DATA PER AUTONOMOUS REGIONS
Per Autonomous Regions, La Rioja leads the ranking again with a rate of 78.9
donors per million population. It is followed by Cantabria (73.5 donors p.m.p),
Navarre (54.6 p.m.p), Basque Country (53.0 p.m.p), Extremadura (45.7 p.m.p)
and Murcia (44.3 p.m.p).
For the first time in ONT´s history, all regions reach rates over 30 donors
p.m.p. Moreover, 4 are beyond 50 donors per million population and 10 over 40
p.m.p.
In percentages, the Basque Country, la Rioja, Cantabria, Extremadura,
Murcia and Canary Islands (in this order) are the Regions registering the
highest increase in the number of donors.
In absolute numbers, donors also importantly increase in the Basque Country,
Catalonia, Valencia, Galicia, Canary Islands, Extremadura and Cantabria (in this
order).
Population (million inh.)
Autonomous Regions
La Rioja
Cantabria
Navarre
Basque Country
Extremadura
Murcia
Asturias
Castile and Leon
Donors 2014
46.7
Total
18
31
29
75
38
50
51
121
pmp
56.4
52.7
45.3
34.3
34.6
34.1
48.0
48.5
Donors 2 015
46.6
Total
pmp
25
78.9
43
73.5
35
54.6
116
53.0
50
45.7
65
44.3
45
42.8
105
42.5
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FAX: 91 596 15 86
SERVICIOS
Canary Islands
Valencia
Galicia
Andalusia
Balearic Islands
Castile La Mancha
Madrid
Catalonia
Aragon
Autonomous city of Ceuta
Autonomous city of Melilla
Total
71
175
91
315
52
65
238
218
43
33.7
35.0
33.1
37.5
47.1
31.3
36.9
29.0
32.4
87
206
109
323
42
74
226
256
44
1
1,682
11.8
36 1,851
41.4
41.4
39.9
38.5
38.0
35.9
35.1
34.1
33.4
39.7
RANKING OF ACTIVITY PER HOSPITALS
Per hospitals, the following centres have registered the highest activity in 2015:
Maximum Donors
Maximum Donors after Brain Death
H. Virgen de la Arrixaca, Murcia
H. Virgen de la Arrixaca/ H.Central de
Asturias
Maximum Donors after Circulatory H. Clínico San Carlos, Madrid
Death
Maximum Kidney Tx
H. de Cruces, Bilbao
Maximum Living Kidney Tx
H. Clinic i Provincial Barcelona
Maximum Liver Tx
H. La Fe, Valencia
Maximum Heart Tx
H. La Fe, Valencia/ H. Puerta de
Hierro –Majadahonda, Madrid
Maximum Lung Tx
H. Vall d’Hebrón, Barcelona
Maximum Pancreas Tx
H. Clinic i Provincial, Barcelona
Maximum Total Tx
Centro H. Universitario de A Coruña
DISINTERESTED COOPERATION OF AIRLINES COMPANIES
The important activity developed by ONT during the last year has also resulted
in an increase in the transportation of organs by air. The increase in the
number of flights has depended on commercial airline companies, such as
Iberia, Vueling or Air Europa. These airline companies have a long-lasting and
disinterested cooperation with ONT for the transportation of organs in
containers in their regular flights. In fact, of the 602 flights performed during
the last year, 444 were carried out by private airline companies (aero-taxis), a
similar figure to the previous year, and 158 were regular flights, which use has
doubled compared with 2014 ( with 73 flights registered).
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FAX: 91 596 15 86
SERVICIOS
Of the 158 regular flights, 58 were performed with Iberia, 17 with Iberia
Express, 9 with Air Nostrum, 49 with Vueling and 23 with Air Europa. These
flights do not entail any cost to the Spanish transplantation system and are the
ones selected by ONT when possible. Thanks to their cooperation, 172 organs
were transported for transplantation purposes (161 for kidney transplantation
and 11 for liver transplantation).
In 2015, ONT also signed an agreement with Renfe for the disinterested
transportation of organs by AVE. The first transportation took place between
Seville and Madrid/ Madrid and Seville, for a kidney paired exchange
procedure with the participation of the Doce de Octubre and Virgen del Rocío
Hospitals.
On the other hand, military bases were needed on 61 occasions, with
authorization requested to the Air Chief of Staff. The opening of airports or the
extension of their operating hours was required on 206 occasions.
