Official report of the Brazilian Organ Transplantation Society … · 2020. 9. 1. · RBT Official...
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RBT Official report of the Brazilian Organ Transplantaon Society Brazilian Transplantaon Registry XXV Year Number 4 Organ Transplantation in Brazil (2012-2019) In absolute numbers Brazil holds the second largest kidney and liver transplant programs in the world, However, organ donaon and the allocaon systems sll have to improve and there are regional disparies to be solved. The Populaon trust in organ donaon and fairness of the system, along with government and medical sociees support, as much as the dedicaon of health care professionals, are of utmost importance for the success of the Brazilian Transplantaon Program. Córnea Rim Fígado Coração Pulmão Pâncreas 20000 15000 10000 5000 0 Esmated demand and number of transplants performed in Brazil in 2018 Effecve donors in Brazil - pmp (per million Populaon) by year 2019 Necessidade Transplants performed 20 15 10 5 0 2012 2013 2014 2015 2016 2017 2018 2019 18,1 12,6 13,2 14,2 14,1 14,6 16,6 17,0 2012 2013 2014 2015 2016 2017 2018 2019
Transcript of Official report of the Brazilian Organ Transplantation Society … · 2020. 9. 1. · RBT Official...
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RBTOfficial report of the Brazilian Organ Transplantation Society
Brazilian Transplantation Registry
XXV Year Number 4
Organ Transplantation in Brazil
(2012-2019)
In absolute numbers Brazil holds the second largest kidney and liver
transplant programs in the world, However, organ donation and the allocation
systems still have to improve and there are regional disparities to be solved.
The Population trust in organ donation and fairness of the system, along with
government and medical societies support, as much as the dedication of health
care professionals, are of utmost importance for the success of the Brazilian
Transplantation Program.
Córnea Rim Fígado Coração Pulmão Pâncreas
20000
15000
10000
5000
0
Estimated demand and number of transplants performed in Brazil in 2018
Effective donors in Brazil - pmp (per million Population) by year
2019
Necessidade
Transplants performed
20
15
10
5
0
2012 2013 2014 2015 2016 2017 2018 2019
18,1
12,6 13,214,2 14,1 14,6
16,6 17,0
0
5.000
10.000
15.000
20.000
Córnea Rim Fígado Coração Pulmão Pâncreas
0,0
5,0
10,0
15,0
20,0
2012 2013 2014 2015 2016 2017 2018 2019
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Board of Directors: (2018-2019)
President: Paulo M. Pêgo Fernandes Vice-President: Tainá V. de Sandes FreitasSecretary: João Seda Neto2nd Secretary: Deise R. B. Monteiro CarvalhoTreasurer: Eliana Régia Barbosa2nd Treasurer: Gustavo Fernandes Ferreira
Advisory Council:
President : Lucio Pacheco Secretary: Roberto C. ManfroJosé O. Medina PestanaJorge NeumannMario Abbud FilhoValter Duro Garcia
DepartamentsTransplant Coordination:Joel de Andrade Nursing: Janine SchirmerEthics: Joao Egidio Romao Junior Immunobiology: Maria Gerbase De LimaHeart Transplantation: Noedir Antonio Gropp StolfLiver Transplantation:José Huygens Parente GarciaPancreas Transplantation: Erika Bevilaqua RangelLung Transplantation: Marcos Naoyuki SamanoTissue Transplantation: Rafael Augusto Dantas PrinzPediatric Transplantation: Clotilde D Garcia Kidney Transplantation: Lúcio Roberto Requião MouraExpedients:Editor: Valter Duro GarciaAssociate Editor: Lucio Pacheco
Thiago Quintas Camara ([email protected])Data Management / Creation and Design
Headquarters: Brazilian Organ Transplantation Society- ABTOAv. Paulista. 2001 - 17º andar - cj 1704 / 1707São Paulo - SPCEP 01311-300Fones: 55 11 3145-0000Email: [email protected]
Supporters
RBTOfficial report of the Brazilian Organ Transplantation Society
Brazilian Transplantation Registry
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EDITORIAL A year with recovery at the end
Organ donation and transplant rates had a difficult year in 2019. Their increment only occurred in the last quarter possibly in association with the national donation campaign in September and the widespread publicity in the national media on the donation of organs and tissues from Gugu Liberato, a famous Brazilian TV anchor.
The rate of effective donors grew 6.5% in the year, reaching 18.1 PMP, 10.5%, below the 20 PMP predicted in 2016. This increase was due to the 5.2% increase in the rate of potential donors in brain death. It should be noted that this rate (54.7 PMP) corresponds to 78% of the estimated brain death rate for Brazil (70 PMP). A positive fact was the 7.1% increase in the family authorization rate, which, for the first time, reached 60%. Another interesting aspect to be highlighted is that in the last five years, the rate of deceased donors older than 65 years increased from 8% to 13% (62.5% increment) and that of pediatric donors decreased from 8% to 6 %.
Donor notification rates higher than 100 PMP occurred at the DF (106.6) and PR (102.7); with effective donor rates above 40 PMP, SC (47.2), and PR (43.8); with a donation effectiveness rate above 50%, SC (54%). Family consent rates above 70%, occurred in SC (75%), PR (74%), and RJ (71%). These cut-off values (PD rate> 100 PMP, DE rate> 40 PMP, TE donation rate> 50%, and family authorization rate> 70%) were chosen for representing excellence in donation parameters and serve as a model to be sought by other states.
Except for lung transplants, all solid organ transplants increased this year. Kidney transplants surpassed the 6,000 transplant barrier (30 PMP). Corneal transplantation, which had decreased by 11% from 2012 to 2018, stabilized this year (an increase of 0.6%). It should also be highlighted the consolidation, with moderate but continuous growth, of intestinal, multi-visceral, and combined heart and lung transplants.
Kidney transplantation increased by 5.2%, with the growth of deceased donor transplants (5.5%) and transplants with living donors (4.1%). Kidney transplantation with live donor seems to have stabilized in the range of the 5 PMP transplants. Another aspect that must be analyzed carefully is the growth in the rate of transplants with unrelated living donors, excluding spouses, which ranged between 4.2% and 7.1% of the LD in the last 10 years, and this year reached 7.5%. Only PR (51.7 PMP) and SP (45.3 PMP) performed more than 45 PMP kidney transplants, and PR (42.8 PMP), SC (42.7 PMP) and RS (40.4 PMP) performed more than 40 PMP deceased donor kidney transplants.
Liver transplant showed a modest increase of 2%, due to the 3% increase in the rate of transplantation with deceased donor and a decrease of 6% with living donor, which went from 7.7% to 7.1%. 86% of liver transplants with a living donor were performed in children (136), who received only 4.6% of liver transplants with a deceased donor (100). More than 20 liver transplants PMP were performed in the DF (30.3 PMP), CE (25.1 PMP), and PR (22.6 PMP).
Pancreas transplantations were performed in only seven states and with a decreasing number of teams, showed a surprising increase of 17.8%. It is interesting to note that, although the rate of simultaneous kidney and pancreas transplantation (71% and 75%) has remained stable, there has been an increase in the rate of isolated transplants from 6.2% to 14.5% and a decrease in the rate of pancreas transplant after a kidney, which went from 22.6% to 10.5%. SP (2.2 PMP) and SC (2.1 PMP) performed more than two PMP transplants.
Heart transplantation, which has grown steadily since 2011, increased by 6% in 2019 approaching the rate of 2 PMP, which is expected to be reached in 2020. DF (9.7 PMP) and PE (5.5 PMP) accomplished more than 5 PMP transplants, far above other states. The lung transplantation activity, which fell 13% this year, has two positive news: a fourth state started a transplant program (PR) and 99% of the performed transplants are included in the survival curve analysis. Only RS (4.1 PMP) performed more than 2 PMP transplants.
A negative fact, which deserves action from all sectors involved, is the ominous situation of the North Region, the most neglected in the country in terms of donation and transplantation. Between 2012 and 2019, while Brazil showed a 41% increase in the rate of effective donors, (12.8 to 18.1 PMP), the North Region presented no growth, remaining at the rate of 3.7 PMP donors, one-fifth of the national average. The most astonishing situation occurred with deceased donor kidney transplantation, while a 22% national increment occurred (20.6 to 25.0 PMP), in the North Region, a 44% decrease was observed (5.7 to 3.2 PMP). Such rate represents one-eighth of the national average occurring as a consequence of the suspension of the transplant program (AM), obstacles in some states (AC, RO) and absence of programs in others (RR, TO and AP). The positive exception is the donor procurement activity in Rondônia, which started in 2011 and, in 2019, reached 13.7 effective PMP donors, exceeding the target set for 2019 (10 PMP).
To conclude, a novelty and an optimistic expectation. The novelty is that, starting in 2020, the Brazilian Transplant Registry will have two chief editors and a group of assistant editors, seeking for improvement. The optimistic expectation is that, after a year of meetings and financial feasibility studies with the Ministry of Health, there is a good possibility of the inclusion, still in the first semester, of some transplant related procedures in the financial increment for transplantation of the MS (IFTDO). That should include monitoring post-transplantation, post-transplantation complications, pancreas and kidney transplantation and the work-up for inclusion in the transplant waiting list. These inclusions in the financial increment are of utmost importance for the maintenance of the quality of the transplants and for their growth while its cost represents a very small, around 2%, increment in the annual expenses with transplantation in Brazil.
