Contents - Stop Organ Trafficking Now

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Contents
Page
Preface
1
Hemodialysis
3
Hemodialysis Data in KSA
6
Map of Dialysis Centers in KSA
46
47
Peritoneal Dialysis
Peritoneal Dialysis Data in KSA
48
Renal Replacement Therapy
54
Prevalence and Incidence of Dialysis Patients
55
Deceased Heart Beating Donor and Organ Donation
56
Deceased Donor Epidemiology 2011
59
Deceased Donor Epidemiology 1986-2011
64
Hospitals Sharing in Organ Donation Program
70
Organ Transplantation
76
Kidney Transplantation
78
Map of Renal Transplant Centers in KSA
82
Liver Transplantation
83
Heart Transplantation
88
Lung Transplantation
90
Bone Transplantation
92
Corneal Transplantation
93
Deceased Organ Transplantation
96
97
Appendices
1 - Responsibilities of SCOT
98
2 - General Regulations for Organ Transplantation in the KSA
99
3 - Memorandum by the Minister of Health on Deceased Organ Donation
103
4 - Official Statement of the National Committee for the Diagnosis of Death
by Neurological Criteria and Ventilator System
104
5 - Purport of the Senior Ulama Commission
105
6- Resolutions of the Council of Islamic Jurisprudence on
Resuscitation Apparatus
106
0
RENAL REPLACEMENT THERAPY
ORGAN DONATION AND TRANSPLANTATION
IN THE KINGDOM OF SAUDI ARABIA
Preface
The annual report 2012 highlights the present status of renal replacement therapy in the
Kingdom of Saudi Arabia. The report is classified into dialysis- hemo and peritoneal-,
organ donation and organ transplantation sections. All necessary steps have been
undertaken by the Medical Department at the Saudi Center for Organ Transplantation
(SCOT), to ensure accuracy. SCOT is the central body coordinating renal replacement
therapy throughout the Kingdom.
The data are provided in table and graphic forms and each section has a brief introduction
highlighting the salient aspects of the data contained in the relevant section.
1
Kingdom of Saudi Arabia according 13 Emirates
Surface Area: 2.25 Million Square Kilometers
Total Population: 28.4 Million
2
Hemodialysis 2012
3
Dialysis: Introduction
From a solitary center in 1971, rapid expansion has occurred in dialysis facilities in the
Kingdom of Saudi Arabia. There are presently 182 dialysis centers having 4992 machines
catering to 12844 patients. The ministry of health offers a large percentage of these
facilities with contributions made by the Non-MOH government sectors as well as the
private sector. Among patients on dialysis, males (55%) slightly out number females
(45%). The maximum number of patients is in the socially highly productive age-group
of 26 to 55 years. About 6.8% of the dialysis patients are older than 75 years and only
1.8% is less than 15 years.
Hepatitis B seems to be in good control (4.0%) while hepatitis C continues to be a
problem (19% positive) among dialysis patients, but there is a significant decrease in
prevalence from 69% in 1996 to 19% in 2012.
Of the 12844 patients on dialysis, about 24% are in the active waiting list for
transplantation with another 20% being evaluated for inclusion in the waiting list. It is
worthwhile to mention that 31% of the dialysis patients are hypertensive, 14% are
diabetic in addition to 30% suffer of both diabetes and hypertension.
The proportion of hemodialysis patients treated by Erythropoietin is 83%, and it ranges
between 12% and 100% according to center and health sector. Patients with Hematocrit
less than 30% represent 23.4% of the hemodialysis patients while those with albumin less
than 30g/dl constitute only 16.6%.
Patients also differ greatly with respect to the type of vascular access used; with 69% of
them use AVF, 15% on Jugular Cath., 6% V. Graft and 10% others types of vascular
access .
4
Active patients with serum phosphorus greater than 1.9 mmol/L (6 mg/dl) represent
25.3% of the hemodialysis patients, whereas, patients with serum calcium less than 2.1
mmol/L (8.4mg/dl) are 24.6%. Vitamin D is used only by 15.3% of patients as injection
while 79.1% of them take it orally.
Of the total 5612 diabetic HD patients, 47.6% (2672 patients) are receiving insulin,
17.3% (970 patients) receiving oral hypoglycemic agents, and 25.3% (1418 patients)
receiving diet only. On the other hand, patients diagnosed of having hyperglycemia
before or after dialysis were 2617 (46.6%) and 525 (9.4%) respectively.
Out of the total number of the 182 dialysis centers, 67.6% of which gets support from
social workers while 73.1% from dietitian’s services.
There has been a constant increase in the number of patients on dialysis over the years
and at the present rate it is expected that the number will exceed 15,000 patients by the
end of year 2015.
5
Hemodialysis Centers in Saudi Arabia
Riyadh Region
MOH Hospitals
Hospital Name
King Saud Medical Complex
Yamama Hospital
King Saud Chest Hospital
Prince Salman Hospital.
Al Iman General Hospital
Children's Hospital (RMC)
Prince Salman Kidney Center
King Khalid Hospital, Kharj
Afif General Hospital
Wadi Dawasser General Hospital
King Khalid Hospital, Majma'ah
Dawadmi General Hospital
Al Qawaeyah General Hospital
Al Aflaj General Hospital
Al Sulayel General Hospital
Hotat Bani Tamim General Hospital
Hotat Sudair General Hospital
Shagrah General Hospital
Al Zulfi General Hospital
Huraimala General Hospital
Ruwaidah General Hospital
Tumair General Hospital
Al Muzahmiyah General Hospital
Sajir General Hospital *
Thadiq General Hospital
Nafee General Hospital
Artawiyah General Hospital
Al Ghat General Hospital
King Fahad Medical City
Prince Salman Bin Mohammed Dilem
Total
Consultant
Nephrologists
Nephrology
Specialists
GP's
Nurses
0
0
1
0
1
2
3
0
0
0
1
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
7
0
16
16
1
0
3
1
4
8
2
0
0
1
1
0
1
0
0
0
0
0
0
0
0
0
0
1
0
0
0
7
1
47
28
2
2
3
2
0
12
3
0
2
1
2
3
1
2
1
1
2
2
1
1
1
2
2
1
1
2
1
4
0
85
186
22
14
18
14
7
68
28
8
13
13
12
4
9
4
6
7
7
9
4
2
5
4
2
3
4
5
5
30
5
518
6
No. of Outlet
Connections
73
13
16
17
24
9
96
28
10
20
10
20
8
18
14
14
6
12
17
10
8
4
10
8
7
13
8
6
12
14
525
Total No. of HD
Machines
Total HD
Pts. 2012
No. of Follow up Tx. Pts
2012
149
23
24
29
26
9
163
58
19
32
20
25
9
27
12
16
13
18
16
9
8
4
10
7
7
9
17
6
18
7
790
305
64
31
81
49
14
350
115
40
65
33
48
17
43
11
17
7
28
27
13
16
3
16
12
7
10
10
8
0
18
1458
390
39
0
0
0
0
0
1
0
1
1
0
0
5
0
0
0
0
0
0
0
0
0
0
0
0
0
0
90
0
527
Data on Hemodialysis Patients in Saudi Arabia
Riyadh Region
Hospital Name
Yamama Hospital
King Saud Chest Hospital
Prince Salman Hospital
Al Iman General Hospital
Children’s Hospital (RMC)
Prince Salman Kidney Center
King Khalid Hospital, Kharj
Afif General Hospital
Wadi Dawasser General Hospital
King Khalid Hospital, Majma’ah
Al Qawaeyeh General Hospital
Al Aflaj General Hospital
Al Sulayel General Hospital
Hotat Bani Tamim General Hospital
Hotat Sudair General Hospital
Shagrah General Hospital
Al Zulfi General Hospital
Huraimala General Hospital
Ruwaidah General Hospital
Tumair General Hospital
Al Muzahmiyah General Hospital
Sajir General Hospital *
Thadiq General Hospital
Nafee General Hospital
Artawiyah General Hospital
Al Ghat General Hospital
King Fahad Medical City
Prince Salman Bin Mohammed Dilem
Total
NonSaudi Pts
New Pts.
in 2012
HBsAg+ve
Pts
HCV+ve
Pts
Pts < 15
Yrs
Pts > 75
yrs
Diabetic
Pts
Hypertensive
Pts
Both
HD Pts.
Died 2012
151
0
27
0
7
6
0
15
1
1
0
1
0
1
1
1
0
1
1
2
0
1
2
1
1
0
0
4
0
2
20
12
5
9
20
2
108
110
10
16
3
6
4
3
2
7
1
7
5
2
7
1
4
3
0
3
1
2
0
5
11
3
0
3
0
0
26
6
2
2
22
1
0
0
0
0
0
0
0
0
0
0
2
1
0
0
2
1
0
0
11
12
8
26
2
0
55
56
7
7
11
5
1
10
2
4
1
2
7
2
4
0
0
2
0
0
2
0
0
5
15
0
0
0
0
13
43
0
0
2
0
0
0
0
0
0
0
1
0
0
1
0
0
0
1
0
0
0
0
0
12
6
0
0
5
0
2
0
10
2
1
12
2
8
1
1
0
2
1
2
0
0
5
3
0
3
2
0
0
2
120
13
10
1
5
0
72
5
0
0
4
0
2
0
0
3
0
1
0
0
0
0
3
0
0
4
2
0
0
3
70
15
8
39
20
9
84
32
10
24
10
24
6
13
5
5
2
19
13
7
5
0
2
7
5
2
6
0
0
7
50
28
7
25
15
0
54
42
17
41
11
21
7
18
5
6
5
6
6
6
10
2
8
5
2
4
2
3
0
5
14
1
1
10
8
0
18
17
9
8
4
0
5
4
3
2
1
1
3
0
1
2
0
2
0
3
2
0
0
2
227
378
82
242
76
82
248
449
411
121
7
Makkah / Jeddah /Taif Region
Hospital Name
King Fahd Hospital, Jeddah
King A Aziz Hospital & Oncology
Center, Jeddah
Al Noor Specialist Hospital, Makkah
King Abdul Aziz Hospital, Makkah
King Faisal Hospital, Makkah
Basharahil Hospital, Makkah
King Abdul Aziz Specialist Hospital,
Taif
Rabiq General Hospital
Al Qunfudah General Hospital
Turabah General Hospital
Al Khurmah General Hospital
Adhum General Hospital
Raniah General Hospital
Messan General Hospital *
Al Laith General Hospital
Total
Consultant
Nephrologists
Nephrology
Specialists
GP's
Nurses
No. of Outlet
Connections
Total No. of
HD Machines
Total HD Pts.
2012
No. of Follow
up Tx. Pts 2012
4
8
12
101
71
76
669
1050
2
2
4
17
17
36
45
4
4
0
1
1
8
4
2
0
9
5
2
0
99
45
18
2
72
30
23
3
94
77
17
3
450
160
48
13
50
12
0
0
4
8
0
86
79
80
479
25
0
0
0
0
0
0
0
2
0
2
0
0
0
0
0
1
0
6
1
1
0
1
1
1
6
32
3
2
5
4
3
7
9
32
18
9
12
10
6
11
12
62
23
13
13
10
6
15
30
124
33
24
16
23
8
21
0
0
0
0
0
0
0
0
18
35
43
430
402
537
2143
1141
8
Makkah / Jeddah / Taif Region
Hospital Name
King A.Aziz Hospital and
Oncology Center, Jeddah
Al Noor Specialist Hospital,
Makkah
King Abdul Aziz Hospital,
Makkah
King Faisal Hospital, Makkah
Basharahil Hospital, Makkah
King Abdul Aziz Specialist
Hospital, Taif
Rabiq General Hospital
Al Qunfudah General Hospital
Turabah General Hospital
Al Khurmah General Hospital
Adhum General Hospital
Raniah General Hospital
Messan General Hospital *
Al Laith General Hospital
Total
NonSaudi Pts
New Pts.
in 2012
HBsAg+ve
Pts
HCV+ve Pts
Pts < 15
Yrs
Pts >
75 yrs
Diabetic
Pts
Hypertensive
Pts
Both
HD Pts.
Died 2012
97
72
19
196
7
22
0
247
288
79
0
12
0
17
0
0
4
16
8
3
20
54
26
242
6
18
18
219
64
41
9
28
5
52
0
6
32
28
73
21
3
11
11
10
0
0
12
1
0
0
1
1
15
2
10
3
10
5
3
1
66
182
19
92
7
21
51
76
80
55
3
4
1
0
0
1
0
0
8
34
9
6
5
11
0
8
0
2
0
0
0
4
0
0
5
37
4
4
5
4
4
3
1
2
0
0
0
0
0
3
5
6
6
0
1
0
0
2
0
7
0
2
0
5
0
0
13
41
16
10
8
6
1
17
7
32
12
12
1
9
5
1
5
21
1
4
1
2
2
1
215
450
75
678
26
89
136
711
607
240
9
Madina Region
Hospital Name
King Fahad Hospital, Madina
Yanbu General Hospital
Prince A.M.H.Al Ulla
Bader General Hospital
Khaiber General Hospital
Al Mahd General Hospital
Al Hanakiyah General Hospital
Al Eass General Hospital
Total
76
28
8
20
13
18
30
7
Total No. of
HD
Machines
136
24
18
15
13
18
23
9
Total
HD Pts.
2012
493
60
31
21
18
30
38
21
No. of Follow
up Tx. Pts
2012
130
0
0
0
0
0
0
0
200
256
712
130
Consultant
Nephrologists
Nephrology
Specialists
GP's
Nurses
No. of Outlet
Connections
4
0
0
0
0
0
0
1
5
3
1
1
1
1
1
1
6
1
0
0
0
0
1
0
110
21
10
4
6
6
9
4
5
14
8
170
Madina Region
Hospital Name
NonSaudi Pts
New Pts.
in 2012
HBsAg+ve
Pts
HCV+ve
Pts
Pts < 15
Yrs
Pts > 75
yrs
Diabetic
Pts
Hypertensive
Pts
Both
HD Pts. Died
2012
King Fahd Hospital, Madina
Yanbu General Hospital
Prince A.M.H.Al Ulla
Bader General Hospital
Khaiber General Hospital
Al Mahd General Hospital
Al Hanakiyah General Hospital
Al Eass General Hospital
75
7
0
0
0
0
2
1
138
3
11
2
6
8
9
9
14
1
1
1
0
4
5
0
95
7
5
2
1
3
1
0
17
0
0
0
0
0
1
1
10
7
3
0
0
5
3
1
70
8
2
1
0
1
0
4
100
20
7
5
4
16
7
14
135
18
15
3
12
10
19
2
46
1
12
1
0
1
4
0
Total
85
186
26
114
19
29
86
173
214
65
10
Tabuk Region
Hospital Name
Consultant
Nephrologists
Nephrology
Specialists
GP's
Nurses
No. of Outlet
Connections
Total No. of
HD Machines
Total HD Pts.
2012
No. of Follow
up Tx. Pts 2012
1
0
0
0
0
0
0
2
0
2
1
0
1
0
7
2
0
1
2
0
2
24
8
7
7
8
6
3
22
21
16
14
13
13
12
45
21
16
14
7
13
6
110
32
15
12
23
35
13
128
0
5
5
0
0
1
1
6
14
63
111
122
240
139
King Khalid Hospital Tabuk
Dhuba General Hospital
Haql General Hospital
Al Wajeh General Hospital
Tayema General Hospital
Hawraa Amloj General Hospital
Al Bada General Hospital
Total
Tabuk Region
Hospital Name
King Khalid Hospital Tabuk
Dhuba General Hospital
Haql General Hospital
Al Wajeh General Hospital
Tayema General Hospital
Hawraa Amloj General
Hospital
Al Bada General Hospital
Total
NonSaudi Pts
New Pts.
2012
HBsAg+ve HCV+ve
Pts
Pts
17
3
0
1
0
43
4
4
1
4
10
1
0
1
0
1
5
0
22
Hypertensive
Pts
Both
HD Pts. Died
2012
40
10
4
3
12
45
4
4
7
10
12
2
1
1
1
3
16
5
1
0
1
9
0
0
22
43
94
75
18
Pts < 15
Yrs
Pts >
75 yrs
38
4
3
3
1
0
0
0
0
0
10
0
1
2
2
Diabetic
Pts
25
6
7
1
0
0
2
1
7
4
2
2
0
65
14
53
1
11
Eastern / Al Hasa / Hafar Al Batin Region
Hospital Name
Consultant
Nephrologists
Nephrology
Specialists
GP's
Nurses
No. of Outlet
Connections
Total No. of
HD Machines
Total HD Pts.
