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© ANZDATA Registry TRANSPLANTATION CHAPTER 5. © ANZDATA Registry Figure 8.1 Number of Kidney Transplant Operations Total (Living Donors) Year Australia.

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Presentation on theme: "© ANZDATA Registry TRANSPLANTATION CHAPTER 5. © ANZDATA Registry Figure 8.1 Number of Kidney Transplant Operations Total (Living Donors) Year Australia."— Presentation transcript:

1 © ANZDATA Registry TRANSPLANTATION CHAPTER 5

2 © ANZDATA Registry Figure 8.1 Number of Kidney Transplant Operations Total (Living Donors) Year Australia New Zealand 1st2nd3rd4th5thTotal 1st2nd3rd4thTotal 1963510006 (0) 00000 1964200002 (0) 00000 196512110014 (3) 10001 (1) 196618200020 (5) 1030013 (0) 196769200071 (2) 1841023 (1) 19689710000107 (0) 1740021 (2) 196914912000161 (0) 3950044 (0) 197016812200182 (1) 2131025 (0) 197120722100230 (1) 2660032 (1) 197218316000199 (2) 4380051 (1) 197321330100244 (7) 50102062 (0) 197422435400263 (6) 3551041 (3) 197527129310304 (7) 61130074 (2) 197622341400268 (10) 38131052 (1) 197726557400326 (16) 46102058 (4) 197826943200314 (17) 43113057 (11) 197929335500333 (34) 61133279 (16) 198028763900359 (36) 57134074 (18) 198130658910374 (35) 5181060 (10) 198232172600399 (53) 48170065 (8) 1983272631020347 (48) 69254098 (11) 1984362721010445 (48) 63110074 (16) 1985318791710415 (36) 60253088 (6) 198636663720438 (32) 791961105 (13) 1987310582130392 (40) 57174179 (20) 1988391621021466 (46) 61116078 (8) 1989433461020491 (48) 71111083 (12) 199038745920443 (59) 861420102 (23) 1991386701130470 (78) 62104177 (13) 1992404571330477 (70) 105550115 (17) 199338563641459 (66) 68132083 (20) 1994384411221440 (103) 70111183 (20) 1995371601100442 (94) 8473094 (24) 199641650900475 (115) 8871096 (26) 199744751610505 (147) 1011010112 (31) 1998443621120518 (161) 951010106 (31) 199940343900455 (168) 971140112 (42) 200047647710531 (181) 911320106 (31) 200148845620541 (213) 101900110 (43) 200253760520604 (230) 1031220117 (48) 2003472601010543 (218) 941340111 (44) 2004583531130650 (244) 98700105 (48) 2005539671520623 (246) 8750193 (46) 2006549701750641 (273) 8082090 (49) 2007527751102615 (271) 112920123 (58) 2008708841650813 (354) 1111010122 (69) 2009673881100773 (327) 1091200121 (67) 2010744831810846 (296) 104510110 (60)

3 © ANZDATA Registry Figure 8.2

4 © ANZDATA Registry Figure 8.3

5 © ANZDATA Registry Figure 8.4

6 © ANZDATA Registry Figure 8.5

7 © ANZDATA Registry Figure 8.6

8 © ANZDATA Registry Figure 8.7

9 © ANZDATA Registry Figure 8.8

10 © ANZDATA Registry Figure 8.9 Graft Number and Age of Patients Transplanted 2010 Donor Source Graft No. Age Groups Total 00-0405-1415-2425-3435-4445-5455-6465-7475-84 Australia Deceased 1 2784076134143671478 2 01471121102056 3 00024630015 Living Donor 1 3113435545161152266 2 01345770027 3 0000201003 Total 5204988152220225843846 New Zealand Deceased 1 1034513117145 2 0000121004 3 0000010001 Living Donor 1 22691413112059 2 0000100001 Total 3291321292391110