On behalf of transplanted patients, Dr. Matesanz has thanked all for their
cooperation.
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MINISTERIO
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28071 - MADRID
TEL: 91 596 11 22
FAX: 91 596 15 86
SERVICIOS
ORGAN DONATION & TRANSPLANTATION
IN SPAIN - 2015
TRANSPLANT COORDINATION TEAMS
SPAIN – 2014 (N: 440 COORDINATORS – 186 HOSPITALS)
INTENSIVOS
OTROS
INTENSIVOS
AREA QCA
OTROS
NEFROLOGIA
AREA QCA
URGENCIAS
NEFROLOGIA
URGENCIAS
4%
2%3%
4%
4% 3%
40%
28%
87%
25%
MEDICAL DOCTORS
= (267)
FULL TIME DEDICATED = 7 %
PART TIME DEDICATED = 93%
NURSES
FULL TIME
PART TIME
= 173
= 28 %
= 72 %
ORGAN DONORS IN SPAIN SINCE
THE START OF O.N.T.
550
Número
1800
39,7
Tasa (PMP)
45
34,6 35,1
1600
33,6
1400
1851
33,9
32,5
33,7
33,8
33,8
34,3
34,2
39,7
34,4
32,0
40
35,3 34,8 35,1
36,0
35
31,5
29
1200
25
30
27 26,8
22,6
1000
20,2
25
21,7
1606
17,8
800
14,3
1250
600
1037 1032
400
687
550
200
1851
778
832 869
960
1409 1443
13341345
1335
1495 1546
1577
1509 1550
1667 1643 1655 1682
1502
1155
2015: THE BIGGEST INCREASE IN ORGAN
DONATION IN SPAIN ( +169: +10% )
0
20
15
10
5
0
1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
30 donors pmp
20 donors pmp
15 donors pmp
10 donors pmp
<10 donors pmp
39,7
2015
19,6
26,6
10,4
25,3
THERE
GREAT DIFFERENCE
THERE
AREISGREAT
DIFFERENCES
BETWEEN
THE SPANISH
IN ORGAN
DONATION
RATES
ORGAN THE
DONATION
RATES
AND
)
BETWEEN
MOST
DEVELOPED
THOSE OF MOST DEVELOPED
COUNTRIES
COUNTRIES
(DONORS
PMP
(DONORS
PMP2014/15)
2013)
17,3
15,7
16,1
22,7
20,6
8,0
ORGAN DONORS PMP – SPAIN 2015
42,8
73,5
39,9
• ALL REGIONS > 30
• 10 REGIONS > 40
•
4 REGIONS > 50
53,0
54,6
78,9
34,1
42,5
> 50
33,4
35,1
>40
38,0
>35
45,7
>30
41,4
35,9
44,3
38,5
41,4
39,7
ORGAN TRANSPLANTS IN SPAIN
1989-2015 (total number)
Procedimientos de trasplante (N absoluto)
5000
TxKIDNEY
Renal
Tx Hepático
LIVER
Tx HEART
Cardiaco
Tx Pulmonar
LUNG
Tx PANCREAS
Pancreático
4500
409 TRANSPLANTED PATIENTS
4000
MORE THAN DURING 2014!!
TxINTESTINE
Intestinal
4769
3500
3000
2500
2000
1500
1000
1244
500
0
1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
SPAIN 2015
•
•
•
•
46,62 millions people
17 Regions
186 hospitals with transplant coordinators
43 hospitals with transplant teams
• 10 with pediatric transplant teams
HUNTIL 1-1-16 HAVE BEEN
PERFORMED IN SPAIN:
•62.593 RENAL TRANSPLANTS
•23.746 LIVER TRANSPLANTS
• 7.588 HEART TRANSPLANTS
• 3.781 LUNG TRANSPLANTS
• 1.695 PANCREATIC TRANSPLANTS
• 123 INTESTINAL TRANSPLANTS
ORGAN DONATION RECORD
IN 24 HOURS: 14 / 12 / 2015
•16 DONORS
(15DEC + 1 LIVING)
•27 HOSPITALS
•11 REGIONS
•31 PATIENTS TX
•26 KIDNEYS
• 9 LIVERS
• 2 HEARTS
• 5 LUNGS
• 1 PANCREAS
•4 SUPER-URGENT
•MORE THAN 600
PERSONS
•12 AIRPORTS
CIVIL & MILIT.
