RBT XVII YEAR Nº 4. Brazilian Transplantation Registry Official report of Brazilian Organ Transplantation Society

Transcrição

1 RBT Brazilian Transplantation Registry Official report of Brazilian Organ Transplantation Society XVII YEAR Nº 4 Organ procurement and transplantation 211 data report JANUARY / DECEMBER - 211

2 RBT (JAN/DEC) - ABTO RBT Brazilian Transplantation Registry Official report of Brazilian Organ Transplantation Society Supported by Board of Directors: (Biennium ) President: José O. Medina Pestana Vice-President: Lucio Pacheco 1st Secretary: Marilda Mazzali 2nd Secretary: Eliana Régia B. de Almeida Treasurer: Alfredo Inácio Fiorelli 2nd Treasurer: Roberto C. Manfro Advisory Council: President : Valter Duro Garcia Secretary: Ben-Hur Ferraz Neto Maria Cristina Ribeiro de Castro Elias David-Neto Henry de Holanda Campos Jorge Neumann Departaments Anesthesiology / Intensive Care: Alexandre Teruya Ethics: Mário Abbud Filho Heart Transplantation: Noedir Stolf Immunobiology: Niels Câmara Kidney Transplantation: Álvaro Pacheco Liver Transplantation: Paulo Massarollo Lung Transplantation: Spencer Camargo Nursing: Malvina Duarte Pancreas Transplantation: Adriano M. Gonzalez Pediatric Transplantation: Clotilde D Garcia Tissue Transplantation: Márcia Regina I S Libanio Transplant Coordination: Joel de Andrade Expedients: Editor: Valter Duro Garcia Associate Editor: Lucio Pacheco Thiago Quintas Camara (thiago@abto.org.br) Data Management / Creation and Production Headquarters: Brazilian Organ Transplantation Society- ABTO Av. Paulista, 21-17º andar - cj 174 / 177 São Paulo - SP CEP Phones: / Fax: abto@abto.org.br 2

3 RBT (JAN/DEC) - ABTO EDITORIAL TRANSPLANTATIONS 211 This issue of the Brazilian Transplantation Registry confirms the steady annual increase in the overall number of solid organ transplants observed since 26. From 21 to 211 the accumulated increase reached 73%. This growth was predominantly observed in kidney (n=4939, 25.9 transplants p.m.p.) and liver (n=1496, 7.8 transplants p.m.p) and was primarily due to government funded investments in organ procurement, which has increased substantially during the last 5 years. This is confirmed by the progressive increase in the with deceased donor organs, a trend that contrasts with the world scenario where strategies are under development to increase the with living donors. We thank and acknowledge all the transplant centers for their voluntary contribution to this registry reminding that updates have to be done according to the schedule shown in page 5. Ten-year data for each organ (kidney, liver, heart, pancreas, lung, bone marrow and other tissues) are shown in absolute number, corrected by population and stratified by state, including cumulative patient and graft survivas. At the end of this report you will find a list of transplant centers with their respective performances in each state. Finally, contact information of all transplant coordination units throughout the country is also provided. This report, which was realeased during the conference with the Ministry of Health in February 2 nd,212, is available at hte Brazilian Organ Transplantation Society website ( During this conference the importance and relevance of the national program and measures to increase funding and reduce regional discrepancies in performance were discussed. It was recognized the need to adjust the current reimbursements for hospital readmissions to treat posttransplant complications. Other items discussed in the conference: 1. While the national donation rate in Brazil reached 11 donors p.m.p., the state of Santa Catarina reached 25 effective donors p.m.p., which is the best result ever achieved by a Brazilian state. This result was a consequence of the involvement and the fomentation of local public sectors, including the state government, to reduce obstacles in the logistic process of organ donation. Besides, harmonious relationship between this multidisciplinary team and a high committed and motivated coordination, as exemplified by Dr. Joel de Andrade (Transplant Coordination of the state of Santa Catarina). Similar growth was also observed in the states of Paraiba and Rio Grande do Norte. 2. The profile of the deceased donor has been changing over the last 1 years. The mean age increased to over 4 years and the main cause of death is now cerebrovascular accident. 3. The number of kidney and liver transplants increased more than 5% compared to 21 while the number of heart, pancreas and lung transplants remained stable. The geographic disparities are well exemplified by the kidney transplantation performance. While three states perform more than 4 transplants p.m.p. other 8 states perform less than 1 transplants p.m.p. 4. Tissue transplantation is also growing. More than 23, bone tissue transplants, provided by 5 banks in São Paulo, Paraná and Rio de Janeiro, were performed in 211. Skin transplants were performed in 21 patients. Also, more than 14, corneal transplants were performed reducing drastically or even abolishing wait lists in some states, as recently reported in Rio Grande do Norte. Only state of Rondonia, Roraima, Amapa and Tocantins did not perform any corneal transplant in 211. The challenges ahead are enormous but our enthusiasm surpasses it! Diretors and Advisory Council 3

