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01 May 2004

The Australian experience in organ donation--2003.

Timothy Mathew

Ann Transplant 2004; 9(1): 28-30 :: ID: 142797


The Australian performance in deceased donor organ donation continues tolanguish near the bottom of the International ladder. This is despite a national expenditure on health10% more than the average OECD country (dollars per capita) and the presence of active transplantationprograms (heart, kidney, liver, lung and pancreas) with excellent success rates. The deceased donor ratehas fallen from 14 donors pmp in 1989 to 9 at the present time and appears to be still falling. Livingdonors now outnumber deceased donors as a source of kidney transplants. Causes of the low deceased donorrate appear to include variable management of severe brain injury, shortage of ICU beds, lack of ICUpriority to potential donors when beds are restricted, and a low family consent rate (50%) despite 83%of the public being willing to donate. Programs aimed at addressing these issues are planned and includeadditional funding for beds, improved identification of donors and a standard pathway for managing severebrain injury.

Keywords: Tissue Donors - statistics & numerical data

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Annals of Transplantation eISSN: 2329-0358
Annals of Transplantation eISSN: 2329-0358