•4 AIR COMPANIES
•POLICE, 112,
TRANSPORTS…
CAUSE OF DEATH OF ORGAN DONORS
CT ROAD
CT NO ROAD
TCE
No Tráfico
TRAFFIC
TCE
Tráfico
TRAFFIC
CVA
ACVA
OTHER
OTRAS
100%
9
9
11
10
12,1 10,6
9,7
10,6 11,6
9,9
90%
10,6 12,1 13,3 12,7
14,9 16,3 15,1 16,9 18,2 15,3
20,5 18,5 19,2 21,3
80%
70%
65,2%
39
46
39%
48
49
60%
50%
51
55,3
53,5
55,4 56,4 59,9
59,9 56,4
9
40%
43%
13
0%
65,2
12
11,3
10,7
11,9
11
11,3
10
20%
43
62,1 65,4 64,2
65,1 67,9 62,1 65,9 65,6
10
30%
10%
59,9 61,5 59,5
35
28
29
25,6
11,9
11,1
11,3
9,7
11,5
11,4
23,4
24,9
23
20,3
20,2
20,7
17,6
15,5
16,1
14
10,1
11,3 10,2
8,2
8,7
11,1
5,7
11,8
5
11,4 11,2
6
4,4
PERCENTAGE OF DONORS DUE TO ROAD TRAFFIC ACCIDENTS 2015:
9,9
9,3
5,2
4,24,2%
4.2 %
EVOLUTION OF THE AGE OF THE
DONORS IN SPAIN
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
15,8%
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
≥60
10
11,5
17
20,5
22
28
27
30,3
31,4
33,9
34,4
34
38,2
38
38,6
42,9
44,3
44,8
46,6
53,6
50,7
52,5
53,9
53,3
45-59 años
21
31,5
28
30
27,6
25,8
27,1
26,5
28,1
28,8
29,8
28,7
29,8
29,1
29
29,2
28,6
29,8
32,4
27,8
28,4
30,5
28,8
31
30-44 años
25
20,5
23
20
19,8
21,9
19,4
19,2
17,1
16,3
15,5
16,2
14,7
15,9
16,7
15,9
15,9
14,8
12,7
12,9
13,4
10,8
11,8
10,2
15-29 años
34
27
23
22,5
22,8
19,5
20,5
19,6
19,7
17,8
15,1
16,6
12,8
13,1
12,5
9,3
8,8
7,2
6,6
4
5,8
3,7
4
4
<15 años
10
9,5
9
7
7,7
5,8
5,7
4,4
3,8
3,2
5,2
4,5
4,5
4
3,2
2,6
2,4
3,4
1,7
1,7
1,7
2,5
1,5
1,6
<15 años
15-29 años
30-44 años
45-59 años
≥60
EVOLUTION OF THE AGE OF THE
DONORS IN SPAIN
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
≥80
0,9
0,7
1,0
1,2
1,7
2,1
2,0
2,4
3,0
3,7
4,9
6,5
7,5
8,4
8,9
9,8
70-79
11,4
12,7
13,7
15,2
16,5
16,1
17,6
18,6
20,4
21,7
20,6
25,8
22,8
23,1
21,2
22,6
60-69
19,2
20,4
19,7
17,5
20,0
19,8
19,2
21,9
20,9
19,5
21,1
21,4
20,5
20,9
23,7
20,9
45-59
28,0
28,8
30,0
28,7
30,0
29,2
29,0
29,1
28,7
29,8
32,4
28,0
28,4
30,5
28,8
31,0
30-44
16,9
16,3
15,5
16,2
14,7
15,9
16,7
16,1
15,9
14,8
12,7
12,7
13,5
10,8
11,8
10,2
15-29
19,8
17,8
15,3
16,6
12,9
13,0
12,5
9,3
8,8
7,2
6,6
4,1
5,7
3,7
4,0
4,0
0-14
3,7
3,2
4,8
4,5
4,2 0-143,9
3,0
15-29
2,6
30-44
2,3 45-59
3,4
1,6
70-79 1,7
≥802,5
1,5
1,6
1,7
60-69
MAXIMUM AGE OF ORGAN DONORS IN SPAIN
(TRANSPLANTED ORGANS)
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2012
2013
2014
2015
100
91
Edad Máxima del donante
90
90
79
74
80
70
55
60
50
40
TX.