4 RBT (JAN/DEC) - ABTO Summary Number of Solid Organ and Tissues Transplants during Profile: age, gender, cause of death and blood group of the organ donors 5 Organ: Annual in Brazil between 21 and Absolute Numbers 7 Number of transplants per 8 Kidney: Annual between 21 and Annual Number of Transplants by donor type 9 Number of transplants by state during year Cumulative Survival: Registry started in Number of transplants per by state during year Liver: Annual between 21 and Annual Number of Transplants by donor type 1 Number of transplants by state during year Cumulative Survival: Registry started in Number of transplants per by state during year Heart: Annual between 21 and Annual Number of transplants 11 Number of transplants by state during year Cumulative Survival: Registry started in Number of transplants per by state during year Pancreas: Annual between 21 and Annual Number of transplants 12 Number of transplants by state during year Cumulative Survival: Registry started in Transplants number per by state during year Lung: Annual between 21 and Annual Number of transplants 13 Number of transplants by state during year Cumulative Survival: Registry started in Number of transplants per by state during year Bone Marrow and Tissue: Annual between 21 and Number of Bone Marrow transplants by state during the year Number of Bone Marrow Transplants per by state during year Annual number of tissue transplants 15 Tissue transplants per million of population 15 Tissue: Annual 15 Number of corneal transplants by state during the year Number of corneal transplants per million of population during the year Number of bone transplants data available from five tissue bank in three states, during the year Bone Transplants per million of population data available from five tissue bank in three states, during the year Schedule for data collection to the Brazilian Transplantation Registry during Number of Notifications of potential donors, effective donors and donors whose organs were transplanted by State during the year Causes of non-fulfillment of organ donation of notified potential donors during in the year

5 RBT (JAN/DEC) - ABTO Number of Solid Organ and Tissues Transplants during 211 Organ Organ Living Donor Deceased Donor Total PMP Nº of transplant team heart liver 14 1,388 1, intestine. Pancreas / Kidney pancreas alone lung kidney 1,643 3,314 4, Total 1,748 5,91 6, Tissue Tissue Total PMP Nº of transplant team cornea 14, bone 23, Bancos skin total 38, Bone Marrow Cells Autologous Allogeneic Total PMP Nº of transplant team Bone Marrow 1, , Schedule for data collection to the Brazilian Transplantation Registry during 212 deadline Period deadline Period 2/8/212 January 5/9/12 April 3/9/212 February 6/8/12 May 4/9/212 March 7/9/12 June 27/4/212 RBT 1st quarter 212 (Digital) 7/27/12 RBT 1st Semester 212 (Digital) deadline Period deadline Period 8/8/12 July 11/7/12 October 9/1/12 August 12/1/12 November 1/8/12 September 1/9/13 December 1/26/12 RBT 3nd quarter 212 (Digital) 1/28/13 RBT Annual 212 (Digital and printed) 5