Valter Duro [email protected]
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IndexBRAZIL’S STANDING IN GLOBAL FIGURES 3BRAZILIAN DATA 6Annual number of transplants in Brazil between 2008 and 2018 8
KIDNEY 9LIVER 10HEART 11Pancreas 12LUNG 13Bone Marrow, Tissue and Cell 14CORNEA 15Bone 15
PEDIATRIC TRANSPLANTATION 16DATA FROM BRAZILIAN REGIONS 18
General data 18Organ Donation 19Tissue transplants 19Organ transplants 20
WAITING LIST 22Patients actives on wainting list (december 2018) 22Pediatric Patients actives on wainting list (december 2018) 22Number of patients who entered the waiting list and mortality during the year 2018, by state, 23
DATA FROM INDIVIDUAL STATES 24Organ Donation for 2017 24Number of Notifications of potential donors, effective donors and donors whose organs were transplanted by State during the year 2018
25
Causes of non-fulfillment of organ donation of notified potential donors during the year 2018 26Profile: age, gender, cause of death and blood group of the organ donors 27
Transplantation center data 82HEART 82LIVER 83Pancreas 85MULTIVISCERAL 85KIDNEY 86LUNG 90CORNEA 90Bone Marrow 92Skin 94Valva 94Bone 95
List of National and State Coordination Transplant 98
-
RB
T 20
19 (J
AN/D
EC) -
ABT
O
3
43
53
55
56
66
80
80
95
112
113
117
133
146
163
169
182
183
205
232
282
308
318
318
439
472
585
809
877
1067
1229
1246
1367
1475
2195
8256
0 3000 6000 9000
Denmark
Hong Kong*
New Zealand*
Ireland
Finland
Belarus
Hungary
Norway
Thailand *
Chile*
Israel
Croa�a
Switzerland*
Sweden
Netherlands*
Austria
Mexico*
Czech Republic*
Portugal
Colombia*
Belgium*
Australia
Poland
Russia*
Argen�na*
Canada*
Iran
Germany
United Kingdom*
Spain
Italy
France*
South Korea*
Brazil
USA
Série1
Série2
183
187
203
236
238
240
242
335
355
363
365
392
414
448
469
502
531
669
936
946
980
1135
1174
1471
1771
2106
2118
2263
2291
3166
3310
3641
3782
5947
22309
0 5000 10000 15000 20000
25000
Croa�a
New Zealand*
Cuba*
Denmark
Finland
Norway
Jordan*
Hungary
Belarus
Switzerland*
Chile*
Israel
Austria
Sweden
Czech Republic*
Portugal
Belgium*
Thailand *
Colombia*
Poland
Netherlands*
Australia
Russia*
Argen�na*
Canada*
South Korea*
Italy
Iran
Germany
Mexico*
Spain
United Kingdom*
France*
Brazil
USA
LIVING
LIVING
Brazil is ranked second in absolute number of kidney transplants (from 35 countries) - Year 2018
BRAZILIAN STANDING IN GLOBAL FIGURES
Brazil is ranked second in absolute number of liver transplants (from 35 countries) - Year 2018
Source: IRODAT 2018
deceased
living
deceased
living
* - 2017 data
-
RB
T 20
19 (J
AN/D
EC) -
ABT
O
4
Kidney transplants (pmp), by type in 2018 (50 countries)
BRAZILIAN STANDING IN GLOBAL FIGURES
Liver transplants (pmp), by type in 2018, (49 countries)
Source: IRODAT 201832
,431
,028
,527
,026
,325
,722
,620
,620
,619
,417
,917
,216
,216
,016
,013
,413
,112
,712
,011
,811
,510
,610
,610
,59,9 9,9
8,8 8,4 8,3 8,2 7,6 7,3 7,0 6,8 6,8 6,3 5,73,4 3,0 2,8 2,5 2,4 2,3 2,2 2,1 1,9 1,7 1,5 1,0
0,0
5,0
10,0
15,0
20,0
25,0
30,0
35,0
Croa
�aFra
nce*
Sout
h Kor
ea*
Belgi
um*
Spain US
APo
rtuga
lAu
stria
Italy
Czec
h Rep
ublic
*No
rway
Switz
erlan
d*Un
ited K
ingdo
m*Ca
nada
*Sw
eden
Israe
lSlo
venia
Austr
alia
Finlan
dIre
land
New
Zeala
nd*
Arge
n�na
*Ge
rman
yBr
azil
Neth
erlan
ds*
Iran
Urug
uay*
Belar
usPo
land
Hung
aryEs
tonia
Denm
arkHo
ng Ko
ng*
Lithu
ania
Slova
k Rep
ublic
Chile
*Co
lombia
*M
oldov
a *Ru
ssia*
Jord
an*
Gree
ce*
Costa
Rica
*Ec
uado
r*Pa
nama
*Bu
lgaria
Cuba
*Th
ailan
d *M
exico
*Pe
ruSérie2
Série1
70,8
69,3
57,9
57,9
55,1
53,1
52,5
48,9
48,4
47,0
46,9
46,6
45,4
45,1
45,0
44,6
44,5
43,9
43,1
40,8
40,6
39,9
39,0
37,3
35,2
34,9
34,3
33,1
30,3
29,0
27,6
27,6
27,1
26,8
25,6
25,3
25,2
24,9
24,6
22,3
20,3
19,1
18,3
17,7
15,7
10,5
10,1
10,1
9,3 8,0
0,0
10,0
20,0
30,0
40,0
50,0
60,0
70,0
80,0
Spain US
AFra
nce*
Nethe
rland
s*Un
ited K
ingdo
m*Ur
ugua
y*Ma
lta*
Portu
gal
Cana
da*
Esto
niaAu
stria
Belgi
um*
Austr
alia
Norw
ayIsr
ael
Croa
�aCz
ech R
epub
lic*
Swed
enFin
land
Switz
erlan
d*So
uth Ko
rea*
Denm
arkNe
w Ze
aland
*Be
larus
Irelan
dIta
lyHu
ngary
Arge
n�na
*Lit
huan
iaBr
azil
Germ
any
Iran
Slove
niaSlo
vak R
epub
licLa
tvia *
Icelan
dJo
rdan*
Mexic
o*Po
land
Kuwa
it *Ch
ile*
Colom
bia*
Costa
Rica
*Cu
ba*
Gree
ce*
Pana
ma*
Hong
Kong
*Th
ailan
d *Ec
uado
r*Ru
ssia*
Série2
Série1
30º
24º
deceased
living
deceased
living
-
RB
T 20
19 (J
AN/D
EC) -
ABT
O
5
48,0
41,2
33,6
33,6
33,3
30,0
29,7
28,1
27,7
26,0
25,8
25,5
25,1
24,7
23,1
22,2
21,9
21,9
21,2
20,4
19,5
17,7
17,2
17,1
17,0
16,9
16,4
15,8
15,2
15,2
14,4
13,3
13,0
13,0
12,4
12,3
11,7
11,5
11,4
10,0
10,0
8,97,5 6,9 6,7 6,0 6,0 5,0 5,0 4,5
0,0
10,0
20,0
30,0
40,0
50,0
60,0
Spain
Croa
�aPo
rtuga
lBe
lgium
*US
AMa
lta*
Franc
e*Ice
land
Italy
Austr
iaEs
tonia
Czec
h Rep
ublic
*Be
larus
Slove
niaUn
ited K
ingdo
m*Au
strali
aCa
nada
*Hu
ngary
Finlan
dUr
ugua
y*No
rway
Swed
enSw
itzerl
and*
Irelan
dBr
azil
Denm
arkLit
huan
iaLu
xemb
ourg*
New
Zeala
nd*
Nethe
rland
s*Slo
vak R
epub
licAr
gen�
na*
Israe
lPo
land
Cuba
*La
tvia *
Cypru
s*Ge
rman
yIra
nCh
ile*
South
Korea
*Co
lombia
*Pe
ruJo
rdan*
Costa
Rica
*Ho
ng Ko
ng*
Gree
ce*
Ecua
dor*
Kuwa
it *Me
xico*
BRAZILIAN STANDING IN GLOBAL FIGURES
Kidney transplants (pmp) from deceased donors in 2018, (50 countries)
Number of effective donors (pmp) in 2018 (50 countries)
Source: IRODAT 201864
,649
,349
,148
,844
,043
,443
,241
,640
,039
,639
,539
,037
,336
,735
,935
,531
,630
,229
,829
,729
,526
,926
,826
,426
,125
,524
,824
,724
,624
,123
,619
,919
,018
,516
,316
,315
,615
,215
,19,6 8,7 8,0 8,0 7,5 7,3 7,2 6,8 6,6
4,8
0,0
10,0
20,0
30,0
40,0
50,0
60,0
70,0
Portu
gal
Belgi
um*
Malta
*Cz
ech R
epub
lic*
Unite
d King
dom*
Austr
iaFin
land
Belar
usAu
strali
aCa
nada
*No
rway Italy
Swed
enHu
ngary
Switz
erlan
d*De
nmark
Irelan
dLit
huan
iaSlo
venia
Nethe
rland
s*Slo
vak R
epub
licAr
gen�
na*
New
Zeala
nd*
Braz
ilPo
land
Germ
any
Latvi
a *Isr
ael
Chile
*Co
lombia
*So
uth Ko
rea*
Iran
Cuba
*Gr
eece
*Ec
uado
r*Co
sta Ri
ca*
Hong
Kong
*Me
xico*
Kuwa
it *Th
ailan
d *Pa
nama
*Ru
ssia*
Moldo
va *
Cypru
s*Ku
wait *
Tailâ
ndia
*Pa
namá
*Rú
ssia*
Moldo
va *
25º
30º
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RB
T 20
19 (J
AN/D
EC) -
ABT
O
6
População atual 208.494.900
Area(Km2) 8.514.876,60
Estimated annual need and number of transplants Cornea Kidney Liver Heart Lung
Estimated demand 18.765 12.510 5.212 1.876 1.668
Transplants performed 14.943 6.283 2.245 380 106
Mortality per year 2012 2013 2014 2015 2016 2017 2018 2019All causes 1.181.166 1.220.678 1.227.039 1.264.175 1.309.774 1.312.663 Unavailable Unavailable
External causes 152.013 151.683 156.942 152.136 155.861 158.657 Unavailable Unavailable
Neurological causes 28.712 30.300 32.381 34.721 36.870 38.786 Unavailable Unavailable
Population (IBGE census) 190.755.799 190.755.799 190.755.799 202.768.562 204.450.649 206.081.432 207.660.920 208.494.900
Source: http://cnes,datasus,gov,br 20/01/2020
HOSPITAL
Total number 6.609State capitals 1.509Countryside 5.100
Nº de beds 460.998
Nº de ICU beds 44.503
Hospitals over 80 beds 1.769
Teaching hospitals 164
Medical schools 373
Neurosurgery services 482
Number of CIHDOTTS 451
Number of OPOs 58
Organ Donation
2012 2013 2014 2015 2016 2017 2018 2019
Number of effective donors 2.406 2.526 2.713 2.854 2.981 3.415 3.534 3.768
Number of effective donors (pmp) 12,6 13,2 14,2 14,1 14,6 16,6 17,0 18,1
Potential donors 8.025 8.871 9.351 9.698 10.158 10.629 10.782 11.399
Number of potential donors (pmp) 42,1 46,5 49,0 47,8 49,7 51,6 51,9 54,7
Non consenting families 2.315 2.622 2.610 2.613 2.571 2.740 2.753 2.674
Refusal at interviews (%) 41% 47% 46% 44% 43% 42% 43% 40%
Cardiopulmonary arrest 1.188 1.292 1.156 1.164 1.136 1232 988 927
Medical contraindication 836 1.150 1.349 1.416 1.594 1559 1.545 1.761
Others 1.280 1.281 1.523 1.651 1.876 1683 1.961 2.269
BRAZILIAN DATA
Notified potential donors - pmp Effective - pmp
0
15
30
45
60
0
5
10
15
20
14,1 15,116,6
18,220,0
21,824,0
14,616,6 17,0
18,1
2015 2016 2017 2018 2019 2020 2021
Annual goal of effective donnors per million population
Anual GoalEffective
2015 2016 2017 2018 2019 2020 2021
Facts :
Positive: • Well-established and consolidated
transplant system, • Program support by public
governments,• Better results being achieved
overtime,
Negative: • Slow increase in donation• Elevated frequency of non-
consenting family, • Brain death notif ication bellow
expected, • Important disparities between
states,• Financial constraints for some
programs,
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RB
T 20
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AN/D
EC) -
ABT
O
7
Organ DonationNumber of teams performing transplantats during the year 2012 2013 2014 2015 2016 2017 2018 2019
