AUSTRALIAN ORGAN DONATION PERFORMANCE

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AUSTRALIAN ORGAN DONORS & TRANSPLANT RECIPIENTS

Globally organ donation rates are measured in Donors Per Million of Population (DPMP) as this takes into account changes in population over time. Leading Performance is 40 DPMP. In 2008, the government provided the funding "to establish Australia as a world leader in organ donation for transplantation". After 9 years and a $350M injection of funds, Australia is still performing at only 50% of world leading practice.


ORGAN DONORS PER MILLION OF POPULATION

Over the 9 years there has only been a growth of 8.6 DPMP.

  Year   Actual Number
of Donors
Mid-Year
Populations
(Millions)
Donors Per
Million Population
(DPMP)
2008 259 21.4 12.1
2009 247 21.7 11.4
2010 309 22.0 14.0
2011 337 22.3 15.1
2012 354 22.7 15.6
2013 391 23.1 16.9
2014 378 23.5 16.1
2015 435 23.8 18.3
2016  503  24.1  20.8 
2017  510  24.6  20.7 

ORGAN TRANSPLANT RECIPIENTS

As the Reform Package was not correctly implemented, 5,095 people missed out on receiving a transplant between 2009 and 2017.

  Year   Actual Number of
Transplant Recipients
Targeted Number of
Transplants
Number missed out on
receiving a transplant
(from 2009, cumulative)
2009 799 908 109
2010 931 1,155 333
2011 1,001 1,403 734
2012 1,052 1,650 1,332
2013 1,122 1,668 1,878
2014 1,117 1,885 2,646
2015 1,241 2,157 3,562
2016  1,448  2,169  4,283 
2017   1,402 2,214  5,095 

One organ donor may be able to save the lives of many recipients as multiple organs can be donated to several people.

Targeted Number of Transplants over the years are obtained from the "Reform Package" Budget presented to Cabinet in 2008.

2015, 2016 and 2017 are based on 90 transplant recipients per million population.



QUARTERLY SCORECARD

Since the formation of the Organ and Tissue Authority in January 2009, ShareLife Australia has used national organ registry data from ANZOD to produce a quarterly scorecard that tracks Australia’s performance in the global context. Just prior to the formation, for the 12 months ended December 2008, Australia procured 39 Transplant recipients per million population (pmp). Despite the $45,000,000.00 annual support by the Federal Government, the number of Transplant recipients for the 12 months ended Dec 2017 has only increased to 56.6 pmp. To be a "world leader" we need to be doing nearly 90 Transplant recipients pmp.

Follow the links below to view each of the scorecard reports (PDF).

SCORECARDS 2018

June 2018
March 2018

SCORECARDS 2017

December 2017
September 2017
June 2017
March 2017

SCORECARDS 2016

December 2016
September 2016
June 2016
March 2016

SCORECARDS 2015

December 2015
September 2015
June 2015
March 2015

SCORECARDS 2014

December 2014
September 2014
June 2014

SCORECARDS 2013

June 2013
March 2013

SCORECARDS 2012

December 2012
September 2012
June 2012




STATE PERFORMANCE

The distribution of population by State in Australia varies widely. The chart below shows that, regardless, the number of donors per million population are not consistent across States and Territories.  Vic has consistently performed above the national rate over the last few years while NSW has continued to perform below the national rate. Qld has moved from below to above the national rate in the last 2 years. The smaller States and Territories also tend to experience larger variations in donors per million population measures year on year.

Given the size of population in NSW, VIC and QLD, any improvements in these States from a donors per million population perspective will have a dramatic impact on the number of donors in Australia.

graph showing dpmp by state



HOSPITAL PERFORMANCE


On 11/07/2018 ANZOD published the "Australian Data Tables" as part of its 2018 Annual Report. The following analysis is derived from the Tables.
In 2017, 87 Donor hospitals in Australia procured 510 donors. The chart below shows the first 32 hospitals ranked by number of organ donors. Note the remaining 55 hospitals (not shown) had four or less donors.

When ranking hospitals by the number of organ donors in 2017:

  • The leading hospital had 38 donors
  • 18 out of 87 hospitals (20%) had 10 or more donors (304, amounting to 60% of total donors)
  • 14 out of 87 hospitals (16%) had between 5 and 9 donors (91 amounting to 18% of total donors)
  • 55 out of 87 hospitals (64%) had 4 or less donors (115 amounting to 22% of total donors)
graph of donors by hospital

 

Comparing the annual average of the 7 years prior to that of the 9 years post establishment of OTA, of the top 31 hospitals in 2017, only 11 hospitals increased by more than 5 donors per annum with the size of the increase declining rapidly after these.

graph of donor changes by hospital


ShareLife is calling for more timely and transparent release of data in line with the Recommendations of the Ernst & Young Report  

"Review of the implementation of the national reform agenda on organ and tissue donation and transplantation 2015"

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LEADING PRACTICE & GLOBAL COMPARISON

See how Australian organ donation performance compares with the rest of the world and performance by leading practice in organ donation.

More...