6 RBT (JAN/DEC) - ABTO Organ: Annual in Brazil between 21 and 211 Absolute Numbers Number of transplants per , - Kidney Kidney Liver 7,8 - Liver kidney liver pancreas heart lung Pancreas 16 - Heart 49 - Lung kidney liver pancreas heart lung ,9 - Pancreas,8 - Heart,3 - Lung 6

7 RBT (JAN/DEC) - ABTO Kidney: Annual between 21 and 211 Number of transplants by state during year 211 Annual Number of Transplants by donor type deceased deceased donor 15 living donor living related 1 state Living Deceased Total SP MG RS PR SC CE RJ PE GO ES BA DF PA RN MA PI AM PB MS AL AC SE 5 5 Brazil spouse 113 -unrelated deceased donor living donor related unrelated - Spouse unrelated - other total SP MG RS PR SC CE RJ PE GO ES BA DF PA RN MA PI AM PB MS AL AC SE Number of transplants per by state during year 211 Cumulative Survival: Registry started in deceased donor 4 living donor 3 2 state Living Deceased Total SP RS SC PR CE MG ES PE DF AC GO RN RJ PI AM MS PB PA MA BA AL SE Brazil % Patient (living donor) 92% Graft (living donor) 91% Patient (deceased donor) 83% Graft (deceased donor) 1,,8,6,4 % Survival Actives Reported 1%, (56%) Nº of transplant Team Nº of Transplants (81%), Donors: 2612 (34%) - living 5141 (66%) - deceased SP RS SC PR CE MGES PE DF AC GO RN RJ PI AMMS PB PA MABA AL SE Cumulative survival include data from transplant teams that reported 1% of transplants during the period 7

8 RBT (JAN/DEC) - ABTO 8 Liver: Annual between 21 and 211 Annual Number of Transplants by donor type Number of transplants by state during year deceased state Living Deceased Total 8 deceased donor 5 SP CE RS SC PE RJ MG 8 8 PR BA ES PB 3 3 Brazil living donor living 93 related 11 unrelated deceased donor living donor related unrelated Total SP CE RS SC PE RJ MG PR BA ES PB Number of transplants per by state during year 211 Cumulative Survival: Registry started in , % Patient 7% Graft,8 14,6 deceased donor 12 living donor state Living Deceased Total CE SC SP PE RS PR ES RJ MG BA PB.8.8 Brazil % Survival,4 Actives reported 1% (69%) Nº of transplant team,2 Nº of Transplants (88%), Donors: 21 (8%) - living 2368 (92%) - deceased Cumulative survival include data from transplant teams that reported 1% of transplants during the period CE SC SP PE RS PR ES RJ MG BA PB

9 RBT (JAN/DEC) - ABTO Heart: Annual between 21 and 211 Number of transplants by state during year 211 Annual Number of transplants Total 15 Total 4 State Total SP 69 CE 25 PR 18 MG 12 RS 11 DF 9 PE 8 RJ 5 ES 3 Brazil Total SP CE PR MG RS DF PE RJ ES Number of transplants per by state during year 211 Cumulative Survival: Registry started in ,5 1, 3,,8 2,5 7% Patient Total,6 2, 1,5 % Survival 1,,5, State Total DF 3.5 CE 3. PR 1.7 SP 1.7 RS 1. PE.9 ES.9 MG.6 RJ.3 Brazil.8,4 Active Reported 1%, (57%) Nº of transplant team Nº of Transplants (83%), DF CE PR SP RS PE ES MG RJ Cumulative survival include data from transplant teams that reported 1% of transplants during the period 9