RIÑÓN
KIDNEY
TX. HÍGADO
LIVER
TX.HEART
CORAZÓN
TX. PULMÓN
LUNG
TX. PÁNCREAS
PANCREAS
MAXIMUM AGE OF ORGAN DONORS IN SPAIN
(TRANSPLANTED ORGANS)
100
91
90
Edad máxima del donante
80
90
74
79
70
60
55
50
40
30
KIDNEY
TX.
RIÑÓN
20
LIVER
TX. HÍGADO
HEART
TX. CORAZÓN
LUNG
TX. PULMÓN
PANCREAS
TX.
PÁNCREAS
10
0
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
DCD DONORS IN
SPAIN -2015
17 % OF TOTAL DONORS
Tasa pmp
350
6
300
5
250
4,1
4
IV
III
II
2
Tasa (PMP)
2,7
2,3
1,6 1,6 1,7
1
0,9 0,9
1
1,1
0,9 0,8 0,8
0,4
35
0
35
43
36
32
32
1
17
49
1,9
2
2,5
71
70
76
88
107
23
84
150
51
5
1
100
1,3
56
200
3,4 3,4
3
2
212
128
138
112
108 107 102
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2008 2009 2010 2011 2012 2013 2014 2015
50
0
N donantes
6,7
7
HOSPITALS WITH DCD PROGRAMS IN SPAIN - 2015
II
III
II + III
1
2
1
1
1
8
1
1
1
4
2
1
2
2
2
3
12
3
3
51 PROGRAMS in 13 REGIONS
13 DCD-II / 51 DCD-III
SOLID ORGAN TRANSPLANTS IN SPAIN
FROM DCD DONORS: 2001 - 2015
+2.500
KIDNEY - PANCREAS
40 TX HOSPITALS
IN 15 REGIONS
LUNG
2015
DONORS IN 45 HOSPITALS
IN 13 REGIONS
LIVER
KIDNEY
FROM 24 TO 541
ORGAN DONORS IN ASISTOLIA (DCD)
TOTAL NUMBER / (RATE pmp). 2014
> 3 PMP
1-3 PMP
< 1 PMP
U.S.A.: 1291 (4,0)
106 (0,7)
9 (4,5)
4 (0,9)
505 (8,0)
EN
132 (7,9)
1 (0,1)
4 (0,4)
83 (7,5)
6 (0,7)
18 (2,2)
4 (0,5)
40 (0,6)
2 (0,0)
193 (4,1)
2015
314 (6,7)
2905
2907
RENAL TRANSPLANTS
IN SPAIN
2900
2678
2551
2498
2552
2328
2400
2200
2211
2225
2132
2032
1996
1800
1857
2023
2157
2125
1938
1900
2229
1924
1633
1707
1492
1371
1400
1488
1240
1182
987
1039
1017
900
1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
RENAL TRANSPLANTS IN SPAIN
ACCORDING TO THE TYPE OF DONOR
3000
2500
DCD 16%
LIVING 13%
2000
BRAIN DEATH 71%
1500
1000
500
0
1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
LIVING RENAL TRANSPLANTS
IN SPAIN
500
450
423
382
400
388
361
350
320
300
13,3%
250
235 240
OF TOTAL
RENAL TX
200
156
137
150
87
100
102
60 61
50
16 15 15 20
35
34
22 20 19 17 19 31
0
1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
FAMILY REFUSAL RATE
30
25
%
20
20%
15
10
2015
5
0
15,3%
1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
LIVER TRANSPLANTS IN SPAIN
1200
1033
960
1000
899 954
800
1040
1037
972
1070
1112 1108
1051
1137
1099
1093
1084
1162
1068
971
790
698700
614
600
495
468
400
412
313
200
14 5
170
123
44
50
0
19841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015
HEART TRANSPLANTS IN SPAIN
400
349 353341
336
318
310
350
300
287292 282
278
254
232
250
299
290294287
274
292
265
274
247
243
241
249
237
200
164
150
100
97
73
45 53
50
0
10
22
19841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015
LUNG TRANSPLANTS IN SPAIN
294
300
285
262
250
219
200
185
161
150
128
