Organ Donation and TransplantationActivities

EXECUTIVE SUMMARY2019

INTERNATIONAL REPORT ON

www.transplant-observatory.org

April 2021

Global activity in

organ transplantation

Estimations 2019

Kidney Liver Heart Lung Pancreas S. bowel

100 097 35 784 8 722 6 800 2 323 137

≈ 153 863 solid organ transplants

≈ 4.8% increase vs 2018

37.3 % living kidney transplants

21.3% living liver transplants

40 608 deceased donors (31 366 DBD and 9 242 DCD donors)

Information of 82 Member States on organ transplantation activities (74.3% of the global population)

DECEASED DONATION ACTIVITY

0.0 10.0 20.0 30.0 40.0 50.0 60.0

Algeria (n=1)

Morocco (n=4)

Guatemala (n=3)

Nicaragua (n=2)

Malaysia (n=16)

India (n=715)

Trinidad and Tobago…

Japan (n=125)

United Arab Emirates…

Republic of North…

Serbia (n=15)

Dom Republic (n=23)

Peru (n=75)

Bulgaria (n=16)

Rep of Moldova (n=11)

Mongolia (n=9)

Paraguay (n=20)

Qatar (n=8)

Saudi Arabia (n=114)

Mexico (n=500)

China (n=5818)

Panama (n=18)

Thailand (n=301)

Romania (n=85)

Singapore (n=26)

Cyprus (n=6)

Russia (n=740)

Greece (n=61)

Turkey (n=499)

Kuwait (n=27)

Costa Rica (n=33)

Ecuador (n=133)

Luxembourg (n=5)

Colombia (n=417)

Rep of Korea (n=450)

Latvia (n=19)

Chile (n=188)

Germany (n=932)

Israel (n=101)

Cuba (n=138)

Poland (n=504)

Netherlands (n=258)

New Zealand (n=74)

Denmark (n=102)

Ireland (n=85)

Brazil (n=3767)

Slovakia (n=98)

Lithuania (n=52)

Switzerland (n=157)

Hungary (n=180)

Estonia (n=25)

Argentina (n=883)

Sweden (n=198)

Slovenia (n=44)

Norway (n=115)

Uruguay (n=75)

Australia (n=548)

Canada (n=828)

Iceland (n=7)

Austria (n=206)

UK (n=1653)

Malta (n=10)

Italy (n=1495)

Finland (n=145)

Belarus (n=248)

Czech Republic (n=288)

Belgium (n=321)

France (n=1924)

Croatia (n=131)

Portugal (n=347)

USA (n=11870)

Spain (n=2302)

Rate Actual DBD

Rate Actual DCD

Actual deceased

organ donors

according to donor

type (pmp)

2019

Deceased donation activities reported

in 72/82 countries

Deceased donors pmp

DBD donors: 31 366

DCD donors: 9 242

Note: Canada only reported utilized deceased donors

Actual donor: deceased person from whom at least one organ has been recovered for transplantation.

0.0

10.0

20.0

30.0

40.0

50.0

0.4 0.5 0.6 0.7 0.8 0.9 1

AFR AMR EMR EUR SEAR WPRDeceased

donation

pmp

in relation to

HDI

2019

WHO Regions:

African Region (AFR)

Region of the Americas (AMR)

Eastern Mediterranean Region (EMR)

European Region (EUR)

South-East Region (SEAR)

Western Pacific Region (WPR)

HDI

De

ce

as

ed

do

no

rsp

mp

Note: Dots represent Member States in each WHO region

00 10 20 30 40 50

Algeria(n=1)

Morocco(n=4)

Guatemala(n=3)

Nicaragua(n=2)

Malaysia(n=16)

India(n=715)

Trinidad and Tobago(n=1)

Japan(n=125)

United Arab Emirates(n=10)

Republic of North Macedonia(n=3)

Serbia(n=15)

Dom Republic(n=23)

Peru(n=75)

Bulgaria(n=16)

Rep of Moldova(n=11)

Mongolia(n=9)

Paraguay(n=20)

Qatar(n=8)

Saudi Arabia(n=114)

Mexico(n=500)

China(n=5818)

Panama(n=18)

Thailand(n=301)

Romania(n=85)

Singapore(n=26)

Cyprus(n=6)