10 RBT (JAN/DEC) - ABTO 1 Pancreas: Annual between 21 and 211 Number of transplants by state during year 211 Annual Number of transplants Pancreas alone Pancreas after Kidney 14 1 Pancreas/Kidney number of transplants 129 Pancreas/ Kidney Total Pancreas alone Pancreas After Kidney State Pancreas/ Kidney 4 SP Pancreas after Kidney 2 4 PR MG Pancreas alone CE Pancreas/Kidney SC 9 9 Panc. after kidney RS 1 1 Pancreas alone Brazil SP PR MG CE SC RS Total Miss information about 36 transplants between 21 and 27. Transplants number per by state during year 211 Cumulative Survival: Registry started in Pancreas/Kidney 3, 1, Pancreas alone Pancreas after Kidney 2,5 2, 79% Patient 76% Kidney 75% Pancreas,8 Pancreas/Kidney,6 Active Reported 1% 1, (89%),4 Total % Survival Pancreas alone Pancreas After Kidney State Pancreas/ Kidney Nº of transplant team Nº of Transplants (89%) SP ,2 1, PR SC ,5 CE , MG RS Cumulative survival include data from transplant teams that reported 1% of transplants during the period Brazil SP PR SC CE MG RS Isolated Pancreas: Patient Survival 85% Graft Suvirval 65% (23 transplants reported by 4 transplant teams) Pâncreas após rim: Sobrevida Paciente 97% Sobrevida Enxerto 9% (74 transplants reported by 9 transplantteams) Corresponding Graphs are available at home-page

11 RBT (JAN/DEC) - ABTO Lung: Annual between 21 and 211 Number of transplants by state during year 211 Annual Number of transplants Deceased Bilateral 24 Unilateral 2 deceased living 1 1 Living deceased Bilateral Unilateral Living State Living Deceased Total RS SP CE 4 4 MG 1 1 Brazil Total RS SP CE MG Number of transplants per by state during year 211 Cumulative Survival: Registry started in , 2,5 2, 1,5 67% Patient deceased living % Survival 1, State Living Deceased Total RS Active Reported 1%,5 CE (1%) Nº of transplant team SP..4.4 Nº of Transplants 11 11(1%) MG..1.1 Brazil..3.3 RS CE SP MG Cumulative survival include data from transplant teams that reported 1% of transplants during the period 11

12 RBT (JAN/DEC) - ABTO 12 Bone Marrow and Tissue: Annual between 21 and 211 Annual number of tissue transplants 3 Number of Bone Marrow transplants by state during the year bone cornea Autologous 5 5 Allogeneic 21 skin bone cornea Skin* state Allogeneic Autologous Total SP PR RS RJ PE MG SC RN GO BA 3 3 ES CE Brazil SP PR RS RJ PE MG SC RN GO BA ES CE Tissue transplants per million of population Number of Bone Marrow Transplants per by state during year bone Autologous 76.9 cornea Allogeneic skin bone cornea Skin* state Allogeneic Autologous Total SP 18,6 25, 43,5 PR 23,6 16,1 39,6 RS 1,1 17, 27,1 PE 11,1 14,3 25,5 RN 14,5 1,7 25,3 SC, 15, 15, RJ 5,5 9, 14,5 ES, 1,8 1,8 GO 3, 7,3 1,3 MG 2,3 5,3 7,7 BA, 4,3 4,3 CE, 4, 4, Brazil 3,7 5,4 9,1 SP PR RS PE RN SC RJ ES GO MG BA CE

13 RBT (JAN/DEC) - ABTO Tissue: Annual Number of bone transplants data available from five tissue bank in three states, during the year 211 Number of corneal transplants by state during the year Homologous Orthopaedic 14 4 Autologous Orthopaedic 12 Homologous Dentistry 1 Total Autologous Dentistry 8 3 Homologous Other 4 Autologous Other 2 2 SP PR RJ Orthopaedic Dentistry Others Homologous Autologous Homologous Autologous Homologous Autologous Total SP PR RJ Brazil State Total SP 5523 MG 1414 PR 1178 RS 941 GO 836 CE 786 PE 661 SC 462 ES 326 DF 319 RJ 294 RN 286 MT 285 BA 231 MS 18 PI 17 PA 16 PB 155 SE 13 MA 119 AL 113 AM 19 AC 18 Brazil SP MG PR RS GO CE PE SC ES DF RJ RN MT BA MS PI PA PB SE MA AL AM AC Bone Transplants per million of population data available from five tissue bank in three states, during the year 211 Number of corneal transplants per million of population during the year Homologous Orthopaedic 3 Autologous Orthopaedic 1 25 Homologous Dentistry Total Autologous Dentistry 2 8 Homologous Other Autologous Other State Total GO SP DF PR MT 93.9 CE 93. ES 92.7 RN 9.3 RS 85.8 PE 75.1 SC 73.9 MS 73.5 MG 72.2 SE 62.9 PI 54.5 PB 41.1 AL 36.2 AM 31.3 AC 24.5 PA 21.1 RJ 18.4 MA 18.1 BA 16.5 Brazil 77. SP PR RJ Orthopaedic Dentistry Others Homologous Autologous Homologous Autologous Homologous Autologous Total SP PR RJ Brazil GO SP DF PR MT CE ES RN RS PE SC MS MG SE PI PB AL AM AC PA RJ MA BA 13