Cornea Unavailable Unavailable Unavailable Unavailable Unavailable Unavailable Unavailable UnavailableKidney 124 129 135 131 129 131 136 143
Liver 59 60 64 62 62 69 75 74
Pancreas 19 21 15 16 16 16 15 15
Heart 27 33 31 33 31 36 34 35
Lung 6 7 6 6 6 7 6 7
Absolute number of transplants 2012 2013 2014 2015 2016 2017 2018 2019
Cornea 15.280 13.744 13.065 13.830 14.531 15.262 14.809 14.943
Kidney 5.431 5.465 5.661 5.591 5.532 5.930 5.949 6.283living donors 1.501 1.386 1.385 1.189 1.219 1.136 1.024 1.073
deceased donors 3.930 4.079 4.276 4.402 4.313 4.794 4.925 5.210
Liver 1.603 1.726 1.757 1.810 1.882 2.122 2.195 2.245
Pancreas 153 143 128 121 135 113 146 173
Heart 228 272 311 353 357 380 357 380
Lung 69 80 67 74 92 112 122 106
Organ Transplantation
Number of transplants pmp 2012 2013 2014 2015 2016 2017 2018 2019
Cornea 80,1 72,1 68,5 68,2 71,1 74,1 71,3 71,7
Kidney 28,5 28,6 29,7 27,6 27,1 28,8 28,6 30,1living donors 7,9 7,3 7,3 5,9 6,0 5,5 4,9 5,1
deceased donors 20,6 21,4 22,4 21,7 21,1 23,3 23,7 25,0
Liver 8,4 9,0 9,2 8,9 9,2 10,3 10,6 10,8
Pancreas 0,8 0,7 0,7 0,6 0,7 0,5 0,7 0,8
Heart 1,2 1,4 1,6 1,7 1,7 1,8 1,7 1,8
Lung 0,4 0,4 0,4 0,4 0,4 0,5 0,6 0,5
BRAZILIAN DATA
0
10
20
30
0
4
8
12
0
4
8
12
0
30
60
90
Kidney from deceased donors - pmp Kidney from living donors - pmp
Liver - pmp Cornea- pmp
-
RB
T 20
19 (J
AN/D
EC) -
ABT
O
8
0,0
5,0
10,0
15,0
20,0
25,0
30,0
35,0
0
1.000
2.000
3.000
4.000
5.000
6.000
7.000
2.245- Liver
173 - Pancreas378- Heart 104 - Lung
num
ber o
f tra
nspl
ants
2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019jan/2009 to
dez/2019to
Dez/2019
Heart 201 166 160 228 272 311 353 357 380 356 378 3.162 5.128Heart/Lung 0 0 0 0 0 0 0 0 0 1 2 3 3Liver 1.334 1.412 1.497 1.603 1.726 1.757 1.810 1.882 2.122 2.195 2.245 19.583 27.167Intestino 0 0 0 0 0 0 1 0 0 0 2 3 7Multivisceral 0 0 0 1 0 2 0 1 0 4 1 9 9Pancreas 160 133 181 153 143 128 121 135 113 146 173 1.586 3.077Lung 59 61 49 69 80 67 74 92 112 121 104 888 1.252Kidney 4.291 4.654 4.982 5.431 5.465 5.661 5.591 5.532 5.930 5.949 6.283 59.769 82.506
6.283 - Kidneynu
mbe
r of t
rans
plan
ts p
er m
illio
n po
pula
tion
Annual number of transplants in Brazil between 2009 and 2019
Number of transplants (pmp)
Absolute number of transplants(anual)
0,5 - Lung
10,8 Liver
0,8 - Pancreas1,8 - Heart
30,1- Kidney
2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019Heart 1,1 0,9 0,8 1,2 1,4 1,6 1,7 1,7 1,8 1,7 1,8Liver 7,3 7,4 7,8 8,4 9,0 9,2 8,9 9,2 10,3 10,6 10,8Intestino 0,0 0,0 0,0 0,0 0,0 0,0 0,0 0,0 0,0 0,0 0,0Multivisceral 0,0 0,0 0,0 0,0 0,0 0,0 0,0 0,0 0,0 0,0 0,0Pancreas 0,9 0,7 0,9 0,8 0,7 0,7 0,6 0,7 0,5 0,7 0,8Lung 0,3 0,3 0,3 0,4 0,4 0,4 0,4 0,4 0,5 0,6 0,5Kidney 23,3 24,4 26,1 28,5 28,6 29,7 27,6 27,1 28,8 28,6 30,1
-
RB
T 20
19 (J
AN/D
EC) -
ABT
O
9
0
300
600
900
1.200
1.500
1.800
2.100
2.400
SPMGPR RJ RS PE SC BA CEGOES DFRN PA PBMAMS PI RO AL AC
Falecido
Vivo
0,0
10,0
20,0
30,0
40,0
50,0
60,0
PR SP SC RS PE MG CE GO RJ DF ES RN BA RO PB MS PA PI AC MA AL
Falecido
Vivo
0
1.000
2.000
3.000
4.000
5.000
6.0005.210- deceased
1.073- Living
828- related
165 - Partner80 -non-related
num
ber
of tr
ansp
lant
s
Annual number of transplants by donor type
2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019Deceased 2.548 2.999 3.330 3.930 4.079 4.276 4.402 4.313 4.794 4.925 5.210Living 1.743 1.655 1.652 1.501 1.386 1.385 1.189 1.219 1.136 1.024 1.073Related 1.447 1.370 1.354 1.229 1.133 1.102 964 962 897 815 828Partner 187 175 185 196 186 187 166 173 158 147 165Non-related 109 110 113 76 67 96 59 84 81 62 80Total 4.291 4.654 4.982 5.431 5.465 5.661 5.591 5.532 5.930 5.949 6.283
num
ber o
f tra
nspl
ants
State living deceased Total
SP 472 1592 2064MG 190 494 684PR 101 486 587RJ 66 431 497RS 33 458 491PE 30 352 382SC 7 302 309BA 16 285 301CE 21 272 293GO 19 200 219ES 30 70 100DF 24 62 86RN 11 71 82PA 18 40 58PB 8 30 38MA 8 17 25MS 2 19 21PI 14 4 18RO 3 14 17AL 0 7 7AC 0 4 4
Brazil 1073 5210 6283
Number of transplants by state in 2019nu
mbe
r of t
rans
plan
ts p
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illio
n po
pula
tion
Number of transplants per million population by state in 2019
Annual number of transplants in Brazil between 2009 and 2019Kidney (21 states, with 143 teams)
Annual number of transplants in Brazil between 2009 and 2019
Survival Curves: Prospective evaluation started in 2010
Cumulative survival include data from transplant teams who reported 100% of their results during the period
0 2 4 6 8 10
0,0
0,2
0,4
0,6
0,8
1,0
0 2 4 6 8 10
0,0
0,2
0,4
0,6
0,8
1,0
0 2 4 6 8 10
0,0
0,2
0,4
0,6
0,8
1,0
0 2 4 6 8 10
0,0
0,2
0,4
0,6
0,8
1,0
Donors:10.517 (22%) - living37.284(78%) - deceased
1,0
0,8
0,6
0,4
0,2
0,0
Actives Reported 100%
Transplants teams 209 101 (48%)
Transplants 55.478 47.801 (86%)
year 1 year 2 year 3 year 5 year 7 year 10
Patient (LD) 97% 96% 95% 94% 92% 91%Graft (LD) 93% 91% 90% 85% 82% 77%
Patient (DD) 92% 90% 89% 87% 86% 84%Graft (DD) 85% 81% 78% 72% 67% 60%
State living deceased Total
PR 8,9 42,8 51,7SP 10,4 34,9 45,3SC 1,0 42,7 43,7RS 2,9 40,4 43,3PE 3,2 37,1 40,2
MG 9,0 23,5 32,6CE 2,3 30,0 32,3GO 2,7 28,9 31,6RJ 3,8 25,1 29,0DF 8,1 20,8 28,9ES 7,6 17,6 25,2RN 3,2 20,4 23,6BA 1,1 19,2 20,3RO 1,7 8,0 9,7PB 2,0 7,5 9,5MS 0,7 6,9 7,6PA 2,1 4,7 6,8PI 4,3 1,2 5,5AC 0,0 4,6 4,6MA 1,1 2,4 3,6AL 0,0 2,1 2,1
Brazil 5,1 25,0 30,1
deceased donors
living donors
deceased donors
living donors
-
0
500
1.000
1.500
2.000
2.500
2.087deceased
158 living128 related
30 unrelated
num
ber o
f tra
nspl
ants
per
mill
ion
popu
latio
n
0,0
5,0
10,0
15,0
20,0
25,0
30,0
35,0
DF CE PR SC PE RJ SP RS AC MG ES PB BA GO MA
Falecido
Vivo
0
100
200
300
400
500
600
700
800
SP RJ PR CE MG PE RS SC DF BA ES PB AC GO MA
Falecido
Vivo
RB
T 20
19 (J
AN/D
EC) -
ABT
O
10
num
ber o
f tra
nspl
ants
Anual number by donor type
2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019Deceased 1.214 1.312 1.393 1.486 1.590 1.607 1.660 1.725 1.935 2.027 2.087Living 120 100 104 117 136 150 150 157 187 168 158Related 108 88 93 106 123 125 121 138 161 153 128Unrelated 12 12 11 11 13 25 29 19 26 15 30Total 1.334 1.412 1.497 1.603 1.726 1.757 1.810 1.882 2.122 2.195 2.245
num
ber o
f tra
nspl
ants
State living deceased totalSP 130 559 689RJ 19 249 268PR 0 256 256CE 0 229 229
MG 0 168 168PE 0 158 158RS 9 133 142SC 0 137 137DF 0 90 90BA 0 41 41ES 0 25 25PB 0 24 24AC 0 10 10GO 0 6 6MA 0 2 2
Brazil 158 2.087 2.245
Number of transplants by state during the year 2019 Number of transplants per million population by state in 2019
Liver - (15 states, with 74 teams)
Annual number of transplants in Brazil between 2009 and 2019
0 2 4 6 8 10
0,0
0,2
0,4
0,6
0,8
1,0
0 2 4 6 8 10
0,0
0,2
0,4
0,6
0,8
1,0
Actives Reported 100%
Number of teams 106 59 (56%)Number of Transplants 18.249 14.327 (79%)
1,0
0,8
0,6
0,4
0,2
0,0year 1 year 2 year 3 year 5 year 7 year 10
Patient 74% 72% 70% 67% 66% 63%Graft 72% 69% 67% 64% 62% 60%
Donors588 (4%) - living13.739 (96%) - deceased
Survival Curves: Prospective evaluation started in 2010
Cumulative survival include data from transplant teams who reported 100% of their results during the period
State living deceased totalDF 0,0 30,3 30,3CE 0,0 25,2 25,2PR 0,0 22,6 22,6SC 0,0 19,4 19,4PE 0,0 16,6 16,6RJ 1,1 14,5 15,6SP 2,9 12,3 15,1RS 0,8 11,7 12,5AC 0,0 11,5 11,5MG 0,0 8,0 8,0ES 0,0 6,3 6,3PB 0,0 6,0 6,0BA 0,0 2,8 2,8GO 0,0 0,9 0,9MA 0,0 0,3 0,3
Brazil 0,8 10,0 10,8
deceased donors
deceased donors
living donors
living donors
-
0 2 4 6 8 10
0,0
0,2
0,4
0,6
0,8
1,0
2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
Heart 201 166 160 228 272 311 353 357 380 357 380
Anual number
380
num
ber o
f tra
nspl
ants
per
mill
ion
popu
latio
n
num
ber
of tr
ansp
lant
s
Number of transplants per million population by state in 2019
State TotalDF 9,7PE 5,5
MG 2,8ES 2,8CE 2,8SP 2,7RS 2,3PR 1,8AL 1,5RJ 1,3SC 1,1PB 0,5
Brazil 1,8
Cumulative survival include data from transplant teams who reported 100% of their results during the period
Survival Curves: Prospective evaluation started in 2010
Active Reported 100%
Number of teams 58 34 (59%)
Number of transplants 2.963 2.525 (85%)
State Total
SP 120MG 59PE 52DF 29RS 26CE 25RJ 23PR 20ES 11SC 8AL 5PB 2
Brazil 380
num
ber o
f tra
nspl
ants
Number of transplants by state in 2019
year 1 year 2 year 3 year 5 year 7 year 10
Patient 75% 71% 68% 65% 63% 59%
0,0
3,0
6,0
9,0
12,0
DF PE MG ES CE SP RS PR AL RJ SC PB0
20
40
60
80
100
120
140
SP MG PE DF RS CE RJ PR ES SC AL PB
RB
T 20
19 (J
AN/D
EC) -
ABT
O
11
0
100
200
300
400
500
Annual number of transplants in Brazil between 2009 and 2019Heart - (12 states, with 35 teams)