143
135 138
235 230 238
192
167 169
149 143
108
100
76
50
36
0
6
6
11
45
20
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
PANCREATIC TRANSPLANTS IN SPAIN
120
111
110
100
97
96 94
97
94
92
83
80
74 74
81
76
69
60
60
48
40
19 21
20
14
0
2
26 24
24 24
27 28 25
16
9
5 5 7
19841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015
ORGAN EXCHANGE BETWEEN SPANISH REGIONS 2015 (SENT / RECEIVED)
52/16
53/73
27/77 97/43
38/23
30/14
94 / 27
RECEIVED >
SENT
SENT >
RECEIVED
45 / 191
20 / 39
35 / 292
37/ 18
78 / 6
80 / 8
96/38
TOTAL EXCHANGES:
953 – 22,6%
OF TOTAL
TRANSPLANTED ORGANS
34/38
73 / 40
44 / 10
-/-
-/-
Thank you
Dank U wel
Vielen Dank
Merci Beaucoup
Paracalo
Grazie Mille
Muchas Gracias
Domo Arrigato
Köszönöm Szépen
Najlepa Hvala
Teşekkürler
08/01/2015
Datos de actividad Año 2015
Evolución de la Actividad de Donación y Trasplante en España
Año 2014
Año 2015
46,7
6
Variación
total
pmp
46,624382
total
pmp
1682
36,0
1851
39,7
10,0%
(193)
4,1
(314)
6,7
63%
2678
57,3
2905
62,3
8%
(Donante vivo)
(423)
9,0
(388)
8,3
-8%
(Donación Asistolia)
(251)
5,4
(460)
9,9
83%
1068
22,8
1162
24,9
9%
(Donante vivo)
(21)
0,4
(30)
0,6
43%
(Donación Asistolia)
(32)
0,7
(67)
1,4
109%
Población x 10
Donantes de órganos cadáver
(Donación Asistolia)
Total Trasplantes Renales.
Trasplantes Hepáticos
2015-2014
Trasplantes Cardiacos
265
5,7
299
6,4
13%
Trasplantes Pulmonares
262
5,6
294
6,3
12%
Trasplantes de Páncreas
81
1,7
97
2,1
20%
Trasplantes de Intestino
6
0,1
12
0,3
100%
Total Tx 2013
4.360
Datos Organización Nacional de Trasplantes
Total Tx 2014
4.769
Incremento
9,4%
08/01/2015
Datos de actividad Año 2015
Evolución de la Actividad de Donación y Trasplante en España
Donantes de órganos (Fallecidos)
Año 2014
Año 2015
46,7
46,6
Población en millones
CC.AA
Total
pmp
Total
pmp
ANDALUCÍA
315
37,5
323
38,5
ARAGON
43
32,4
44
33,4
ASTURIAS
51
48,0
45
42,8
BALEARES
52
47,1
42
38,0
CANARIAS
71
33,7
87
41,4
CANTABRIA
31
52,7
43
73,5
CASTILLA LA MANCHA
65
35,9
31,3
74
CASTILLA y LEON
121
48,5
105
42,5
CATALUÑA
218
29,0
256
34,1
COM. VALENCIANA
175
35,0
206
41,4
EXTREMADURA
38
34,6
50
45,7
GALICIA
91
33,1
109
39,9
LA RIOJA
18
56,4
25
78,9
MADRID
238
36,9
226
35,1
MURCIA
50
34,1
65
44,3
NAVARRA
29
45,3
35
54,6
PAIS VASCO
75
34,3
116
53,0
1
11,8
1682
36
1851
39,7
Ciudad A.de Ceuta
Ciudad A.de Melilla
TOTAL DEL ESTADO
Datos Organización Nacional de Trasplantes
08/01/2015
Datos de actividad Año 2015
RELACIÓN TRASPLANTES RENALES
CC.AA
Hospital
Andalucía
H. Puerta del Mar. Cádiz
H. Reina Sofía. Córdoba
H. Regional. Málaga
H. Virgen del Rocío Infantil. Sevilla
H. Virgen del Rocío Adultos. Sevilla
H. Virgen de las Nieves. Granada
Aragón
2012
2013
2014
2015
73
63
144
5
99
73
67
54
106