14 RBT (JAN/DEC) - ABTO State Notifications (potential donors) Effective donors Donors whose organs were transplanted Mutiple Organ Donors Refused Donor Number of Notifications of potential donors, effective donors and donors whose organs were transplanted by State during the year 211 Nº pmp/year Nº pmp/year Nº pmp/year Nº % Nº % Total - Brazil , , , Acre (AC) 11 15, 4 5,4 4 5, Alagoas (AL) 12 3,8 3 1, 3 1, Amazonas (AM) 21 6, 5 1,4 5 1, Bahia (BA) ,7 69 4,9 69 4, Ceará (CE) , , , Distr.Federal (DF) 27 8, ,3 28 1, Espírito Santo (ES) ,5 36 1,2 36 1, Goiás (GO) 21 33,5 26 4,3 25 4, Maranhão (MA) 92 14, 4,6 4, Mato Grosso (MT) 66 21,7 6 2, 6 2, M.Grosso Sul (MS) , 11 4,5 11 4, Minas Gerais (MG) , , , Pará (PA) ,4 26 3,4 26 3, Paraíba (PB) ,6 9 2,4 9 2, Paraná(PR) 41 38, , , Pernambuco (PE) 359 4,8 7 8, 67 7, Piauí(PI) 73 23,4 7 2,2 7 2, Rio de Janeiro (RJ) , , , Rio G.do Norte (RN) , , , Rio G.do Sul (RS) , , , Rondonia (RO) 26 16,6 2 1,3 2 1, Sta.Catarina (SC) , , , São Paulo (SP) , , , Sergipe (SE) 44 21,3 4 1,9 4 1,

15 RBT (JAN/DEC) - ABTO Causes of non-fulfillment of organ donation of notified potential donors during the year 211 State Potential Donors Family Interview M.C. C.A. B.D.N.C. I.I. others Nºaccomplished nonconsent % Nº % Nº % Nº % Nº % Nº % Total - Brazil Acre (AC) Alagoas (AL) 12 X Amazonas (AM) Bahia (BA) Ceará (CE) Distr.Federal (DF) 27 X Espírito Santo (ES) Goiás (GO) Maranhão (MA) Mato Grosso (MT) M.Grosso Sul (MS) 115 X Minas Gerais (MG) 469 X Pará (PA) 117 X Paraíba (PB) Paraná (PR) Pernambuco (PE) ,3 Piauí (PI) 73 X Rio de Janeiro (RJ) Rio G.do Norte (RN) Rio G.do Sul (RS) 427 X Rondonia (RO) Sta.Catarina (SC) São Paulo (SP) X Sergipe (SE) M.C - Medical Contraindication; C.A - Cardiopulmonary Arrest; B.D.N.C - Brain Death Not Confirmed; I.I - Inadequate infrastructure X - no Information 15