Annual number of transplants in Brazil between 2009 and 2019
1,0
0,8
0,6
0,4
0,2
0,0
-
RB
T 20
19 (J
AN/D
EC) -
ABT
O
12
0,0
0,4
0,8
1,2
1,6
2,0
2,4
SP SC PR MG PE RJ CE
Pâncreas Isolado
Pâncreas após rim
Pâncreas/rim
0
10
20
30
40
50
60
70
80
90
100
110
SP MG PR SC RJ PE CE
Pâncreas Isolado
Pâncreas após rim
Pâncreas/rim
0
30
60
90
120
150
2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019Pancreas /Kidney 121 87 129 122 121 105 101 109 88 104 130Pancreas after Kidney 24 34 41 21 13 18 8 11 18 33 18
Pancreas alone 15 12 11 10 9 5 12 15 7 9 25
Total 160 133 181 153 143 128 121 135 113 146 173
Anual number
130 Pancreas/Kidney
25 Pancreas alone
18 Pancreas after Kidney
num
ber o
f tra
nspl
ants
per
mill
ion
popu
latio
n
num
ber o
f tra
nspl
ants
num
ber o
f tra
nspl
ants
State Panc/Kidney
Pancreas after
Kidney
Pancreas alone Total
SP 66 16 16 98
MG 14 2 7 23
PR 16 0 2 18
SC 15 0 0 15
RJ 8 0 0 8
PE 7 0 0 7
CE 4 0 0 4
Brazil 130 18 25 173
Number of transplants by state in 2019 Number of transplants per million population by state in 2019
Annual number of transplants in Brazil between 2009 and 2019PANCREAS - (6 states, with 15 teams)
0 2 4 6 8 10
0,0
0,2
0,4
0,6
0,8
1,0
0 2 4 6 8 10
0,0
0,2
0,4
0,6
0,8
1,0
0 2 4 6 8 10
0,0
0,2
0,4
0,6
0,8
1,0
Survival Curves: Prospective evaluation started in 2010 (Pâncreas/Rim)
Cumulative survival include data from transplant teams who reported 100% of their results during the period
1,0
0,8
0,6
0,4
0,2
0,0year 1 year 2 year 3 year 5 year 7 year 10
Patient 83% 82% 82% 81% 78% 77%Kidney 80% 78% 76% 73% 69% 67%
Pancreas 76% 74% 73% 71% 67% 66%
Active Reported 100%
Number of teams 23 13 (57%)
Number of Transplants 1.095 792 (72%)
state Pânc/Kidney
Pancreas after
Kidney
Pancreas Isolado
Total
SP 1,4 0,4 0,4 2,2
SC 2,1 0,0 0,0 2,1
PR 1,4 0,0 0,2 1,6
MG 0,7 0,1 0,3 1,1
PE 0,7 0,0 0,0 0,7
RJ 0,5 0,0 0,0 0,5
CE 0,4 0,0 0,0 0,4
Brazil 0,6 0,1 0,1 0,8
Pancreas alone
Pancreas after Kidney
Pancreas/Kidney
Pancreas alone
Pancreas after Kidney
Pancreas/Kidney
-
2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019Deceased 58 60 48 68 76 66 70 92 111 120 106
Bilateral 23 37 24 41 42 41 45 64 71 70 65
Unilateral 34 23 24 27 34 25 23 28 41 48 39
Lobo 1 1 1 1 4 1 6 0 0 3 0
Living 1 1 1 1 4 1 4 0 1 2 0
Total 59 61 49 69 80 67 74 92 112 122 106
num
ber o
f tra
nspl
ants
num
ber o
f tra
nspl
ants
per
mill
ion
popu
latio
n
RB
T 20
19 (J
AN/D
EC) -
ABT
O
13
0
10
20
30
40
50
60
SP RS CE PR
falecido
vivo
0
20
40
60
80
100
120
0 2 4 6 8 10
0,0
0,2
0,4
0,6
0,8
1,0
0 2 4 6 8 10
0,0
0,2
0,4
0,6
0,8
1,0
Annual number of transplants in Brazil between 2009 and 2019
Anual number
num
ber o
f tra
nspl
ants
State Living deceased TotalSP 0 55 55RS 0 46 46CE 0 4 4PR 0 1 1
Brazil 0 106 106
Number of transplants by state in 2019 Number of transplants per million population by state in 2019
39 Unilateral
0 Lobo
65 Bilateral
106 deceased
Annual number of transplants in Brazil between 2009 and 2019Lung - (4 states, with 7 teams)
Survival Curves: Prospective evaluation started in 2010
Cumulative survival include data from transplant teams who reported 100% of their results during the period
Active Reported 100%
Number of teams 10 8 (80%)
Number of Transplants 832 821 (99%)
year 1 year 2 year 3 year 5 year 7 year 10Unilateral 67% 62% 55% 45% 36% 33%
Bilateral 68% 63% 59% 54% 46% 42%
State Living deceased TotalRS 0,0 4,1 4,1SP 0,0 1,2 1,2CE 0,0 0,4 0,4PR 0,0 0,1 0,1
Brazil 0,0 0,5 0,5
Unilateral - 302Bilateral - 499Lopo - 17
0 Living
0,0
2,0
4,0
6,0
RS SP CE PR
falecido
vivo
1,0
0,8
0,6
0,4
0,2
0,0
living donors
deceased donorsdeceased donors
living donors
-
RB
T 20
19 (J
AN/D
EC) -
ABT
O
14
state Allogeneic Autologousus TotalSP 789 976 1.765MG 93 237 330RJ 100 214 314PR 159 151 310PE 76 156 232RS 58 154 212CE 29 98 127SC 21 98 119DF 28 89 117BA 34 77 111RN 27 69 96GO 14 58 72Brazil 1.428 2.377 3.805
Number of bone marrow transplants by state during the year 2019
Number of bone marrow transplants per million population by state in 2019
num
ber o
f tra
nspl
ants
nu
mbe
r of t
rans
plan
ts p
er m
illio
n po
pula
tion
2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019Bone 22.503 23.647 23.815 23.211 23.348 21.681 19.408 16.293 14.945 11.860 10.418Cornea 12.724 12.778 14.726 15.280 13.744 13.065 13.830 14.531 15.262 14.809 14.943
B, Marrow 1.550 1.712 1.870 2.095 2.153 2.379 2.506 2.642 2.930 3.237 3.805Skin 17 26 21 30 23 28 28 49 33 62 130
num
ber o
f tra
nspl
ants
0
5.000
10.000
15.000
20.000
25.000
30.000 Annual number of tissue and Bone Marrow transplants
14.943 - Cornea
10.418- Bone
130 - Skin
3.805 Bone Marrow
Annual number of transplants in Brazil between 2009 and 2019Bone Marrow - (12 states, with 87 teams)
0 2 4 6 8 10
0,0
0,2
0,4
0,6
0,8
1,0
0 2 4 6 8 10
0,0
0,2
0,4
0,6
0,8
1,0
0 2 4 6 8 10
0,0
0,2
0,4
0,6
0,8
1,0
Survival Curves: Prospective evaluation started in 2010 (Bone Marrow)
Cumulative survival include data from transplant teams who reported 100% of their results during the period
1,0
0,8
0,6
0,4
0,2
0,0Patient year 1 year 2 year 3 year 5 year 7 year 10
Autologous 86% 81% 77% 73% 70% 68%Related 62% 55% 53% 50% 48% 47%
Unrelated 57% 51% 49% 46% 44% 44%
Teams Reported 100%
Number of Teams 126 48 (38%)
Number of Transplants 25.333 13.826 (55%)Autologous:8,514Allogeneic related: 3,908Unrelated: 1,404
state Allogeneic Autologousus TotalDF 9,4 29,9 39,3SP 17,3 21,4 38,8RN 7,8 19,8 27,6PR 14,0 13,3 27,3PE 8,0 16,4 24,4RS 5,1 13,6 18,7RJ 5,8 12,5 18,3SC 3,0 13,9 16,8MG 4,4 11,3 15,7CE 3,2 10,8 14,0GO 2,0 8,4 10,4BA 2,3 5,2 7,5Brazil 6,8 11,4 18,2
0
300
600
900
1.200
1.500
1.800
2.100
SP MG RJ PR PE RS CE SC DF BA RN GO
Autologo
Alogênico
0,0
5,0
10,0
15,0
20,0
25,0
30,0
35,0
40,0
45,0
DF SP RN PR PE RS RJ SC MG CE GO BA
Autologo
Alogênico
Autologousus
Allogeneic
Autologousus
Allogeneic
-
RB
T 20
19 (J
AN/D
EC) -
ABT
O
15
Annual number of transplants in Brazil between 2009 and 2019
State TotalSP 5.400
MG 1.224CE 899PR 874PE 812BA 743RS 727RJ 708SC 608GO 531DF 409PA 251ES 226MS 205MA 200SE 197
AM 153RN 150PB 146MT 131PI 121RO 88AL 69TO 47AC 24
Brazil 14.943 0
1.000
2.000
3.000
4.000
5.000
6.000
SP MG CE PR PE BA RS RJ SC GO DF PA ES MS MA SE AM RN PB MT PI RO AL TO AC
0,0
30,0
60,0
90,0
120,0
150,0
DF SP CE SE SC PE PRGOMSRSMGES BARORN RJ MTAM PI PB TO PAMAAC AL
Number of corneal transplants by state during the year 2019
Number of corneal transplants per million population in 2019
0
5.000
10.000
SP RJ RS
Bone transplants per million population data available from 5 tissue banks in 2019
Bone transplants data available from five tissue banks in 2019
Orthopaedic Dentistry OthersHomologous Autolo-
goususHomolo-
gousAutolo-gousus
Homologous Autolo-gousus
Total
SP 1.127 8.103 0 0 0 9.230RJ 576 6 45 0 0 16 643RS 181 0 364 0 0 0 545Brazil 1.884 6 8.512 0 0 16 10.418
Orthopaedic Homologous
Others Autologous
Orthopaedic Autologous
Others Homologous
Dentistry Homologous
Dentistry Autologousnum
ber o
f tra
nspl
ants
nu
mbe
r of t
rans
plan
ts p
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illio
n po
pula
tion
num
ber o
f tra
nspl
ants
nu
mbe
r of t
rans
plan
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tion
Annual number of transplants in Brazil between 2009 and 2019CORNEA - (in 25 states) BONE- (in 3 states)
State TotalDF 137,5SP 118,6CE 99,2SE 86,5SC 85,9PE 85,5PR 77,0GO 76,7MS 74,6RS 64,2
MG 58,2ES 56,9BA 50,2RO 50,1RN 43,1RJ 41,3
MT 38,1AM 37,5PI 37,1PB 36,5TO 30,2PA 29,5MA 28,4AC 27,6AL 20,8
Brazil 71,7
Orthopaedic Dentistry OthersHomologous Autolo-
goususHomolo-
gousAutolo-gousus
Homologous Autolo-gousus
Total
SP 24,8 0,0 178,1 0,0 0,0 0,0 202,9RS 16,0 0,0 32,2 0,0 0,0 0,0 48,3RJ 33,5 0,3 2,6 0,0 0,0 0,9 37,4Brazil 9,0 0,0 40,8 0,0 0,0 0,1 50,0
0
50
100
150
200
250
SP RS RJ
Orthopaedic Homologous
Others Autologous
Orthopaedic Autologous
Others Homologous
Dentistry Homologous
Dentistry Autologous
-
RB
T 20
19 (J
AN/D
EC) -
ABT
O
16
Number of pediatric transplants in 2019
In 2019, 668 children entered the waitlist to perform an organ transplant and, in addition to the 425 children who still were on the list in December 2018, summing 1,093 children waiting for a transplant. Overall, 584 (53%) received a transplant and 64 children (5.8%) died while waiting. Newly, an intestinal transplant was performed in São Paulo.
Kidney Transplants: 310 children (52%) received a kidney transplant, and 17 (2.9%) died on the waitlist. Most of these transplants (92%) were performed in 8 Brazilian states listed in order of number per million of the pediatric population (PMPP): Rio Grande do Sul, São Paulo, Ceará, Pernambuco, Paraná, Minas Gerais, Bahia, and Rio de Janeiro.
