National Transplant Resource Center: Almost all organ donors don’t keep their promise

According to a report, NTRC statistics showed that between 1997 and April 2022, only 2,641 (one percent) of the 510,186 who pledged to become organ donors kept their promise. ― AFP photo

By Yiswaree Palansamy

Friday, June 10, 2022 11:35 a.m. GMT

KUALA LUMPUR, June 10 — Almost everyone who pledges to donate their organs after death fails to honor their pledge, the National Transplant Resource Center (NTRC) has said.

malaysia reported that NTRC statistics showed that between 1997 and April 2022, only 2,641 (one percent) of the 510,186 who pledged to become organ donors kept their pledge.

Of the 2,641, 1,752 donated their livers while alive, while 651 donated theirs after death. The report said that 49,111 stage five dialysis patients are still waiting for organ donations and that this number reflects a critical situation, forcing them to undergo dialysis treatments.

Talk to malaysiaPresident of the National Kidney Foundation (NKF), Datuk Dr. Zaki Morad Mohd Zaher said the number of patients with stage five (end stage) kidneys in 2020 was 49,111 people, all of whom needed dialysis treatment.

“Of these, 43,729 patients underwent hemodialysis which required them to travel to a treatment center or hospital to clean the blood by removing residual toxins, excess salt and fluids. The rest, a total of 5,382 patients underwent peritoneal dialysis treatment where the blood cleansing process is done at home without the patient needing to go to the hospital,” he said.

Compared to 2019, the number of kidney patients is 48,857 people, of whom 42,070 underwent hemodialysis treatment and 4,929 underwent peritoneal dialysis treatment. According to Dr. Zaki, although the number of organ donors is high, the lack of kidney organ supply is due to the fact that some donors died in conditions that were not suitable for organ donation, such as dying at the House.

“When they die at home and nobody knows about it, we miss the opportunity to harvest their kidneys. If they die at home, we can only take the cornea (eyes) and bones as this can be taken after even a few hours.

“Kidney donors must die under certain circumstances, such as in a hospital, to allow the hospital to harvest their organs. This is because the surgical process must be done immediately, that is, within four hours to allow the organ to function,” he said.

Dr. Zaki said that when kidney patients are in the end stage, they can no longer prevent the disease which can only be treated with lifelong dialysis machine or waiting for donor organs.

He said that only about 20,000 kidney patients are eligible to receive new organs or have kidney transplants due to certain health factors.

“The most shocking thing is that we only get 80 to 100 kidneys each year, which forces new kidney patients to wait almost 20 to 30 years to get organs from donors,” he lamented. , adding that kidney patients are increasing every year.

Dr Zaki said 26,962 new patients were registered between 2019 and December 2020 alone.

“Of this number, the largest number of new kidney patients is in 2019, at 9,419 involving 7,992 patients on hemodialysis and 1,427 on peritoneal dialysis. As of December 2020, 9,006 patients involved 7,511 who underwent hemodialysis treatment and 1,495 underwent peritoneal dialysis,” he said.

In this regard, he said, in addition to waiting for donors to die to donate organs, donors can also donate organs during their lifetime. However, he said this situation would only happen in families.

“This patient is also undergoing dialysis treatment. However, when they want a better quality of life, like wanting to work and get married, we advise them to have a kidney transplant offered by the family,” he explained.

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