2012
No. of Follow
up Tx. Pts 2012
6
3
2
0
2
0
0
0
8
4
2
3
0
0
1
1
12
9
2
5
3
1
1
2
243
90
36
31
25
8
8
8
72
71
14
42
36
8
4
16
121
80
40
45
23
9
6
23
398
288
93
116
49
15
12
25
61
111
45
39
10
0
0
0
13
19
35
449
263
347
996
266
Dammam Medical Complex
King Fahad Hospital, Hofuf
Qatif Central Hospital
King Khalid Hospital, Hafr Al Batin
Al Jubail General Hospital
Abgaig General Hospital
Al Gaissoma General Hospital
Al Niyeriah General Hospital
Total
Eastern / Al Hasa / Hafar Al Batin Region
Hospital Name
King Fahad Hospital, Hofuf
Qatif Central Hospital
King Khalid Hospital, Hafr Al
Batin
Abgaig General Hospital
Al Gaissoma General Hospital
Al Niyeriah General Hospital
Total
NonSaudi Pts
New Pts.
in 2012
HBsAg+ve
Pts
HCV+ve
Pts
Pts < 15 Yrs
Pts > 75
yrs
60
14
2
70
107
14
11
6
0
61
40
14
1
4
4
9
26
0
Diabetic
Pts
5
53
2
6
37
2
8
0
11
6
1
0
1
19
3
0
2
5
0
0
0
4
2
2
2
0
0
0
0
90
252
24
133
9
12
Hypertensive
Pts
Both
HD Pts.
2012
158
82
25
146
134
66
35
38
4
55
57
4
21
3
2
2
3
12
3
4
1
17
4
4
8
6
6
4
14
4
0
0
1
56
135
355
380
103
Qassim Region
Hospital Name
Consultant
Nephrologists
Nephrology
Specialists
GP's
Nurses
No. of Outlet
Connections
Total No. of HD
Machines
Total HD Pts.
2012
No. of Follow up
Tx. Pts 2012
5
1
1
0
0
0
0
0
0
0
0
5
2
1
0
2
0
0
0
0
0
0
4
5
0
1
2
2
1
1
1
1
1
38
30
21
11
18
10
4
6
4
3
3
27
20
20
17
25
13
7
9
10
10
9
43
37
33
21
40
21
10
11
20
9
7
160
107
62
32
67
40
11
10
10
9
8
35
4
1
0
0
0
0
0
0
0
0
7
10
19
148
167
252
516
40
King Fahad Specialist Hospital, Buraidah
Buraidah Central Hospital
King Saud Hospital, Unaiza
Al Bukariyah General Hospital
Al Rass General Hospital
Al Midnab General Hospital
Ayun Al Juwah General Hospital
Dhariyah General Hospital
Riyadh Al Khabra General Hospital
Qiba General Hospital
Oklat Al Sugour General Hospital
Total
Qassim Region
Hospital Name
Buraidah Central Hospital
King Saud Hospital, Unaiza
Al Bukariyah General Hospital
Al Rass General Hospital
Al Midnab General Hospital
Ayun Al Juwah General Hospital
Dhariyah General Hospital
Riyadh Al Khabra General Hospital
Qiba General Hospital
Oklat Al Sugour General Hospital
Total
NonSaudi Pts
New Pts.
in 2012
HBsAg+ve
Pts
HCV+ve Pts
Pts < 15
Yrs
Pts > 75
yrs
11
7
5
0
0
0
0
0
0
0
0
39
27
15
9
7
2
4
2
1
2
3
6
2
2
2
3
2
1
1
1
1
0
17
12
15
3
8
8
3
3
1
2
0
1
0
1
0
1
1
0
0
0
0
0
8
11
3
4
7
1
0
4
2
1
1
Diabetic
Pts
29
7
4
0
16
1
0
1
1
1
1
23
111
21
72
4
42
61
13
Hypertensive
Pts
Both
HD Pts.
Died 2012
67
45
12
14
12
18
4
5
3
3
5
51
43
16
11
24
17
4
1
5
2
1
23
17
15
1
7
5
1
1
3
1
1
188
175
75
Al-Baha Region
Hospital Name
King Fahd Hospital, Al Baha
Beljurashi General Hospital
Al Mikhwah General Hospital
Gilwah General Hospital
Al Mandag General Hospital
Total
Consultant
Nephrologists
Nephrology
Specialists
GP's
Nurses
No. of Outlet
Connections
Total No. of
HD Machines
Total HD Pts.
2012
No. of Follow
up Tx. Pts 2012
0
1
0
0
0
1
1
1
1
1
2
2
1
1
2
20
16
11
8
5
17
24
20
18
10
55
41
23
18
10
68
54
48
22
13
0
0
0
0
0
1
5
8
60
89
147
205
0
Al- Baha Region
Hospital Name
NonSaudi Pts
New Pts.
in 2012
HBsAg+ve
Pts
HCV+ve Pts
Pts < 15
Yrs
Pts >
75 yrs
Diabetic
Pts
Hypertensive
Pts
Both
HD Pts.
Died 2012
King Fahad Hospital, Al Baha
Beljurashi General Hospital
Al Mikhwah General Hospital
Gilwah General Hospital
Al Mandag General Hospital
3
1
0
1
0
17
6
4
5
2
2
2
2
1
0
25
9
12
6
1
1
1
0
0
0
6
3
3
3
6
5
3
2
1
1
17
28
20
10
1
27
19
5
4
9
4
4
4
2
1
Total
5
34
7
53
2
21
12
76
64
15
14
Al-Jouf Region
Consultant
Nephrologists
Nephrology
Specialists
GP's
Nurses
No. of Outlet
Connections
Total No. of
HD Machines
Total HD Pts.
2012
No. of Follow
up Tx. Pts 2012
Prince A.R.Sudeiry Hospital,
Sakaka
0
4
3
37
32
67
110
0
Tabarjal General Hospital
0
1
1
8
16
18
23
0
Domat Al Jundal Hospital
0
1
3
9
23
24
37
0
0
6
7
54
71
109
170
0
Hospital Name
Total
Al-Jouf Region
HCV+ve Pts
Pts < 15
Yrs
Pts >
75 yrs
Diabetic
Pts
Hypertensive
Pts
Both
HD Pts.
Died
2012
0
13
2
11
57
35
18
10
11
1
4
1
0
6
2
3
5
1
8
0
3
0
11
3
5
10
5
7
42
1
20
3
22
66
42
31
20
NonSaudi Pts
New Pts. in
2012
HBsAg+ve
Pts
Prince A.R.Sudeiry Hospital,
Sakaka
6
23
Tabarjal General Hospital
0
Domat Al Jundal Hospital
Hospital Name
Total
15
Northern Borders / Qurrayat Region
Hospital Name
Consultant
Nephrologists
Nephrology
Specialists
GP's
Nurses
No. of Outlet
Connections
Total No. of
HD Machines
Total HD Pts.
2012
No. of Follow up
Tx. Pts 2012
0
2
0
0
0
2
0
0
0
0
2
2
3
1
2
16
20
12
11
3
32
53
41
16
10
42
40
36
22
10
48
63
42
26
5
9
42
0
1
0
2
2
10
62
152
150
184
52
Al Qurrayat General Hospital
Ar Ar Central Hospital
Rafha General Hospital
Turaif General Hospital
Al Owaigila General Hospital
Total
Northern Borders / Qurrayat Region
Hospital Name
Al Qurrayat General
Hospital
Ar Ar Central Hospital
Rafha General Hospital
Turaif General Hospital
Al Owaigila General
Hospital
Total
Pts > 75
yrs
Diabetic
Pts
Hypertensive
Pts
Both
HD Pts.
Died 2012
1
4
8
4
14
6
0
0
4
0
0
0
4
2
2
3
20
11
3
12
2
57
10
10
15
8
1
0
1
0
1
0
3
2
0
8
28
1
13
42
24
93
30
NonSaudi Pts
New Pts.
in 2012
HBsAg+ve
Pts
HCV+ve
Pts < 15 Yrs
Pts
3
18
3
23
0
0
0
0
11
5
0
4
1
0
1
3
35
16
Hail Region
Hospital Name
Consultant
Nephrologists
Nephrology
Specialists
GP's
Nurses
No. of Outlet
Connections
Total No. of
HD Machines
Total HD Pts.
2012
No. of Follow
up Tx. Pts 2012
King Khalid Hospital, Hail
Hail General Hospital
Baqaa General Hospital
Al Sulaymi General Hospital
Al Shammali General Hospital
Samira General Hospital
1
0
0
0
0
0
3
0
0
0
0
0
4
2
2
1
1
1
25
4
5
2
5
3
60
10
12
4
6
8
88
9
16
4
9
7
186
12
26
8
18
13
38
0
2
0
0
0
Total
1
3
11
44
100
133
263
40
Hail Region
Hospital Name
NonSaudi Pts
New Pts.
in 2012
HBsAg+ve
Pts
HCV+ve
Pts
Pts < 15
Yrs
Pts > 75
yrs
Hail General Hospital
Baqaa General Hospital
Al Sulaymi General Hospital
Al Shammali General Hospital
Samira General Hospital
8
1
0
0
0
0
76
4
13
2
4
5
3
0
0
0
1
0
37
3
1
1
2
2
4
0
0
1
0
0
20
0
3
0
3
6
Diabetic
Pts
67
0
3
0
1
0
Total
9
104
4
46
5
32
71
17
Hypertensive
Pts
Both
HD Pts.
Died 2012
38
2
7
5
5
3
29
5
16
3
9
9
38
1
2
0
6
3
60
71
50
Gizan Region
Hospital Name
Consultant
Nephrologists
Nephrology
Specialists
GP's
Nurses
No. of Outlet
Connections
Total No. of
HD Machines
Total HD Pts.
2012
No. of Follow up
Tx. Pts 2012
1
0
1
0
3
2
3
0
4
1
0
0
65
22
35
3
70
25
26
3
99
56
38
4
290
140
202
3
96
0
0
0
2
8
5
125
124
197
635
96
King Fahad Central Hospital, Jizan
Samtah General Hospital
Sabiah General Hospital
Fursan General Hospital
Total
Gizan Region
Hospital Name
NonSaudi Pts
New Pts. in
2012
HBsAg+ve
Pts
HCV+ve
Pts
Pts < 15 Yrs
Pts >
75 yrs
Diabetic
Pts
Hypertensive
Pts
Both
HD Pts.
Died 2012
King Fahad Central Hospital,
Jizan
Samtah General Hospital
Sabiah General Hospital
Fursan General Hospital
39
76
22
63
6
10
12
133
23
53
20
31
0
24
34
1
13
15
0
62
29
0
1
2
0
13
9
1
9
27
1
30
63
1
15
26
1
21
29
1
Total
90
135
50
154
9
33
49
227
65
104
18
Najran Region
Consultant
Nephrologists
Nephrology
Specialists
GP's
Nurses
No. of Outlet
Connections
Total No. of
HD Machines
Total HD Pts.
2012
No. of Follow up
Tx. Pts 2012
Prince Sultan Center for Kidney
Diseases, Najaran
1
2
1
33
30
68
106
0
Sharurah General Hospital
0
1
2
9
28
23
33
0
Habona General Hospital
0
0
2
4
10
9
10
0
1
3
5
46
68
100
149
0
Hospital Name
Total
Najran Region
NonSaudi Pts
New Pts.
in 2012
HBsAg+ve
Pts
HCV+ve
Pts
Pts < 15
Yrs
Pts >
75 yrs
Prince Sultan Center for
Kidney Diseases, Najaran
27
23
5
18
0
8
Sharurah General Hospital
2
6
4
5
1
Habona General Hospital
0
3
0
0
29
32
9
23
Hospital Name
Total
19
Hypertensive
Pts
Both
HD Pts.
Died 2012
16
34
29
13
4
5
6
9
4
0
2
0
1
6
1
1
14
21
41
44
18
Diabetic
Pts
Assir / Bisha Region
Hospital Name
Assir Kidney Center
K.A.A.Daughters' Charity Center
Khamis Mushayt General Hospital
Mohayel General Hospital
Sarat Obaidah General Hospital
Al Majarah General Hospital
Al Nammas General Hospital
Tathleeth General Hospital
Dharan Al Janoub Hospital
Balasmar General Hospital
Besha General hospital,
(Psych.Hospital)
Rijal Almaa General Hospital
Sabt Al Alayah General Hospital
Ahad Rufaida General Hospital
Total
Consultant
Nephrologists
Nephrology
Specialists
GP's
Nurses
No. of Outlet
Connections
Total No. of
HD Machines
Total HD Pts.
2012
No. of Follow
up Tx. Pts 2012
0
1
0
0
0
0
0
0
0
0
2
2
1
1
1
1
2
1
1
1
5
2
0
1
0
1
0
0
0
1
49
48
15
19
5
8
7
6
5
2
29
38
16
35
20
11
15
16
14
11
45
48
26
55
22
22
15
17
14
10
208
153
56
113
19
58
30
20
36
29
45
0
0
1
0
0
0
0
4
0
1
1
2
22
52
40
95
0
0
0
0
0
0
1
2
1
1
5
7
8
10
14
8
12
12
10
18
30
28
0
0
0
2
15
16
206
289
348
893
50
20
Assir / Bisha Region
HCV+ve Pts
Pts <
15 Yrs
Pts > 75
yrs
Diabetic
Pts
Hypertensive
Pts
Both
9
0
1
11
0
3
0
0
0
0
28
28
7
49
4
8
2
11
6
4
1
0
0
0
0
0
0
0
0
0
7
5
0
1
4
15
4
3
3
3
10
10
0
20
0
1
2
0
5
0
47
57
32
58
7
20
11
6
12
19
25
35
19
18
10
10
14
14
14
10
HD Pts.
Died
2012
7
14
8
24
2
8
6
2
1
3
6
2
14
0
7
4
36
46
12
0
0
0
3
12
1
1
0
0
2
4
14
0
0
0
3
5
0
9
1
0
8
8
18
1
14
6
2
5
1
32
149
27
181
1
60
62
339
236
95
NonSaudi Pts
New Pts.
in 2012
HBsAg+ve
Pts
Assir Kidney Center
K.A.A.Daughters' Charity Center
Khamis Mushayt General Hospital
Mohayel General Hospital
Sarat Obaidah General Hospital
Al Majardah General Hospital
Al Nammas General Hospital
Tathleeth General Hospital
Dharan Al Janoub Hospital
Balasmar General Hospital
Besha General Hospital,
(Psych.Hospital)
Rijal Almaa General Hospital
Sabt Al Alayah General Hospital
Ahad Rufaida General Hospital
9
15
2
1
0
1
0
0
3
1
31
13
11
15
4
24
10
5
8
6
0
Total
Hospital Name
21
GOVT. NON-MOH Hospitals
Hospital Name
King Faisal Specialist Hospital, Riyadh
King Abdulaziz Medical City, Riyadh
(KFNGH)
Armed Forces Hospital, Riyadh
King Khalid University Hospital, Riyadh
Security Forces Hospital, Riyadh
Khamis Mushyat .Military Hospital
North West Armed Forces Hospital, Tabuk
Al Hada Military Hospital, Taif
King Fahad Military Complex, Dhahran
King Fahad Armed Forces Hospital, Jeddah
King Fahad University Hospital, Al Khobar
King Abdulaziz Medical City, Jeddah
(KKNGH)
King Faisal Specialist Hospital, Jeddah
King Abdul Aziz University Hospital, Jeddah
King Khalid Medical City, Hafr Al Batin
Royal Com. Hospital Jubail (Ex. Al Fanater)
Dhahran Health Center (ARAMCO) *
Royal Commission Medical Center, Yanbu
King Abdul Aziz Medical City, Ahsa (NG)
Al Kharj Military Industrial Corp. Hospital
Al Khafji Joint Operation Hospital
King Fahad Specialist Hospital - Dammam
Total
Consultant
Nephrologists
Nephrology
Specialists
GP's
Nurses
No. of Outlet
Connections
Total No. of
HD Machines
Total HD
Pts. 2012
7
4
0
40
65
76
112
No. of Follow
up Tx. Pts
2012
1534
6
4
5
95
40
56
251
650
6
8
5
7
3
4
3
4
4
6
8
8
14
4
4
4
8
2
3
0
0
1
0
0
0
4
2
91
46
21
72
50
40
28
44
24
79
14
12
44
38
44
18
35
12
101
34
35
60
49
51
31
48
18
285
66
57
189
194
147
48
170
64
750
122
8
468
210
13
0
208
1
3
3
0
26
18
26
108
114
2
3
0
1
4
1
2
0
1
4
4
4
0
1
0
1
0
2
0
1
0
0
3
1
0
0
3
0
0
0
34
15
11
16
24
15
20
6
5
10
21
15
7
16
11
24
12
10
10
8
38
18
11
16
22
16
27
12
7
7
127
53
6
55
19
63
72
31
10
16
57
0
0
4
181
1
0
0
4
0
78
82
22
733
553
759
2143
4325
22
Hospital Name
(KFNGH)
Khamis Mushayt .Military Hospital
North West Armed Forces Hospital, Tabuk
King Fahad Military Complex , Dhahran
King Fahad Armed Forces Hospital, Jeddah
King Fahad University Hospital, Al Khobar
(KKNGH)
King Abdul Aziz University Hospital,
Jeddah
King Khalid Medical City, Hafr Al Batin
Royal Com. Hospital Jubail (Ex. Al Fanater)
Dhahran Health Center (ARAMCO) *
Royal Commission Medical Center, Yanbu
King Abdul Aziz Medical City, Ahsa (NG)
Al Kharj Military Industrial Corp. Hospital,
Riyadh
Al Khafji Joint Operation Hospital
Total
NonSaudi
Pts
1
New Pts.
in 2012
HBsAg+ve
Pts
HCV+ve
Pts
Pts < 15
Yrs
Pts > 75
yrs
Diabetic
Pts
Hypertensive
Pts
Both
HD Pts.