11
84
90
73
51
145
10
101
73
59
68
127
15
108
76
H. Miguel Servet. Zaragoza
68
85
78
78
Asturias
H. Central de Asturias. Oviedo
50
48
51
52
Baleares
H. Son Espases. Palma de Mallorca
52
39
49
52
Canarias
H. Univ. Canarias. Tenerife
H. Insular de Gran Canaria
61
30
63
38
68
40
74
49
Cantabria
H. Marqués de Valdecilla. Santander
36
61
46
55
Castilla -La Mancha H. General. Albacete
H. V.de la Salud . C.H. Toledo
21
34
47
47
44
38
42
48
Castilla y León
Complejo Asistencial de Salamanca
H. Clínico. Valladolid
56
61
48
60
58
59
62
49
Cataluña
H. de Bellvitge. L'Hospitalet
H. Vall d'Hebrón Infantil. Barcelona
H. Vall d'Hebrón. Barcelona
H. Cliníc i Provincial. Barcelona
H. del Mar. Barcelona
H. Germans Trías i Pujol. Badalona
Fundació Puigvert. Barcelona
H. Sant Joan de Deu.Infantil
116
9
104
136
50
58
78
8
120
14
85
124
71
57
62
7
123
13
89
140
76
58
99
6
124
12
126
138
84
73
82
8
Com. Valenciana
H. La Fe Infantil. Valencia
H. La Fe Adultos. Valencia
H. de Elche. Alicante
H. General d'Alacant. Alicante
H. Dr. Peset. Valencia
11
101
6
70
44
7
90
28
68
44
8
88
23
66
61
5
93
21
102
60
Extremadura
H. Infanta Cristina. Badajoz
34
30
44
53
Galicia
C.H. Universitario de A Coruña
C.H. Universitario. Santiago
119
19
108
24
117
24
124
44
La Rioja
H. San Pedro. Logroño
5
16
7
16
Madrid
H. Doce de Octubre
H. Ramón y Cajal
H. Gregorio Marañón Infantil
H. Gregorio Marañón Adultos
H. La Paz Infantil
H. La Paz Adultos
H. Clínico San Carlos
H. Puerta de Hierro
Fundación Jiménez Díaz
154
67
1
33
16
46
65
30
20
141
64
2
36
17
43
57
26
20
145
76
3
49
15
45
60
22
16
130
80
2
41
22
59
60
29
27
Murcia
H. Virgen de la Arrixaca
76
61
54
68
Navarra
Clínica Univ. de Navarra. Pamplona
32
26
40
49
País Vasco
H. de Cruces Infantil. Baracaldo.
H. de Cruces Adultos. Barcaldo.
6
111
9
147
2
125
6
153
2551
2552
2678
2905
361
382
423
388
59
67
58
71
TOTAL DEL ESTADO
Trasplantes de donante vivo
Trasplantes Infantiles
Datos Organización Nacional de Trasplantes
08/01/2015
Datos de actividad Año 2015
RELACIÓN TRASPLANTES RENALES
CC.AA
2012
2013
2014
2015
457
412
453
453
Aragón
68
85
78
78
Asturias
50
48
51
52
Baleares
52
39
49
52
Canarias
91
101
108
123
Cantabria
36
61
46
55
Castilla -La Mancha
55
94
82
90
Castilla y León
117
108
117
111
Cataluña
559
540
604
647
C. Valenciana
232
237
246
281
Extremadura
34
30
44
53
138
132
141
168
5
16
7
16
Madrid
432
406
431
450
Murcia
76
61
54
68
Navarra
32
26
40
49
117
156
127
159
Total del Estado
2.551
2.552
2.678
2.905
Trasplantes de donante
vivo
235
382
423
388
62
67
58
71
Andalucía
Galicia
La Rioja
País Vasco
Trasplantes Infantiles
Datos Organización Nacional de Trasplantes
08/01/2015
Datos de actividad Año 2015
RELACIÓN TRASPLANTES HEPÁTICOS
C.A.
