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Spain breaks the pre-covid record for transplants

Spain has broken the pre-covid record for transplants.

The number of people who donated one of their organs after death also increased by 15%, a total of 2,196, to which 355 living donors were added, which keeps Spain the leader with the highest rates in the world: 46.3 donors per million population (pmp), well above the European average (19.5), as well as 113.4 pmp transplants

According to the annual report of the National Transplantation Organization (ONT) presented this Thursday by the Minister of Health, Carolina Darias, and the general director of the organization, Beatriz Domínguez-Gil, the increase in activity it was given to all organs, with 3,402 kidney transplants (15% more), 415 lung transplants (15%); 1,159 hepatic (8%), 311 cardiac (3%), 92 pancreatic (12%) and 4 intestinal.

Likewise, 253 zero-urgency transplants and 188 children’s transplants are worth mentioning. Likewise, 153 hyperimmunized kidney patients have been transplanted thanks to the ONT’s PATHI program, which, with this number, reaches a historic high.

Seven communities above the target

All communities achieved “excellence”, but two far exceeded the national rate of donors: Cantabria, with 82.8, and Navarre (71.2).

Five more exceeded the 50 pmp target -Extremadura, with 60; La Rioja (58.1), the Basque Country (56.4), Asturias (55) and the Canaries (54.8)-.

The lowest, on the other hand, took place in Madrid (31.3); Castilla-La Mancha (36.1) and Aragon (37.1).

A quarter of the total transplants were performed with organs donated in a different community and 7.6% of the transplanted patients had another autonomy as their residence, which gives an example of the “cohesion” of the National Health System, emphasized the director general of the ONT.

What is the donor like in Spain?

More than half of the donors (55.5%) died of a cerebrovascular accident, and only 4.3% in a traffic accident.

The average age of the Spanish donor has risen from 59 to 60; more than half were over that age, while 28% were over 70 and 5% over 80.

Eight out of ten families said “yes” to donating the organs of a deceased loved one. The negatives thus stood at 16%, which “is a demonstration that generosity, teamwork and excellent professionalism are the success of the transplant system”, emphasized the minister.

49 donors after euthanasia

Domínguez-Gil has assessed another figure, and it is the donation in asystole, in which Spain is the only country to transplant all kinds of organs and which has grown by 38% with 913 donors, 42% of the total.

In 2022, 1,299 kidney, 375 liver, 152 lung, 37 cardiac and 20 pancreatic transplants were performed with organs from donors in asystole.

One was the world’s first bowel transplant in asystole on little Emma, ​​13 months old, a milestone she repeated a few months later with Javi, 3 years old.

In addition, 52 were cardiac, 9 pediatric. The majority were executed at the Verge de l’Arrixaca University Hospital in Murcia (11), followed by the Bellvitge in Barcelona (8) and La Paz in Madrid (7).

Since the euthanasia law came into force in June 2021, 49 of these patients (42 in 2022) made the decision to donate their organs, which have improved the lives of 135 people.

Likewise, and since 2013, 173 patients with amyotrophic lateral sclerosis (ALS) donated their organs, 43 last year.

On the other hand, and with respect to covid donors, so far, 180 patients have been able to be transplanted from 84 people with a positive PCR.

File image of Beatriz Domínguez-Gil during an interview with EFE/Angel Díaz

Waiting lists are maintained

Despite the recovery, there are still a large number of patients on the waiting list: 4,746 on December 31, slightly less than the 4,762 registered in 2021.

The majority are waiting for a kidney (4,404), followed, far and wide, by a liver (317); lung (193); choir (152); pancreas (76) and intestine (4).

The children’s list has remained at 66. The majority (26) are hoping for a kidney or a heart (20), followed by a liver (14), lung (4) and intestine (2).

On the other hand, Spain carried out 24 kidney transplants thanks to the Cross Kidney Transplantation Program – in which 26 hospitals from 13 communities and 22 histocompatibility laboratories participate – in which eight chains were completed, two of five transplants started by other so many altruistic donors. .

With respect to the National Marrow Plan, until January 1 last year, 474,455 donors were registered in the Spanish Bone Marrow Donor Registry (REDMO), of which 21,903 were registered in 2022.

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