A decrease of 4.9% in kidney transplants as compared to 2018 was observed. In the last 5 years, this was the lowest number - a decrease of 1.7% with deceased donors and 2.3% with living donors. Especially in the Southeast region, which is one of the most active in the transplant field, pediatric kidney transplantation decreased from 8.4ppm to 6.7ppm. The number of children (293) who entered the waitlist for a kidney transplant almost matched the total number of transplants performed (310). There were 235 pediatric deceased donors (age < 18 y), but only 283 children received a graft. We could have performed more kidney transplants ... How to interpret these data? Possibly, there was a lack of access to the waitlist. In Brazil, children with GFR
-
RB
T 20
19 (J
AN/D
EC) -
ABT
O
17
0
50
100
150
200
250
300
350
SP PR RJ RS PE MG GO DF RN BA SC CE
Autólogo
Alogênico
0
20
40
60
80
100
120
140
SP RS CE PE PR MG BA RJ DF ES GO RN PA PB SC
Falecido
Vivo
Number of transplants, by state, in 2019
state living deceased TotalSP 14 112 126RS 4 46 50CE 0 27 27PE 0 21 21PR 2 18 20MG 2 15 17BA 0 13 13RJ 1 10 11DF 0 4 4ES 1 3 4GO 0 4 4RN 1 3 4PA 1 2 3PB 1 2 3SC 0 3 3
Brazil 27 283 310
Transplants pmp pediatrics by state, 2019
PEDIATRIC TRANSPLANTATION PEDIATRIC TRANSPLANTATION
Liver
Kidney
Number of transplants, by state, in 2019
State living deceased TotalSP 248 70 318PR 83 10 93RJ 19 9 28RS 16 12 28PE 20 5 25
MG 17 6 23GO 2 4 6DF 1 3 4RN 3 1 4BA 1 1 2SC 0 2 2CE 0 1 1
Brazil 410 124 534
Transplants pmp pediatrics by state, 2019
Bone Marrow
0
20
40
60
80
100
120
140
160
SP RS RJ PE CE MG PR DF
FalecidoVivo
Number of transplants, by state, in 2019
State living deceased TotalSP 116 26 142RS 9 20 29RJ 11 11 22PE 0 18 18CE 0 12 12
MG 0 8 8PR 0 4 4DF 0 1 1
Brazil 136 100 236
Transplants pmp pediatrics by state, 2019
state living deceased TotalRS 1,4 15,7 17,1SP 1,2 9,3 10,5CE 0,0 9,3 9,3PE 0,0 7,0 7,0PR 0,6 5,6 6,2DF 0,0 4,6 4,6RN 0,9 2,8 3,8ES 0,9 2,6 3,5
MG 0,3 2,6 2,9BA 0,0 2,8 2,8RJ 0,2 2,2 2,5PB 0,8 1,6 2,4GO 0,0 1,9 1,9SC 0,0 1,6 1,6PA 0,3 0,6 0,9
Brazil 0,4 4,6 5,0
State living deceased TotalSP 9,6 2,2 11,8RS 3,1 6,8 9,9PE 0,0 6,0 6,0RJ 2,5 2,5 4,9CE 0,0 4,1 4,1
MG 0,0 1,4 1,4PR 0,0 1,2 1,2DF 0,0 1,2 1,2
Brazil 2,2 1,6 3,8
State living deceased TotalPR 25,7 3,1 28,8SP 20,6 5,8 26,4RS 5,5 4,1 9,5PE 6,7 1,7 8,4RJ 4,2 2,0 6,2DF 1,2 3,5 4,6MG 2,9 1,0 3,9RN 2,8 0,9 3,8GO 1,0 1,9 2,9SC 0,0 1,0 1,0BA 0,2 0,2 0,4CE 0,0 0,3 0,3
Brazil 6,6 2,0 8,6
0
2
4
6
8
10
12
14
16
18
RS SP CE PE PR DF RN ES MG BA RJ PB GO SC PA
FalecidoVivo
0
2
4
6
8
10
12
14
SP RS PE RJ CE MG PR DF
FalecidoVivo
0
5
10
15
20
25
30
35
PR SP RS PE RJ DF MG RN GO SC BA CE
Autólogo
Alogênico
deceased donors
living donors
deceased donorsliving donors
deceased donors
living donors
deceased donorsliving donors
Autologousus
Allogeneic
AutologoususAllogeneic
-
RB
T 20
19 (J
AN/D
EC) -
ABT
O
18
DATA FROM BRAZILIAN REGIONS
Population 2012 2013 2014 2015 2016 2017 2018 2019
MIDWEST 14.058.094 14.058.094 14.058.094 15.219.608 15.442.232 15.660.988 15.875.907 16.085.885NORTHEST 53.081.950 53.081.950 53.081.950 56.186.190 56.560.081 56.915.936 57.254.159 56.760.780NORTH 15.864.454 15.864.454 15.864.454 17.231.027 17.472.636 17.707.783 17.936.201 18.182.253SOUTHEST 80.364.410 80.364.410 80.364.410 85.115.623 85.745.520 86.356.952 86.949.714 87.711.946SOUTH 27.386.891 27.386.891 27.386.891 29.016.114 29.230.180 29.439.773 29.664.948 29.754.036
Brasil: 208,5 milhões hab.Effective: 18,1 pmpTransplants performed:
Cornea 71,7 pmpKidney 30,1 pmpLiver 10,8 pmpPancreas 0,8 pmpHeart 1,8 pmpLung 0,5 pmpNorth: 16,1 milhões hab.
Effective 3,7 pmpTransplants performed:
Cornea 31,0 pmpKidney 4,4 pmpLiver 0,5 pmpPancreas 0,0 pmpHeart 0,0 pmpLung 0,0 pmp
Northest: 56,7 milhões hab.Effective 12,7 pmpTransplants performed:
Cornea 58,8 pmpKidney 20,2 pmpLiver 8,0 pmpPancreas 0,2 pmpHeart 1,5 pmpLung 0,1 pmp
Midwest: : 18,2 milhões hab.Effective 11,1 pmpTransplants performed:
Cornea 79,6 pmpKidney 20,3 pmpLiver 6,0 pmpPancreas 0,0 pmpHeart 1,8 pmpLung 0,0 pmp
Southest: 87,7 milhões hab.Effective 19,7 pmpTransplants performed:Cornea 86,2 pmpKidney 38,1 pmpLiver 13,1 pmpPancreas 1,5 pmpHeart 2,4 pmpLung 0,6 pmp
South: 29,8 milhões hab.Effective 36,1 pmpTransplants performed:Cornea 74,2 pmpKidney 46,6 pmpLiver 18,0 pmpPancreas 1,1 pmpHeart 1,8 pmpLung 1,6 pmp
-
RB
T 20
19 (J
AN/D
EC) -
ABT
O
19
0,0
30,0
60,0
90,0
120,0
150,0
Centro-oesteNordesteNorteSudesteSul
DATA FROM BRAZILIAN REGIONS DATA FROM BRAZILIAN REGIONS
Number of potential donors by yearAbsolute Number 2012 2013 2014 2015 2016 2017 2018 2019
MIDWEST 671 789 807 734 897 856 916 1.063NORTHEST 1.948 2.102 2.298 2.208 2.205 2.305 2.279 2.467NORTH 319 378 384 401 432 357 435 418SOUTHEST 3.718 4.010 4.219 4.474 4.433 4.643 4.660 4.969SOUTH 1.369 1.592 1.643 1.881 2.190 2.467 2.491 2.475
Number pmp 2012 2013 2014 2015 2016 2017 2018 2019MIDWEST 47,7 56,1 57,4 48,2 58,1 54,7 57,7 66,1NORTHEST 36,7 39,6 43,3 39,3 39,0 40,5 39,8 43,4NORTH 20,1 23,8 24,2 23,3 24,7 20,2 24,3 23,0SOUTHEST 46,3 49,9 52,5 52,6 51,7 53,8 53,6 56,4SOUTH 50,0 58,1 60,0 64,8 74,9 83,8 84,0 83,2
Number of effective donors by yearAbsolute Number 2012 2013 2014 2015 2016 2017 2018 2019
MIDWEST 98 124 115 139 148 183 190 179NORTHEST 466 489 569 555 561 613 622 723NORTH 58 53 53 57 62 69 64 67SOUTHEST 1.274 1.298 1.387 1.414 1.330 1.546 1.593 1.725SOUTH 510 562 589 689 880 1.004 1.065 1.074
Number pmp 2012 2013 2014 2015 2016 2017 2018 2019MIDWEST 7,0 8,8 8,2 9,1 9,6 11,7 12,0 11,1NORTHEST 8,8 9,2 10,7 9,9 9,9 10,8 10,9 12,7NORTH 3,7 3,3 3,3 3,3 3,5 3,9 3,6 3,7SOUTHEST 15,9 16,2 17,3 16,6 15,5 17,9 18,3 19,7SOUTH 18,6 20,5 21,5 23,7 30,1 34,1 35,9 36,1
Cornea 2012 2013 2014 2015 2016 2017 2018 2019Absolute Number 15.280 13.744 13.085 13.830 14.534 15.242 14.809 14.943
MIDWEST 1.811 1.377 1.341 1.579 1.491 1.871 1.478 1.276NORTHEST 3.087 2.883 2.697 2.625 3.387 3.570 3.289 3.337NORTH 480 438 476 468 576 660 607 563SOUTHEST 7.534 7.022 6.321 6.784 6.754 7.014 7.516 7.558SOUTH 2.368 2.024 2.250 2.374 2.326 2.127 1.919 2.209
Number pmp 80,1 72,1 68,6 68,2 71,1 74,0 71,3 71,7MIDWEST 128,8 98,0 95,4 103,7 96,6 119,5 93,1 79,6NORTHEST 58,2 54,3 50,8 46,7 59,9 62,7 57,4 58,8NORTH 30,3 27,6 30,0 27,2 33,0 37,3 33,8 31,0SOUTHEST 93,7 87,4 78,7 79,7 78,8 81,2 86,4 86,2SOUTH 86,5 73,9 82,2 81,8 79,6 72,2 64,7 74,2
0,0
25,0
50,0
75,0
100,0
Centro-oesteNordesteNorteSudesteSul 0,0
10,0
20,0
30,0
40,0Notified potential donors - pmp Effective - pmp
Cornea - pmpTissue Transplantation
Organ Donation
Midwest
Northeast
North
Southeast
South
MidwestNortheastNorthSoutheast
South
-
RB
T 20
19 (J
AN/D
EC) -
ABT
O
20
0,0
5,0
10,0
15,0
20,0
25,0
Centro-oesteNordesteNorteSudesteSul
0
10
20
30
40
50
Centro-oesteNordesteNorteSudesteSul 0
4
8
12
16
DATA FROM BRAZILIAN REGIONS
Kidney (living donors) 2012 2013 2014 2015 2016 2017 2018 2019Absolute Number 1.501 1.386 1.385 1.189 1.219 1.136 1.024 1.073
MIDWEST 76 68 33 31 27 37 40 45NORTHEST 153 124 132 107 94 94 94 108NORTH 37 33 27 31 25 25 23 21SOUTHEST 923 876 903 800 873 807 742 758SOUTH 312 285 290 220 200 173 125 141
Number pmp 7,9 7,3 7,3 5,9 6,0 5,5 4,9 5,1MIDWEST 5,4 4,8 2,3 2,0 1,7 2,4 2,5 2,8NORTHEST 2,9 2,3 2,5 1,9 1,7 1,7 1,6 1,9NORTH 2,3 2,1 1,7 1,8 1,4 1,4 1,3 1,2SOUTHEST 11,5 10,9 11,2 9,4 10,2 9,3 8,5 8,6SOUTH 11,4 10,4 10,6 7,6 6,8 5,9 4,2 4,7
Kidney (deceased donors) 2012 2013 2014 2015 2016 2017 2018 2019Absolute Number 3.930 4.079 4.276 4.402 4.313 4.794 4.925 5.210
MIDWEST 143 177 134 141 172 169 212 281NORTHEST 698 730 715 793 735 868 938 1.038NORTH 91 70 68 101 73 78 55 58SOUTHEST 2.070 2.121 2.371 2.332 2.196 2.403 2.380 2.587SOUTH 928 981 988 1.035 1.137 1.276 1.340 1.246
Number pmp 20,6 21,4 22,4 21,7 21,1 23,3 23,7 25,0MIDWEST 10,2 12,6 9,5 9,3 11,1 10,8 13,4 17,5NORTHEST 13,1 13,8 13,5 14,1 13,0 15,3 16,4 18,3NORTH 5,7 4,4 4,3 5,9 4,2 4,4 3,1 3,2SOUTHEST 25,8 26,4 29,5 27,4 25,6 27,8 27,4 29,5SOUTH 33,9 35,8 36,1 35,7 38,9 43,3 45,2 41,9