Andalucía
Hospital
2012
Total (Inf)
2013
Total (Inf)
49
H. Virgen del Rocío. Sevilla
68
74
68
69
H. Regional. Málaga
50
40
46
56
H. Virgen de las Nieves. Granada
36
27
37
24
Aragón
H. Clínico Lozano Blesa . Zaragoza
31
32
33
33
Asturias
H. Central. Oviedo
27
34
38
22
Canarias
H. Ntra.Sra.de la Candelaria.Tenerife
29
36
44
33
Cantabria
H. M. Valdecilla. Santander
16
22
18
27
Castilla y León
H. Del Río Hortega. Valladolid
44
49
44
45
Cataluña
H. Bellvitge. L'Hospitalet
61
57
53
55
H. Vall d'Hebrón Inf. Barcelona
Com. Valenciana
9
(9)
10
(10)
(10)
54
2015
Total (Inf)
H. Reina Sofía. Córdoba
(12)
54
2014
Total (Inf)
14
(6)
(14)
59
13
H. Vall d'Hebrón .Barcelona
38
27
29
26
H. Cliníc i Provincial.Barcelona
72
73
67
67
H. La Fe. Valencia
109
H. Gral de Alicante
8
34
33
42
30
(6)
92
(9)
74
(6)
101
Extremadura
H. Infanta Cristina. Badajoz
25
30
25
Galicia
H. Universitario de A Coruña
51
46
47
C.H. Universitario. Santiago
40
39
39
H. Doce de Octubre
59
H. Ramón y Cajal
32
34
37
40
H. Gregorio Marañón
43
38
39
40
H. La Paz Infantil
38
H .Puerta de Hierro
22
28
25
27
Murcia
H.Virgen de la Arrixaca. Murcia
48
42
39
60
Navarra
Clínica Univ. Navarra. Pamplona
16
23
19
24
País Vasco
H. Cruces. Bilbao
63
63
56
81
Madrid
Total del Estado ( Infantiles < 16 años)
Trasplantes Donante Vivo (Infantiles < 16 años)
Incluidos en totales
Datos Organización Nacional de Trasplantes
(6)
(35)
1084 (68)
28
(24)
66
23
(4)
(20)
1093 (53)
23
(13)
68
22
(1)
(1)
(13)
(7)
58
36
(3)
(21)
1068 (51)
21
(8)
(14)
60
34
(4)
(32)
1162 (65)
30
(25)
08/01/2015
Datos de actividad Año 2015
RELACIÓN TRASPLANTES HEPÁTICOS
CC.AA
Andalucía
Aragón
Asturias
Canarias
Cantabria
Castilla y León
Cataluña
Com. Valenciana
Extremadura
Galicia
Madrid
Murcia
Navarra
País Vasco
2012
203
31
27
29
16
44
180
117
25
91
194
48
16
63
2013
195
32
34
36
22
49
167
126
30
85
189
42
23
63
2014
205
33
38
44
18
44
163
107
25
86
191
39
19
56
2015
208
33
22
33
27
45
161
143
30
94
201
60
24
81
1084
1093
1068
1162
Trasplantes Infantiles
68
53
50
65
Trasplantes Donante Vivo
28
28
21
30
Total del Estado
Datos Organización Nacional de Trasplantes
08/01/2015
Datos de actividad Año 2015
RELACIÓN TRASPLANTES CARDIACOS
CC.AA.
Andalucía
Hospital
2012
Total
2013
(Inf) Total
2014
(Inf) Total
(Inf)
2015
Total
(Inf)
H. Reina Sofía
15
12 (2)
12 (1)
24 (4)
H. Virgen del Rocío
17
15
22
17
Aragón
H. Miguel Servet
11
8
10
7
Asturias
H. Central de Asturias
16
14
12
12
Cantabria
H. M. de Valdecilla
20
25
27
21 (1)
Castilla y León
H. Clínico .Valladolid
5
4
10
10
Cataluña
H. de la Sta Creu i St. Pau
13
14
18
18
H.de Bellvitge
18
14
18
24
H. Cliníc i Provincial
18
19
18
17
H. Infantil Vall d´Hebrón
3 (3)
5 (5)
2 (2)
7 (7)
Com. Valenciana H. La Fé
26
22
23
27
Galicia
H. Universitario de A Coruña
25 (2)
20 (3)
20
25
Madrid
H. Gregorio Marañón
17 (6)
24 (14)
23 (6)
22 (7)
H. Puerta de Hierro
20
16
19
27
H. Doce de Octubre
15
16
15
21
H. Infantil La Paz
2 (2)
6 (6)
3 (2)
Murcia
H. Virgen de la Arrixaca
1
7
9
11
Navarra
Clínica Univ. Navarra
5
8
4
6
Total del Estado
Incluidos Trasplantes cardiopulmonares
( ) Trasplantes Infantiles < 16 años
Datos Organización Nacional de Trasplantes
247 (13)
249 (30)
265 (11)
3 (2)
299 (21)
08/01/2015
Datos de actividad Año 2015
RELACIÓN TRASPLANTES CARDIACOS
CC.AA
2012
2013
2014
2015
Andalucía
32
27
34
41
Aragón
11
8
10
7
Asturias
16
14
12
12
Cantabria
20
25
27
21
5
4
10
10
Cataluña
52
52
56
66
Com. Valenciana
26
22
23
27
Galicia
25
20
20
25
Madrid
54
62
60
73
Murcia
1
7
9
11
Navarra
5
8
4
6
247
249
265
299
13
30
11
21
1
2
3
2
Castilla y León
Total del Estado
Trasplantes Infantiles
(<16 años)
Trasplantes
cardiopulmonares *
* Incluidos en la actividad cardiaca y bipulmonar
Datos Organización Nacional de Trasplantes
08/01/2015
Datos de actividad Año 2015
RELACIÓN TRASPLANTES PULMONARES
C.A.