Russia(n=740)

Greece(n=61)

Turkey(n=499)

Kuwait(n=27)

Costa Rica(n=33)

Ecuador(n=133)

Luxembourg(n=5)

Colombia(n=417)

Rep of Korea(n=450)

Latvia(n=19)

Chile(n=188)

Germany(n=932)

Israel(n=101)

Cuba(n=138)

Poland(n=504)

Netherlands(n=258)

New Zealand(n=74)

Denmark(n=102)

Ireland(n=85)

Brazil(n=3767)

Slovakia(n=98)

Lithuania(n=52)

Switzerland(n=157)

Hungary(n=180)

Estonia(n=25)

Argentina(n=883)

Sweden(n=198)

Slovenia(n=44)

Norway(n=115)

Uruguay(n=75)

Australia(n=548)

Iceland(n=7)

Austria(n=206)

UK(n=1653)

Malta(n=10)

Italy(n=1495)

Finland(n=145)

Belarus(n=248)

Czech Republic(n=288)

France(n=1924)

Croatia(n=131)

Portugal(n=347)

USA(n=11870)

Spain(n=2302)

Actual DD <18 years pmp

Actual DD 18-59 years pmp

Actual DD ≥ 60 years pmp

Deceased donors pmp

Actual deceased

organ donors

according to donor

age (pmp)

2019

N=70 countries with

information according to

age groups

Actual deceased

donors

according to

donor age (%)

2019

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Trinidad and Tobago(n=1)

Nicaragua(n=2)

Guatemala(n=3)

North Macedonia(n=3)

Morocco(n=4)

Qatar(n=8)

Serbia(n=15)

Kuwait(n=27)

Saudi Arabia(n=114)

Thailand(n=301)

Ecuador(n=133)

Panama(n=18)

Costa Rica(n=33)

Malaysia(n=16)

Mexico(n=500)

Colombia(n=417)

Dom Republic(n=23)

United Arab Emirates(n=10)

Paraguay(n=20)

Uruguay(n=75)

Brazil(n=3767)

China(n=5818)

Belarus(n=248)

USA(n=11870)

Estonia(n=25)

Russia(n=740)

India(n=715)

Peru(n=75)

Cuba(n=138)

Luxembourg(n=5)

Malta(n=10)

Japan(n=125)

Argentina(n=883)

Latvia(n=19)

Chile(n=188)

Poland(n=504)

Mongolia(n=9)

Rep of Korea(n=450)

Bulgaria(n=16)

New Zealand(n=74)

Hungary(n=180)

Ireland(n=85)

Australia(n=548)

Romania(n=85)

Turkey(n=499)

Slovakia(n=98)

Lithuania(n=52)

Cyprus(n=6)

Singapore(n=26)

UK(n=1653)

Austria(n=206)

Czech Republic(n=288)

Norway(n=115)

Israel(n=101)

Greece(n=61)

Germany(n=932)

Iceland(n=7)

Netherlands(n=258)

Finland(n=145)

France(n=1924)

Denmark(n=102)

Switzerland(n=157)

Sweden(n=198)

Portugal(n=347)

Croatia(n=131)

Rep of Moldova(n=11)

Spain(n=2302)

Italy(n=1495)

Slovenia(n=44)

Algeria(n=1)

% < 18 years % 18-59 years % ≥ 60 years

N=70 countries with

information according to

age groups

Israel: 5 (0.6)

Controlled and uncontrolled DCD

Only controlled DCD

Only uncontrolled DCD

Japan: 28 (0.2)

China: 3 912 (2.7)*

Russian Federation: 44 (0.3)

Canada: 243 (6.5)

Australia: 172 (6.9)

New Zealand: 13 (2.7)

Actual donors

after the

circulatory

determination

of death

2019Absolute number

(pmp)

9 242 DCD donors

were reported in

2019 (23% of total

actual deceased

organ donors)

(N = 22 countries)

*Includes 1 332

DBCD donors

Singapore: 1 (0.2)

United States: 2 718 (8.3)

Note: Colour codes for countries are based on active programmes, regardless of activities reported in 2019

Actual donors after

the circulatory

determination of

death in Europe

2019Absolute number

(pmp)

745 (16.1)27 (2.6)

80 (1.4)

