Transcript National Donate Life Month 2006

Donate Life:
An Overview of Organ, Tissue and Eye
Donation
UW Health
Organ Procurement Organization
Why is Organ Donation So Important?
 There are nearly 102,000 people currently
waiting for a transplant in the United States,
more than 2,500 are children
 Every 13 minutes – another name is added
to the waiting list
 Despite record numbers of transplants - the
list is growing at the rate of more than 300
patients each month
Why is Organ Donation So Important?
(cont.)
 6,500 adults and children died awaiting an
organ transplant last year.
 18 people a day die on the waiting list.
 More than 90% of Americans approve of
organ donation, yet less than half say “yes”
when asked to make their decision legal
US Transplant Waiting List
Type of Transplant
Kidney
Liver
Lung
Heart
Heart-lung
Kidney-pancreas
Pancreas
Intestines
Total patients
# of Patients Waiting
79,642
15,821
1,935
2,778
84
2,235
1,504
212
101,949
Source: Organ Procurement and Transplant Network
Updated 5/3/2009
Wisconsin Waiting List
Type of Transplant
Kidney
Liver
Lung
Heart
Heart-lung
Kidney-pancreas
Pancreas
Intestine
Total patients
# of Patients Waiting
1,079
214
66
77
0
55
11
2
1,466
Source: Organ Procurement and Transplant Network
Updated 5/3/2009
Challenges: Donors, Transplants &
Waiting Patients
Patients Waiting
Transplants Performed
Organ Donors
105,000
95,000
85,000
75,000
65,000
55,000
45,000
35,000
25,000
15,000
* Data based on snapshot of the waiting list on the last day of each year
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
5,000
What Can Be Donated?
Kidneys
 End Stage Renal
Disease
 Diabetes with Renal
Disease
 High Blood Pressure
 Polycystic Kidney
Disease
Heart
 Cardiomyopathy
 Coronary Artery
Disease
 Congenital Heart
Disease
 Valvular Heart
Diseases
Lungs
Emphysema/COPD
Cystic Fibrosis
Pulmonary Fibrosis
Primary Pulmonary
Hypertension
 Congenital Defects




Liver
 Hepatitis
 A,B,C
 Cirrhosis
 Alcohol
 Medications
 Biliary Disease
 Metabolic
 Neoplasms
Isolated Pancreas
 Diabetes Type I
without Renal
Disease
 Hypoglycemic
Unawareness
 Pancreas after
Kidney Transplant
Simultaneous KidneyPancreas
 Diabetes Type I with
End Stage Renal
Disease
Small Intestines
 Short Gut Syndrome
 Severe Vascular
Disease
 Frequently in
Children
What Can Be Donated? (cont.)
Tissues and Eyes
 Skin for burn victims
 Bone
 Connective Tissue
 Ligaments
 Tendons
 Heart for
valves/pericardium
 Arteries and Veins
 Eyes (corneas)
What Can Be Donated? (cont.)
The Differences….
Organ Donation
•The patient must be
maintained by a
mechanical ventilator
•Organs must be
properly preserved and
transplanted quickly
•Life-saving procedure
Tissue/Eye Donation
•Occurs in the first 24
hours after the heart has
stopped beating
•The tissues can be
preserved and used at a
later date
•Life-enhancing
procedure
Current Criteria for Organ Donation
 Patients who have been declared brain dead
OR
 Patients with severe neurological injury and family
and MD are discussing withdrawing ventilator support
 Up to age 75 – flexible – there was a 96 y.o. donor this
summer
 HIV – (at this time)
 No active malignancy
 Exception: Primary CNS tumors
Note: Only the OPO can determine
donor suitability
Organ Preservation Time




Heart: 4 to 6 hours
Lungs: 4 to 6 hours
Liver: 12 hours
Pancreas: 12 to 18 hours
 Kidneys: 72 hrs.
 Small Intestines: 4 to 6 hrs.
Common Questions in
Regards to Donation
?
“ Will the doctors do everything they can to
try and save me if they know my wishes to
be a donor?”
Absolutely
 OPO is separate from the medical team treating the
patient to ensure there is not conflict of interest
 Donation is only considered after all efforts to save a
patient’s life have been pursued by the medical team
“How does religion relate to organ
donation?”
 The majority of religions support organ donation
 Most religions view organ and tissue donation as a
charitable act
 Talk to your religious leader about donation
“Will donation disfigure the body?”
No
 Organs are removed through surgical incisions
 Areas for tissue donation are reconstructed and
concealed by clothing
 A family is able to have an open casket funeral
“Does donation cost a family
money?”
No
 Each recovering agency pays for all expenses associated
with the recovery
 Those costs are passed on to the recipients and their
insurance companies
 The family is responsible for the normal funeral expenses
“Will donation cause any delays with
funeral arrangements?”
No
 The recovering agency will make certain the body is
released to the funeral home on time
 No extra planning is required by families of organ
and tissue donors
“Can you pay to get an organ?”
No
Allocation Criteria
 Blood type
 Medical urgency
 Tissue match
 Waiting time
 Organ size
 Immune status
 Geographic distance
“Will the organs be
transplanted locally?”
Yes, If….
 There are local recipients for the organ
 There are no status one patients in our region
(livers only)
 There are no perfect tissue typing matched
recipients in the U.S. (kidneys only)
 Approximately 85-90% of all organs donated
here are used for transplants here
“Can the Donor Family and
Recipients meet each other?”
Yes
 Initial contact is coordinated by the OPO because of
federal privacy regulations
 All recipients are encouraged to write to their donor
families
 Meetings can be arranged if both parties sign a
consent and release of information form
The Two D’s
1.
Decide
Get a Donor Dot on and sign your
Driver’s License or State ID card
2. Discuss
Talk to your family about your wishes
In Wisconsin – until you turn 18 years
old we must have the consent of your
family!
Legal Next of Kin
1.
2.
3.
4.
5.
6.
7.
8.
Healthcare Agent
Spouse
Adult Children
Parents
Adult Siblings
Adult Grandchildren
Grandparents
An adult who
exhibited special care
& concern
9. Legal Guardian
10. Coroner or Medical
Examiner
Through donation ...
...lives are changed forever