Died 2012
18
2
35
6
6
6
36
60
9
2
70
7
44
6
32
90
80
90
36
2
7
2
0
0
0
0
0
10
88
5
10
43
133
46
11
25
6
15
4
3
7
5
6
6
15
0
27
13
16
22
15
9
2
27
9
6
1
0
6
7
6
0
0
0
31
6
5
25
25
23
4
0
7
1
29
18
61
40
30
14
53
5
59
23
11
84
30
40
32
61
13
107
14
9
52
76
37
8
46
25
35
5
5
24
63
27
6
10
28
0
17
2
13
0
10
0
2
50
19
24
85
0
4
3
20
6
8
12
6
21
12
0
1
12
6
20
15
15
8
0
3
3
3
0
2
18
5
22
20
0
1
0
2
0
0
6
1
6
0
0
0
0
0
0
0
6
3
3
10
0
2
0
11
11
1
6
4
31
10
3
24
6
9
30
4
4
4
4
12
2
4
0
5
0
5
10
16
1
2
0
2
4
12
0
1
0
1
0
1
2
0
1
4
3
5
4
7
3
4
82
656
76
256
54
229
412
570
685
318
23
Private Sector Hospitals
Hospital Name
Riyadh Care Hospital *
Dr.A. Al Mishari Hospital, Riyadh
Al Hammadi Hospital, Riyadh
Al Khawalid Kidney Center, Riyadh
Dar Al Shifa Hospital, Riyadh
Saudi German Hospital ,Riyadh *
Saudi German, Hospital Jeddah
Dr.Suleiman Fakeeh Hospital, Jeddah
Dr. Erfan & Bagedo, Jeddah
Al Mustagbal H Hospital, Jeddah
New Jeddah Clinic Hospital
Al Mana Hospital, Dammam
Al Takaful Al Khairy K.D.C. Makkah
Charity Community Dialysis C. Makkah
Asia Kidney Center, Makkah
Al Moosa General Hospital, Ahsa
Saad Specialist Hospital, Al Khober
Sultan B.A Humanitarian City, Riyadh *
Specialized Medical Center Hospital,
Riyadh
Al Ahsa Hospital
Arab Medical Dar Dialysis Center,
Riyadh
Dr. A. Rahman Baksh, Jeddah
Bugshan Hospital, Jeddah
Total
Consultant
Nephrologists
Nephrology
Specialists
GP's
Nurses
No. of Outlet
Connections
Total No. of
HD Machines
Total HD Pts.
2012
No. of Follow
up Tx. Pts 2012
1
1
2
1
0
0
1
1
5
0
1
3
0
0
1
1
2
0
0
1
0
2
1
1
1
2
3
2
1
1
2
1
1
1
1
0
2
0
0
0
0
0
0
0
0
4
0
2
0
1
3
0
0
0
25
8
3
5
3
7
11
16
18
4
6
33
10
10
10
16
20
9
17
9
13
19
5
9
10
18
17
5
10
25
25
27
31
16
20
20
39
10
9
15
3
13
10
23
19
5
12
39
25
31
37
25
29
13
71
21
41
42
9
33
53
74
86
25
19
100
96
95
86
46
45
6
2
15
8
0
0
0
30
30
0
6
4
15
0
0
15
0
2
0
1
1
1
7
10
11
55
0
1
0
0
10
14
18
34
0
1
1
1
17
37
39
151
0
2
1
26
0
0
23
1
0
15
10
3
261
12
5
374
16
6
447
30
14
1232
6
1
134
24
Private Sector Hospitals (...contd.)
Hospital Name
Al Mouwasat Hospital, Dammam *
Saudi German Hospital, Abha
Saudi German Hospital, Madina
Madina National Hospital.
Al Mouwasat Hospital Al Qateef
Ghodran Hospital, Beljurashi
Al Faisal Polyclinic, Jeddah
Dr. Suleiman Al Habeeb Medical Center,
Riyadh
Prin. Mansour Charity Dialysis Cent.
Jeddah
Taiba Dialysis Center, Makkah
Al Bir Charity Dialysis Center (2) Jeddah
Abdulkarim Bakr Medical Center, Jeddah
Al Bir Clinic 1 Charity D.C , (AlKandara) , Jeddah
Dr. Ali Lahibi Dialysis Center, Jeddah *
International Renal Care Center, Jeddah
Demas Dialysis Center, Riyadh
Kingdom Hospital
National Hospital, Riyadh
Total
Consultant
Nephrologists
2
1
1
1
1
0
1
No. Of
Nephrology
Total No. Of
GP's
Nurses
Outlet
Specialists
HD Machines
Connections
1
0
13
12
25
1
0
2
5
5
1
0
3
5
6
1
0
3
6
9
1
0
12
18
19
1
0
3
8
4
1
2
10
15
15
Total HD Pts.
2012
No. of Follow
up Tx. Pts 2012
53
8
18
16
46
5
76
5
0
5
0
1
2
0
3
0
2
4
4
3
12
5
2
2
0
18
26
21
157
0
1
1
1
1
1
2
0
1
0
8
10
17
30
26
21
34
26
23
98
70
80
0
0
0
0
1
1
8
16
21
58
0
1
2
1
0
0
2
2
1
1
1
2
0
0
0
0
26
15
9
3
3
21
28
25
3
2
27
28
25
4
3
93
65
32
8
10
0
4
0
3
0
45
44
23
428
645
745
2137
159
25
rivate Sector Hospitals
13
6
13
20
1
8
15
14
53
13
6
70
HD Pts.
Died
2012
28
0
1
3
1
1
5
6
7
3
5
20
45
29
16
20
23
10
11
0
40
10
4
12
0
10
7
29
22
6
9
14
8
0
2
7
13
15
27
4
0
6
0
6
27
3
42
1
3
6
65
37
11
0
0
8
0
1
0
3
0
3
0
11
6
7
6
7
0
50
223
11
77
175
410
439
154
Non-Saudi
Pts
New Pts.
in 2012
HBsAg+ve
Pts
HCV+ve
Pts
Pts < 15
Yrs
Pts >
75 yrs
14
13
34
42
8
24
10
19
24
22
7
21
22
10
10
4
4
6
17
29
14
12
11
28
4
0
0
9
0
0
0
8
0
3
0
1
7
4
3
8
0
8
6
4
18
3
2
5
0
0
1
0
0
0
0
0
2
0
0
0
2
0
0
1
0
2
5
5
4
0
2
10
95
5
7
34
0
1
4
94
82
1
5
1
9
19
11
1
1
8
9
0
1
0
27
33
6
2
1
4
0
1
0
0
0
3
14
8
1
28
29
0
0
1
2
11
0
2
Arab Medical Dar Dialysis Center, Riyadh
146
38
0
Dr. A. Rahman Baksh, Jeddah
Bugshan Hospital, Jeddah
23
10
17
4
725
312
Hospital Name
Riyadh Care Hospital *
Dr.A. Al Mishari Hospital, Riyadh
Al Hammadi Hospital, Riyadh
Al Khawalid Kidney Center, Riyadh
Dar Al Shifa Hospital, Riyadh
Saudi German Hospital ,Riyadh *
Saudi German Hospital, Jeddah
Dr. Suleiman Fakeeh Hospital, Jeddah
Dr. Erfan & Bagedo, Jeddah
Al Mustagbal H Hospital, Jeddah
New Jeddah Clinic Hospital
Al Mana Hospital, Dammam
Al Takaful Charity Socical K.D.C.
Makkah
Charity Community Dialysis C. Makkah
Asia Kidney Center, Makkah
Al Moosa General Hospital, Ahsa
Saad Specialist Hospital ,Al Khobar
Sultan B.A Humanitarian City, Riyadh *
Specialized Medical Center Hospital,
Riyadh
Al Ahsa Hospital
Sub-Total
26
Hypertensive
Diabetic
Pts
Pts
27
31
1
12
0
28
3
17
0
7
10
11
20
10
20
27
0
27
0
10
2
4
2
12
Both
Private Sector Hospitals (… contd.)
Hospital Name
NonSaudi Pts
New Pts.
in 2012
HBsAg+ve
Pts
HCV+ve
Pts
Pts <
15 Yrs
Pts >
75 yrs
Diabetic
Pts
Hypertensive
Pts
Both
HD Pts.
Died
2012
Sub-Total
725
312
50
223
11
77
175
410
439
154
Al Mouwasat Hospital, Dammam *
Saudi German Hospital, Abha
Saudi German Hospital, Madina
Madina National Hospital
Al Mouwasat Hospital Al Qateef
Ghodran Hospital, Beljurashi
Al Faisal Polyclinic, Jeddah
Dr. Sulaiman Al Habeeb Medical Center,
Riyadh
Prince. Mansour Charity Dialysis Center,
Jeddah
Taiba Dialysis Center- Makkah
Al Bir Charity Dialysis Center (2) Jeddah
Abdulkarim Bakr Medical Center, Jeddah
Dr. Ali Lahibi Dialysis Center, Jeddah *
Riyadh or jeddah
Al Bir Clinic 1 Charity D.C , (AlKandara) , Jeddah
International Renal Care Center, Jeddah
Demas Dialysis Center, Riyadh
Kingdom Hospital
National Hospital, Riyadh
7
4
1
1
0
0
74
7
4
6
1
15
0
17
0
0
0
0
0
0
0
2
2
1
0
8
0
12
0
0
0
0
0
0
0
7
0
3
2
13
0
0
2
0
6
12
3
0
5
8
4
2
4
15
0
36
28
3
10
0
27
5
31
0
0
3
0
3
0
6
2
9
0
2
0
1
0
3
4
1
147
33
0
16
1
4
21
7
22
15
93
68
64
25
11
21
4
8
0
20
18
8
2
0
0
0
2
6
2
6
9
43
25
23
30
14
37
11
6
15
7
43
3
10
1
12
10
28
38
12
58
5
0
15
0
0
7
14
11
7
13
30
4
6
30
11
2
6
4
1
0
0
7
4
1
0
0
0
0
1
6
0
1
0
0
13
0
1
13
3
1
1
33
5
5
3
6
0
7
0
1304
558
70
349
16
134
272
640
745
246
Total
27
Total No. of Hemodialysis Centers in MOH According to Region
No. of
Hospitals
Consultant
Nephrologists
Nephrology
Specialists
GP's
Nurses
No. of Outlet
Connections
Total No. of
HD
Machines
Total HD
Pts. 2012
No. of Follow
up Tx. Pts 2012
Riyadh
30
16
47
85
518
525
790
1458
527
Makkah/Jeddah
15
18
35
43
430
402
537
2143
1141
Madina
8
5
14
8
170
200
256
712
130
Tabuk
7
1
6
14
63
111
122
240
139
Eastern
8
13
19
35
449
263
347
996
266
Qassim
11
7
10
19
148
167
252
516
40
Al Baha
5
1
5
8
60
89
147
205
0
Al Jouf
3
0
6
7
54
71
109
170
0
Northern Borders
5
2
2
10
62
152
150
184
52
Hail
6
1
3
11
44
100
133
263
40
Jizan
4
2
8
5
125
124
197
635
96
Najran
3
1
3
5
46
68
100
149
0
Assir
14
2
15
16
206
289
348
893
50
119
69
173
266
2375
2561
3488
8564
2481
Region
Total
28
Total Data on Hemodialysis Patients in MOH According to Region
NonSaudi Pts
New Pts.
in 2012
HBsAg+ve
Pts
HCV+ve
Pts
Pts < 15
Yrs
Pts >
75 yrs
Diabetic
Pts
Hypertensive
Pts
Both
HD Pts. Died
2012
Riyadh
227
378
82
242
76
82
248
449
411
121
Makkah/Jeddah
215
450
75
678
26
89
136
711
607
240
Madina
85
186
26
114
19
29
86
173
214
65
Tabuk
22
65
14
53
1
22
43
94
75
18
Eastern
90
252
24
133
9
56
135
355
380
103
Qassim
23
111
21
72
4
42
61
188
175
75
Al Baha
5
34
7
53
2
21
12
76
64
15
Al Jouf
7
42
1
20
3
22
66
42
31
20
Northern Borders
3
35
8
28
1
13
42
24
93
30
Hail
9
104
4
46
5
32
71
60
71
50
Jizan
90
135
50
154
9
33
49
227
65
104
Najran
29
32
9
23
1
14
21
41
44
18
Assir
32
149
27
181
1
60
62
339
236
95
837
1973
348
1797
157
515
1032
2779
2466
954
Hospital Name
Total
29
Region
Total of Hemodialysis Centers in GOVT. NON-MOH Sector According to Region
Total No. of
No. of
Consultant
Nephrology
No. of Outlet
GP's
Nurses
HD
Hospitals Nephrologists
Specialists
Connections
Machines
Total HD
Pts. 2012
No. of Follow
up Tx. Pts 2012
Riyadh
6
32
32
8
299
220
314
802
3214
Makkah/Jeddah
6
17
24
4
174
157
197
668
408
Tabuk
1
3
4
0
50
38
49
194
230
Eastern
8
19
8
9
138
94
139
290
190
Assir
1
7
14
1
72
44
60
189
468
22
78
82
22
733
553
759
2143
4510
Total
Total Data on Hemodialysis Patients in GOVT. NON-MOH Sector According to Region
NonSaudi Pts
New Pts.
in 2012
HBsAg+ve
Pts
HCV+ve
Pts
Pts < 15
Yrs
Pts >
75 yrs
Riyadh
16
195
31
140
19
85
Makkah/Jeddah
48
207
25
60
21
Tabuk
0
133
5
15
Eastern
18
78
8
Assir
0
43
82
656
Hospital Name
Total
Hypertensive
Pts
Both
HD Pts. Died
2012
154
225
281
92
62
120
157
169
74
7
25
40
30
76
63
19
1
32
37
74
107
65
7
22
6
25
61
84
52
24
76
256
54
229
412
570
685
318
30
Diabetic
Pts
Region
No. of
Hospitals
Total of Hemodialysis Centers in Private Sector According to Region
Total No. of
Consultant
Nephrology
No. of Outlet
GP's
Nurses
HD
Nephrologists
Specialists
Connections
Machines
Total HD
Pts. 2012
No. of Follow
up Tx. Pts 2012
Riyadh
14
12
12
8
129
194
214
584
33
Makkah/Jeddah
17
20
23
13
184
322
352
1182
96
Madina
2
2
2
0
6
11
15
34
5
Eastern
6
10
5
2
104
105
155
324
23
Al Baha
1
0
1
0
3
8
4
5
2
Assir
1
1
1
0
2
5
5
8
0
41
45
44
23
428
645
745
2137
159
Total
Total Data on Hemodialysis Patients in Private Sector According to Region
NonSaudi Pts
New Pts.
