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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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Related in: MedlinePlus

Changes in demographic data. (A) Ages of deceased donors, and (B) causes of death of deceased donors.
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Figure 2: Changes in demographic data. (A) Ages of deceased donors, and (B) causes of death of deceased donors.

Mentions: The distribution of gender has been generally stable, with males accounting for 66-71% of the deceased donor population. Interesting findings appeared in the analyses of deceased donor population by age and cause of brain death. Namely, the deceased donor population is aging (Fig. 2A). The percentages of deceased donors aged 50 yr and over increased from 15.4% of donors in 2000 to almost 36% in 2009, whereas the percentages of deceased donors aged less than 30 yr decreased--from 48.1% of donors in 2000 to 23.5% in 2009. Donors between ages 30 and 49 comprised almost 56% of the donor population in 2004, which represented an increase from the 36.5% in 2000 and then dropped to 40.9% in 2009, in lockstep with the increase in donors 50 yr old or older. The average age of deceased donors increased steadily over the past 10 yr, from 32.9 yr in 2000 to 41.3 in 2009.


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)

Changes in demographic data. (A) Ages of deceased donors, and (B) causes of death of deceased donors.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 2: Changes in demographic data. (A) Ages of deceased donors, and (B) causes of death of deceased donors.
Mentions: The distribution of gender has been generally stable, with males accounting for 66-71% of the deceased donor population. Interesting findings appeared in the analyses of deceased donor population by age and cause of brain death. Namely, the deceased donor population is aging (Fig. 2A). The percentages of deceased donors aged 50 yr and over increased from 15.4% of donors in 2000 to almost 36% in 2009, whereas the percentages of deceased donors aged less than 30 yr decreased--from 48.1% of donors in 2000 to 23.5% in 2009. Donors between ages 30 and 49 comprised almost 56% of the donor population in 2004, which represented an increase from the 36.5% in 2000 and then dropped to 40.9% in 2009, in lockstep with the increase in donors 50 yr old or older. The average age of deceased donors increased steadily over the past 10 yr, from 32.9 yr in 2000 to 41.3 in 2009.

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