16 RBT (JAN/DEC) - ABTO Profile: age, gender, cause of death and blood group of the organ donors State Gender Cause of death Age Blood group Masc Fem CET CVA Outros A AB B O TOTAL - Brazil Percentual 6% 4% 41% 46% 13% 2% 2% 6% 37% 41% 13% 36% 4% 11% 49% Acre Alagoas Amazonas Bahia Ceará Distr. Federal Espírito Santo Goiás *** Maranhão Mato Grosso M Grosso Sul Minas Gerais Pará Paraíba Paraná Pernambuco Piauí Rio de Janeiro Rio G do Norte Rondonia Rio G do Sul** Santa Catarina São Paulo * Sergipe * Did not send the information about the blood group of the 1st quarter ** Did not send the complete information of the kind of death of the third quarter *** Sent the profile only with transplanted organ donor(s) Note Sao Paulo accounts for 52 donors sent from other states in the donor profile CET - Cranioencephalic trauma CVA - Cerebrovascular accident 16

17 RBT (JAN/DEC) - ABTO Transplant National System (SNT) Heder Murabi Borba Phone: 55(61) Transplant National Central (CNT) Evelyn Heinzen Phone(61) / List of National and State Coordinations of Transplants snt@saude.gov.br cnncdo@saude.gov.br Acre Regiane Clélia Ferrari Hospital das Clínicas Phone: 55(68) / (68) cncdoacre@ac.gov.br / cncdoacre@gmail.com Alagoas Carlos Alexandre F. de Oliveira Hospital Dr. José Carneiro Phone: 55(82) / (82) doevida@saude.al.gov.br 34 CTN of Heart - Heder Murari Borba - Pablo M. A. Pomerantzeff - Ben-Hur Ferraz Neto - Alfredo Inácio Fiorelli - Jarbas Jakson Dinkhuysen - Juan Alberto Mejia - Gilberto Venosse Barbosa - Ivo Abraão Nesralla - Marcelo Biscegli Jatene Alternate: - Maria da Conceição V. Moreira - Fernando Antibas Atik - Carlos Roberto R. de Moraes CTN of Liver: - Luiz Carneiro - Marcelo Augusto Scheidementel Nogara - José Huygenes Parente Garcia - Agnaldo Soares Lima - Mário Reis - Tércio Genzini - Paulo Massarollo - Ilka Boin - Paulo Lisboa Bittencourt - Ben-Hur Ferraz Neto Alternate - Claudio Lacerda - Cacilda Pedrosa - Guido Pio Gracco Cantisani CTN of Pancreas - Jose Maria Gross Figueiró - Claudio Melaragno - Santo Paschoal Vitola - Marcelo Perosa - Vincenzo Pugliese Alternate - Luis Claudio Francalacci - Ronaldo de Matos Esmeraldo - Salvador Gullo Neto CTN of Lung: - Amarilio Vieira de Macedo Neto - Fabio Jatene - José de Jesus Peixoto - Silvio Paulo Pereira Alternate - Marlova Luzzi Caramori - Spencer Marcantônio - Maurício Guidi Saueressig CTN of kidney: - José Osmar Medina Pestana - Maria Cristina Ribero de Castro - Marilda Mazzali - Ronaldo de Matos Esmeraldo - Sandra Simone Vilaça - Valter Duro Garcia Alternate - Deise Rosa de Boni Monteiro de Carvalho - Luciene Mônica Deboni - Roberto Ceratti Manfro National Central