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Trends in deceased organ donation and utilization in Korea: 2000-2009.

Min SI, Kim SY, Park YJ, Min SK, Kim YS, Ahn C, Kim SJ, Ha J - J. Korean Med. Sci. (2010)

Bottom Line: Therefore, the percentage of standard criteria donors (SCD) has been declining significantly, from 94% in 2000 to 79.2% in 2009.This decline may be attributable to increases in the number and percentage of extended criteria donors (ECD) and donors after cardiac death (DCD), since the OTPD was 2.25 for DCD, 2.5 for ECD, and 3.09 for SCD in 2009.In summary, the makeup of donors has changed significantly.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Seoul National University College of Medicine, Seoul, Korea.

ABSTRACT
Continuous efforts have been made by the organ donation and transplantation community in Korea to increase organ donation by the deceased. The authors detailed trends of organ donation and utilization over the past 10 yr using data provided by the KONOS. The yearly number of deceased donors has grown gradually since 2003. The number and percentage of old donors (> or = 50 yr) and donors dying from intracranial hemorrhage has increased continuously. Therefore, the percentage of standard criteria donors (SCD) has been declining significantly, from 94% in 2000 to 79.2% in 2009. The number of organs transplanted per donor (OTPD) has also declined slightly since 2007, from 3.28 in 2007 to 2.95 in 2009. This decline may be attributable to increases in the number and percentage of extended criteria donors (ECD) and donors after cardiac death (DCD), since the OTPD was 2.25 for DCD, 2.5 for ECD, and 3.09 for SCD in 2009. In summary, the makeup of donors has changed significantly. There is an urgent need for establishment of an institutional framework including an independent organ procurement organization and for improvement for the National Transplant Act to increase deceased donor pool and to optimize management of ECD and DCD.

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Total number of deceased donors of organs recovered for transplantation, 1999-2008. Pmp, donors per million people.
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Figure 1: Total number of deceased donors of organs recovered for transplantation, 1999-2008. Pmp, donors per million people.

Mentions: After the enforcement of National Transplant Act in 2000, a significant decrease in the number of deceased donors, from 162 (3.5 pmp) in 1999 to 52 (1.3 pmp) in 2000 (3) was noted. The situation grew increasingly worse--the number of deceased donors in 2002 was a paltry 36 (0.9 pmp). Since that time, though, there has been gradual but continuous growth in the numbers of deceased donors, and the number of deceased organ donations in 2008 reached 256 (Fig. 1). Although organ donation in 2008 had increased by 611% as compared with 2002, the pmp rate was still only 5.3.


Trends in deceased organ donation and utilization in Korea: 2000-2009.

Min SI, Kim SY, Park YJ, Min SK, Kim YS, Ahn C, Kim SJ, Ha J - J. Korean Med. Sci. (2010)

Total number of deceased donors of organs recovered for transplantation, 1999-2008. Pmp, donors per million people.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2908778&req=5

Figure 1: Total number of deceased donors of organs recovered for transplantation, 1999-2008. Pmp, donors per million people.
Mentions: After the enforcement of National Transplant Act in 2000, a significant decrease in the number of deceased donors, from 162 (3.5 pmp) in 1999 to 52 (1.3 pmp) in 2000 (3) was noted. The situation grew increasingly worse--the number of deceased donors in 2002 was a paltry 36 (0.9 pmp). Since that time, though, there has been gradual but continuous growth in the numbers of deceased donors, and the number of deceased organ donations in 2008 reached 256 (Fig. 1). Although organ donation in 2008 had increased by 611% as compared with 2002, the pmp rate was still only 5.3.

Bottom Line: Therefore, the percentage of standard criteria donors (SCD) has been declining significantly, from 94% in 2000 to 79.2% in 2009.This decline may be attributable to increases in the number and percentage of extended criteria donors (ECD) and donors after cardiac death (DCD), since the OTPD was 2.25 for DCD, 2.5 for ECD, and 3.09 for SCD in 2009.In summary, the makeup of donors has changed significantly.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Seoul National University College of Medicine, Seoul, Korea.

ABSTRACT
Continuous efforts have been made by the organ donation and transplantation community in Korea to increase organ donation by the deceased. The authors detailed trends of organ donation and utilization over the past 10 yr using data provided by the KONOS. The yearly number of deceased donors has grown gradually since 2003. The number and percentage of old donors (> or = 50 yr) and donors dying from intracranial hemorrhage has increased continuously. Therefore, the percentage of standard criteria donors (SCD) has been declining significantly, from 94% in 2000 to 79.2% in 2009. The number of organs transplanted per donor (OTPD) has also declined slightly since 2007, from 3.28 in 2007 to 2.95 in 2009. This decline may be attributable to increases in the number and percentage of extended criteria donors (ECD) and donors after cardiac death (DCD), since the OTPD was 2.25 for DCD, 2.5 for ECD, and 3.09 for SCD in 2009. In summary, the makeup of donors has changed significantly. There is an urgent need for establishment of an institutional framework including an independent organ procurement organization and for improvement for the National Transplant Act to increase deceased donor pool and to optimize management of ECD and DCD.

Show MeSH
Related in: MedlinePlus