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 Performer, Spain achieved 48.9 DPMP in 2019. In 2008, the government provided the funding “to establish Australia as a world leader in organ donation for transplantation”. After 11 years and about $450M injection of funds, Australia is still performing at only 50% of world leading practice.

 

ORGAN DONORS PER MILLION OF POPULATION

Over the 10 years there has only been a growth of 9.5 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
2018 554 24.9 22.2
2019 548 25.3 21.6

ORGAN TRANSPLANT RECIPIENTS

As implementation of the Reform Package was slow and ineffective, 6,637 people missed out on receiving a transplant between 2009 and 2019.

  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
2018 1,544 2,253 5,804
 2019 1,444 2,277 6,637

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 to 2019 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 December 2019 has only increased to 56.6 pmp and a decline from 61.6 pmp in December 2018. 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 2020

March 2020

SCORECARDS 2019

September 2019

 

 


STATE PERFORMANCE

The distribution of population by State in Australia varies widely. The chart below shows that 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 previous 2 years but last year declined substantially. The smaller States and Territories also tend to experience larger variations in donors per million population measures year on year.

In 2018, were it not for the substantial increase in Vic, there would have been no increase in the national rate.

graph showing dpmp by state

Victoria now dominates the number of deceased donors. Given the size of population in NSW, VIC and QLD, improvements in these States from a donors per million population perspective will have a substantial impact on the number of donors in Australia.

graph showing the number of deceased organ donors 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.

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