11 © ANZDATA Registry Figure 8.10 - Aust

12 © ANZDATA Registry Figure 8.11 - NZ

13 © ANZDATA Registry Figure 8.12 Australia Transplantation Rate - Age Group 15-64 years 2001 - 2010 Year Caucasoid Aboriginal and Torres St. Islanders All Patients DialysedTxRate DialysedTxRate DialysedTxRate 2001 367343311.8% 675213.1% 495450310.2% 2002 372447912.9% 729172.3% 508854910.8% 2003 378941410.9% 783121.5% 52504789.1% 2004 387349112.7% 856252.9% 543658110.7% 2005 404046011.4% 929202.2% 57135489.6% 2006 423948011.3% 988272.7% 60345789.6% 2007 437747110.8% 1064171.6% 63245578.8% 2008 448160213.4% 1175292.5% 662372410.9% 2009 448057412.8% 1197231.9% 669468710.3% 2010 439660713.8% 1205272.2% 666173411.0%

14 © ANZDATA Registry Figure 8.13 New Zealand Transplantation Rate - Age Group 15-64 years 2001 - 2010 Year CaucasoidMaoriPacific PeopleAll Patients DialysedTxRateDialysedTxRateDialysedTxRateDialysedTxRate 2001 5117113.9%465153.2%26751.9%13281017.6% 2002 5417012.9%494122.4%267155.6%13971027.3% 2003 5456411.7%531163.0%271134.8%14421017.0% 2004 5426512.0%558101.8%285124.2%1483966.5% 2005 5687312.9%56330.5%30331.0%1523825.4% 2006 5675910.4%60691.5%32251.6%1599805.0% 2007 5768214.2%618152.4%34461.7%16501116.7% 2008 5868414.3%620121.9%37692.4%16991126.6% 2009 5997712.9%636132.0%40561.5%17821015.7% 2010 5876210.6%660172.6%44281.8%1848955.1%

15 © ANZDATA Registry Figure 8.14 New Transplanted Patients 2006 - 2010 Related to Ethnicity Race20062007200820092010 Australia (641)(615)(813)(773)(846) Caucasoid 537 (83.8%)524 (85.2%)675 (83.0%)651 (84.2%)706 (83.5%) Aboriginal/Torres St. Islanders 27 (4.2%)18 (2.9%)31 (3.8%)24 (3.1%)28 (3.3%) Asian 59 (9.2%)56 (9.1%)83 (10.2%)75 (9.7%)83 (9.8%) Other 18 (2.8%)17 (2.8%)24 (3.0%)23 (3.0%)29 (3.4%) New Zealand (90)(123)(122)(121)(110) Caucasoid 65 (72.2%)91 (74.0%)93 (76.2%)91 (75.2%)71 (64.5%) Maori 10 (11.1%)17 (13.8%)12 (9.8%)19 (15.7%)20 (18.2%) Pacific People 7 (7.8%)6 (4.9%)10 (8.2%)6 (5.0%)9 (8.2%) Asian 8 (8.9%)9 (7.3%)7 (5.7%)5 (4.1%)8 (7.3%) Other----2 (1.8%)

16 © ANZDATA Registry Figure 8.15 Transplants in each Region 2006 - 2010 Number of Operations (per Million Population per year) State20062007200820092010 Queensland 101 (25)114 (27)136 (32)140 (32)137 (30) New South Wales / ACT * 195 (27)187 (26)243 (33)238 (32)265 (35) Victoria / Tasmania * 185 (33)183 (32)246 (42)233 (39)285 (47) South Australia / NT * 96 (54)78 (43)110 (60)83 (45)82 (44) Western Australia 64 (31)53 (25)78 (36)79 (35)77 (34) Australia 641 (31)615 (29)813 (38)773 (35)846 (38) * For calculation of population related totals, the populations of these States were summed

17 © ANZDATA Registry Figure 8.16

18 © ANZDATA Registry Figure 8.17

19 © ANZDATA Registry Figure 8.18 Living Donor Operations as a Proportion(%) of Annual Transplantation Australia 2006 - 2010 Recipient Age Groups Year of Transplantation 20062007200820092010 00-04 years 100%89%75%55%60% 05-14 years 55%56%59%71%60% 15-24 years 71%65%67%73%76% 25-34 years 48%57%53%54%44% 35-44 years 37%38%36%41%40% 45-54 years 37%42%41%39%26% 55-64 years 40%35%39%37%31% 65-74 years 41%45%44%33%18% 75-84 years 0% 67% All Recipients 43%44% 42%35%