in 2012
HBsAg+ve
Pts
HCV+ve
Pts
Pts < 15
Yrs
Pts >
75 yrs
Riyadh
359
195
17
90
5
30
Makkah/Jeddah
903
279
51
231
10
Madina
2
7
0
1
Eastern
36
73
2
Al Baha
0
0
Assir
4
1304
Hospital Name
Total
Hypertensive
Pts
Both
HD Pts. Died
2012
84
222
186
71
41
142
351
338
138
0
5
18
6
10
3
25
1
58
28
57
203
34
0
0
0
0
0
0
5
0
4
0
2
0
0
0
4
3
0
558
70
349
16
134
272
640
745
246
31
Diabetic
Pts
Total of Hemodialysis Centers in All Sectors According to Region
Nurses
No. of Outlet
Connections
Total No. of
HD
Machines
Total HD
Pts. 2012
No. of Follow
up Tx. Pts 2012
101
946
939
1318
2844
3774
81
60
773
857
1070
3930
1644
8
17
8
191
235
287
809
136
8
4
10
14
113
149
171
434
369
Eastern
22
42
32
46
691
462
641
1610
479
Qassim
11
7
10
19
148
167
252
516
40
Al Baha
6
1
6
8
63
97
151
210
2
Al Jouf
3
0
6
7
54
71
109
170
0
Northern Borders
5
2
2
10
62
152
150
184
52
Hail
6
1
3
11
44
100
133
263
40
Jizan
4
2
8
5
125
124
197
635
96
Najran
3
1
3
5
46
68
100
149
0
16
10
30
17
280
338
413
1090
518
182
192
299
311
3536
3759
4992
12844
7150
No. of
Hospitals
Consultant
Nephrologists
Nephrology
Specialists
GP's
Riyadh
50
60
91
Makkah/Jeddah
37
54
Madina
11
Tabuk
Region
Assir
Total
32
Riyadh
Makkah/Jeddah
Madina
Tabuk
Eastern
Qassim
Al Baha
Al Jouf
Northern Borders
Hail
Jizan
Najran
Assir
NonSaudi
Pts
602
1163
90
22
144
23
5
7
3
9
90
29
36
Total
2223
Hospital Name
Total Data on Hemodialysis Patients in All Sectors According to Region
New
Hypertensive
HBsAg+ve HCV+ve Pts <
Pts >
Diabetic
Pts. in
Pts
Pts
Pts
15 Yrs 75 yrs
Pts
2012
768
130
472
100
197
486
896
914
149
963
57
189
387
1188
215
28
121
19
37
115
210
198
19
68
8
47
83
124
403
34
177
11
146
200
486
111
21
72
4
42
61
188
34
7
53
2
21
12
76
42
1
20
3
22
66
42
35
8
28
1
13
42
24
104
4
46
5
32
71
60
135
50
154
9
33
49
227
32
9
23
1
14
21
41
196
34
205
7
85
123
427
3187
494
2402
227
33
878
1716
3989
Both
HD Pts.
Died 2012
878
1105
233
151
690
175
69
31
93
71
65
44
291
284
448
72
81
202
75
15
20
30
50
104
18
119
3896
1518
Region
Central
Total of Hemodialysis Centers in MOH Sector According to Global Region
No. of
Total No.
Total
No. of
Consultant Nephrology
GP's Nurses
Outlet
of HD
HD Pts.
Hospitals Nephrologists Specialists
Connections Machines
2012
41
23
57
104
666
692
1042
1974
No. of
Follow up
Tx. Pts 2012
567
Western
23
23
49
51
600
602
793
2855
1271
Eastern
8
13
19
35
449
263
347
996
266
Northern
21
4
17
42
223
434
514
857
231
Southern
26
6
31
34
437
570
792
1882
146
119
69
173
266
2375
2561
3488
8564
2481
Total
Hospital Name
Total Data on Hemodialysis Patients in MOH Sector According to Global Region
New
NonHypertensive
Pts >
Diabetic
Saudi Pts. in
Pts
Pts
Pts
15 Yrs 75 yrs
Pts
2012
Pts
Both
HD Pts.
Died 2012
Central
250
489
103
314
80
124
309
637
586
196
Western
300
636
101
792
45
118
222
884
821
305
Eastern
90
252
24
133
9
56
135
355
380
103
Northern
41
246
27
147
10
89
222
220
270
118
Southern
156
350
93
411
13
128
144
683
409
232
837
1973
348
1797
157
515
1032
2779
2466
954
Total
34
Region
Central
Total of Hemodialysis Centers in GOVT. NON-MOH Sector According to Global Region
Total
No. of
Total No.
No. of
HD Pts.
GP's Nurses
Outlet
of HD
2012
6
32
32
8
299
220
314
802
No. of
Follow up
Tx. Pts 2012
3064
Western
6
17
24
4
174
157
197
668
393
Eastern
8
19
8
9
138
94
139
290
190
Northern
1
3
4
0
50
38
49
194
210
Southern
1
7
14
1
72
44
60
189
468
22
78
82
22
733
553
759
2143
4325
Total
Total Data on Hemodialysis Patients in GOVT. NON-MOH Sector According to Global Region
NonNew
Hypertensive
Pts >
Both
Diabetic
Hospital Name
Saudi
Pts. in
Pts
Pts
Pts
15 Yrs 75 yrs
Pts
Pts
2012
HD Pts.
Died 2012
Central
16
195
31
140
19
85
154
225
281
92
Western
48
207
25
60
21
62
120
157
169
74
Eastern
18
78
8
19
1
32
37
74
107
65
Northern
0
133
5
15
7
25
40
30
76
63
Southern
0
43
7
22
6
25
61
84
52
24
82
656
76
256
54
229
412
570
685
318
Total
35
Region
Central
Total of Hemodialysis Centers in Private Sector According to Global Region
No. of
Total No.
Total
No. of
GP's Nurses
Outlet
of HD
HD Pts.
2012
14
12
12
8
129
194
214
584
No. of
Follow up
Tx. Pts 2012
33
Western
19
22
25
13
190
333
367
1216
101
Eastern
6
10
5
2
104
105
155
324
23
Northern
0
0
0
0
0
0
0
0
0
Southern
2
1
2
0
5
13
9
13
2
41
45
44
23
428
645
745
2137
159
Total
Hospital Name
Total Data on Hemodialysis Patients in Private Sector According to Global Region
New
NonHypertensive
Pts >
Both
Diabetic
Pts. in
Saudi
Pts
Pts
Pts
15 Yrs 75 yrs
Pts
2012
Pts
HD Pts.
Died 2012
Central
359
195
17
90
5
30
84
222
186
71
Western
905
286
51
232
10
46
160
357
348
141
Eastern
36
73
2
25
1
58
28
57
203
34
Northern
0
0
0
0
0
0
0
0
0
0
Southern
4
4
0
2
0
0
0
4
8
0
1304
558
70
349
16
134
272
640
745
246
Total
36
Region
No. of
Hospitals
Total of Hemodialysis Centers in All Sectors According to Global Region
Total No. of
Consultant
Nephrology
No. of Outlet
GP's
Nurses
HD
Nephrologists
Specialists
Connections
Machines
Total HD
Pts. 2012
No. of Follow
up Tx. Pts 2012
Central
61
67
101
120
1094
1106
1570
3360
3814
Western
48
62
98
68
964
1092
1357
4739
1780
Eastern
22
42
32
46
691
462
641
1610
479
Northern
22
7
21
42
273
472
563
1051
461
Southern
29
14
47
35
514
627
861
2084
616
182
192
299
311
3536
3759
4992
12844
7150
Total
Total Data on Hemodialysis Patients in All Sectors According to Global Region
NonSaudi Pts
New Pts.
in 2012
HBsAg+ve
Pts
HCV+ve
Pts
Pts < 15
Yrs
Pts >
75 yrs
Central
625
879
151
544
104
239
Western
1253
1129
177
1084
76
Eastern
144
403
34
177
Northern
41
379
32
Southern
160
397
2223
3187
Hospital Name
Total
Hypertensive
Pts
Both
HD Pts. Died
2012
547
1084
1053
359
226
502
1398
1338
520
11
146
200
486
690
202
162
17
114
262
250
346
181
100
435
19
153
205
771
469
256
494
2402
227
878
1716
3989
3896
1518
37
Diabetic
Pts
Total of Hemodialysis Centers in Saudi Arabia According to Sector
Hospital Sector
Ministry of Health Hospitals
GOVT. Non-MOH
Hospitals
Total
Nurses
No. of Outlet
Connections
Total No. of
HD
Machines
Total HD
Pts. 2012
No. of Follow
up Tx. Pts 2012
266
2375
2561
3488
8564
2481
82
22
733
553
759
2143
4510
45
44
23
428
645
745
2137
159
192
299
311
3536
3759
4992
12844
7150
No. of
Hospitals
Consultant
Nephrologists
Nephrology
Specialists
GP's
119
69
173
22
78
41
182
Total Data on Hemodialysis Patients in Saudi Arabia According to Sector
Hospital Name
NonSaudi Pts
New Pts.
in 2012
HBsAg+ve
Pts
HCV+ve
Pts
Pts < 15
Yrs
Pts >
75 yrs
Diabetic
Pts
Hypertensive
Pts
Both
HD Pts. Died
2012
Ministry of Health Hospitals
837
1973
348
1797
157
515
1032
2779
2466
954
GOVT. Non-MOH Hospitals
82
656
76
256
54
229
412
570
685
318
1304
558
70
349
16
134
272
640
745
246
2223
3187
494
2402
227
878
1716
3989
3896
1518
Total
38
Dialysis Centers
1971 - 2012
171 173 175 176
177 182 182
160
124 124
103 103 106
110
94
97
97
91 94
130
136
144 147 149
76
63
51
37
22
6
1
2012
2010
201
2009
2008
2007
2006
2005
2004
2003
2002
200
99
2000
98
96
95
93
92
91
90
89
88
86
84
76
74
197
New Hemodialysis Patients
1995 - 2012
2847
3089
2944
3187
2846
2643
2389
2084
1918
1733
2042
1958
2080
1718
1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
Dialysis Population
Net Annual Increase
1993 - 2012
13,000
12,000
11,000
10,000
9,000
8,000
7,000
6,000
5,000
4,000
3,000
2,000
1,000
0
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2011 2012
No. of Pts 3357 3666 3737 4189 4665 5010 5706 6694 7004 7391 7020 7214 7837 8761 9419 10203 10928 11437 12116 12116 12844
* Average Percentage of Annual Increase 7.3%
39
Hemodialysis Centers - 2012
Gov.
Non-MOH
22 (12%)
Private
41 (23%)
MOH
119 (65%)
Total - 182
Hemodialysis Machines - 2012
Govt.
Non-MOH
759 (15%)
MOH
3488 (70%)
Private
745 (15%)
Total - 4992
Hemodialysis Patients
Nationality- 2012
Non-Saudi
2223 (17%)
Saudi
10621 (83%)
Total - 12844
40
Sex Distribution - 2012
Female
5739 (45%)
Male
7105 (55%)
Total - 12844
Age Distribution - 2012
3039
3027
2983
Total - 12844
1930
878
760
35
< 10
192
10 - 15
16-25
26-45
46-55
56-65
66-75
>75
Age-group in year
Above 75 years and Below 15 years of Age - 2012
Above 75 years
878 (6.8%)
15 -75 years
11739 (91.4%)
Below 15 years
227 (1.8%)
Total - 12844
41
Blood Groups - 2012
A
3572 (28%)
B
2254 (18%)
AB
667 (5%)
O
6351 (49%)
Total - 12844
Type of Vascular Access of HD Patients
Year 2012
Graft
733 (6%)
AVF
Jugular Cath.
8932 (69%)
1925 (15%)
Others
1254 (10%)
Total - 12844
HD Patients Treated by Erythropoietin
According to Health Sector - 2012
12844 = Total HD Patients
10661= Treated by EPO-r
Percentage= 83%
MOH
8564
7002
81.8
Non-MOH
2143
1822
85.0
42
Private Sector
2137
1837
86.0
HBsAg Status - 2012
Positive
494 (4%)
Negative
12350 (96%)
Total - 12844
HCV Antibodies Status -2012
Negative
10442 (81%)
Positive
2402 (19%)
Total - 12844
HCV Positive HD Patients According to Region - 2012
* % from HD Pts
23%
16%*
21%
11%
HCV +ve = 2402
Total Pts on HD=12844
Riyadh/
Qassim
544
3360
Jeddah/
Medina
1084
4739
43
Eastern
Region
177
1610
Southern
Region
435
2084
15%
Northern
Region
162
1051
Causes of End-Stage Renal Disease
in Hemodialysis Patients - 2012
Cause of Renal Failure
Diabetic Nephropathy
Hypertensive Nephropathy
Unknown Etiology
Primary Glomerular Disease
Obstructive Uropathy
Hereditary Renal Disease
Congenital Malformation
Primary Tubulo-Interstitial Disease
Vasculitis
Pregnancy Related
Others
Total
No.
4968
4549
1109
656
346
257
243
192
156
89
279
12844
%
38.7
35.4
8.6
5.1
2.7
2.0
1.9
1.5
1.2
0.7
2.2
100
Prevalence of Diabetes Mellitus and Hypertension in
Dialysis Patients - 2012
DM & HTN
3896 (30%)
DM only
1716 (14%)
HTN only
3989 (31%)
None DM or HTN
3243 (25%)
Total - 12844
Waiting List for Renal Transplantation
among Dialysis Patients -2012
Waiting List for
Work-up
2569 (20%)
Active Waiting
List
3049 (24%)
Total: 12884
44
Number of HD Patients, Centers & Machines
in MOH and Non-MOH Hospitals -2012
MOH
Hospitals
Military
Hospitals
National
Guard
Security
Forces
University
Hospitals
K. F. S.
Hospitals
Private
Sector
Other
Hospitals
HD Centers – 182
119
9
3
1
3
2
41
4
HD Patients – 12844
8564
1080
431
57
183
239
2137
153
Machines – 4992
2488
370
109
35
70
114
745
61
Outlets – 3759
2561
285
70
12
41
86
645
59
3.3
3.8
6.2
4.8
4.5
2.8
3.3
2.6
Pts/Outlets – 3.4
Hemodialysis Patients and Machines in MOH Hospitals
According to Region - 2012
Patients= 8564
Outlets= 2561
Machines= 3488
Pts/Outlets= 3.3
Central
1974
692
1042
2.9
Northern
857
434
514
2.0
Southern
1882
570
792
3.3
Eastern
996
263
347
3.8
Western
2855
602
793
4.7
Hemodialysis Patients and Machines
in Non-MOH Hospitals -2012
Patients 4280
Outlets 1198
Machines 1504
Pts/Outlets 3.6
Military
Hospitals
1080
285
370
3.8
National
Guard
431
70
109
6.2
Security
Forces
57
12
35
4.8
45
University
Hospitals
183
41
70
4.5
KFS
Hospitals
239
86
114
2.8
Private
Sector
2137
645
745
3.3
Other
Hospitals
153
59
61
2.6
Dialysis Centers
in the Kingdom of Saudi Arabia - 2012
@ Turaif
Qurayyat @
@Tabargel
@ Arar
@ Sakakah
Dawmat Jandal @
@ Haql
@ Rafha
# Tabuk
@Dhuba
@ Taima
@Hafar Batin
@ Hayil
Jubail@
Qatif@ @Dammam
Dhahran# # Khobar
Bukayriyah@ # Buraydah
Unayzah @ @ Zilfi
@ Hafouf
@ Rass
Umwlajj @
@Majmah
@Rumah
# Madinah
Yanbu @
@ Badr Shuhada
Shaqra@
# Riyadh
@ Prince A Muhesin
@Dawadmi @ Kharj
@ Afif
@ Quwayiyah
Rabigh @
@ Hawtah
@ Aflaj
#Jeddah
# Makkah
# Taif
Sulayyil@ @ Wadi Dawasir
# Bishah
Baha@
@Baljurashi
Makhwah @
@ Tathlith
Qunfudah@
Majardah @ @Namass
Mohayil @ @ Balasmar
# Khamis Mushayt
Wajh @ Khayber @
U
Abha #
@ Sarat Abidah
@Dhahran Janoub
Samta @
Sabya @
Jizan @
@ Najran
46
@ Dialysis Center
# More than one Dialysis Center
@ Sharourah
Peritoneal Dialysis 2012
47
Peritoneal Dialysis
The total number of patients treated by peritoneal dialysis had slightly increased from 1240
patients in 2011 to 1327 in the year 2012 in 32 hospitals. Among these hospitals 15 are from
MOH hospitals, 16 under governmental NON-MOH hospitals, and one from private sector
hospitals. At the same time, 479 new patients have been registered this year on peritoneal dialysis
while the total death among P.D patients was registered to be 9% (120 patients) this year.
