Limits...
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.

Show MeSH

Related in: MedlinePlus

Changes in organs transplanted per donor (OTPD). (A) all deceased donors and (B) OTPD changes by donor type.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC2908778&req=5

Figure 4: Changes in organs transplanted per donor (OTPD). (A) all deceased donors and (B) OTPD changes by donor type.

Mentions: Although a marked increase in the number of deceased donors has been noted in recent years, as illustrated in Fig. 1, this increase occurred along with a significant alteration in the make-up of the donor population. The percentage of SCD has been steadily declining, from 94% in 2000 to 79% in 2009 (Fig. 3). This decline can be attributed to recent increases in the numbers and percentages of ECD and DCD. Expanded criteria donors accounted for only 7.7% of all deceased donors in 2007; however, this increased to 16.7% in 2009. Donors after cardiac death also increased, from a percentage of 0.7% in 2006 to 4.2% in 2009. These recent increases in ECD and DCD have significant implications for overall organ utilization--namely, fewer OTPD (Fig. 4A). The OTPD have declined since 2007. OTPD declined from 3.28 in 2007 to 2.95 in 2009. As the OTPD (respective of donor type) have not dramatically changed over the last 10 yr (OTPD was 2.25 for DCD, 2.5 for ECD and 3.09 for SCD in 2009), the aforementioned increases in the numbers and percentages of ECD and DCD explains why fewer organs per donor are transplanted overall (Fig. 4B).


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 organs transplanted per donor (OTPD). (A) all deceased donors and (B) OTPD changes by donor type.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 4: Changes in organs transplanted per donor (OTPD). (A) all deceased donors and (B) OTPD changes by donor type.
Mentions: Although a marked increase in the number of deceased donors has been noted in recent years, as illustrated in Fig. 1, this increase occurred along with a significant alteration in the make-up of the donor population. The percentage of SCD has been steadily declining, from 94% in 2000 to 79% in 2009 (Fig. 3). This decline can be attributed to recent increases in the numbers and percentages of ECD and DCD. Expanded criteria donors accounted for only 7.7% of all deceased donors in 2007; however, this increased to 16.7% in 2009. Donors after cardiac death also increased, from a percentage of 0.7% in 2006 to 4.2% in 2009. These recent increases in ECD and DCD have significant implications for overall organ utilization--namely, fewer OTPD (Fig. 4A). The OTPD have declined since 2007. OTPD declined from 3.28 in 2007 to 2.95 in 2009. As the OTPD (respective of donor type) have not dramatically changed over the last 10 yr (OTPD was 2.25 for DCD, 2.5 for ECD and 3.09 for SCD in 2009), the aforementioned increases in the numbers and percentages of ECD and DCD explains why fewer organs per donor are transplanted overall (Fig. 4B).

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