20 © ANZDATA Registry Figure 8.19

21 © ANZDATA Registry Figure 8.20

22 © ANZDATA Registry Figure 8.21

23 © ANZDATA Registry Figure 8.22

24 © ANZDATA Registry Figure 8.23

25 © ANZDATA Registry Figure 8.24

26 © ANZDATA Registry Figure 8.25 Source of Living Donor Kidneys 2006 - 2010 (x = identical twin) (+ = non identical twin) Source Australia New Zealand 20062007200820092010 200620072008 2010 Total Living Donors 273271354327296 4958696760 Related (165)(168)(178)(185)(177) (28)(36)(37)(42)(37) Mother 4060465348 55753 Father 3537412737 35965 Brother 2521353228 (2+) 6 (1x)551210 Sister 35 (1+)29 (1+)32 (1+)43 (2+)36 (1x) 611886 Son 97347 44233 Daughter 63644 33142 Grandfather 2 1 Grandmother 1 253 Cousin 57554 122 3 Nephew 2 1 Niece 11 11 121 Uncle 12131 1 2 Aunt 51767 122 Unrelated (108)(103)(176)(142)(119) (21)(22)(32)(25)(23) Wife 5340646347 58525 Husband 1714353321 5512 Mother-in-Law 11 11 Father-in-Law /Adoptive Father 1 1 Son-in-Law / Adoptive Son 21 1 Stepdaughter Stepfather 212 11 1 Stepmother 1 Sister-in-Law 2244 1 1 Brother-in-Law 23131 1 1 Partner 661066 11 12 Fiance / Fiancee 1 Friend 1615271816 106 137 Stepsister / Stepson 1 2 1 1 Non-Directed 21641 41864 Pathological 41613611 Paired Kidney Exchange 2528 1 1 Other 12315

27 © ANZDATA Registry Figure 8.26 Gender of Living Donor Kidneys 2007 - 2010 Source and State/Country of Transplant 2007 2008 2009 2010 MaleFemaleTotal MaleFemaleTotal MaleFemaleTotal MaleFemaleTotal Related NSW/ACT 42%58%59 58%42%62 48%52%65 37%63%46 Vic/TAS 39%61%61 39%61%56 26%74%58 42%58%66 QLD 41%59%22 35%65%17 31%69%26 57%43%21 SA/NT 42%58%19 50% 24 44%56%16 40%60%20 WA 57%43%7 39%61%18 55%45%20 42%58%24 Australia 42%58%168 47%53%177 39%61%185 42%58%177 New Zealand 42%58%36 47%53%38 50% 42 57%43%37 Unrelated NSW/ACT 42%58%31 31%69%52 38%62%42 41%59%37 Vic/TAS 34%66%29 52%48%60 35%65%40 41%59%39 QLD 45%55%22 33%67%27 41%59%29 36%64%22 SA/NT 14%86%7 29%71%17 86%14%7 38%63%8 WA 36%64%14 33%67%21 38%63%24 23%77%13 Australia 38%62%103 38%62%177 40%60%142 38%62%119 New Zealand 45%55%22 39%61%31 40%60%25 43%57%23

28 © ANZDATA Registry Figure 8.27 Timing of Live Donor Transplantation for Primary Grafts in Relation to Date of Dialysis Start by Year of Transplant 2006 - 2010 20062007200820092010 Aust Pre-emptive65 (27%)62 (26%)94 (30%)108 (36%)92 (35%) <1 month post dialysis7 (3%) 5 (2%)10 (3%)6 (2%) 1 month to <1 year post dialysis66 (27%)55 (23%)77 (24%)81 (27%)62 (23%) >=1 year post dialysis105 (43%)116 (48%)141 (44%)99 (33%)106 (40%) NZ Pre-emptive9 (21%)23 (43%)20 (30%)18 (31%)15 (25%) <1 month post dialysis-1 (2%)2 (3%)1 (2%) 1 month to <1 year post dialysis12 (28%)9 (17%)14 (21%)8 (14%)10 (17%) >=1 year post dialysis22 (51%)21 (39%)30 (45%)32 (54%)33 (56%)

