Solvable Mortality in Latin America Related with Lack of Organ for Transplantation
Francisco González-Martínez1, Valter Duro-García2, Eduardo Santiago-Delpín3, Roberto Tanús4.
1Directory, STALYC , Montevideo, Uruguay; 2Registry Committee, STALYC, Porto Alegre, Brazil; 3Registry Committee, STALYC, San Juan, Puerto Rico; 4Registry Committee, STALYC, Buenos Aires, Argentina
Latin American (LA) is the region in the world with the highest increase in the number of solid organ transplantation (SOT) per million population (pmp) in the last decade (http://www.transplant-observatory.org).
Large differences between countries exists (Latin American Registry of Organ Transplantation, 2016. Duro-García W, Santiago-Delpín E, Tanús R, www.stalyc.net). We can assume that there is a mortality related to the lack of organs for transplantation.
Methods: Data of LA SOT Registry 2016 were taking. We stablish the country with the highest rate of Transplantation (HI) and the 3 countries with highest one to each organ and its average (AH3) (Table I). The number of possible transplants with respect to the country with the highest number was obtained by subtracting the number of that country pmp from the country with the highest production pmp and multiplying it by the millions of population of the corresponding country. Similarly, it was calculated for the average of the three countries with the highest activity (Table II)
| Kidney | UY * | AR * | BR * | 29.1 ** | UY + |
33.8 ++ |
| Kidney LD | MÉX | CR | AR | 12.8 | MÉX | 16.7 |
| Kidney CD | UY | BR | PR | 23.7 | UY | 30.0 |
| Liver | PR | AR | BR | 9.9 | PR | 12.0 |
| Heart | AR | UY | BR | 2.03 | AR | 2.6 |
| Lung | CH | AR | BR-COL | 0.73 | CH | 1.1 |
| Pancreas | PR | AR | BR | 2.0 | PR | 4.7 |
(*) countries with the highest number pmp, (**) average pmp, (+) country with the highest number pmp, (++) number pmp
Results:
| Kidney | Kidney LD | Kidney CD | Liverpool | Heart | Lung | Pancreas | |
| Performed | 11.974 | 4.426 | 7.528 | 2.897 | 614 | 168 | 218 |
| Lack to AH3 | 5.702 | 3.713 | 6.323 | 2.898 | 579 | 197 | 678 |
| Lack yo H1 | 9.122 | 5.788 | 10.701 | 4.374 | 970 | 496 | 2.679 |
| % performed | 56.8 | 43.3 | 41.3 | 39.8 | 38.8 | 25.3 | 7.7 |
In LA 15.871 solid organs grafts were done in 2016, 10.483 more SOT could be done if the number in each country would be similar to the average of the three with the largest activity and 25.408 if the results were those of the country with the highest number of transplats in 2016 (2.6 times more).
Conclusions: SOT activity could be increase 2.6 times if transplants programs would improve as in the best countries of the region. It is not related to what needs to be done, but what is possible, since it was achieved by countries within the region. Inequity and mortality exist in our region according with the country where people lives. Health political decisions can solve this mortality, improving transplant programs.
