Organ donation and transplantation in the Russian Federation in 2023. 16th Report from the Registry of the Russian Transplant Society

Abstract

Objective: to study current trends and advancements in organ donation and transplantation in the Russian Federation based on data from the year 2023.Materials and methods. Heads of organ transplant centers were surveyed through questionnaires. The Russian Ministry of Health’s information accounting system was used for data control. A comparative analysis of data collected over years from various federal subjects of the Russian Federation and transplant centers was conducted.Results. Based on data retrieved from the National Registry in 2023, there were 50 kidney, 34 liver and 22 heart transplant programs existing in the Russian Federation as of the year 2023. Organ donation activity in 2023 was 6.3 per million population (p.m.p.), with a 77.2% multi-organ procurement rate and an average of 2.9 organs procured from one effective donor. In 2023, 3,057 organ transplants were performed in the Russian Federation, which included 1,817 kidney, 829 liver and 388 heart transplants. Same year, the number of transplant surgeries performed in the Russian Federation increased by 19.6% compared to 2022. Organ donation activity in Moscow was 29.1 p.m.p. The city of Moscow and Moscow Oblast alone had a total of 12 transplant centers, which accounted for 50.2% of all kidney transplants and 63.1% of all extrarenal transplants nationwide. There are more than 143.4 p.m.p. organ recipients in the Russian Federation.Conclusion. The geographic spread of transplant centers in the Russian Federation continues to expand. In 2023, five new centers were opened. Over the past year, the country has seen an increase in the number of effective donors and organ transplants. Because medical facilities still have untapped resources, the number of organ transplants performed is expected to rise. Moscow is the powerhouse of Russian transplantology. Shumakov National Medical Research Center of Transplantology and Artificial Organs and its branch perform 27.4% of the total number of organ transplants in the country. Among the successful regional initiatives, the following should be noted: the Republic of Tatarstan, Kemerovo Oblast (Kuzbass), St. Petersburg, Tyumen Oblast, Irkutsk Oblast. In the Russian Federation, pediatric transplant care is prioritized.

Keywords

• organ donation, kidney, liver, heart, lung transplantation, transplant center, waiting list, registry, shumakov national medical research center of transplantology and artificial organs