Chamber (CTN): CTN of bank tissue eye - Denise de Freitas - Germano Leitão de Andrade - Luciene Barbosa de Souza - Marcia Regina Issa Salomão - Patricia Peres Barroca - Paulo Lener Peixoto Araujo Filho - Élcio Sato Alternate - Diane Ruschel Marinho - Marco Antônio Rey Faria CTN of Caption and donation organ - Ben-Hur Ferraz Neto - Eliana Régia Barbosa de Almeida - Joel Andrade - Camilo Vieira dos Santos - Reginaldo Boni CTN of Histocompatibility - Danielli Muniz de Oliveira - Fernando Antônio Vinhal dos Santos - Margareth A. Torres - Maria Gerbase de Lima - Noemi Farah Pereira - Cristina Von Glen Alternate - Alexandre José Amada - Maria Elisa Hue de Moraes - Semiramis Jamil Hadad do Monte CTN of Transplant and Tissue bank - André Oliveira Paggiaro - Eduardo Chem - Luiz Augusto Ubirajara Santos - Marise Teresinha Brenner Affonso da Costa - Rafael A. Dantas prinz Suplentes - Junia Guimarães Mourão Cioffi - Rodrigo Guimarães CTN of Intestine - João Gilberto Maksoud Filho - Maria Lúcia Zanotelli - Maurício Iasi - Renato Ferreira da Silva - Wangles Vasconcellos Soler - André Ibraim David - Dan Linetzky Waitzberg - André Dong Won Lee CTN of Bone Marrow - Ângelo Maiolino - Eurípedes Ferreira - José Zanis Net - Lúcia Mariano da Rocha Silla - Luis Fernando da Silva Bouzas - Vergílio Antônio Renzi Colturato Amapá Antônio Pinheiro Teles Phone: 55(96) / cncdo@saude.ap.gov.br Amazonas Leny Nascimento da Motta Passos Fundação Hospital Adriano Jorge - bloco B Phone/ Fax: (92) / (92) cncdo.am@saude.gov.br Bahia Eraldo Salustiano de Moura Phone: 55(71) /Fax: (71) transplantes.ba@hotmail.com Ana Christina Lordelo S. Mascarenhas Phone: 55(71) / Fax: (71) sesab.transplante@saude.ba.gov.br Ceará Eliana Régia Barbosa de Almeida Phone: 55(85) / /Fax: (85) cncdo@saude.ce.gov.br Distrito Federal Daniela Ferreira Salomão HBDF Mezanino Phone: 55(61) / /Fax: (61) cncdodf@saude.df.gov.br Espírito Santo Rosemery Gueis Nunes Erlacher Phone: 55(27) / Fax: (27) cncdo@saude.es.gov.br Goiás Luciano Leão Bernardino da Costa Phone: 55(62) / / centraltransplantes.go@saude.gov.br Maranhão Silvana dos Santos Oliveira Hospital Materno Infantil Phone: 55(98) / / ctx@huufma.br Mato Grosso Fátima Aparecida de Melo Costa Phone: 55(65) / / contran@ses.mt.gov.br Mato Grosso do Sul Claire Carmem Miozzo Phone: 55(67) / / cet@saude.ms.gov.br Minas Gerais Charles Simão Filho Hosp. João XXIII Phone: 55(31) / (31) mgtransplantes@saude.mg.gov.br CNCDO Metropolitano - Belo Horizonte Omar Lopes Cançado Júnior Hosp. João XXIII Phone: 55(31) / (31) mgtransplantes@saude.mg.gov.br CNCDO Leste - Governador Valadares Célio Ferreira Magalhães Phone: 55(33) mgtx.gva@saude.mg.gov.br