There are 27% (359 patients) P.D patients being treated with continuous ambulant peritoneal
dialysis (CAPD), 70% (927 patients) with automated/continuous cyclic peritoneal dialysis
(APD/CCPD), and 3% (41 patients) are treated with intermittent peritoneal dialysis (IPD). The
adult P.D patient accounts 87% of the total while children represent 13%.
It is recognized that 3% of the patients on P.D are HBs Ag+ve. As for HCV, it is found that 4%
are HCV antibodies positive. More efforts are needed to popularize the use of this modality of
treatment in all the regions of the Kingdom.
48
MOH Hospitals
Peritoneal Dialysis in the Kingdom of Saudi Arabia 2012
Type of Peritoneal Dialysis
Total No.
of Pts
New Pts
2012
Adults
HBsAg+ve
HCV+ve
CCPD/APD
Pediatri
cs
No. of NonSaudi Pts
No. of
Deaths 2012
CAPD
IPD
161
73
70
0
91
0
161
5
12
7
25
Children Hospital (KSMC)
10
3
0
0
10
10
0
0
0
4
0
Prince Salman Kidney Center, Riyadh
14
9
9
0
5
0
14
1
1
0
0
King Fahad Medical City, Riyadh
55
25
0
9
46
33
22
1
1
2
5
63
28
3
32
28
3
60
3
1
1
2
45
20
5
0
40
1
44
4
4
7
6
King Abdul Aziz Hospital & Oncology
Center, Jeddah
20
6
0
0
20
0
20
1
0
0
1
Al Noor Specialist Hospital, Makkah
24
6
3
0
21
5
19
0
3
4
3
King Fahd Hospital, Madina
20
1
2
0
18
0
20
0
1
4
2
28
17
0
0
28
1
27
1
0
0
3
King Fahd Hospital, Hofuf
33
12
0
0
33
0
33
2
2
1
2
Qateef Central Hospital
37
5
2
0
35
19
18
0
3
0
1
King Abdulaziz Specialist Hospital, Taif
27
7
1
0
26
0
27
0
2
0
2
15
8
0
0
15
0
15
0
3
2
0
Maternity and Children Hospital, Madina
12
3
1
0
11
12
0
1
0
3
1
564
223
96
41
427
84
480
19
33
35
53
Hospital Name
Total: 15
49
GOVT. NON- MOH Hospitals
Peritoneal Dialysis in the Kingdom of Saudi Arabia 2012
Pediatrics
Adults
HBsAg+ve
HCV+ve
No. of
Non-Saudi
Pts
No. of
Deaths
2012
48
21
47
1
2
2
0
0
39
19
40
0
2
1
3
30
0
30
0
60
4
3
2
8
16
18
0
46
0
64
0
2
2
0
106
28
45
0
61
0
106
4
1
2
10
Khamis Mushyat Military Hospital
72
29
62
0
10
8
64
6
4
0
12
North West Armed Forces Hospital,
Tabuk
27
15
2
0
25
8
19
0
1
0
4
59
27
7
0
52
6
53
2
2
0
6
Armed Forces Hospital, Jeddah
44
12
24
0
20
0
44
1
1
0
2
King Fahd University Hospital, Al Khobar
75
20
15
0
60
0
75
1
2
0
10
23
6
10
0
13
0
23
0
1
0
2
King Abdulaziz University Hospital,
Jeddah
28
8
5
0
23
10
18
0
0
11
1
Dhahran Medical Center (ARAMCO) *
20
8
0
0
20
2
18
0
0
0
2
6
3
0
0
6
2
4
0
0
0
0
22
4
4
0
18
2
20
1
1
0
3
King Fahad Specialist Hospital, Dammam
29
10
0
0
29
9
20
0
1
0
4
Total: 16
762
255
262
0
500
87
675
20
23
20
67
Total
No. of
Pts
New Pts
2012
CAPD
IPD
CCPD/APD
68
25
20
0
(KFNGH)
59
17
20
60
27
64
Hospital Name
King Abulaziz Med. City and National
Guard, Al Hassa
(KKNGH)
50
Total Peritoneal Dialysis in the Kingdom of Saudi Arabia According to Sector - 2012
No. of
Hospitals
Total No.
of Pts
New Pts
2011
Al-Hammadi Hospital - Riyadh
1
1
Total: 1
1
1
Hospital Name
All Sector:
HBsAg+ve
HCV+ve
No. of
NonSaudi Pts
No. of
Deaths
2011
IPD
CCPD/APD
1
1
0
0
1
0
0
0
0
0
1
1
0
0
1
0
0
0
0
0
Total Peritoneal Dialysis in the Kingdom of Saudi Arabia According to Sector- 2012
Total No.
of Pts
New Pts
2012
MOH Hospitals
15
564
16
Total : 32
Adults
CAPD
No. of
Hospitals
Hospital Name
Pediatrics
Pediatrics
Adults
HBsAg+ve
HCV+ve
No. of
NonSaudi Pts
No. of
Deaths
2012
CAPD
IPD
CCPD/APD
223
96
41
427
84
480
19
33
35
53
762
255
262
0
500
87
675
20
23
20
67
1
1
1
1
0
0
1
0
0
0
0
0
32
1327
479
359
41
927
172
1155
39
56
55
120
51
Total Active PD in the Kingdom of Saudi Arabia
1995 - 2012
1327
1196
1240
1112
965
861
772
595
302 335
442
Peritoneal Dialysis Patients
Treatment Modality - 2012
APD/CCPD
927 (70%)
IPD
41 (3%)
CAPD
359 (27%)
Total - 13270
Adults and Children - 2012
Children
172 (13%)
Adults
1155 (87%)
Total - 1327
52
2011
2012
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
196 196
1997
1996
1995
132 133
379
645
506
HBsAg Status - 2012
Positive
39 (3%)
Negative
1288 (97%)
Total - 1327
HCV Antibodies Status - 2012
Positive
56 (4%)
Negative
1271 (96%)
Total - 1327
Peritoneal Dialysis Distribution
according to Region - 2012
Total - 1327
MOH= 564
Non-MOH= 762
Private= 1
Central
Region=661
303
357
1
Western
Region=324
148
176
0
Eastern
Region= 228
98
130
0
53
Southern
Region= 72
0
72
0
Northern
Region= 42
15
27
0
Renal Replacement Therapy - 2012
PD
1327(6%)
Renal Tx.
Followed Up
7150 (34%)
HD
12844 (60%)
Total = 21,321 (751 PMP)
Renal Replacement Therapy in K.S.A
1010
Post Renal Transplant
HD
PD
1196 1240
1327
1112
861
780
645
442
506
379
196
7391
7214
6694
2012
2011
9600 10010
8182 9002
8073 8098 7408
7150
2010
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
6902
5656 6378
4396 4382 4043 4865
3360 3713 4046
2009
5706
2008
5010
2007
4665
2006
4189
7020
7004
2005
132
3737
10928 11437 12116 12844
7837
302
196
9450
8500
335
133
10500
595
Dialysis Population: Current and Projected
1995 - 2020
18000
18218
16000
16456
15281
14000
14171
12000
12040
12633
13356
11168
10000
10280
9533
8000
7833 7526 7809
7029 7383
6000
8482
6008
4000
3869
4322
4861 5206
2000
0
95
96
97
98
99
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2015 2019 2020
Average Net Annual Increase = 606 Patients
Average Percentage of Annual Increase = 8%
54
Prevalence of Dialysis Patients According to Region -2012
Population
(2011)
Dialysis Patients
(2012)
Prevalence
(PMP)
Western
9,108,436
5,063
556
Southern
4,373,549
2,156
493
Northern
2,239,669
1,093
488
Central
8,364,471
4,021
481
Eastern
4,290,230
1,838
428
Total
28,376,355
14,171
499
Region
Incidence of Dialysis Patients According to Region-2012
Population
(2011)
New Dialysis
Patients (2012)
Incidence
(PMP)
Northern
2,239,669
402
179
Central
8,364,471
1,131
135
Western
9,108,436
1,229
135
Eastern
4,290,230
478
111
Southern
4,373,549
426
97
28,376,355
3,666
129
Region
Total
55
Deceased Heart Beating Donor
and
Organ Donation 2012
56
_________________________________________________________
Deceased Heart Beating Donor and Organ Donation
______________________________________________________________________________
The Kingdom of Saudi Arabia has an active deceased transplant program under the
supervision of the Saudi Center for Organ Transplantation. Clear policies have been laid
down to facilitate diagnosis of Death by Brain Function Criteria and the management of
potential deceased donors.
Religious Scholars approved the concept of Death by Brain Function Criteria and Organ
Donation.
At the end of the year 2012, a total of 9451 possible deceased cases have been reported to
SCOT and of which, 631 were reported during the year 2012 from 94 intensive care units
(ICUs) around the Kingdom. An Average of 598 cases per year was reported in the last 5
years. Male to Female ratio was 4 to 1 respectively. Ages below 40 years formulated 59%
of the donors.
Head Injuries constituted 47% of the causes of death, while non-traumatic causes were
reported in 53% of the cases, resulting mostly from cerebro-vascular accidents (66%) and
brain anoxia (25%).
Road Traffic Accidents constituted 39% of the circumstance that lead to death. Of the
direct causes of death, intra-cerebral hemorrhage was found in 72%.
Of the 631 possible deceased cases in the year 2012, 324 (51%) were medically
documented. And of these cases, the family had been approached in 271 and 93 of them
gave consent for organ donation (i.e. 34% of the approached families), while family
refusal constituted 66%. Retrieval was carried out in 89% of the consented cases.
Medical causes such as cardiac arrest / multi-system failure and family refusal, are
generally the reasons for failure to retrieve organs.
Management of all possible cases was followed up by the SCOT with the different ICU’s
in the kingdom. This usually ends up when death is declared following irreversible
cardio-pulmonary arrest.
It was noticed that 99% of the total consents included kidneys as donated organs; liver
was donated in 99% and heart in 83% of the successful cases. Total cornea was the least,
with only 30%.
57
More energetic measures are still required to increase the number of reports of possible
deceased cases as well as obtaining cases. Only this will help bridging the gap between
supply and demand for organs given that more than 3000 patients are in the active
waiting list for organ transplantation.
58
Cause of Death by Brain Function Criteria in the
Possible Deceased Cases
Year 2012
Cases Reported - 631
Non-Traumatic
332 (52.6%)
Traumatic
298 (47.2%)
- CVA 220 (66.3%)
- RTA 249 (83.6%)
- FFH 33 (11.1%)
- DHT 14 (4.7%)
- Gunshot 2 (0.6%)
- Anoxia 84 (25.3%)
- CNS Tumor 28 (8.4%)
Others
1 (0.2%)
Nationality and Sex
Year 2012
Non Saudi
329 (52%)
Female
126 (20%)
Male
505 (80%)
Saudi
302 (48%)
Death by Brain Function Criteria
Age Distribution of Possible Deceased Cases
2012
111
(17.6%)
141
(22.3%)
Total - 631
119
(18.9%)
98
(15.5%)
82
(13.0%)
20
(3.2%)
0-10
11-20
21-30
31-40
41-50
59
51-60
33
(5.2%)
27
(4.3%)
61-70
>70
Deceased Heart Beating Circumstances and Mechanisms
Year 2012
BD Mechanisms
BD Circumstances
Case Reported - 631
455 (72 1%) ICH
103 (16 3%) Cardiovascular
65 (10 3%) Others
2 (0 3%) Seizure
249 (39.5% Motor Vehicle Accident
1 (0 15%) Drowning
1 (0 15%) Electrical
382 (60.5% Non-Motor Vehicle Accident
1 (0 15%) Drug Intoxication
1 (0 15%) Stab Wound
1 (0 15%) Asphyxia
1 (0 15%) Gunshot Wound
Possible Cases:
Documented / Not Documented 2012
Documentation
Completed
324 (51%)
Documentation
not Completed
307 (49%)
Total - 631
60
Potential Deceased Cases:
Families Approached / Not Approached 2012
Families
Approached
271 (84%)
Families Not
Approached
53 (16%)
Total - 324
Reasons of Failure to Approach Families 2012
Sudden Cardiac
Arrest after
Documentation
47 (89%)
Unfit
6 (11%)
Total - 53
Families Approached Possible Deceased Cases
Consented / Not Consented for Donation 2012
Consent Not
Obtained
178 (66%)
Consent Obtained
93 (34%)
Total - 271
61
Consent Eligible Deceased Cases:
Harvested / Not Harvested 2012
Harvested
83 (89%)
Not Harvested
10 (11%)
Total - 93
Reasons of Not Harvesting Organs 2012
Sudden Cardiac
Arrest
4 (40%)
Unfit
6 (60%)
Total - 10
62
Deceased Heart Beating Cases
Possible, Eligible, Consented and Actual
Year 2012
631
324
271
93
(*34 %)
Possible
Potential
Eligible
Consented for
Donation
83
Actual
*Percentage of Families Approached
Use of Medevac in Harvesting of Organs 2012
Air Medevac
19 (23%)
Patient in Tx
Center
34 (41%)
Ambulance
29 (35%)
Total - 82
Death by Brain Function Criteria
Possible, Potential, Eligible, Consented and Actual Region Wise
Year 2012
Possible
Potential
Eligible
Central
Region
282
178
151
55
Western
139
34
24
2
2
Eastern
85
41
33
12
10
Northern
22
12
9
2
1
Southern
44
10
8
2
1
Outside KSA
59
49
46
20
19
Total
631
324
271
93
83
63
Consented Harvested
50
Annual Trend of Number of ICUs
Contributing in Deceased Donation Program
1986 - 2012
Current total number of active ICUs in Saudi Arabia - 116
97 95 94
83 83 83 85
58 62 58 59
30
68
61 65
73 75
42
8
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
1
36 33 36 33
73
68 70
Trend of Possible Deceased Donor Reported over
the Years 1986-2012
710
615
533
526
474
427
374 355 385
348 367
136 148 146 154
410
364 348
360 372
337
210
24
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
7
187
**631
503
*Average cases reported in the lasts 5 years: 598/year
**Incidence of Possible DD: 23 PMP
Cause of Death by Brain Function Criteria in the
(1986 – 2012)
Total Case Reported - 9451
Non-Traumatic
3542 (37%)
Traumatic
5563 (59%)
- CVA 2370 (67%)
- Anoxia 776 (22%)
- CNS Tumor 396 (11%)
- RTA 4539 (82%)
- FFH 615 (11%)
- DHT 299 (5%)
- Gunshot 110 (2%)
Others
346 (4%)
64
Possible Deceased Donors
Age Distribution
(1986 – 2012)
2406
(25%)
Total Cases Reported - 9451
1837
(19%)
1701
(18%)
1205
(13%)
1180
(13%)
693
(7%)
279
(3%)
0-10
11-20
21-30
31-40
41-50
51-60
150
(2%)
61-70
>70
Nationality and Sex
1986 - 2012
Saudi
5216 (55%)
Female
1888 (20%)
Non - Saudi
4235 (45%)
Male
7563 (80%)
Trend of Potential Deceased Cases over the Years
1986 - 2012
369
359
358
Total - 5793
385
324
288
247
261
259 256 251
197
211
218
198
208
300
245
219
139
96 93 99
21
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
6
105
81
65
Trend of Eligible Deceased Cases after Documentation
1986 - 2012
Total - 4932
289
235 231 230 238
235
214
195
186 194
167
177
297
282
309
271
233
203
167
133
89
87 84 88
74
21
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
3
Correlation Between Possible and
Potentially Deceased Cases
1986 - 2012
93
94
95
96
97
98
99
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
Possible - 9451
615
187
210
348
367
374
355
385
427
364
348
337
360
372
410
526
474
533
503
615
710
631
Potential - 5793
86-91 92
396
105
139
247
259
256
251
197
211
198
218
208
219
261
245
358
288
359
300
369
385
324
Potential / Possible - 61%
64
56
66
71
71
68
71
51
49
54
63
62
61
40
60
68
61
67
63
60
54
51
Possible Deceased Cases Trend of Consented for
Donation 1986 - 2012
Consent Obtained - 1630
18
14
20
19
17
12 20
1986 0
1987 10
31
1988
23
1989
42
1990
34
1991
43
1992
52
1993
88
1994
80
1995
54
1996
54
1997
50
1998
43
1999
33
2000
41
2001
31
2002
46
2003
46
2004
51
2005
91
2006
66
2007
100
2008
73
2009
101
2010
81
2011
73
2012
6 10
9
7
13
15
3
10
Cases from Organ Sharing Program (Spain, Kuwait, Qatar and Bahrain)
66
Deceased Cases
Correlation Between Eligible and
Consented for Donation
1986- 2012
8691
92
93
94
95
96
97
98
99
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
F. Approach - 4932 357
89
133
235
231
230
238
186
194
167
203
289
235
282
233
297
Consented - 1630
140
43
52
88
80
54
60
60
50
36
56
41
46
59
68
111
85
118
82
115
93
93
Percentage - 33%
39
48
39
37
35
23
25
32
26
22
195
29
177
23
167
28
214
28
34
38
36
42
35
39
309
30
271
34
Deceased Cases
Trend of Actual Deceased Donor
1986 - 2012
Harvested- 1630
105
102
82
98
62
51
40
31
83
80
71
48
55 54
54
68
73
54
47
32 34
33
38 39
23
10
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
0
Failure to Retrieve Organs
1986-2012
Possible Deceased Donors - 9451
Unknown
Address
148 (2%)
Consented
1630 (17%)
Medical Causes
4230 (54%)
Others
195 (3%)
Family Refusal
3248 (41%)
67
Medical Causes of Failure to
Retrieve Deceased Organs
1986 - 2012
2837
(65%)
Total - 4326
1060
(25%)
340
(8%)
Cardiac Arrest
Multisystem Failure
Unfit Organs
89
(2%)
Systemic Infection
*The multi-system failure was due in 50% of the cases to the delay in confirming the diagnosis
of brain death (persistence of electrical activity in the electroencephalogram)
Trend of Contribution of Family Refusal Towards
Failure to Retrieve Organs
1986 - 2012
86-91 92
93
94
95
96
97
98
99 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
Fail to Ret. - 7729 475 144 158 260 285 320 295 235 377 328 292 296 314 313 342 415 389 415 421 500 617 538
F. Refusal - 3258 217 48 82 148 151 182 178 126 144 131 123 133 113 146 131 175 140 163 151 182 216 178
Ratio - 42%
46 33 52 57 53 57 60 39 38 40 42 45 36 47 38 42 36 39 36 36 35 33
Consent Obtained in Potential Deceased
Heart Beating Cases with Approachable Families
1986- 2012
No Consent
3302 (67%)
Consent
Obtained
1630 (33%)
Total - 4932
68
Deceased Heart Beating Cases
Possible, Eligible, Consented and Actual
1986 - 2012
9451
4932
1630
(*33%)
Possible
Eligible
1467
Consented for
Donation
Actual
*Percentage of Consent for Donation
Comparison on Possible, Potential, Eligible,
Consented and Actual Cases
(2003-2007) Vs. (2008-2012)
2008 – 2012 Cases
28%
Percentage on Conversion of the Critical Pathways of Organ Donation
e od
Possible Cases
Potential
Eligible
Consented
Actual
2003 - 2007
2 42
64%
8 %
33%
9 %
2008 - 20 2
2992
58%
80%
36%
85%
Deceased Organ Transplantation in KSA
(2003 – 2007) Vs. (2008 – 2012)
673
2003-2007
2008-2012
527
271
175
175
94
42
Kidney
Liver
Whole
Heart
125
132 110
Heart for
Valves
Corneas
69
14
Lungs
69
7
8
Pancreas
Hospital Sharing in Organ Donation Program
The total number of hospitals who reported possible deceased donor (DD) cases during
the year 2012 was 94 hospitals. These were divided into either large (>20 ICU beds),
Medium (10-20 ICU beds) or small (<10 ICU beds). The top 3 hospital with the outmost
consented cases are acknowledged below with their corresponding ICU beds.