195 (3.0)

689(10.3)7 (1.5)

110 (9.5)

152(8.9)

4 (0.4)

44 (0.3)

1 (0.0)

18 (1.7)

21 (2.4)57 (6.6) Controlled and uncontrolled DCD

Only controlled DCD

Only uncontrolled DCD

Note: Colour codes for countries are based on active programmes, regardless of activities reported in 2019

GLOBAL ORGAN TRANSPLANT

ACTIVITY

Transplant

activity per

type of

organ

(pmp)

2019

Transplants pmp0.0 20.0 40.0 60.0 80.0 100.0 120.0

Venezuela (n=6)Ethiopia (n=35)Nigeria (n=165)Morocco (n=42)

Nicaragua (n=11)Philippines (n=301)

Republic of Moldova (n=14)Malaysia (n=138)

Serbia (n=37)Trinidad and Tobago (n=6)

Guatemala (n=109)Algeria (n=282)

Paraguay (n=47)Sudan (n=313)

Bulgaria (n=53)Republic of North Macedonia (n=16)

Pakistan (n=1591)Armenia (n=23)

Peru (n=261)Dominican Republic (n=91)

India (n=12666)Panama (n=40)

United Arab Emirates (n=93)Georgia (n=44)

Thailand (n=829)Cyprus (n=15)

China (n=19462)Syria (n=276)

Romania (n=295)Ecuador (n=262)Russia (n=2429)

Jordan (n=176)Cuba (n=206)

Japan (n=2535)Greece (n=226)

Latvia (n=39)Qatar (n=56)

Singapore (n=125)Costa Rica (n=106)

Mongolia (n=68)Mexico (n=3242)

Kuwait (n=110)Colombia (n=1318)

Iceland (n=10)Chile (n=651)

Poland (n=1566)Malta (n=17)

Estonia (n=56)Brazil (n=9232)

Lithuania (n=129)S. Arabia (n=1533)

Slovenia (n=95)Hungary (n=440)

Germany (n=3767)Slovakia (n=259)

Argentina (n=2417)Uruguay (n=196)Belarus (n=531)Ireland (n=274)

Italy (n=3881)N Zealand (n=326)

Israel (n=594)Australia (n=1741)

Turkey (n=5763)Switzerland (n=600)

Denmark (n=406)Croatia (n=301)

Netherlands (n=1311)UK (n=5178)

Sweden (n=799)Belgium (n=934)Finland (n=453)

Czech Rep (n=865)Austria (n=720)Norway (n=443)

Portugal (n=847)Canada (n=3091)

Rep.Korea (n=4298)France (n=5910)Spain (n=5449)USA (n=40621)

Kidney pmp

Liver pmp

Heart pmp

Lung pmp

Pancreas pmp

Small Bowell pmp

Organ transplants performed in 81/82

countries

0.0 20.0 40.0 60.0 80.0 100.0 120.0

Venezuela (n=6)Ethiopia (n=35)Nigeria (n=165)Morocco (n=42)

Nicaragua (n=11)Philippines (n=301)

Republic of Moldova (n=14)Malaysia (n=138)

Serbia (n=37)Trinidad and Tobago (n=6)

Guatemala (n=109)Algeria (n=282)

Paraguay (n=47)Sudan (n=313)Bulgaria (n=53)

Republic of North Macedonia (n=16)Pakistan (n=1591)

Peru (n=258)Armenia (n=23)

Dominican Republic (n=91)

India (n=12625)Panama (n=40)

United Arab Emirates (n=93)Georgia (n=44)

Thailand (n=822)

Cyprus (n=15)China (n=19454)

Syria (n=275)Romania (n=295)Ecuador (n=262)Russia (n=2420)

Jordan (n=176)Cuba (n=206)

Japan (n=2483)Greece (n=226)

Latvia (n=39)

Qatar (n=56)Singapore (n=124)

Costa Rica (n=106)Mongolia (n=68)Mexico (n=3237)

Colombia (n=1303)Kuwait (n=110)

Iceland (n=10)Chile (n=640)

Poland (n=1541)Estonia (n=54)

Malta (n=17)Brazil (n=9185)

Germany (n=3644)Slovenia (n=93)

Lithuania (n=129)Hungary (n=433)