29 © ANZDATA Registry Figure 8.28

30 © ANZDATA Registry Figure 8.29 Summary of Kidney Transplantation Australia 1963 - 2010 PerformedFunctioning* Deceased Donor First 123424590 Second 1887567 Third 308100 Fourth 4616 Fifth 41 Total14,5875,274 Living Donor First 40152827 Second 371238 Third 5238 Fourth 85 Fifth 10 Total4,4473,108 Total 19,0348,382 * Lost to follow up not included

31 © ANZDATA Registry Figure 8.30 Summary of Kidney Transplantation New Zealand 1965 - 2010 PerformedFunctioning* Deceased Donor First 2174719 Second 39478 Third 7517 Fourth 70 Total2,650814 Living Donor First 897583 Second 7241 Third 64 Total975628 Total 3,6251,442 * Lost to follow up not included

32 © ANZDATA Registry Figure 8.31 Functioning Transplants 2001 - 2010 Transplanting Region, Australia and New Zealand (Number Per Million Population) YearQLDNSW/ACT *VIC/Tas *SA/NT *WA AustraliaNZ 2001 1063 (293)1823 (264)1455 (276)669 (391)496 (261)5506 (284)1063 (273) 2002 1109 (299)1905 (274)1538 (288)702 (408)528 (274)5782 (294)1116 (282) 2003 1150 (302)2006 (287)1581 (293)736 (425)530 (271)6003 (302)1168 (290) 2004 1185 (304)2104 (299)1651 (302)790 (453)562 (283)6292 (313)1221 (299) 2005 1220 (305)2177 (307)1721 (311)810 (461)617 (306)6545 (321)1239 (300) 2006 1258 (308)2269 (317)1830 (326)846 (476)657 (319)6860 (331)1247 (298) 2007 1315 (313)2314 (319)1925 (337)881 (489)678 (321)7113 (338)1283 (303) 2008 1372 (318)2422 (329)2056 (353)933 (511)717 (329)7500 (349)1348 (316) 2009 1449 (327)2529 (338)2204 (370)962 (520)748 (333)7892 (359)1400 (324) 2010 1521 (337)2687 (354)2381 (393)1011 (539)782 (341)8382 (375)1442 (330) * For calculation of population related totals, the population of these States were combined Patients lost to follow up are not included

33 © ANZDATA Registry Figure 8.32

34 © ANZDATA Registry Figure 8.33

35 © ANZDATA Registry Figure 8.34

36 © ANZDATA Registry Figure 8.35

37 © ANZDATA Registry Figure 8.36 Age of All Functioning Transplant Patients Resident Country at Transplant 31-Dec-2010 Donor Source Graft No. Age Groups Total 00-0405-1415-2425-3435-4445-5455-6465-7475-8485-94 Australia 18119265665150220622258124024498382 Deceased Donor 1 530692187031131137786518484590 2 13104211116816156141567 3 --183035197--100 4 ----582-1-16 5 ------1---1 Total 633802688491342156092819995274 Living Donor 1 128217336557264963330041-2827 2 -41131665755104-238 3 --1-13 92--38 4 ---1211---5 Total 128618539765372069831245-3108 New Zealand 422581302473623841944011442 Deceased Donor 1 -2134592174219137361719 2 --141730206--78 3 ----5732--17 Total -21449114211242145361814 Living Donor 1 4204374118135136494-583 2 --1714136---41 3 ----13----4 Total 4204481133151142494-628

38 © ANZDATA Registry Figure 8.37 - Aust

39 © ANZDATA Registry Figure 8.37 - Aust

40 © ANZDATA Registry Figure 8.38 - NZ

41 © ANZDATA Registry Figure 8.38 - NZ

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