Large hospitals (17) reported 146 cases (23% of the total), of which 85 (58%) were fully
documented and 24 consents were obtained for organ donation (26% of total consents).
In this group, 17 consents were obtained from King Saud Medical Complex, Riyadh
(KSMC). KSMC is also considered to be the largest source of consented cases in the
kingdom for the last seven years. King Abdulaziz Medical City (National Guard
Hospital), Riyadh came next with 6 consents followed by Prince Sultan Military Medical
City, Riyadh with one consent.
Medium sized hospitals, with 10-20 ICU beds, contributed with 42% (266 cases) of the
total number of reported cases. However, only 22 consents (24% of total consents) were
obtained for organ donation.
The most active hospitals in this group were Prince Salman Hospital, Riyadh with 6
consents followed by King Khalid Hospital, Al Kharj with 3 consents. King Fahd
Specialist Hospital, Qassim, Dammam Medical Complex and King Fahd Hospital, Hofuf
obtained 2 consents each. And lastly; Al Noor Specialist Hospital, Makkah, King Khalid
Hospital, Tabuk, King Fahd Hospital, Al Baha, Dr. Ahmed Abanamy Hospital, Riyadh,
Dr. Sulaiman Al Habib Hospital (Al Rayan), Riyadh, Al Manae General Hospital, Al
Khobar and Dr. Sulaiman Habib Hospital (Olaya), Riyadh; each obtained 1 consent.
Small sized hospitals, with less than 10 ICU beds, shared 160 possible deceased cases
(25% of the total Possible DD) and 27 consents were obtained from them i.e. (29% of
total consent).
Among this group, National Hospital, Riyadh was the most active with a total of 5 cases
consented for organ donation followed by 3 consents obtained from Kingdom Hospital,
Riyadh.
70
Moreover, Al Iman General Hospital, Riyadh, Al Rass General Hospital, Al Qassim, Al
Mowasat Hospital, Riyadh, each contributed with 2 consents. And finally, one consent
was obtained from each of the following hospitals: Al Qateef Central Hospital, Buraida
Central Hospital, Al Qassim, Al Jubail General Hospital, King Khalid General Hospital,
Hafar Al Baten, Ar-Ar Central Hospital, Al Mana General Hospital, Dammam, King
Saud Hospital, Unaiza, Abu Arish Hospital, Saad Specialist Hospital, Al Khobar, Obeid
Specialized Hospital, Riyadh, King Faisal Specialist Hospital and Research Center,
Jeddah, Obeid Specialized Hospital, Hofuf, King and Khalid Military Hospital, Hafar Al
Baten.
Activities of the organ sharing program between the Kingdom and GCC countries
showed that 20 consented cases were obtained under this program; distributed between
Kuwait Hospitals (19 cases) and Qatar Hospitals (one case).
The following table shows the distribution of possible, consented and actual deceased
donors according to region:
Central (Riyadh, Kharj, Qassim and Hail)
Western (Jeddah, Makkah Madinah & Taif)
Eastern (Dammam, Hofuf, Al Khobar,
Dhahran, Khafji, Qateef, Jubail & Hafar Al
Baten)
Southern (Assir, Al Baha, Gizan & Najran)
Northern (Tabuk, Al Jouf, Northern
Borders)
Outside KSA (Kuwait, Qatar & Bahrain)
282
139
Consent for
Organ
Donation
55
2
85
12
10
44
2
1
22
2
1
59
20
19
Total
631
93
83
Possible
DD
Region
Actual DD
50
2
Distribution of consents by region shows that 55 (59%) consents were obtained from the
Central region (34 from MOH hospitals, 7 from Govt. Non-MOH hospitals and 14 from
private hospitals). The Eastern region came next with 12 (13%) consents; followed by the
Western, Southern, and Northern region with 2 (2%) consents for each.
71
Deceased Heart Beating Donor (DD)
Possible, Potential, Eligible, Consented and Actual from Different Hospitals in
Saudi Arabia 2012
Table (1): Hospitals with ICU's Having More than 20 Beds
Possible
DD
Potential
DD
Eligible
DD
Consented
Actual
DD
1 King Saud Medical Complex (*)
55
41
37
17
15
2 King Abdulaziz Medical City & NGH-Riyadh
26
21
19
6
5
3 King Fahd Hospital- Madinah
15
4
2
0
0
4 King Fahd Hospital-Jeddah (*)
10
1
1
0
0
5 Armed Forces Hospital-Riyadh (RKH)
6 King Khalid University Hospital-Riyadh
9
7
5
3
5
3
1
0
1
0
7 King Faisal Specialist Hospital-Riyadh
4
2
2
0
0
8 Security Forces Hospital - Riyadh
3
3
3
0
0
9 King Abdullah Medical City – Makkah
10 King Fahad Armed Forces Hospital - Jeddah
11 North West Armed Forces Hospital-Tabuk
3
3
3
2
1
0
2
1
0
0
0
0
0
0
0
12 King Abdulaziz University Hospital - Jeddah
13 Maternity and Children Hospital - Jeddah
3
1
0
1
0
1
0
0
0
0
14 Maternity and Children Hospital Madina
1
1
1
0
0
15 Dallah Hospital – Riyadh
1
0
0
0
0
16 Dr. Sulaiman Fakeeh Hospital – Jeddah
17 Ohud General Hospital – Madinah
1
1
0
0
0
0
0
0
0
0
146
(23.1%)*
85
77
24
(26)**
21
No.
Hospital Name
Total
(*) Percentage from total possible cases, (**) Percentage from total consented cases.
72
No.
Table (2): Hospitals with ICU’s Having 10 and 20 Beds
Possible Potential Eligible
Hospital Name
Consented
DD
DD
DD
Actual
DD
1
2
Prince Salman Hospital – Riyadh
King Khalid Hospital-Hail
30
23
17
6
14
2
6
0
5
0
3
4
5
Mena Hospital – Makkah
King Fahd Specialist Hospital- Al Qassim (*)
Al Noor Specialist Hospital-Makkah (*)
21
19
19
5
10
7
4
7
5
0
2
1
0
2
1
6
7
Dammam Medical Complex (*)
King Khalid Hospital-Al-Kharj
17
13
6
9
4
8
2
3
2
3
8
King Fahd Hospital- Hofuf
13
6
6
2
2
9
King Fahd Hospital-Gizan (*)
13
0
0
0
0
10 King Khalid Hospital-Tabuk (*)
11 Assir Central Hospital – Abha (*)
12
12
8
1
6
0
1
0
1
0
12 King Abdulaziz Specialist Hospital-Taif
12
0
0
0
0
13 King Abdulaziz Hospital – Makkah
8
0
0
0
0
14 King Fahd University Hospital- Al Khobar
15 King Fahd Hospital-Al-Baha
7
6
0
4
0
4
0
1
0
1
16 King A/Aziz Hospital & Oncology Center-Jeddah
17 Dr. Ahmed Abanami Hospital – Riyadh
5
4
1
4
0
4
0
1
0
1
18 Dr. Sulaiman Al Habib Hospital – Khurais
4
1
1
1
1
19 King Abdulaziz Medical City & NGH – Jeddah
4
1
1
0
0
20 Al Hada Military Hospital-Taif
21 Al Mousa Gen. Hospital – Al Hassa
4
3
1
2
0
2
0
0
0
0
22 King Faisal Military Hospital-Khamis Mushyat
23 King Fahd Medical City – Riyadh
3
3
1
0
1
0
0
0
0
0
2
2
1
1
1
1
1
1
1
266
(42.2%)*
2
1
1
1
1
1
0
0
0
1
1
1
1
1
1
0
0
0
0
0
1
0
0
0
0
0
0
97
75
0
1
1
0
0
0
0
0
0
22
(24%)**
24
25
26
27
28
29
30
31
32
King Khalid Hospital – Najran
Al Mana General Hospital – Al Khobar
Dr. Sulaiman Al Habib Hospital – Olaya
King Fahd Military Medical Complex - Dhahran
Dr. Sulaiman Al Habib Hospital – Qassim
ARAMCO – Dharhan
Saudi German Hospital – Riyadh
King Khalid Hospital – Majmaah
King Abdulaziz Medical City- Al Hassa
Total
(*) Percentage from total possible cases, (**) Percentage from total consented cases.
73
20
No.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Table (3): Hospitals with ICU’s Having Less than 10 Beds
Hospital Name
Consented
DD
DD
DD
Al-Iman General Hospital – Riyadh
13
11
8
2
Al Rass General Hospital – Al Qassim
13
9
7
2
Al Qateef Central Hospital
13
4
3
1
Buraida Central Hospital – Al Qassim
10
9
7
1
National Hospital-Riyadh
8
8
8
5
Kingdom Hospital – Riyadh
7
6
5
3
6
6
4
1
Al Thager Hospital-Jeddah
6
1
0
0
King Khalid General Hospital-Hafar Al-Baten
5
4
4
1
Ar-Ar Central Hospital
5
4
3
1
Al Mana General Hospital-Dammam
5
4
2
1
King Saud Hospital-Unaiza
5
3
3
1
King Faisal Hospital- Makkah
5
3
2
0
Abu Arish Hospital
5
1
1
1
5
1
0
0
KFH – Taif
5
0
0
0
Najd Consulting Hospital – Riyadh
4
3
3
2
Rabiq Hospital Makkah
4
1
1
0
Al Hera General Hospital – Makkah
3
3
2
0
Saad Specialist Hospital- Al Khobar
3
2
2
1
Obeid Specialized Hospital-Riyadh
3
2
2
1
Al Mana Hospital – Al Hassa
3
1
0
0
Shagra General Hospital – Riyadh
2
0
0
0
Al Qunfudah Hospital
2
0
0
0
Madneb General Hospital – Al Qassim
2
0
0
0
Wadi Dawasir General Hospital
2
0
0
0
King Faisal Specialist Hospital – Jeddah
1
1
1
1
Obeid Specialized Hospital – Hofuf
1
1
1
1
King Khalid Military Hospital – Hafar Al Batin
1
1
1
1
Al Azhar Hospital – Riyadh
1
1
1
0
Najran General Hospital
1
1
1
0
Al Imam Abdulrahman Bin Faisal H.- Dammam
1
1
1
0
Sub – Total:
150
92
73
27
(*) Percentage from total possible cases (**) Percentage from total consented cases.
74
Actual
DD
2
2
0
1
5
3
1
0
1
0
1
1
0
0
0
0
1
0
0
1
1
0
0
0
0
0
1
1
1
0
0
0
23
Continuation
Table (3): Hospitals with ICU’s Having Less than 10 Beds
Actual
No.
Hospital Name
Consented
DD
DD
DD
DD
33 Afif General Hopsital - Riyadh
1
1
0
0
0
34 Al Gedaani Hospital – Jeddah
1
0
0
0
0
35 King Fahad Hospital – Tabuk
1
0
0
0
0
36 Rafha General Hospital – Tabuk
1
0
0
0
0
37 Maternity and Children Hospital – Qassim
1
0
0
0
0
38 Ghassan Pharaon Hospital- Khamis Mushayat
1
0
0
0
0
39 Abqaiq General Hospital
1
0
0
0
0
40 King Saud Hospital – Jeddah
1
0
0
0
0
41 Beljaraisy General Hospital
1
0
0
0
0
42 Maternity and Children Hospital - Dammam
1
0
0
0
0
160
27
Grand Total:
93
73
23
(25.4%)*
(29%) **
(*) Percentage from total possible cases (**) Percentage from total consented cases.
Table (4): Hospitals outside the Kingdom of Saudi Arabia
No.
Hospital Name
Possible DD
Potential DD
Eligible DD
1 Kuwait Hospitals
55
46
43
19
18
2 Bahrain Hospitals
2
2
2
0
0
3 Qatar Hospitals
2
1
1
1
1
59
49
46
20
19
Total
Consented Actual DD
Table (5): Total Number of Brain Death Cases for All Hospitals
Hospital Name
Possible DD Potential DD Eligible DD
Consented Actual DD
Greater than 20 ICU Beds
146
85
77
24
21
10 - 20 ICU Beds
266
97
75
22
20
Less than 10 ICU Beds
Outside KSA
160
59
93
49
73
46
27
20
23
19
631
324
271
93
83
Total
75
Organ Transplantation 2012
76
Organ Transplantation
By the end of year 2012, a total of 5356 living donor and 2467 deceased donor renal
transplantation have been performed inside the Kingdom of Saudi Arabia. It is worth mentioning
that the deceased organ transplantation program in the Kingdom received a big boost with the
inception of the National Kidney Foundation in 1984 and further in 1993 when this organization
was upgraded and renamed as Saudi Center for Organ Transplantation (SCOT).
