Friday, March 1, 2024

Spain reached the transplant record in 2023 with 16 a day

Spain is the country in the world where a citizen has the most options to receive a transplant if they need it. In 2023, there will be 48.3 donors and 122 interventions per million inhabitants, where, as indicated on Wednesday by the Minister of Health, Mónica García, “a record number has been achieved”, with 9% growth in transplants and 7% donations in comparison. last year, but also exceeded the records of 2019, the last year before COVID-19 which marked, until now, the best year of the event. In total, in the last 12 months, there have been 2,346 deceased donors and 5,800 transplants performed.

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“The data once again show several successes for the National Transplant Organization that not only stands as a model of excellence around the world but as a pillar of social cohesion and as a society committed to unity and the importance of saving lives.” highlighted. The minister recalled that, after these figures, there were “patients who left the dialysis, the cart with oxygen, without the need to be admitted, who could return to sleep lying down and recover a normal life. ”

The director of the ONT, Beatriz Domínguez Gil, indicated that the 2,346 deceased donors are the largest in history in absolute numbers and represent a growth of 7% compared to last year and put Spain at the head of the donated (48.9) million inhabitants. The European Union average is 20.9; in Germany, there are 10.4; in Australia, 17.4; and in the United Kingdom, Canada, or Sweden, about 21.

The country closest to Spanish rates is the United States, with 44.5 donors per million inhabitants. “It imitates some aspects of our model, such as the participation of intensivists and other professionals who work with critically ill patients,” said Domínguez Gil, who also explained that the profile of the donor there “was younger and died of unrelated causes.” naturally”. Specifically, 17% did it because of a drug overdose. “These types of donors, in Spain, are very rare,” he acknowledged.

The majority of transplants performed in Spain continue to be kidney transplants, with a total of 3,688, an increase of 8% compared to last year. In this sense, the director of ONT indicated that the “big driver” of this development is the living donation, with 433 donors, 12% of the total.

The next most common transplant is the liver, with an increase of 9% compared to 2022 and 3% compared to 2019 and 1,262 interventions. It is followed by pulmonary disease, with 479 cases, 15% more than last year and 14% more than before the pandemic; heart, with 325, 5%, and 8% more, respectively; the pancreatic, with 100 cases, which is 32% more than in 2019; and 7 intestinal, 75% more.

The big stimulus for the National Transplant Organization is the donation of asystole, which occurs when a donor dies from cardiorespiratory arrest. The process is, Domínguez Gil explained, “more complicated because the organs are left without blood flow and begin to lose their recovery.” In this fight against time, Spain is the only country in the world that can transplant all kinds of organs, “even the intestines.”

Through the autonomous community, Cantabria once again leads in terms of donations from deceased people, with 74.1 per million inhabitants, followed by Navarra, with 71.6, and Murcia, with 71. ” Proud of the director of the ONT, which highlights the great progress of the Valencian Community (52.6) and Andalusia (51.5) or Madrid (38.1) and Castilla-La Mancha (43.5), “those that grew more compared to last year.”

This low rate in the Community of Madrid is due, according to Domínguez Gil, to several factors. One is purely demographic, with a younger population. This means that on the Cantabrian coast, with older groups, the rates of donors per million inhabitants are higher, with 40.5 in Galicia, 54 in Asturias and 57 in Euskadi. “But there are indeed possibilities for improvement, perhaps by importing practices that work well in other communities,” explained the director of the ONT, highlighting a 24% increase in Madrid when compared to last year.

In Extremadura, there will be a total of 59 donations per million inhabitants in 2023. In Castilla y León they are 45.8; in La Rioja, 53.1; in Aragon 38.3; in Catalonia, 48.6; in the Balearic Islands, 41.2; and in the Canary Islands, 53.6.

A fact that, according to the minister, shows the cohesive effect of the transplant system in Spain is that 23% of the organs are donated in an autonomous community different from the one where they were transplanted. García pointed out that “only between 1% and 2% of people who die in a hospital do so in the conditions of becoming donors.” However, “82% of the families said yes in a terrible moment and great pain,” said the minister, who expressed to them “the highest recognition from the Spanish Government.”

At the end of 2023, there will be 4,794 patients on the waiting list for a transplant, of which 75 are children. The number is not lower than last year, but Domínguez Gil explains that a paradoxical effect is happening here: “one can believe that if we transplant more, the waiting list will be reduced, but what happens is that the norms are narrowed down to know. and then, we have more.” For this reason, the purpose of ONT “is not the waiting list, although we have reduced the hours”, but whoever needs an organ can choose it.

World Nation News Desk
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