Liver 2012 2013 2014 2015 2016 2017 2018 2019Absolute Number 1.603 1.726 1.757 1.810 1.882 2.122 2.195 2.245
MIDWEST 39 53 54 62 76 86 91 96NORTHEST 353 389 365 350 350 381 407 454NORTH 0 1 7 9 7 14 14 10SOUTHEST 881 909 976 1.000 935 1.101 1.114 1.150SOUTH 330 374 355 389 514 540 569 535
Number pmp 8,4 9,0 9,2 8,9 9,2 10,3 10,6 10,8MIDWEST 2,8 3,8 3,8 4,1 4,9 5,5 5,7 6,0NORTHEST 6,7 7,3 6,9 6,2 6,2 6,7 7,1 8,0NORTH 0,0 0,1 0,4 0,5 0,4 0,8 0,8 0,5SOUTHEST 11,0 11,3 12,1 11,7 10,9 12,7 12,8 13,1SOUTH 12,0 13,7 13,0 13,4 17,6 18,3 19,2 18,0
Kidney from deceased donors - pmp Kidney from living donors - pmp
Liver - pmp
Organ Transplantation
Midwest
Northeast
North
Southeast
South
Midwest
Northeast
North
Southeast
South
-
RB
T 20
19 (J
AN/D
EC) -
ABT
O
21
0,0
0,5
1,0
1,5
2,0
Centro-oesteNordesteNorteSudesteSul
0,0
1,0
2,0
3,0
4,0
Centro-oesteNordesteNorteSudesteSul
DATA FROM BRAZILIAN REGIONS
PANCREAS 2012 2013 2014 2015 2016 2017 2018 2019Absolute number 153 143 128 121 135 113 146 173
MIDWEST 6 2 3 2 0 0 0 0NORTHEST 15 13 10 10 6 7 9 11NORTH 0 0 0 0 0 0 0 0SOUTHEST 109 93 87 71 75 71 99 129SOUTH 23 35 28 38 54 35 38 33
Number pmp 0,8 0,7 0,7 0,6 0,7 0,5 0,7 0,8MIDWEST 0,4 0,1 0,2 0,1 0,0 0,0 0,0 0,0NORTHEST 0,3 0,2 0,2 0,2 0,1 0,1 0,2 0,2NORTH 0,0 0,0 0,0 0,0 0,0 0,0 0,0 0,0SOUTHEST 1,4 1,2 1,1 0,8 0,9 0,8 1,1 1,5SOUTH 0,8 1,3 1,0 1,3 1,8 1,2 1,3 1,1
Pancreas - pmp
Heart 2012 2013 2014 2015 2016 2017 2018 2019Absolute number 228 272 311 353 357 380 357 380
MIDWEST 18 32 25 30 47 38 34 29NORTHEST 47 57 49 73 72 88 79 84NORTH 0 0 0 0 0 0 0 0SOUTHEST 126 144 192 193 178 188 192 213SOUTH 37 39 45 57 60 66 52 54
Number pmp 1,2 1,4 1,6 1,7 1,7 1,8 1,7 1,8MIDWEST 1,3 2,3 1,8 2,0 3,0 2,4 2,1 1,8NORTHEST 0,9 1,1 0,9 1,3 1,3 1,5 1,4 1,5NORTH 0,0 0,0 0,0 0,0 0,0 0,0 0,0 0,0SOUTHEST 1,6 1,8 2,4 2,3 2,1 2,2 2,2 2,4SOUTH 1,4 1,4 1,6 2,0 2,1 2,2 1,8 1,8
Heart - pmp
Lung 2012 2013 2014 2015 2016 2017 2018 2019Absolute number 69 80 67 74 92 112 122 106
MIDWEST 0 2 0 0 0 0 0 0NORTHEST 4 8 11 5 6 4 3 4NORTH 0 0 0 0 0 0 0 0SOUTHEST 32 39 34 33 51 56 56 55SOUTH 33 31 22 36 35 52 63 47
Number pmp 0,4 0,4 0,4 0,4 0,4 0,5 0,6 0,5MIDWEST 0,0 0,1 0,0 0,0 0,0 0,0 0,0 0,0NORTHEST 0,1 0,2 0,2 0,1 0,1 0,1 0,1 0,1NORTH 0,0 0,0 0,0 0,0 0,0 0,0 0,0 0,0SOUTHEST 0,4 0,5 0,4 0,4 0,6 0,6 0,6 0,6SOUTH 1,2 1,1 0,8 1,2 1,2 1,8 2,1 1,6
0,0
0,5
1,0
1,5
2,0
2,5
Centro-oesteNordesteNorteSudesteSul
Lung - pmp
DATA FROM BRAZILIAN REGIONS
MidwestNortheastNorthSoutheastSouth
MidwestNortheastNorthSoutheast
South
Midwest
Northeast
North
Southeast
South
-
RB
T 20
19 (J
AN/D
EC) -
ABT
O
22
Waiting List
Patients active on the waiting list (December 2019)State Kidney Liver Heart Lung Pancreas Pancreas/Kidney Cornea TOTAL
Total - Brazil 25.163 1.178 276 187 18 383 10.741 37.946Acre 24 9 0 0 0 0 38 71Alagoas 194 0 1 0 0 0 223 418Amazonas 0 0 0 0 0 0 4 4Bahia 1.329 37 0 0 0 0 626 1.992Ceará 799 148 14 2 1 12 2 978Distrito Federal 585 30 29 0 0 0 299 943Espírito Santo 975 33 7 0 0 0 280 1.295Goiás 205 1 0 0 0 0 436 642Maranhão 146 0 0 0 0 0 530 676Mato Grosso 1 0 0 0 0 0 214 215Mato Grosso do Sul 135 0 0 0 0 0 147 282Minas Gerais 2.714 33 18 0 0 59 1.270 4.094Pará 278 0 0 0 0 0 958 1.236Paraíba 153 8 1 0 0 0 382 544Paraná 1.338 138 23 8 1 25 123 1.656Pernambuco 880 82 7 0 0 10 17 996Piauí 78 0 0 0 0 0 385 463Rio de Janeiro 1.216 68 11 0 0 8 1.466 2.769Rio Grande do Norte 211 0 0 0 0 0 288 499Rio Grande do Sul 1.097 118 16 83 1 2 83 1.400Rondonia 108 0 0 0 0 0 196 304Santa Catarina 396 29 3 0 1 7 79 515São Paulo 12.301 444 145 94 14 260 2.439 15.697Sergipe 0 0 1 0 0 0 193 194Tocantins 0 0 0 0 0 0 63 63
Pediatric patients active on the waiting list (December 2019)State Kidney Liver Heart Lung Pancreas Pancreas/ Kidney Cornea TOTAL
Total - Brazil 320 41 57 16 0 0 410 844Acre 0 0 0 0 0 0 0 0Alagoas 3 0 0 0 0 0 26 29Amazonas 0 0 0 0 0 0 0 0Bahia 0 0 0 0 0 0 0 0Ceará 11 0 4 0 0 0 0 15Distrito Federal 3 0 0 0 0 0 0 3Espírito Santo 7 0 0 0 0 0 20 27Goiás 0 0 0 0 0 0 18 18Maranhão 4 0 0 0 0 0 36 40Mato Grosso 0 0 0 0 0 0 12 12Mato Grosso do Sul 2 0 0 0 0 0 7 9Minas Gerais 12 6 12 0 0 0 153 183Pará 6 0 0 0 0 0 16 22Paraíba 1 0 0 0 0 0 1 2Paraná 19 1 0 0 0 0 4 24Pernambuco 12 3 0 0 0 0 0 15Piauí 1 0 0 0 0 0 15 16Rio de Janeiro 12 4 2 0 0 0 24 42Rio Grande do Norte 2 0 0 0 0 0 0 2Rio Grande do Sul 14 3 6 6 0 0 1 30Rondonia 1 0 0 0 0 0 4 5Santa Catarina 2 0 0 0 0 0 0 2São Paulo 208 24 33 10 0 0 73 348Sergipe 0 0 0 0 0 0 0 0Tocantins 0 0 0 0 0 0 0 0
-
RB
T 20
19 (J
AN/D
EC) -
ABT
O
23
Waiting List Waiting List
Kidney Liver Heart Lung Pancreas Pancreas/ Kidney Cornea TOTAL
Total Pediatric Total Pediatric Total Pediatric Total Pediatric Total Pediatric Total Pediatric Total Pediatric Total Pediatric
Total - BrazilEntering 13.194 297 3.635 309 558 61 179 13 60 0 218 1 21.625 513 39.469 1.194
Mortality 1.301 17 645 26 116 21 39 3 3 0 77 0 303 10 2.484 77
AcreEntering 14 0 34 0 0 0 0 0 0 0 0 0 36 0 84 0
Mortality 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
AlagoasEntering 61 0 0 0 5 0 0 0 0 0 0 0 164 0 230 0
Mortality 11 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0
AmazonasEntering 0 0 0 0 0 0 0 0 0 0 0 0 161 8 161 8
Mortality 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BahiaEntering 841 0 99 0 0 0 0 0 0 0 0 0 1570 0 2510 0
Mortality 66 0 11 0 0 0 0 0 0 0 0 0 2 0 79 0
CearáEntering 475 19 416 15 39 9 15 0 1 0 8 0 893 16 1847 59
Mortality 22 0 42 1 7 3 0 0 0 0 1 0 1 0 73 4
Distrito Federal
Entering 264 0 98 0 49 0 0 0 0 0 0 0 508 0 919 0
Mortality 5 0 7 0 11 0 0 0 0 0 0 0 2 0 25 0
Espírito SantoEntering 561 0 81 0 22 0 0 0 0 0 0 0 724 0 1388 0
Mortality 135 3 25 0 9 1 0 0 0 0 0 0 0 0 169 4
GoiásEntering 132 0 2 0 0 0 0 0 0 0 0 0 522 10 656 10
Mortality 78 0 1 0 0 0 0 0 0 0 0 0 254 10 333 10
MaranhãoEntering 110 1 5 0 0 0 0 0 0 0 0 0 365 23 480 24
Mortality 5 0 1 0 0 0 0 0 0 0 0 0 4 0 10 0
Mato GrossoEntering 27 0 0 0 0 0 0 0 0 0 0 0 277 16 304 16
Mortality 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0
Mato Grosso do Sul
Entering 78 2 0 0 0 0 0 0 0 0 0 0 335 14 413 16
Mortality 4 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0
Minas GeraisEntering 1323 34 202 10 77 1 0 0 6 0 26 0 1837 81 3471 126
Mortality 149 1 25 1 16 0 0 0 0 0 9 0 11 0 210 2
ParáEntering 176 7 0 0 0 0 0 0 0 0 0 0 457 0 633 7
Mortality 3 0 0 0 0 0 0 0 0 0 0 0 3 0 6 0
ParaíbaEntering 100 5 22 0 1 0 0 0 0 0 0 0 165 1 288 6
Mortality 18 3 5 0 0 0 0 0 0 0 0 0 0 0 23 3
ParanáEntering 85 3 42 0 0 0 3 0 0 0 3 0 58 2 191 5
Mortality 4 0 8 0 0 0 2 0 0 0 0 0 0 0 14 0
PernambucoEntering 709 30 270 21 55 4 0 0 0 0 15 0 1165 69 2214 124
Mortality 19 2 54 3 5 0 0 0 0 0 0 0 0 0 78 5
PiauíEntering 140 1 0 0 0 0 0 0 0 0 0 0 249 1 389 2
Mortality 3 0 0 0 0 0 0 0 0 0 0 0 6 0 9 0
Rio de JaneiroEntering 1407 0 525 0 54 0 0 0 0 0 24 0 2154 0 4164 0
Mortality 25 0 39 0 11 0 0 0 0 0 0 0 7 0 82 0
Rio Grande do Norte
Entering 118 3 0 0 0 0 0 0 0 0 0 0 226 0 344 3
Mortality 9 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0
Rio Grande do Sul
Entering 827 35 277 40 39 10 84 7 0 0 0 0 1103 44 2330 136
Mortality 37 0 50 4 6 6 17 2 0 0 1 0 1 0 112 12
RondôniaEntering 75 0 0 0 0 0 0 0 0 0 0 0 144 0 219 0
Mortality 5 0 0 0 0 0 0 0 0 0 0 0 1 0 6 0
Santa Catarina
Entering 415 1 144 1 9 0 0 0 1 0 15 0 613 0 1197 2
Mortality 13 0 19 0 0 0 0 0 0 0 0 0 3 0 35 0
São PauloEntering 5256 156 1418 222 208 37 77 6 52 0 127 1 7690 228 14828 650
Mortality 690 8 358 17 51 11 20 1 3 0 66 0 6 0 1194 37
SergipeEntering 0 0 0 0 0 0 0 0 0 0 0 0 149 0 149 0
Mortality 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TocantinsEntering 0 0 0 0 0 0 0 0 0 0 0 0 60 0 60 0
Mortality 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Number of patients and mortality by State (2019)
-
RB
T 20
19 (J
AN/D
EC) -
ABT
O
24
DATA FROM BRAZILIAN STATESORGAN DONATION x TRANSPLANTS DURING YEAR 2019
State TotalSP 3060PR 1166RJ 892