Saudi Arabia (n=1530)

Slovakia (n=259)Argentina (n=2321)Australia (n=1385)

Uruguay (n=196)

Belarus (n=530)Ireland (n=296)

Italy (n=3744)Israel (n=575)

N Zealand (n=322)Switzerland (n=582)

Denmark (n=395)

Turkey (n=5729)Croatia (n=296)Finland (n=413)

UK (n=4992)

Netherlands (n=1291)Sweden (n=775)

Czech Rep (n=818)Austria (n=689)

Portugal (n=820)Belgium (n=934)Norway (n=436)

Canada (n=3047)Rep of Korea (n=4266)

France (n=5723)Spain (n=5326)

USA (n=38433)

Tx Recipients from DD pmp

Tx recipients from LD pmp

Aggregated data reported (total patients transplanted)

Patients

transplanted* pmp

2019

149 886 patients were reported to be transplanted

*Note: a recipient of more than

one organ is counted as one

recipient, therefore the number

of patients transplanted is

smaller than the number of

organs transplanted (see

previous slide)

0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

80.0

0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

80.0

Ven

ezu

ela

Eth

iop

ia

Nig

eria

Mo

rocc

o

Nic

arag

ua

Rep

of

Mo

ldo

va

Serb

ia

Ph

ilip

pin

es

Mal

aysi

a

Trin

idad

an

d T

ob

ago

Bu

lgar

ia

Par

agu

ay

Pe

ru

Geo

rgia

Gu

ate

mal

a

Alg

eria

Pak

ista

n

Arm

enia

Un

ite

d A

rab

Em

irat

es

Ind

ia

Sud

an

Pan

ama

Rep

No

rth

Mac

edo

nia

Do

m R

epu

blic

Ch

ina

Mo

ngo

lia

Thai

lan

d

Ru

ssia

Ro

man

ia

Cyp

rus

Ecu

ado

r

Syri

a

Jap

an

Sin

gap

ore

Jord

an

Gre

ece

Co

sta

Ric

a

Cu

ba

Qat

ar

Slo

ven

ia

Co

lom

bia

Latv

ia

Ch

ile

Mex

ico

Ku

wai

t

Po

lan

d

Ger

man

y

Hu

nga

ry

Bra

zil

Esto

nia

Irel

and

S. A

rab

ia

Cro

atia

Icel

and

Lith

uan

ia

Slo

vaki

a

Ital

y

Arg

enti

na

Bel

giu

m

Swit

zerl

and

Mal

ta

Bel

aru

s

Au

stra

lia

Au

stri

a

Uru

guay

Rep

of

Ko

rea

N. Z

eala

nd

Turk

ey

Swed

en

Den

mar

k

No

rway

Isra

el

Can

ada

Cze

ch R

epu

blic

Po

rtu

gal

Fin

lan

d

UK

Net

her

lan

ds

Fran

ce

USA

Spai

n

Kidney transplants from DD pmp

Kidney tx from LD pmp

Total Kidney transplants pmp

81/82 countries reported kidney transplant activities (living or deceased) in 2019

100 097 kidney transplants

4.8 % increase vs 2018

37.3% from living donors

Kidney transplants

per million population (pmp). 2019

Kidney

transplants

by WHO

regions

2019

Absolute number

(pmp);

% kidney tx from

deceased donors

Kidneys from Living Donors

Kidneys from Deceased DonorsAMR

39 515 (40.5 pmp)

70.9%

AFR

470 (1.3 pmp)

0.4%

EMR

3 435 (9.5 pmp)

6.5%

EUR

28 053 (35.5 pmp)

72.3%

SEAR

10 430 (7.3 pmp)

16.2%

WPR

18 194 (10.2 pmp)

68.6%

Rates (pmp) are calculated by applying the population of the responding countries

0.0

5.0

10.0

15.0

20.0

25.0

30.0

35.0

0.0

5.0

10.0

15.0

20.0

25.0

30.0

35.0

Living liver tx pmp

Domino tx pmp

DD liver tx pmp

Total Liver tx pmp

Liver Transplants

per million population (pmp). 2019

70/82 countries reported liver transplant activities (living or deceased) in 2019

35 784 liver transplants

5% increase vs 2018

21.3% from living donors

43 Domino liver transplants

Liver

transplants

by WHO

Regions

2019

Absolute number;