A total of 622 kidneys have been transplanted during year 2012, of which 504 were from living
donors and 118 from deceased donors. Among the 118 deceased kidneys, 13 were used for
pediatric recipients and 7 were given for urgent condition recipients.
Liver transplantation program in the Kingdom was started in the year 1990. Up to end of 2012, a
total of 1240 liver transplants have been performed. This includes 569 liver transplants from
living donors including pediatric recipients performed at the Prince Sultan Military Medical City
(formerly Riyadh Military Hospital) and adult recipients performed in King Faisal Specialist
Hospital-Riyadh, King Abdulaziz Medical City and National Guard Hospital-Riyadh, and King
Fahd Specialist Hospital-Dammam.
In the year 2012, there were 96 liver transplants from living and 50 from deceased donors.
Between 1986 and 2012, there were 228 whole hearts and 564 hearts as sources for valves have
been transplanted.
Although more than 24,000 corneal transplants have been performed in the Kingdom from 1983
to 2012, the number of locally harvested corneas is dismally low (663 corneas).
Lung transplantation activity (started in 1990), has a total of 94 lungs transplanted to 61 recipients
as single or bilateral.
A total of 19 pancreases were transplanted since 1990.
Bone transplantation started in the year 2009. This year 17 bones were harvested and 8
musculoskeletal tissue retrieved.
77
As for organ sharing program with Kuwait, Spain, Qatar, Kingdom of Bahrain, SCOT benefited
from 53 kidneys, 94 livers, 8 whole hearts, 47 heart for valves, and 13 lungs since the program
took place with these countries.
Kidney Transplantation – 2012
In this year, 622 kidneys have been transplanted inside the Kingdom of Saudi Arabia. A total of
504 kidney transplants were done from living donors and 118 from deceased donors. The
following table shows the performance of the national transplant centers during 2012.
Deceased and Living Kidney Transplantation in Saudi Arabia -2012
Living Donors
No.
Hospital Name
Related Unrelated
1
2
3
4
5
6
7
8
9
10
11
King Faisal Specialist Hospital & Research
Center, Riyadh
King Fahd Specialist Hospital, Dammam
Prince Sultan Military Medical City, Riyadh
King Faisal Specialist Hospital & Research
Center, Jeddah
King Abdulaziz Medical City and National
Guard, Riyadh
King Faisal Military Hospital, Khamis
Mushayt
King Fahd Armed Forces Hospital, Jeddah
Al-Hada Military Hospital, Taif
Prince Salman Military Hospital, Tabuk
Saad Specialist Hospital, Al Khobar *
Deceased
Donors
Total
141
3
26
170
78
51
3
20
28
20
109
91
54
24
13
91
30
1
17
48
22
18
3
43
27
2
4
33
15
6
6
1
0
1
0
1
0
5
2
0
15
12
8
2
73
118
622
TOTAL:
431
* Private sector hospitals performing living kidney transplantation
Performance of Deceased Kidney Transplantation in 2012
Number of
Number of
Number of
Harvested Kidneys
Transplanted Kidneys
Transplanted Patients
128
118
117
1 kidney transplanted as enbloc by KFSH-Jeddah
78
·
10 kidneys were harvested but not transplanted for the following reasons:
o 3 kidneys due to vascular atheroma
o 1 kidney due to multi cyst
o 1 kidney due to solid organ injury
o 2 kidney due to biopsy report
o 1 kidney due to technical reason
o 2 kidneys due to congenital abnormality
·
Cold Ischemic Time (CIT) for locally harvested deceased kidneys was ranging
between 1 to 36 hours. Mean CIT was 11.38 hours, 65% of them (77 kidneys)
were from ≤ 12 hours, 30% (35 kidneys) were from between 13-24 hours and
only 5% (6 kidneys) were from between 25-36 hours.
·
In 95% of cases, the deceased kidney transplantation was practiced with CIT ≤ 24
hours.
·
On the other hand, matching sex (male to male or female to female) kidney
transplantation from deceased donors was done in 58% of the cases.
·
Age distribution of recipients and donors of the deceased kidneys are indicated in
the following table.
Age Distribution for Recipients and Donors of the Deceased Kidneys
Recipient
Age (Years)
<5
5-15
16-29
30-49
50-59
≥ 60
TOTAL
Donor Age (Years)
<5
1
1
-
5-15
-
16-29
5
7
12
2
30-49
2
5
20
29
7
5
50-59
3
8
4
1
≥ 60 - < 65
1
2
2
2
0
26
68
16
5
TOTAL
2
11
32
49
13
10
117
There are 21 expanded criteria donors (ECD) in the year 2012. This is based on the
following criteria:
Donor Characteristic:
· Age ≥ 60 years
- 6 kidneys
· Age 50 – 59 years / CVA / HTN
and/or S.Cr ≥ 133 µmol/L (1.5 mg/dl)
- 8 kidneys
· CVA / HTN / S.Cr doubled at harvesting
- 7 kidneys
According to the data of renal failure patients in the kingdom of Saudi Arabia, 197
patients underwent living renal transplant operations outside the kingdom during the year
2012.
79
1979 11
1980 14
1981 21
1982 20
1983 36
1984 36 2
1985 30 4
1986 49 0
1987 63 28
77 59
1988
77 57
1989
1990 63 74
1991 64 62
65
128
1992
95
145
1993
154
122
1994
131
136
1995
83
147
1996
88
174
1997
84
160
1998
76
188
1999
59
195
2000
89
228
2001
57
251
2002
71
228
2003
88
208
2004
95
221
2005
151
220
2006
122
260
2007
166
228
2008
111
252
2009
313
2010
385
2011
430
2012
156
59 57
2
4
Total deceased : 2467
Total Living Unrelated: 175
Total Living Related: 5181
Before
118
Before
122
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
11
14
21
20
36
36
30
49
63
77
77
63
64
128
145
122
136
147
174
160
188
195
228
251
228
208
221
220
260
228
272
349
Total living kidney transplantation: 5356
74
95
83
88 84
62 65
59
NKF
80
431
Living Kidney Transplantation
1979-2012
504
NKF
SCOT
Total Deceased Kidney Transplantation
1984-2012
Total deceased kidney transplantation: 2467
154
151
166
76
89
88
156
131
122
111
20
SCOT
122 118
71
95
57
28
0
Living and Deceased
Kidney Transplantation 1997-2012
36
46
73
Kidneys from Deceased Donors
1986-2012
Retrieved but
not Used
139 (5%)
Transplanted
2467 (95%)
Total: 2606
Reasons for Not Using
Retrieved Deceased Donor Kidneys
Total : 139
3
Sent Abroad
4
Sepsis
5
Tuberculosis
8
Vascular Thrombosis
9
Technical
10
Malignancy & Neoplastic Kidney
13
No Suitable Recipient
Chronic Kidney Disease
18
Necrotic
18
Traumatic Renal Injury
18
33
Congenital & Vascular Abnormalities
Kidney Transplantation
Inside and Outside the Kingdom
(1997-2012)
From Living Related
From Deceased
Outside the Kingdom (URL)
723
700
647
646
597
503
436
441
382
349
327
241 228
174
88
160 163
84
251
228
188 183 195
76
59
208
221
57
7
88
95
228
220
5
89
272
260
66
22
235
233
56
197
157
22
8
1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
81
Kidney Transplantation Centers
in the Kingdom of Saudi Arabia
* Tabuk
- KAAMHT
* Dammam
- KFSH
Dhahran
- KFMMCD
Madinah
* * Riyadh
* - RAFH
- KFHM
Private transplant centers
performing living transplant.
Saad Specialist Hospital
Dr. Suleiman Fakeeh Hospital - Jeddah
New National Jeddah Hospital
Government Centers currently INACTIVE
KFH – Madinah
KFMH - Dhahran
* * Jeddah
* * - KFHJ
* - KAAHJ *Taif
- AHMHT
- KFSH
- KAMC & NG
- KFMHJ
- KFSHJ
- KAMC & NG
* Khamis Mushayt
- KMMH
82
Liver Transplant - 2012
The number of possible deceased cases consented for liver donation this year was 92. Harvesting
was taken place in 59 cases, however only 50 livers were transplanted; 25 at King Faisal
Specialist Hospital and Research Center, Riyadh (2 cases transplanted as split liver), 16 at King
Abdulaziz Medical City and National Guard Hospital, Riyadh and 9 at King Fahd Specialist
Hospital, Dammam. Livers were not harvested in 44 cases due to the following reasons:
1.
Consented not harvested in 24 cases due to:
·
Elevated liver enzymes (6 cases)
·
Hemodynamic instability of the donor (6 cases)
·
No suitable recipient (1 case)
·
Sudden cardiac arrest (4 cases)
·
Technical problem to include medevac, weather condition and more time
needed before harvesting (3 cases)
·
2.
3.
Unfit due to infection (4 cases)
Liver was rejected during harvesting in 9 cases due to:
·
Fatty liver (5 cases)
·
Liver fibrosis (2 cases)
·
Liver necrosis (2 cases)
Liver was rejected by transplant centers after harvesting in 11 cases due to:
·
Elevated liver enzymes (1 case)
·
Fatty liver (2 cases)
·
Liver fibrosis (4 cases)
·
Neoplasm (2 case)
·
Sepsis (1 case)
·
Steatosis (1 case)
83
Living Liver Transplantation - 2012
96 cases of living liver transplantation were done during this year, 10 at Prince Sultan Military
Medical City-Riyadh, 76 at King Faisal Specialist Hospital-Riyadh, 9 at King Abdulaziz Medical
City - National Guard Hospital-Riyadh and 1 at King Fahd Specialist Hospital - Dammam.
Details of this were shown in the tables below:
Riyadh Military Hospital
Case
No.
Age of
Recipient
1
9 months
2
Reason for Liver Failure
Relation
Age of Donor
End stage liver disease
Unrelated
26 years old
2 years old
NSCH
Unrelated
34 years old
3
2 years old
Biliary Atresia
Aunt
26 years old
4
3 years old
PEIC
Unrelated
32 years old
5
1 year old
Mother
26 years old
6
1 year old
Biliary Atresia
Father
29 years old
7
1 year old
PFIC type II
Father
41 years old
8
1 year old
Criggler Najjar Syndrome
Aunt
37 years old
9
8 years old
Mother
35 years old
10
1 year old
Criggler Najjar Syndrome
Uncle
30 years old
King Abdulaziz Medical City and National Guard Hospital - Riyadh
Case
No.
Relation
Age of
Donor
Sister
38 years old
Son
29 years old
Wilson’s Disease
Father
32 years old
35 years old
Wilson’s Disease
Sister
29 years old
5
8 months
Biliary atresia
Mother
27 years old
6
4 years old
Crigler Najjar Syndrome
Brother
19 years old
7
8
9
58 years old
3 years old
16 months
HCV
Alagille Syndrome
PFIC
Son
Mother
Brother
25 years old
33 years old
30 years old
Age of Recipient
1
43 years old
HBV
2
60 years old
HCV+HCC
3
11 years old
4
84
King Faisal Specialist Hospital - Riyadh
Case
No.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
Age of
Recipient
55 years old
64 years old
11 months
56 years old
48 years old
1.4 years old
67 years old
21 years old
4 years old
56 years old
1.9 years old
47 years old
57 years old
63 years old
2 years old
1.8 years old
62 years old
4 years old
0.8 months
1.2 years old
17 years old
46 years old
27 years old
53 years old
52 years old
2 years old
71 years old
67 years old
15 years old
58 years old
63 years old
1.9 years old
57 years old
59 years old
64 years old
0.4 months
2 years old
41 years old
0.4 months
52 years old
3 years old
34 years old
50 years old
68 years old
HCV
HCV, HCC
Hyperoxaluria Type 1
HBV
Cryptogenic ESLD, HCC
Hepatoblastoma
HCV, PVT, s/p Splenectomy, HCC
AIH, DM
Histiocytosis X, Diabetes Insipidus
Cryptogenic ESLD, Sheehan’s Syndrome
PFIC 2
HCV
Cryptogenic, sec syphilis, TB, DM`
Bilharzial Cirrhosis/PVT
Biliary Atresia
Citrullinemia
HCV, HBV, HCC
PFIC I or II
Biliary Atresia + Choledocal Cyst
Biliary Atresia + Esophageal Cyst
PFIC III
HCV+HBV+HCC (full left lobe)
AIH (left lobe)
AIH (hematochromotosis)
HBV+HCC
Neonatal jaundice/PSC/sc. Cholangitis
HBV
NASH
HCV/SLE
HCV
HCV+HCC+PVT
PFIC
Cryptogenic Cirrhosis
Secondary Biliary Cirrhosis/PBC/Bilioenteric Anastomosis
HCV
PFIC II
Biliary atresia (ABO incompatible)
HBV+HDV+PVT
PFIC II
HCV+HCC
PFIC II
Cryptogenic
HBV
Cryptogenic
85
Relation
Daughter
Son
Mother
Daughter
Son
Uncle
Son
Cousin
Mother
Daughter
Auntie
Son
Son
Son
Cousin
Auntie
Son
Mother
Uncle
Father
Mother
Cousin
Brother
Daughter
Daughter
Uncle
Daughter
Niece
Cousin
Son
Nephew
Mother
Son
Son
Daughter
Mother
Mother
Son
Uncle
Son
Uncle
Cousin
Cousin
Daughter
Age of
Donor
34 years old
35 years old
31 years old
21 years old
26 years old
24 years old
24 years old
30 years old
37 years old
31 years old
18 years old
25 years old
18 years old
63 years old
23 years old
19 years old
30 years old
35 years old
21 years old
30 years old
41 years old
31 years old
20 years old
25 years old
23 years old
20 years old
30 years old
41 years old
21 years old
21 years old
24 years old
25 years old
22 years old
31 years old
30 years old
20 years old
35 years old
19 years old
27 years old
22 years old
33 years old
21 years old
31 years old
21 years old
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
.10 months
61 years old
10 years old
2 years old
59 years old
57 years old
1.8 years old
6 years old
55 years old
0.1 months
67 years old
1.3 years old
0.9 years old
62 years old
48 years old
10 months
1.1 years old
0.4 years old
69 years old
0.7 years old
0.8 years old
47 years old
65 years old
0.7 months
5 years old
0.7 years old
3 years old
1.4 years old
1.11 years old
49 years old
61 years old
57 years old
ESLD secondary to cholodochial cyst
NASH+HCC
PFIC II
Biliary Atresia
HCV+HCC
HCV
PFIC (type III?) vs. Atresia
Choledocal Cyst(Type 4)
Cryptogenic/NASH
PFIC
HBV+HCC (full left graft)
PFIC II
PFIC II
HCV (left graft)
HCV
Biliary atresia (ABO incompatible)
Biliary atresia
Biliary atresia
Cryptogenic+HCC
PFIC II
PFIC I vs. II
HCV
HCV+HCC
PFIC vs. Neonatal PSC vs Autoimmune
Biliary hypoplasia (Allagile?) (ABO incompatible)
Bile acid synthesis disorder?
Chonic rejection (Retransplant) (ABO incompatible)
Biliary Atresia
Cholochal cyst IV
Cryptogenic
HCV+HCC+Chronic renal Failure
Cryptogenic +HCC
Mother
Unrelated
Cousin
Brother
Daughter
Son
Father
Mother
Son
Mother
Nephew
Father
Mother
Son
Son
Relative
Mother
Mother
Son
Father
Mother
Brother
Son
Father
Mother
Mother
Mother
Sister
Mother
Son
Son
Son
27 years old
27 years old
26 years old
21 years old
30 years old
28 years old
30 years old
37 years old
32 years old
38 years old
33 years old
31 years old
39 years old
30 years old
23 years old
22 years old
36 years old
30 years old
13 years old
30 years old
21 years old
23 years old
25 years old
28 years old
41 years old
31 years old
31 years old
18 years old
21 years old
29 years old
35 years old
26 years old
Case
No.