MG 799RS 690SC 619CE 583BA 575PE 478GO 435DF 317MS 233ES 218RN 217PB 161SE 151PA 112AM 109MA 109PI 109RO 89MT 86AL 84AC 55RR 24TO 24AP 5
Brazil 11.400
Number of notifications of potential donors, by state
0
500
1000
1500
2000
2500
3000
3500
SP PR RJ MGRS SC CE BA PE GO DF MS ES RN PB SE PA AMMA PI RO MT AL AC RR TO AP
num
ber o
f pot
entia
l don
ors
State TotalSP 1080PR 497SC 334RJ 306
MG 294CE 257RS 243PE 185BA 158GO 75MS 52RN 52DF 49ES 45RO 24PB 22PA 20SE 19AL 16AM 13MA 10AC 5PI 4
MT 3TO 3RR 2AP 0
Brazil 3.768
Number of effective donors, by state
Num
ber o
f effe
ctiv
e do
nors
State TotalPR 77,7DF 68,9SP 66,4SC 66,3PE 63,0RS 62,2CE 59,9RJ 46,3
MG 44,4ES 34,2GO 32,5RN 23,6BA 23,1AC 16,1PB 16,0RO 9,7MS 7,6PA 6,8PI 5,5
MA 3,8AL 3,6AP 0,0MT 0,0RR 0,0SE 0,0SE 0,0TO 0,0
Brazil 44,0
Cumulative number of organ solid transplants per million population
0,0
20,0
40,0
60,0
80,0
PR DF SP SC PE RS CE RJ MG ES GO RN BA AC PB RO MS PA PI MA AL AP MT RR SE SE TO
Rim
Fígado
Coração
Pulmão
Pâncreas
num
ber o
f tra
nspl
ants
per
mill
ion
popu
latio
n
State TotalDF 106,6PR 102,7SC 87,5MS 84,8SP 67,2SE 66,3CE 64,2AC 63,3GO 62,9RN 62,4RS 60,9ES 54,9RJ 52,0RO 50,6PE 50,3RR 41,6PB 40,3BA 38,8MG 38,0PI 33,4
AM 26,7AL 25,3MT 25,0MA 15,5TO 15,4PA 13,2AP 6,0
Brazil 54,7
Number of notifications of potential donors, per million population, by state
0,0
20,0
40,0
60,0
80,0
100,0
120,0
DF PR SC MS SP SE CE AC GO RN RS ES RJ RO PE RR PB BAMG PI AM AL MTMA TO PA AP
num
ber p
er m
illio
n po
pula
tion
State TotalSC 47,2PR 43,8CE 28,3SP 23,7RS 21,4PE 19,5MS 18,9RJ 17,8DF 16,5RN 14,9MG 14,0RO 13,7ES 11,3GO 10,8BA 10,7SE 8,3AC 5,8PB 5,5AL 4,8RR 3,5AM 3,2PA 2,3TO 1,9MA 1,4PI 1,2
MT 0,9AP 0,0
Brazil 18,1
Number of effective donors, per million population
0,0
10,0
20,0
30,0
40,0
50,0
SC PR CE SP RS PE MS RJ DF RNMGRO ES GO BA SE AC PB AL RRAM PA TO MA PI MT AP
num
ber p
er m
illio
n po
pula
tion
State TotalPR 68,8SC 65,3DF 60,8PE 59,9RS 58,5CE 57,6SP 53,2RJ 41,4
MG 35,4GO 29,8ES 26,7BA 22,0RN 20,4AC 16,1PB 14,0RO 8,0MS 6,9PA 4,7AL 3,6MA 2,7PI 1,2AP 0,0MT 0,0RR 0,0SE 0,0SE 0,0TO 0,0
Brazil 38,1
Number of organ transplantation (deceased donors), per million population
0,0
20,0
40,0
60,0
80,0
PR SC DF PE RS CE SP RJ MG GO ES BA RN AC PB RO MS PA AL MA PI AP MT RR SE SE TO
Rim
Fígado
Coração
Pulmão
Pâncreas
num
ber o
f tra
nspl
ants
per
mill
ion
popu
latio
n
0
200
400
600
800
1000
1200
SP PR SC RJ MG CE RS PE BA GO MS RN DF ES RO PB PA SE AL AM MA AC PI MT TO RR AP
Kidney
Liver
Heart
Lung
Pancreas
Kidney
Liver
Heart
Lung
Pancreas
-
RB
T 20
19 (J
AN/D
EC) -
ABT
O
25
Notifications of potential donors, effective donors and donors whose organs were transplanted by state during the year 2019
source: State Transplants Centrals
DATA FROM BRAZILIAN STATES
0%
10%
20%
30%
40%
50%
60%
SC CE PR PE MG SP RS RJ BA RO RN MS ES AL PA GO DF PB SE TO AM MA AC RR PI MT AP
Percentage of donor effectiveness in relation to the number of notifications
State
Notifications(potential donors)
Refused Donors
Elegible donors
Effective donors
Donors with organs
transplanted
Mutiple organ donors
Number pmp/year Number % Numberpmp/year Number
pmp/year Number
pmp/year Number %
Total - Brazil 11.400 54,7 7.632 (67%) 6.091 37,4 3.768 18,1 3.211 15,4 2.114 (66%)Acre 55 63,3 50 (91%) 35 40,3 5 5,8 4 4,6 3 (0%)Alagoas 84 25,3 68 (81%) 52 15,6 16 4,8 16 4,8 15 (94%)Amapá 5 6,0 5 (100%) 0 0,0 0 0,0 0 0,0 0 (0%)Amazonas 109 26,7 96 (88%) 71 17,4 13 3,2 12 2,9 1 (8%)Bahia 575 38,8 417 (73%) 378 25,5 158 10,7 158 10,7 95 (60%)Ceará 583 64,2 326 (56%) 524 57,7 257 28,3 237 26,1 169 (71%)Distrito Federal 317 106,6 268 (85%) 182 61,2 49 16,5 41 13,8 30 (73%)Espírito Santo 218 54,9 173 (79%) 166 41,8 45 11,3 44 11,1 35 (80%)Goiás 435 62,9 360 (83%) 272 39,3 75 10,8 70 10,1 39 (56%)Maranhão 109 15,5 99 (91%) 76 10,8 10 1,4 9 1,3 4 (44%)Mato Grosso 86 25,0 83 (97%) 29 8,4 3 0,9 2 0,6 2 (100%)Mato Grosso do Sul 233 84,8 181 (78%) 208 75,7 52 18,9 51 18,6 22 (43%)Minas Gerais 799 38,0 505 (63%) 392 18,6 294 14,0 284 13,5 259 (91%)Pará 112 13,2 92 (82%) 60 7,0 20 2,3 17 2,0 6 (35%)Paraíba 161 40,3 139 (86%) 103 25,8 22 5,5 22 5,5 20 (91%)Paraná 1166 102,7 669 (57%) 891 78,5 497 43,8 365 32,2 249 (68%)Pernambuco 478 50,3 293 (61%) 437 46,0 185 19,5 179 18,8 134 (75%)Piauí 109 33,4 105 (96%) 78 23,9 4 1,2 4 1,2 3 (75%)Rio de Janeiro 892 52,0 586 (66%) 710 41,4 306 17,8 260 15,2 172 (66%)Rio Grande do Norte 217 62,4 165 (76%) 179 51,5 52 14,9 52 14,9 35 (67%)Rio Grande do Sul 690 60,9 447 (65%) 580 51,2 243 21,4 191 16,9 118 (62%)Rondonia 89 50,6 65 (73%) 54 30,7 24 13,7 22 12,5 2 (9%)Roraima 24 41,6 22 (92%) 11 19,1 2 3,5 2 3,5 0 (0%)Santa Catarina 619 87,5 285 (46%) 516 72,9 334 47,2 255 36,0 167 (65%)São Paulo 3060 67,2 1980 (65%) 1080 23,7 885 19,4 515 (58%)Sergipe 151 66,3 132 (87%) 75 32,9 19 8,3 26 11,4 16 (62%)Tocantins 24 15,4 21 (88%) 12 7,7 3 1,9 3 1,9 3 (100%)
Excluding São Paulo state data,
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Reasons for non-fulfillment of organ donation by notified potential donors during the year 2019
DATA FROM BRAZILIAN STATES
Exclusion Reasons
State Potential Donors Family EnterviewMedical Reasons
Cardiopulmonary arrest
unconfirmed brain death Others
number Performed noncon-sent
% Number % Number % Number % Number %
Total - Brazil 11.400 6.741 2.674 (40%) 1.761 (15%) 927 (8%) 865 (8%) 1.405(12%)Acre 55 21 17 (81%) 11 (20%) 2 (4%) 19 (35%) 1 (2%)Alagoas 84 39 17 (44%) 12 (14%) 5 (6%) 32 (38%) 2 (2%)Amapá 5 0 0 (0%) 0 (0%) 0 (0%) 1 (20%) 4 (80%)Amazonas 109 48 33 (69%) 16 (15%) 1 (1%) 37 (34%) 9 (8%)Bahia 575 379 210 (55%) 106 (18%) 89 (15%) 0 (0%) 12 (2%)Ceará 583 406 148 (36%) 102 (17%) 62 (11%) 10 (2%) 4 (1%)Distrito Federal 317 100 38 (38%) 86 (27%) 4 (1%) 135 (43%) 5 (2%)Espírito Santo 218 120 67 (56%) 39 (18%) 3 (1%) 47 (22%) 17 (8%)Goiás 435 262 179 (68%) 101 (23%) 1 (0%) 53 (12%) 26 (6%)Maranhão 109 32 22 (69%) 44 (40%) 0 (0%) 4 (4%) 29 (27%)Mato Grosso 86 16 11 (69%) 8 (9%) 7 (8%) 53 (62%) 4 (5%)Mato Grosso do Sul 233 134 78 (58%) 68 (29%) 1 (0%) 27 (12%) 7 (3%)Minas Gerais 799 326 138 (42%) 95 (12%) 106 (13%) 13 (2%) 153 (19%)Pará 112 58 36 (62%) 12 (11%) 1 (1%) 43 (38%) 0 (0%)Paraíba 161 74 43 (58%) 24 (15%) 5 (3%) 31 (19%) 36 (22%)Paraná 1166 749 191 (26%) 273 (23%) 94 (8%) 43 (4%) 68 (6%)Pernambuco 478 320 129 (40%) 110 (23%) 1 (0%) 38 (8%) 15 (3%)Piauí 109 66 49 (74%) 37 (34%) 4 (4%) 5 (5%) 10 (9%)Rio de Janeiro 892 495 142 (29%) 223 (25%) 138 (15%) 40 (4%) 43 (5%)Rio Grande do Norte 217 129 70 (54%) 42 (19%) 14 (6%) 36 (17%) 3 (1%)Rio Grande do Sul 690 465 189 (41%) 126 (18%) 7 (1%) 110 (16%) 15 (2%)Rondonia 89 37 14 (38%) 15 (17%) 2 (2%) 11 (12%) 23 (26%)Roraima 24 10 7 (70%) 7 (29%) 1 (4%) 5 (21%) 2 (8%)Santa Catarina 619 491 124 (25%) 79 (13%) 12 (2%) 16 (3%) 54 (9%)São Paulo 3060 1893 678 (36%) 87 (3%) 361 (12%) 0 (0%) 854 (28%)Sergipe 151 62 38 (61%) 34 (23%) 6 (4%) 46 (30%) 8 (5%)Tocatins 24 9 6 (67%) 4 (17%) 0 (0%) 10 (42%) 1 (4%)
source: State Transplants Centrals
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National and State Procurement and Coordination Transplant organizationSistema Nacional de Transplantes (SNT)Daniela Ferreira Salomão PontesFone: (61) 3315-9212 e-mail: [email protected]
Central Nacional de Transplantes (CNT)Patrícia FreireFone(61) 3315-6299 / 6294 e-mail: [email protected]
AcreRegiane Clélia FerrariFone/Fax: (68) 3227-6399 / (68) 99985-2061E-Mail: [email protected] e [email protected]
OPO AcreRosely Barreiros Matheus da CruzFone: (68) 3223-3080E-mail: [email protected]
AlagoasDaniela Barbosa RamosFone/Fax: (82) 3376-8186 / (82) 3315-7440E-Mail: [email protected]
OPO HGE Drº Osvaldo Brandão VielelaFone: (82) 3315-7440E-mail: [email protected]
AmapáEduardo Monteiro CardosoFone: (96) 99177-9328 / 98110-0536E-Mail: [email protected]
AmazonasMarcos Vinicius Monteiro Lins de Albuquerque.Fone/ Fax: (92) 3664-2616E-Mail: [email protected]
OPO AMHelen Cristine Albuquerque FigueiredoFone: (92) 3249-9410 E-mail: [email protected]