% per donor type

TOTAL LIVER TX (pmp) 12 (0.0) 13 070 (13.4) 651 (1.8) 10 754 (13.6) 2 708 (1.9) 8 589 (4.8)

% Deceased Donors 8.3 93.1 15.2 83.3 25.7 72.2

Countries with liver tx activity 1 15 8 35 2 9

*Rates (pmp) are

calculated by applying

the population of the

responding countries

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

AFR AMR EMR EUR SEAR WPR

1

12166

99

8963

697

6205

11

887

552

1774

2009

2377

0 17 0 17 2 7

DOMINO

LD

DD

0.00.10.10.20.20.20.30.3

0.40.50.50.5

0.70.7

0.80.8

1.01.31.4

1.51.8

2.22.3

2.52.52.6

2.72.82.82.8

3.13.5

3.73.83.83.8

4.14.2

4.54.5

5.25.4

5.55.8

6.06.5

6.67.0

7.27.4

7.68.0

9.310.5

10.9

0.0 2.0 4.0 6.0 8.0 10.0 12.0

Morocco (n=1)

Cuba (n=1)

India (n=187)

Costa Rica (n=1)

Kuwait (n=1)

Mexico (n=33)

Bulgaria (n=2)

Romania (n=6)

Thailand (n=31)

Peru (n=15)

China (n=679)

United Arab Emirates (n=5)

Japan (n=84)

Paraguay (n=5)

Serbia (n=7)

Singapore (n=5)

Turkey (n=84)

Saudi Arabia (n=46)

Greece (n=15)

Colombia (n=74)

Brazil (n=383)

Netherlands (n=38)

Russia (n=337)

Chile (n=45)

Malta (n=1)

Israel (n=22)

Argentina (n=124)

Lithuania (n=8)

UK (n=188)

Portugal (n=29)

Ireland (n=15)

N Zealand (n=17)

Uruguay (n=13)

Rep of Korea (n=194)

Poland (n=145)

Slovakia (n=21)

Italy (n=245)

Germany (n=344)

Australia (n=113)

Switzerland (n=39)

Denmark (n=30)

Finland (n=30)

Belarus (n=52)

Canada (n=215)

Sweden (n=61)

Spain (n=300)

France (n=434)

Czech Rep (n=74)

Belgium (n=84)

Hungary (n=72)

Austria (n=67)

Norway (n=43)

Croatia (n=38)

Slovenia (n=22)

USA (n=3597)

Heart transplants

per million population (pmp). 2019

8 722 heart transplants

5% increase vs 2018

55/82 countries reported heart transplantactivities in 2019

Heart

transplants

by WHO

Regions

2019

WHO Region Number of Heart

Transplants (pmp)

Number of Paediatric

Heart Transplants

(pmp)

(<18 years)

Number of countries

with any activity

AFR 0 (0.0) 0 (0.0) 0

AMR 4 506 (4.6) 601 (0.6) 12

EMR 53 (0.1) 17 (0.0) 4

EUR 2 853 (3.6) 240 (0.3) 31

SEAR 218 (0.2) 25 (0.0) 2

WPR 1 092 (0.6) 107 (0.1) 6

Rates (pmp) are calculated by applying the population of the responding countries

0.0

0.1

0.10.2

0.2

0.3

0.40.4

0.60.7

1.11.1

1.92.3

2.52.6

3.1

4.0

4.54.84.8

5.25.4

6.06.0

6.17.3

7.98.4

9.09.7

10.811.4

0.0 2.0 4.0 6.0 8.0 10.0 12.0

Peru (n=1)

Mexico (n=7)

Ecuador (n=1)

India (n=114)

Bulgaria (n=1)

Romania (n=3)

Singapore (n=1)

Russia (n=25)

China (n=489)

Lithuania (n=1)

Turkey (n=33)

Costa Rica (n=2)

United Arab Emirates (n=4)

Brazil (n=106)

Colombia (n=28)

Japan (n=92)

Argentina (n=36)

Belarus (n=9)

Saudi Arabia (n=38)

Chile (n=21)

Uruguay (n=5)

Poland (n=57)

Hungary (n=18)

Estonia (n=3)

UK (n=167)

