Van Gelder F, Delbouille M H, Vandervennet M, Van Beeumen G, Van Deynse D, Angenon E, Amerijkx B, Walraevens M, Donckier V
Abdominal Surgery Transplant Department, University Hospital UZ Gasthuisberg, Herestraat 49, 3000 Leuven, Belgium.
Transplant Proc. 2007 Oct;39(8):2637-9. doi: 10.1016/j.transproceed.2007.08.006.
The Belgian Section of Transplant Coordinators, created in 1997 under the auspices of the Belgian Transplant Society, is in charge of the collection of the national data about donor/procurement activities.
Data are collected in all Belgian transplant centers. An annual report is finalized by combining these data with data from the Eurotransplant database.
An increase of both potential donors (n = 501, +14.4%) and effective donors (n = 273, +16.7%) was observed in 2006 versus 2005. Among effective donors, 28 were non-heart-beating donors (10.25%). Overall donor ratio was 26.26 donors per million inhabitants. Within potential donors, absence of organ harvesting was due to medical contraindications (28%), family refusal (13%), or legal refusal (2%). Donor mean age was 46.4 years and mean organs/donor was 3.21 +/- 1.7. An overall reduction of Belgian waiting lists was observed in 2006 as compared with 2005 (-5.7% for kidney, -25.7% for liver, -9.4% for heart, -6.7% for lung, and -11.7% for pancreas), while waiting list mortality was 18% for liver, 11% for heart, and 7% for lung. As compared with 2005, transplant activities increased for kidney (n = 485, +24.3%), heart +/- lungs (n = 73, +7.3%), and lungs (n = 83, +39.4%) but decreased for liver (n = 236, -2.1%). Living donation represented 8.45% for kidney (+28.1% vs 2005) and 8% for liver transplantation (-29.6%).
Globally, a marked increase of procurement and transplant activities was observed in 2006, allowing to limit waiting list and waiting list mortality. Further increase of living donor activity and non-heart-beating donation remains necessary to extend the donor pool.
比利时移植协调员分会于1997年在比利时移植协会的支持下成立，负责收集全国关于供体/获取活动的数据。
在比利时所有移植中心收集数据。通过将这些数据与欧洲移植数据库的数据相结合，最终形成年度报告。
与2005年相比，2006年潜在供体（n = 501，增长14.4%）和有效供体（n = 273，增长16.7%）均有所增加。在有效供体中，28例为非心脏跳动供体（10.25%）。总体供体比例为每百万居民26.26名供体。在潜在供体中，未进行器官获取的原因包括医学禁忌（28%）、家属拒绝（13%）或法律拒绝（2%）。供体平均年龄为46.4岁，平均每名供体提供器官数为3.21±1.7个。与2005年相比，2006年比利时等候名单总体减少（肾脏减少5.7%，肝脏减少25.7%，心脏减少9.4%，肺减少6.7%，胰腺减少11.7%），而肝脏等候名单死亡率为18%，心脏为11%，肺为7%。与2005年相比，肾脏移植活动增加（n = 485，增长24.3%），心脏±肺移植（n = 73，增长7.3%），肺移植（n = 83，增长39.4%），但肝脏移植减少（n = 236，减少2.1%）。活体捐赠占肾脏移植的8.45%（与2005年相比增长28.1%），占肝脏移植的8%（减少29.6%）。
总体而言，2006年获取和移植活动显著增加，有助于减少等候名单和等候名单死亡率。进一步增加活体供体活动和非心脏跳动捐赠对于扩大供体库仍然必要。