BahiaCoordenação Estadual de TransplantesRita de Cassia Martins Pinto PedrosaEmail: [email protected]
Central de Notificação Captação e Doação de òrgãos - CNCDO América Carolina Melo Sodré Fone: (71) 3356-6776 / 3117-0130 / 99956-0527E-Mail: [email protected]
OPO-HGE Nair Lima Neves Fone:(71)3117-5838 E-Mail: [email protected]
OPO HOSPITAL GERAL ERNESTO SIMÕES FILHOIsilda Queiroz Fone: (71) 3117-1730 / (71) 3117-1785
OPO EXTREMO SULRaphael dos Santos MatosFone: (73)3112-2867E-Mail:: [email protected]
OPO-FEIRA DE SANTANAs/informaçãoFone:(75) 3602-3300 / (75) 3602-3333E-Mail: [email protected]
OPO SUL (Ilheus/ITABUNA)Naama RamosFone:(73) 3214-1600 / (73) 2102-5107
OPO-VITÓRIA DA CONQUISTADra Edney MatosFone:(77) 3427-4584
CearáDra. Eliana Régia Barbosa de AlmeidaFone: (85) 3252-1886 / 3101-5238E-Mail: [email protected]
OPO - IJFAline Alves Braga SolonFone:(85) 3255.5155
OPO - HGFMarcia Maria Vitorino Sampaio PassosFone: (85) 3265-6276
OPO - SOBRALCristiano Araújo CostaFone: (88) 3112-0418 / 0400
OPO - CARIRIGustavo Martins dos SantosFone: (88) 3566-3614
Distrito FederalJoseane Gomes Fernandes VasconcelosFone: (61) 3315-1677 E-Mail: [email protected]
OPO DFViviane Marçal da SilvaFone: (61) 3315-1677 E-mail: [email protected]
Espírito SantoMaria dos Santos Machado Fone: (27) 3347-5624E-Mail: [email protected]
GoiásKatiuscia Christiane FreitasFone/Fax: (62) 3201-6720 / 3201-6721 / 3201-6722 / 99614-7990E-Mail: [email protected]
MaranhãoDra. Maria Inês Gomes de OliveiraFone: (98) 2109-1276 / 2109-1212E-Mail: [email protected]
Mato GrossoFabiana Regina de Souza MolinaFone: (65) 3324-0747 / 3623-9004E-Mail: [email protected]
Mato Grosso do SulClaire Carmem MiozzoFone: (67) 3321-8877 / 3312-1400E-Mail: [email protected]
OPO Santa Casa de Campo Grande - MSPatricia Berg Pereira LealFone: (67) 3322 4314E-Mail: [email protected]
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National and State Coordination TransplantMinas GeraisOmar Lopes Cançado Jr.Fone: (31) 3219-9200 / 0800 2837 183E-Mail: [email protected]
CNCDO Metropolitano - Belo HorizonteSilvia Zenóbio NascimentoFone: (31) 3219-9200 / (31) 3219-9211 E-Mail: [email protected]
CNCDO Leste - Governador Valadaress/informaçãoFone: (33) 3271-1909 / 99954-1569 (plantão)E-Mail: [email protected]
CNCDO Oeste - Uberlândias/informaçãoFone/Fax: (34) 3214-4908 / 3214-4173 / 3229-7694E-Mail: [email protected]
CNCDO Sul - Pouso AlegreJosé Renato MeloFone/Fax: (35) 3422-0334 / 2345 R. 277E-Mail: [email protected]
CNCDO Norte/Nordeste - Montes ClarosNoasses Neiva DiamantinoFone: (38) 3213-3676E-Mail: [email protected]
CNCDO Zona da Mata - Juiz de ForaDr. Joseph Fredric WhitakerFone: (32) 3229-2392E-Mail: [email protected]
ParáMaria Ierecê Miranda de CarvalhoFone/Fax: (91) 3244-9692 / 3223-8168E-Mail: [email protected]
OPO - TapajósAntônio Carlos Alves da SilvaFone: (93)2101-0700 - Ramal 718
ParaíbaLuiz Gustavo César de Barros CorreiaFone/Fax: (83) 3225-6409 / 98845-3516 Email: [email protected]
ParanáDra. Arlene Terezinha Cagol Garcia BadochFone/Fax: (41) 3304-1900/ 1909E-Mail: [email protected]
OPO CuritibaEdi Glaucia RepulaFone: (41) 3304-1922/3304-1926E-mail: [email protected]
OPO - CascavelPatrícia dos Santos DuarteFone: (45) 3321-5505 E-Mail: [email protected]
OPO - LondrinaEmanuelle Fiorio Zocoler Fone: (43) 3379-6078/3379-6092E-Mail: [email protected]
OPO - MaringáGislaine Fusco DuarteFone/Fax: (44) 3261-6250E-Mail: [email protected]
PernambucoNoemy GomesFone: (81) 3181-6207 / 6206E-Mail: [email protected]
Instituto de Medicina Integral de Pernambuco - IMIP Petrus Moura de Andrade LimaFone:(81) 2122-4110 / 8652-9134
Real Hospital Português De Beneficência Em PernambucoAndré Bezerra Pereira do RêgoFone:(81) 3416-1878 / 99976-0147
Casa de Saúde Santa EfigêniaAlbiégio Carlos TavaresFone:(81) 99927-6594
Hospital Dom MalamTatiana Cerqueira da Cunha Cavalcanti Fone:(87) 3202-7000 / 98835-2136
PiauíDra. Maria de Lourdes de Freitas VerasFone/Fax: (86) 3221-7553 / 3216-3553E-Mail: [email protected]
OPO HGV-PI Ricardo Cronemberger MangueiraFone:(86) 3221-8109 / 99929-3397E-mail: [email protected]
Rio de JaneiroGabriel TeixeiraFone: (21) 2333-7550E-Mail: [email protected]
OPO RJ - OPO SUL Onofre BarrosFone:(21)9602-7700 / [email protected]
OPO RJ – OPO NORTEGraziela Denardin LückemeyerFone:(21) 2238-0981 / (21) 2571-6242 [email protected]
OPO RJ – OPO ITAPERUNAAgostinho Boechat NetoFone:(22) 3824-9200 - Ramal [email protected]
OPO RJ – OPO BARRA MANSAGilvando Dias de Sousa FilhoFone: (24) 3325-8300 Ramal [email protected]
Rio Grande do NorteRaissa Medeiros MarquesFone: (84) 3232-7620 / 98839-8452E-Mail: [email protected]
OPO RNSuzelle Freitas de Moura OliveiraFone: (84) [email protected]
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National and State Coordination Transplant
Rio Grande do SulSandra Lucia Coccaro de SouzaFone/Fax: (51) 3353-3030E-Mail: [email protected]
OPO I ISCMPADra. Fernanda BonowFone/Fax: (51) 3213-7320 / 3214-8459E-Mail: [email protected]
OPO II PUCDr. Mauricio SchuckFone/Fax: (51) 3320-3261E-Mail: [email protected]
OPO III POMPÉIADr. Thiago PassarinFone/Fax: (54) 3220-8023 / 98422-9491 E-Mail: [email protected]
OPO IV SÃO VICENTE PAULODr. Cassiano CrusiusFone/Fax: (54) 3316-4000 / (54) 3316-8374E-Mail: [email protected]
OPO V STA CASA RIO GRANDEDr. Newton PrimoFone/Fax: (53) 3233-7100 / (53) 3233-7188E-Mail: [email protected]
OPO VI BRUNO BORNDr. Fábio Bonfin Fraga Fone/Fax: (51) 3714-7500E-Mail: [email protected]
OPO VII / INSTITUTO CARDIOLOGIADr. Edison Moraes Rodrigues Filho Fone: (51) 3230-3684 / 98585-0934E-Mail: [email protected]
RondôniaEdcléia Gonçalves dos SantosFone: (69) 3216-5738 / 3216-5747E-Mail: [email protected]
RoraimaDr. Douglas Henrique TeixeiraFone: (95) 3624-4049E-Mail: [email protected]
Santa CatarinaDr. Joel de AndradeFone: (48) 3664-7290 / 3664-7298 / 0800-6437474E-Mail: [email protected] / [email protected]
SergipeBenito Oliveira FernandezFone: (79) 3259-2899 / 3216-2870E-Mail: [email protected]
Hospital de Urgência de SergipePoliana Nunes SantosTel.: (79)3216-2837 Email: [email protected]
São PauloSistema Estadual de TransplantesFrancisco de Assis Salomão MonteiroFone: (11) 3224-6373/6374/6379/6380E-Mail: [email protected]
OPO / HC - Hospital das Clínicas da Faculdade de Medicina da USPDr. Leonardo Borges de Barros e SilvaHospital das Clínicas da Fac. de Medicina de São Paulo - Instituto CentralFone/Fax: (11) 2661-8004 / 2661-6543E-Mail: [email protected]
OPO / Santa Casa de São PauloDr. Reginaldo Carlos BoniFone: (11) 2176-7185/7391/5185E-Mail: [email protected]
OPO / Dante PazzaneseDr. André FeldmanFone: (11) 5085-6015 E-Mail: [email protected]
OPO - EPM - Hospital São Paulo / UNIFESPSuelen B. Stopa MartinsFone/Fax: (11) 5572-8749 / 5081-2183E-Mail: [email protected]
Central de Transplantes RegionalFone/Fax: (16) 3607-4262/4261E-mail: [email protected]
OPO / Hospital das Clínicas da UNICAMPDr. Luis Antonio Costa SardinhaFone: (19) 3521-8000E-Mail: [email protected]
OPO / Hospital Universitário de São José do Rio PretoDr. João Fernando Picollo de OliveiraFone: (17) 3227-7030E-Mail: [email protected]
OPO - Hospital das Clínicas de BotucatuDr. Laércio Martins de StefanoFone: (14) 3811-6386 / 3813-3344E-Mail: [email protected]
OPO - Santa Casa de ItuDr. Jorge Luiz Arcêncio Fone: (11)4013-8013 / 99489-5060E-Mail: [email protected]
OPO - Hospital das Clínicas de Ribeirão PretoDr. Jeová Nina RochaFone: (16) 3602-2777E-Mail: [email protected]
OPO - Hospital das Clínicas de MaríliaDr. Paulo Roberto Teixeira MicheloneFone: (14) 3402-1748 / 1744 R: 1005E-Mail: [email protected]
TocantinsSuziane Aguiar Crateús VilelaFone: (63) 3218-3230 / (63) 99237-6409E-mail: [email protected]
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Brazilian Organ Transplantation Society- ABTOAv, Paulista, 2001 - 17º andar - cj 1704 / 1707
São Paulo - SPCEP 01311-300
Phone: 55 11 3145-0000Email: [email protected]
www.abto.org.br