Italy (n=153)

Rep of Korea (n=157)

Portugal (n=39)

Czech Rep (n=42)

Germany (n=361)

Switzerland (n=39)

Slovenia (n=10)

Finland (n=27)

Denmark (n=30)

N Zealand (n=26)

Sweden (n=56)

France (n=393)

Israel (n=52)

Norway (n=33)

Netherlands (n=105)

Australia (n=183)

Ireland (n=38)

USA (n=2759)

Spain (n=419)

Belgium (n=113)

Canada (n=403)

Austria (n=100)

Lung transplants

per million population (pmp). 2019

6 800 lung transplants

5% increase vs 2018

14 living lung transplants (0.2%)

47/82 countries reported lung transplantactivities in 2019

Lung

transplants

by WHO

regions

2019

WHO Region Number of Lung

Transplants

(pmp)

Number of

Paediatric Lung

Transplants

(pmp)

(<18 years)

Number of

countries with any

activity

AFR 0 (0.0) 0 (0.0) 0

AMR 3 369 (3.5) 69 (0.1) 11

EMR 42 (0.1) 0 (0.0) 2

EUR 2 327 (2.9) 66 (0.1) 27

SEAR 114 (0.1) 8 (0.0) 1

WPR 948 (0.5) 29 (0.0) 6

*Rates (pmp) are calculated by applying the population of the responding countries

Pancreas transplants by WHO regions

2019

WHO RegionN. of Pancreas

Tx (pmp)*

N. of

countries with

any activity

AFR 0 (0.0) 0

AMR 1 358 (1.4) 8

EMR 8 (0.0) 1

EUR 763 (1.0) 25

SEAR 25 (0.0) 2

WPR 169 (0.1) 5

2 323 pancreas transplants

0.6% of decrease vs 2018

41/82 countries reported pancreas transplant activities in 2019

Pancreas

transplants per million

population

(pmp). 2019

*Rates (pmp) are calculated by applying the population of the responding countries0.0

0.0

0.1

0.10.2

0.4

0.5

0.6

0.80.8

0.9

1.1

1.2

1.51.5

1.6

1.61.61.7

1.8

2.42.82.8

3.13.9

7.0

0.0 2.0 4.0 6.0 8.0

Mexico (n=2)

India (n=22)

Turkey (n=3)

Thailand (n=3)

Russia (n=10)

Peru (n=3)

Belarus (n=1)

Colombia (n=7)

Singapore (n=1)

Saudi Arabia (n=8)

Japan (n=49)

Ireland (n=2)

Slovenia (n=1)

Hungary (n=5)

Chile (n=11)

Italy (n=42)

Poland (n=29)

Brazil (n=177)

N Zealand (n=4)

Belgium (n=11)

Denmark (n=6)

Germany (n=94)

Israel (n=10)

Croatia (n=5)

France (n=84)

Netherlands…

Rep of Korea…

Estonia (n=2)

Australia (n=40)

Switzerland (n=14)

Spain (n=76)

Argentina (n=74)

Austria (n=15)

Canada (n=69)

Sweden (n=23)

Portugal (n=25)

UK (n=185)

Norway (n=15)

USA (n=1015)

Czech Rep (n=41)

Finland (n=39)

Pancreas tx pmp

Small bowel transplants by WHO region

2019

137 transplants of small bowel

16% of decrease vs 2018

17/82 countries reported small bowel transplant activities in 2019

Small bowel

transplantsper million population

(pmp). 2019

WHO

Region

N. of S. Bowel

Tx (pmp)*

N. of

countries

with any

activity

AFR 0 (0.0) 0

AMR 95 (0.1) 6

EMR 1 (0.0) 1

EUR 39 (0.0) 9

SEAR 0 (0.0) 0

WPR 2 (0.0) 1

*Rates (pmp) are calculated by applying the population of the responding countries

0.0 0.1 0.1 0.2 0.2 0.3 0.3

Mexico (n=1)

Brazil (n=3)

Japan (n=2)

Italy (n=1)

Colombia (n=1)

Saudi Arabia (n=1)

Turkey (n=4)

Germany (n=5)

Spain (n=4)

Argentina (n=4)

Czech Rep (n=1)

Austria (n=1)

Netherlands (n=2)

Canada (n=5)

USA (n=81)

Belgium (n=3)

UK (n=18)

Small Bowell TX pmp

Methods and definitions

An ad hoc standardized questionnaire for activities related to organ donation and transplantation is

annually distributed to the identified health authorities and national focal points contributing to the global

database.