18 RBT (JAN/DEC) - ABTO CNCDO Oeste - Uberlândia Thonson Marques Palma Phone: 55(34) / cncdo.oeste@saude.mg.gov.br / mgtx@hc.ufu.br CNCDO Sul - Pouso Alegre Pablo Giardelli M. Mesquita Hospital Samoel Líbanio Phone: 55(35) / 2345 R cncdo.sul@saude.mg.gov.br CNCDO Norte/Nordeste - Montes Claros Sonia Rodrigues Cruz Phone: 55(38) /(38) cncdonone@ig.com.br CNCDO Zona da Mata - Juiz de Fora Joseph Fredric Whitaker Phone: 55(32) / cncdo.zmata@saude.mg.gov.br Pará André Luiz Santos Rodrigues Phone: 55(91) / 4321 / cncdo.transplantes@gmail.com Paraíba Dra. Gyanna Lys de Melo Moreira Montenegro Instituto de Previdencia de Estado da Paraíba Phone: 55(83) / / transplante@gmail.com Paraná Arlene Terezinha Cagol Garcia Badoch Phone: 55(41) / sesatran@sesa.pr.gov.br Cascavel - Paraná Irene da Rocha Soares Phone: 55(45) / 556 /Fax: (45) crt1rs@sesa.pr.gov.br Londrina Altair Jacob Mocelin Phone: 55(43) / / utr17rs@sesa.pr.gov.br Maringá Cristina Yure Sekine Franca Phone: 55(44) sesatmga@pr.gov.br Pernambuco Zilda Cavalcanti Prédio Sede do ISR Phone: 55(81) ) /4122 / transplantespe@saude.gov.br/ simone.lima@saude.gov.br Piauí Maria de Lourdes de Freitas Veras Phone: 55(86) / cncdopi@saude.pi.gov.br Rio de Janeiro Eduardo Rocha Phone: 55(21) / / transplantes@saude.rj.gov.br List of National and State Coordinations of Transplants Santa Catarina Joel de Andrade Phone: 55(48) / / getra@saude.sc.gov.br / cncdoinfo@saude.sc.gov.br Sergipe Benito Oliveira Fernandez Hospital João Alves Filho Phone: 55(79) / / / transplantes@saude.se.gov.br São Paulo Luiz Augusto Pereira Phone: 55(11) / / (11) ctrans@saude.sp.gov.br CNCDO - Interior Luiz Augusto Pereira Hospital das Clínicas FMRP USP UTR Phone: 55(16) / cncdo2@fmrp.usp.br SPOT / HC Leonardo Borges de Barros e Silva Hosp das Clínicas da Fac. de Medicina de São Paulo - IC Phone: 55(11) / opo_hc@hcnet.usp.br SPOT / Santa Casa de São Paulo Reginaldo Carlos Boni Irmandade da Santa Casa de São Paulo Phone: 55(11) /7391/ opo@santacasasp.org.br/caporgao@santacasa.sp.org.br SPOT / Dante Pazzanese Antonio Flavio de Almeida Sanchez Instituto Dante Pazzanese de Cardiologia Phone: 55(11) / spot@dantepazzanese.org.br SPOT / EPM José Osmar Medina Pestana Hospital do Rim Fundação Oswaldo Ramos Phone: 55(11) / opoepm@hrim.com.br SPOT / Campinas Luis Antonio Costa Sardinha Central de Captação de Órgãos do HC da UNICAMP Phone: 55(19) captacao@hc.unicamp.br SPOT / São José do Rio Preto João Fernando Picollo de Oliveira Hosp de Base da Faculdade de Medicina de S. J. do R. Preto Phone: 55(17) / captacaodeorgaos@hospitaldebase.com.br SPOT / Botucatu Reginaldo Carlos Boni Hospital das Clínicas da UNESP Botucatu - SP Phone: 55(14) / spot.botucatu@fmb.unesp.br SPOT / Sorocaba Frederico Augusto Pinho Rocha Conjunto Hospitalar de Sorocaba Phone: 55(15) chs-opo-sorocaba@saude.sp.gov.br Rio Grande do Norte Rodrigo de Vilar e Furtado Ed. Pronto Socorro Clovis Sarinho B. Tirol Phone: 55(84) / / cncdo@rn.gov.br Rio Grande do Sul Rosana Reis Nothen Phone: 55(51) / (51) centraldetransplantes@saude.rs.gov.br SPOT / Ribeirão Preto Jeová Nina Rocha Hosp das Clínicas da Fac. de Medicina de Ribeirão Preto Phone: 55(16) / oporibeirao@yahoo.com.br SPOT / Marília José Cícero Guillem Phone: 55(14) / oposmarilia@famema.br Rondônia Alessandro Correa Prudente dos Santos Phone: 55(69) / / gcetro@gmail.com / alessandro.prudente1@gmail.com 35

19 Brazilian Organ Transplantation Society Av. Paulista, 21-17º andar - cj. 174 / 177 São Paulo - SP CEP Phone / abto@abto.org.br