Organ          Transplantation:           Comparison in          the US and UK                   Amanda Goodwin           ...
1. Organ Donation Basics                 2. The Organ Shortage                 3. Statistics              Objectives      ...
Organ Donation                           BasicsSunday, May 29, 2011
Basics           • Organ donation is a critical form of treatment for                  end-stage diseases all over the wor...
The Organ ShortageSunday, May 29, 2011
The World Health               Assembly is concerned                    “at the growing              insufficiency of avail...
The Organ Shortage           • Not enough organs =                 patients die on the waiting                 list = coun...
Causative Factors           • Not all organs are transplantable due to factors related to type/                 timing of ...
UNOS & the NHS Organ Donor Register           • NHS Organ Donor Register - confidential,                  computerized data...
Illegal Organ Transplant             • World Health Organization estimates                       $100-200,000 is paid for ...
Global Connection           • Theory that initiating global organ transplant                 would provide more organs pro...
Deceased vs. Living Donors            • In the US, the number of renal/kidney transplants from                   live dono...
StatisticsSunday, May 29, 2011
US vs. UK Statistics            • The US leads the world - including all of Europe -                   in number of transp...
US vs. UK Statistics cont’d          • The only Irish hospital that performs all types of organ                 transplant...
AwarenessSunday, May 29, 2011
Problem           • In the UK, 600-700 liver transplants occur per                 year. In the past 20 years, the number ...
Advocating Organizations           • In the United States, one non-                 profit organization per region         ...
NE Ohio’s Lifebanc                  Annual Gift of Life Walk & Run, 2010Sunday, May 29, 2011
Without A TransplantSunday, May 29, 2011
Conclusion                       • Similarities?                       • Differences?Sunday, May 29, 2011
Discussion            • Which country has the best system for organ donation/                   transplantation?          ...
References             •     www.unos.org             •     www.en.wikipedia.org             •     www.donatelife.net     ...
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Organ Transplantation: Comparison in the US and UK

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Organ Transplantation: Comparison in the US and UK

  1. 1. Organ Transplantation: Comparison in the US and UK Amanda Goodwin Summer 2011 N4003: Comparative Healthcare: Nursing in Northern IrelandSunday, May 29, 2011
  2. 2. 1. Organ Donation Basics 2. The Organ Shortage 3. Statistics Objectives 4. Awareness 5. ConclusionSunday, May 29, 2011
  3. 3. Organ Donation BasicsSunday, May 29, 2011
  4. 4. Basics • Organ donation is a critical form of treatment for end-stage diseases all over the world. • Organ donation saves and transforms lives. • The US and UK share similar and dissimilar problems regarding organ donation. • Both the US and UK have ways of raising donation awareness, which is critical to continuing organ donation. • There are large organ shortages in both countries, and as a result, people are dying daily.Sunday, May 29, 2011
  5. 5. The Organ ShortageSunday, May 29, 2011
  6. 6. The World Health Assembly is concerned “at the growing insufficiency of available human material for transplantation to meet human needs.”Sunday, May 29, 2011
  7. 7. The Organ Shortage • Not enough organs = patients die on the waiting list = countries’ death rates increase = problem on two different levels, affecting people and politics. • Not enough organs = people start devising illegal programs of organ procurementSunday, May 29, 2011
  8. 8. Causative Factors • Not all organs are transplantable due to factors related to type/ timing of death • Due to improving health care and technology, more people needing organs are alive when typically they may not have survived. • Many people postpone registering and telling their families their wishes • Not enough organ transplant sites - lack of ease of access, organ viability after harvest becomes more difficult. (Ex. - In Ireland transplants can only occur in Dublin) • Uneducated staff - in Causeway Hospital in 2010, 11 transplantable patients were overlookedSunday, May 29, 2011
  9. 9. UNOS & the NHS Organ Donor Register • NHS Organ Donor Register - confidential, computerized database which holds the wishes of over 11 million people. It is used after a person has died to see if they wanted to be an organ donor, and if so, which organs. • Donated organs can go to anyone in the entire UK. • NHS Organ Donor Register is the equivalent to the US’ UNOS (United Network of Organ Sharing) • There are 11 regions in US. Organs go to candidates in the donor’s own region.Sunday, May 29, 2011
  10. 10. Illegal Organ Transplant • World Health Organization estimates $100-200,000 is paid for “underground” purchases of healthy organs • Ethical breach risks at all stages • Theft of cells, tissues, and organs • Cells, tissues, and organs should all be donated freely with no benefit of money or other forms of payment.Sunday, May 29, 2011
  11. 11. Global Connection • Theory that initiating global organ transplant would provide more organs producing a higher rate of transplants + ability to procure organs that are more specific recipient matches • Organ viability time/travel distance limits these efforts • Makes the consideration of shipping/storage important to rememberSunday, May 29, 2011
  12. 12. Deceased vs. Living Donors • In the US, the number of renal/kidney transplants from live donors exceeded those from deceased donors for the first time in 2001. • There is a need for more epidemiological data and more global transparency “especially with regard to the longterm health, psychological, and socioeconomic consequences for both living donors and recipients.” • The US has shown progress for self-sufficiency in transplants by meeting these needs via altruistic donations.Sunday, May 29, 2011
  13. 13. StatisticsSunday, May 29, 2011
  14. 14. US vs. UK Statistics • The US leads the world - including all of Europe - in number of transplants performed. • 111,375 people in the US are waiting for organs. 6500 die each year waiting. • 10,000 people in the UK are waiting for organs. 1000 die each year waiting. • 40% of US population are registered donors. 28% of UK population are registered donors.Sunday, May 29, 2011
  15. 15. US vs. UK Statistics cont’d • The only Irish hospital that performs all types of organ transplants is located in Dublin. • Over 200 hospitals in the US perform all types of organ transplants. • Both the US and Northern Ireland’s goals are to double their donor list by 50%. • The US has increased their list by 37% since 2007.Sunday, May 29, 2011
  16. 16. AwarenessSunday, May 29, 2011
  17. 17. Problem • In the UK, 600-700 liver transplants occur per year. In the past 20 years, the number of people needing transplants has increased by 90% but the number of available donor organs has remained the same. • Q. What do experts believe the problem is?Sunday, May 29, 2011
  18. 18. Advocating Organizations • In the United States, one non- profit organization per region (eg, Lifebanc in NE Ohio) advocates awareness • In Great Britain, the government’s Public Health Agency promotes the Organ Donor Register, in addition to independent charities.Sunday, May 29, 2011
  19. 19. NE Ohio’s Lifebanc Annual Gift of Life Walk & Run, 2010Sunday, May 29, 2011
  20. 20. Without A TransplantSunday, May 29, 2011
  21. 21. Conclusion • Similarities? • Differences?Sunday, May 29, 2011
  22. 22. Discussion • Which country has the best system for organ donation/ transplantation? • Which country would you rather live in, if in need of a life-saving transplant? • How would you help decrease the organ shortage? • What are the highs and lows of both countries’ programs and policies? • What are your questions about organ transplantation?Sunday, May 29, 2011
  23. 23. References • www.unos.org • www.en.wikipedia.org • www.donatelife.net • www.organdonation.nhs.uk • www.dk.gov.uk • www.transplantliving.org • optn.transplant.hrsa.gov • Mary McAfee, specialist nurse, NHS Blood & Transplant • Photos: Amanda GoodwinSunday, May 29, 2011

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