The definitions applied for the completion of the standardized questionnaire are derived from the WHO

Global Glossary on Donation and Transplantation, which is accessible at http://www.transplant-

observatory.org/download/global-glossary/ or through the WHO website

(http://www.who.int/transplantation/activities/en/).

Definitions and explanations about how to complete the questionnaire can be found at the Global

Observatory on Donation and Transplantation website (http://www.transplant-observatory.org/ ).

WHO-ONT Collaboration

The GODT is a collaborative effort of WHO and the ONT of Spain. It is running since 2007 and came up in

response to the request of the World Health Assembly, in Resolutions WHA57.18 and WHA63.22, to collect

global data on the practices, safety, quality, efficacy, epidemiology and ethical issues of allogeneic

transplantation. This database collects data on global donation and transplantation practices, and it is

recognized as a tool for ensuring transparency, equity and monitoring national transplant systems.

Transplants are counted as those performed only within the country. Counts for multiorgan or double

organ transplants are counted as follows:

One double kidney transplant is considered as one transplant.

One heart-lung transplant is counted as one lung transplant and one heart transplant.

One double lung transplant is considered as one transplant.

One kidney-pancreas transplant is counted as one kidney transplant and one pancreas transplant.

Counts for the number of recipients transplanted: a recipient of more than one organ is counted as one

recipient.

Actual donor (=donor): a deceased person from whom at least one organ has been recovered for the purpose of organ

transplantation.

DBD donor: a deceased donor whose death has been determined by neurological criteria.

DCD donor: a deceased donor whose death has been determined by circulatory criteria.

Domino Transplant: a procedure in which an organ is removed from one transplant candidate and immediately

transplanted into a second patient, with the first patient receiving a new organ from a deceased donor.

HDI: A composite index measuring average achievement in three basic dimensions of human development—a long and

healthy life, knowledge and a decent standard of living. See Human Development Report 2020.

Specific indicators have been added to the questionnaire along the years, in order to provide further

information about the donation and transplantation activities performed around the globe.

The data provided correspond to the period from January 1st to December 31st 2019.

Only countries reporting data for 2019 have been included in this report.

To calculate rates per million population, the State of World Population reports, from the United

Nations Population Fund (UNFPA), has been used as the source to estimate the population size.

Figures for Human Development Index (HDI) are obtained from the United Nations Development

Programme (UNDP), Human Development Report 2020.

Data were analysed using descriptive statistics. Statistical analysis was performed with SPSS

software (version 25.0) and the Excel tool was used for the creation of bar charts.

DBD: Actual donors after the neurologic determination of death

DCD: Actual donors after the circulatory determination of death

DD: Actual deceased organ donors

LD: Living organ donors

GODT: Global Observatory on Donation and Transplantation

Acronyms

ONT: Organización Nacional de Trasplantes, Spain

pmp: per million population

Tx: Transplants

WHO: World Health Organization

HDI: Human Development Index

Disclaimer

The data and information presented here are published in order to promote transparency in transplantation

activities.

Whenever possible this information has been confirmed by official national sources. However, in some

instances, there are still provisional estimates. It is therefore anticipated that some data presented may be

modified without prior notice.

As the facts displayed here are not definitive, they cannot be reproduced or quoted unless shown with the

appropriate warning and the date.

For any references to this report, the following should be quoted: Organ Donation and Transplantation Activities

2019 Report. Global Observatory on Donation and Transplantation (GODT).

For citations of the 2019 GODT data please quote the following: Those 2019 data are based on the Global

Observatory on Donation and Transplantation (GODT) data, produced by the WHO-ONT collaboration.

For any references in Charts and bar chart, please quote: * Data of the WHO-ONT Global Observatory on Donation

and Transplantation.

ACKNOWLEDGEMENTS

The GODT team is thankful to the identified

focal points in Member States for their

valuable participation in this international data

sharing exercise, the Council of Europe for its

support through the Newsletter Transplant,

and the Spanish Government for its

contribution to maintain the GODT.