Hospital
2012
2013
2014
2015
Andalucía
H. Reina Sofía
Cantabria
H. Marqués Valdecilla
24
(11)
34
34
(14)
49
26
(9)
36
35
(6)
48
(22)
(26)
(23)
(32)
Cataluña
H. Vall d ´Hebron.
66
69
67
58
(34)
(42)
(44)
(42)
30
(22)
H. Universitario de A Coruña 35
29
(17)
42
30
(18)
26
35
(24)
47
(9)
(17)
(11)
(16)
30
(17)
1
(1)
18
(15)
37
(28)
47
(37)
40
(31)
25
(17)
30
(19)
31
(20)
238
285
262
294
(131)
(161)
(161)
(171)
7
5
1
4
Com. ValencianaH. La Fe
Galicia
Madrid
H. Puerta Hierro
H. La Paz Infantil
H.Doce de Octubre
Total del Estado
Trasplantes infantiles ( <16 años )
Incluidos en el total
( ) : Trasplantes Bipulmonares . Incluyen Tx.Cardiopulmonar
Datos Organización Nacional de Trasplantes
08/01/2015
Datos de actividad Año 2015
RELACIÓN TRASPLANTES PANCREÁTICOS
( Páncreas -Riñón y otras combinaciones )
CC.AA
Hospital
2011
2012
2013
2014
2015
Andalucía
H. Reina Sofía
11
11
12
(2PA)
6
13
(1PA)
H. Regional de Málaga
12
(3PA)
7
(1PA)
6
(4PA)
12
(1PA)
11
Canarias
H. Univ. de Canarias
8
(2PA)
5
3
2
7
(3PA)
Cantabria
H. M. Valdecilla
7
(3PA)
1
13
(3PA)
5
6
Castilla y León
C.A. Salamanca
5
6
8
8
7
Cataluña
H. Clinic i Provincial
17
(3PA)
12
(5PA)
18
(5PA)
16
(5PA)
21
(5PA)
H. G.T.P. Badalona
6
3
1
3
1
Com.Valenciana H. Gral. La Fe
11
(1PA)
6
(1PA)
9
7
(1PA)
5
(1PA)
Galicia
H. Universitario de A Coruña
10
(1PA)
5
(2PA)
4
(1PA)
2
4
(1PA)
C.H. Universitario. Santiago
1
20
(11PA)
11
(2PA)
11
(2PA)
12
(4PA)
(2MV)
Madrid
H. Doce de Octubre
H. La Paz Infantil
Murcia
H.V.de la Arrixaca
Total del Estado:
HRPa :
HPa :
HCPa :
PA :
MV:
12
(1PA)
5
7
7
6
8
(5MV)
(6MV)
(1HPa)
(7MV)
(6MV)
(8MV)
3
2
81
97
6
111
Tx.Hígado-Riñón-Páncreas
Tx.Hígado-Páncreas
Tx.Hígado-Corazón-Páncreas
Tx Páncreas aislado
Tx Multivisceral ( Tx de mas de 2 órganos
abdominales siendo uno de ellos Intestino)
Datos Organización Nacional de Trasplantes
83
92
08/01/2015
Datos de actividad Año 2015
RELACIÓN TRASPLANTES INTESTINALES
CC.AA.
Hospital
MADRID
H. Doce de Octubre
2012
Int.A
2013
2014
2015
2
1
Int-R
H - Int
H. Infantil La Paz
MV
2
Int.A
2
H - Int
MV
CATALUÑA H. Vall d´Hebrón
6
7
2
0
6
8
Int.A
H - Int
Total Anual
Int.A
1
Int-R
H - Int
0
0
MV
6
7
6
10
8
8
6
12
Int.A : Trasplante Intestino Aislado
H - Int : Trasplante Hígado - Intestino
MV : Trasplante Multivisceral Abdominal ( Mas de 2
órganos abdominales incluyendo Intestino)
Datos Organización Nacional de Trasplantes
2
0