1
Age of
Recipient
7 years old
Glycogen Storage Disease
Relation
Mother
86
Age of
Donor
24 years old
Living and Deceased Liver Transplantation
1990 - 2012
Total Living Related: 508
Total Living Unrelated: 61
Total Deceased: 671
43
37
4
92
14
72
58 26
39 38
1996
2011
2012
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1
1997
2
1995
1992
32
62
49 50
49 54 59 51
7 16 11 19 19
29 28
28 26 20
18 10 19 10 15
1994
2
44 45
1993
1
1990
41
Causes of Unused Harvested Livers
1994-2012
87
(44%)
1) Fatty changes
2) Granulomatous changes/Fibrosis/Atherosclerosis
3) Ischemic/long CIT
4) Macro/Microstasis Steatosis
5) Sepsis
6) Hepatitis (B C) changes
7) Cardiac Arrest – Donor/Recipient
8) Neoplastic
9) Infectious Disease (TB bilharziasis others)
10) Congenital/Vascular Abnormalities
40
(20.2%)
21
20
(10.6%) (10.1%)
11
(5.6%)
1
2
3
4
6
5
4
3
1
(2.0%) (2.5%) (3.0%) (1.5%)
(0.5%)
5
6
7
8
9
Total - 198
Livers from Deceased Donors
1994-2012
Cardiac Arrest
Harvested but
not Used
198 (15.7%)
before
Retrieval
81 (6.4%)
Not Harvested
due to Medical
Reasons
310 (24.6%)
Transplanted
671 (53.1%)
Technical
Reasons
3 (0.2%)
Total: 1263
87
10
Heart Transplantation - 2012
A total of seventy four (74) consented cases were obtained for heart donation in the year 2012
(79.6% of the total consented cases). Twenty two (22) whole hearts were harvested and
transplanted. Nineteen (19) whole hearts at King Faisal Specialist Hospital, Riyadh and three (3)
at Prince Sultan Military Medical City, Riyadh, in addition to twenty four (24) hearts harvested to
be used as a source for valves; all were given to King Faisal Specialist Hospital, Riyadh.
Twenty Eight (28) hearts were consented for donation but not harvested for the following
reasons:
·
Unfit donor due to medical reasons (sepsis, donor history, medical condition) (4)
cases.
·
Technical reasons (transportation and logistics) (1) case.
·
No recipients (4) cases.
·
Not offered (limited time) (12) cases.
·
Bad echo result, Low Ejection Fraction (3) cases.
·
Positive culture results (blood, sputum, etc) (1) case.
·
Further diagnostic test unavailability (cardiac catheterization) (1) case.
·
Sudden cardiac arrest (2) cases.
Donor Heart Valve Procurement and Utilization in the Year 2012
Aortic Valve
Pulmonary Valve
Collected
24
24
Used
5
19
Still to be used
0
0
Discarded
19
5
88
Heart Transplantation
1986-2012
52
Whole Heart: 228
Heart for Valves: 564
39
38
36
35
33
32
31
29
29
27
26
23
23 2224
20
19 19
22
19
19
17
15
12
8
9
13
12
9
5
6
8
7
3
5
5
6
4
5
3
3
1
4
2
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
1
12
Hearts from Deceased Donors
1986-2012
Transplanted
Whole Hearts
228 (16%)
Not Consented
for Heart
Retrieval
204 (14%)
Not Harvested
Hearts after
obtaining
Consent
427 (30%)
Hearts as Source of
Valves 564(40%)
Total = 1423
89
Lung Transplantation – 2012
There were a total of seventy one (71) consents obtained for lung donation for the year 2012
(76%) of the total consented cases for organ donation. Of which, twelve (12) cases were
harvested and transplanted by King Faisal Specialist Hospital and Research Center, Riyadh. It is
worth mentioning that for the first time; single lung donor was transplanted for two recipients in
two (2) cases and ten (10) were utilized as double lung transplantation.
Harvested
Donor
12
Transplanted per lung / recipient year 2012
Transplanted Organ
Transplant
Recipient / Operations
Single Lung
Double Lung
4
20
14
Among the seventy one (71) consents obtained for lung donation, 59 of which were not harvested
due to the following reasons:
1. Young and old age (6 cases)
2. Arrested before harvesting (4 cases)
3. Technical reasons (4 cases)
· No medevac
· Recipient refuse to be transplanted
· Recipient unavailable
· No surgeon
4. Medical reasons or unfit (12 cases)
· Hepatitis C positive (1 case)
· Lung infiltration (3 cases)
· Atelectasis (1)
· Hemorrhage seen during bronchoscopy (1 case)
· Asthma (1 case)
· Long stay in ICU with MRSA positive (1 case)
· Pus seen during bronchoscopy (2 cases)
· Severe pulmunary hypertension (1 case)
· Neurocysticercosis (1 case)
5. Low PO2 after challenge test (18 cases)
6. Low PO2 after challenge test with pus and/or pneumonia during
bronchoscopy (5 cases)
7. No suitable recipient (8 cases)
8. Not offered, donor unstable (1 case)
9. Unable to do challenge test, donor unstable (1 case)
90
Lung Transplantation in Kingdom of Saudi Arabia
Hospital Name
No. of Transplant Operation
4 (1991-1994)
45 (Since 1996)
12 (Since 2001)
Total lungs transplanted - 94
Total lungs transplant patient – 61
Lung Transplantation
1991-2012
2005
2004
2003
2001-2002
1996
1991-1994
4
1
2012
3
1
2011
6
2009
5
4
2008
4
2006
4
19
2010
24
19
Total Lungs Transplanted: 94
Lung Donation in Deceased Cases year 2012
Not Consented
Retrieved Cases
for Lung
Retrieval
22 (24%)
12 (13%)
Arrested before
Retrieval
4 (4%)
Not Retrieved
Not Retrieved
Cases due to
Medical Reasons
51 (55%)
for Technical
Reasons 4 (4%)
Total = 93
91
Bone Transplantation - 2012
Bone donation program from deceased donors started in the kingdom in the year 2009 at King Faisal
Specialist Hospital and Research Center – Riyadh. At present, bone harvesting goes along with multi-organ
retrieval team from actual deceased donor from central region.
In the year 2012, six (6) consented and harvested cases (6.5%) for bone donation were acquired from 93
consented cases. Out of which, 17 types of bones were retrieved and 8 musculoskeletal tissues.
The table and graph below illustrates the total number and type of bone harvested during the year 2009 –
2012.
Bone Type
Femur
Tibia and Fibula
Pelvic
Humerus
Radius and Ulna
Total:
Number of Retrieved Bones
38
34
4
2
2
80
Bone Harvesting Activity in Saudi Arabia
2009-2012
29
21
17
13
2009
2010
2011
Total Bones Harvested: 80
92
2012
Cornea Transplantation – 2012
Corneal donation program (as a tissue) is currently harvested along with multi - organ retrieval
from actual deceased heart beating organ donors.
In the year 2012, consent for corneal donation was obtained in 30 eligible deceased organ donors
(32 %) of total consented cases. (8) Cases were harvested while the remaining (22) were not
harvested for the following reasons:
·
Eye trauma / bad cornea (3) cases.
·
Hepatitis B core antibody positive (4) cases
·
Positive results on cultures (6) cases.
·
Not offered (6) cases
·
No available Hepatitis B core result or culture report (3) cases.
The King Khalid Eye Specialist Hospital – Riyadh, being the most active corneal transplant in the
kingdom have a 444 patients from their waiting list. The hospital also harvested 16 corneas from
the kingdom’s organ donation program, out of which 5 were already transplanted. In addition,
1209 corneas were also transplanted through corneas imported from outside KSA. The institution
also distributed 675 to other corneal transplant center.
The Eye Hospital – Jeddah records 107 waiting lists for the year 2012. They have a total of 65
numbers of transplanted foreign corneas. King Abdulaziz University Hospital – Riyadh on the
other hand, listed 45 patients for corneal transplant. They have a total of 74 corneal transplants for
the year 2012.
3150
Corneal Transplantation
1983-2012
1577
945
1209
1578
1366
1344
1005
1167
941
1133
946
931
800
741
642
731
840
843
16
24
15
32
23
17
44
31
21
19
38
93
16
26
53
34
48
49
62
36
355
380
23
13
14
9
350
693
Harvested Abroad: 23667
Harvested Locally: 663
Harvesting/Transplantation Activities from Organ Sharing Program
between the Kingdom and other Countries* (1996-2012)
Harvested/Transplanted Organs
Year
Total Harvested/
Transplanted Organs
Kidneys
Liver
Whole Heart
Heart for Valves
Lungs
1996-2000
6/6
19/14
4/4
11/11
1/1
41/36
2001
13/12
3/3
-
1/1
-
17/16
2002
2/2
2/2
-
2/2
-
6/6
2004
6/6
6/5
1/1
4/4
-
17/16
2005
7/7
13/10
1/1
12/12
4/2
37/32
2006
6/3
12/8
-
7/7
-
25/18
2007
2/2
14/13
1/1
2/2
-
19/18
2008
6/5
12/11
-
-
-
18/16
2009
2/2
5/5
-
1/1
-
8/8
2010
2/2
10/10
-
-
-
12/12
2011
4/3
5/3
1/1
-
-
10/7
2012
6/3
13/10
-
7/7
10/10
36/30
Total
62/53
114/94
8/8
47/47
15/13
246/215
*Kuwait, Qatar, Bahrain and Spain
Organ Sharing Program between the Kingdom and
other Countries (1996-2012)
Year
Country
Deceased Shared Organs
1996-1999
Kuwait
31
2000
Spain
5
2001
Spain / Kuwait
16
2002
Kuwait
6
2004
Kuwait / Qatar
16
2005
Kuwait / Qatar
32
2006
Kuwait / Qatar
18
2007
Kuwait / Qatar / Bahrain
18
2008
Kuwait / Qatar
16
2009
Kuwait / Qatar
8
2010
Kuwait / Qatar / Bahrain
12
2011
Kuwait / Qatar
7
2012
Kuwait / Qatar
Total
30
215
94
Cost of Organ and Tissue Transplantation Inside and Outside
the Kingdom for year 2012 (Million SR) Bone is not added
Total Organs/Tissues: 271
Kidney
Liver
Whole Heart
Lungs
Heart for
Valves
Cornea
No. of Organs
118
50
22
24
24
16
17
Cost Inside KSA
5.9
17.5
11
12
7.2
0.064
0.34
Cost Outside KSA
59
100
44
48
12
0.192
1.02
Bones
The figure shows cost of transplant for different organs (Kidney, Liver, Heart, etc ) and the amount of saving when
comparing inside and outside organ transplantation
Comparison of Estimated Total Cost of Organs and Tissues
Transplanted Inside and Outside the Kingdom for Year 2012
(Million SR)
Total Cost Inside KSA
54.004
264.212
Total Cost Outside KSA
Estimated Total Saving – 210.208 Million SR
95
Deceased Organ Donation Program
Total Number of Deceased Organs Transplanted
1986-2012
2467
671
663
564
228
Kidneys
Liver
Whole
Heart
94
19
Lungs
Pancreas
80
Corneas
Heart for
Valves
Bones
Total Deceased Organs and
Tissues Transplanted in KSA (1986 – 2012)
59
57
210
214
2011
2012
61
49
256
2010
246
185
2009
2008
2007
189
69
139
2005
2006
218
51
128
92
2003
2004
43
65
2001
113
33
45
101
72
2000
1999
96
71
110
1998
SCOT
2002
71
86
119
1997
69
75
117
1996
1995
65
96
98
75
183
32
211
1994
13
111
74
1992
1993
9
14
85
70
65
1991
62
1989
1987
1988
0
29
1986
1990
NKF
73
Tissues (Corneas, Heart for Valves, Bones): 1308
Organs (Kidneys, Liver, Whole Heart, Pancreas, Lungs): 3470
Appendices
97
Appendix I
Responsibilities of the Saudi Center for Organ Transplantation
(SCOT)
Co-ordination of medical care facilities offered to patients with end-stage organ failure by
various health agencies in the Kingdom and supervising organ transplant programs as
well as follow-up of the application of the procedures related to them.
Co-ordination and follow-up of all brain-death cases from different hospitals in the
Kingdom as well as harvesting and distribution of organs.
Taking care of public health education through mass media and other similar means.
Preparing training programs and convening scientific meetings for all personnel in the
field of organ transplantation.
Publication of scientific bulletins as well as exchange of information with international
centers in the field of organ transplantation.
Conducting studies and research on the diseases that lead to end-stage organ failure to
enable the authorities to provide better health care to these patients.
Laying down criteria concerning establishment of organ transplant centers as well as
continued evaluation of these centers.
98
Appendix II
General Regulations for Organ Transplantation
in the Kingdom of Saudi Arabia
Based on the letter of the Head of the Council of Ministers No. 7/1561/M dated
19/05/1404 H addressed to the Minister of Health, it was approved to establish the
National Kidney Foundation under the supervision of a Committee chaired by the
Minister of Health with membership of representatives from the Presidency of the
National Guard, Ministries of Defense and Aviation, Higher Education and Health as
well as King Faisal Specialist Hospital and Research Center. The committee was
entrusted with the responsibility of determining the objectives and activities of the
National Kidney Foundation and to assume the responsibilities and duties necessary for
its initiation and functioning. Several scientific committees have been established in
accordance with the decision of the Deputy Minister for Executive Affairs, Ministry of
Health to carry out these responsibilities. These Committees include Brain-Death
Committee, Kidney Transplant Committee, Hemodialysis Committee, Peritoneal Dialysis
Committee and Computer Committee.
With the increase of activities of the center and the need to co-ordinate care of other endstage organ diseases (heart, lung, pancreas, liver and cornea), the Council of Ministers
Resolution No. 80 dated 20/06/1413 H was issued to rename National Kidney Foundation
as Saudi Center for Organ Transplantation. Based on that resolution, many new
committees were established each including official representatives from the above
mentioned institutions. These committees were Cardiac Transplant Committee, Liver
Transplant Committee, Lung Transplant Committee and Cornea Transplant Committee.
After convening intensive meetings, these committees have laid down the regulations that
follow.
The Saudi Center for Organ Transplantation is the sole authority responsible for cocoordinating and supervising all aspects related to organ transplantation and brain-death
in the Kingdom. The general regulations which all hospitals and organ transplant centers
should follow have been put forward. They are:
All potential brain-death cases should be reported directly to the Saudi Center for Organ
Transplantation.
99
Each hospital in the Kingdom should establish local committees which are responsible
for matters pertaining to brain-death cases and organ transplantation in the respective
hospital as follows:
Brain-death committee: This committee should comprise of an internist, an
administrative director or equivalent, and a brain-death co-ordinator. This committee is
responsible for follow-up of all matters related to brain-death cases and their reporting.
The committee also submits proposals for developing the brain-death program in its
region to the Saudi Center for Organ Transplantation. The responsibilities of the braindeath co-ordinator are to report brain-death cases to the Saudi Center for Organ
Transplantation and to update follow-up information about these cases continuously. He
should arrange for sending all necessary blood samples to the laboratory to ensure the
fitness of brain-death organs and act as the liason between the Saudi Center for Organ
Transplantation and the organ transplant center to which his hospital is attached.
Convincing committee: This committee is formulated by the Hospital Director, its
responsibilities being to approach the family and relatives of the brain-death case for the
purpose of obtaining their consent for organ donation.
Documentation of brain-death is done in accordance with the steps laid down in the
Brain-death Documentation Form, and according to special procedures that have been
laid down by the Brain-Death Committee in the Saudi Center for Organ Transplantation.
If the brain-dead patient is a female, it should be ensured that she is not pregnant and if
so, organ donation is not considered at all except when there is fetal death. Also, no
member of the medical team involved in the transplantation of organs should participate
in the diagnosis of brain-death.
Consent for organ donation should be obtained from the heritors of brain-death case
whether they are inside or outside the Kingdom and in accordance with the special
consent form, except if the deceased has expressed his desire to donate organs, when
alive in this will that has been attested by the tribunal. If the brain-death case is
unidentified the consent of the official specialized organization should be obtained before
harvesting is performed.
100
The hospitals should co-ordinate with the Saudi Center for Organ Transplantation before
performing any organ harvesting to enable beneficial distribution of the organs in
accordance with the regulations in this booklet.
Organ harvesting should be performed in the same hospital where brain-death is
diagnosed and no case could be transferred to another hospital except when there is an
absolute necessity. The hospital in which brain-death was diagnosed is responsible for
issuing the death certificate.
When brain-death is confirmed and consent is obtained from the family for organ
donation, distribution and transplantation of the organs should be carried out as laid down
in the regulations concerning each organ.
Before performing living related transplantation the following conditions should be
fulfilled.
Blood relationship till the second degree should exist or the donor should be wet mother
or her children, or spouse (except for transplantation of bone marrow). These
relationships should be attested by official specialized organizations.
Donor should be in good health and it should be ensured that organ donation will not be
harmful to the donor or recipient. Transplantation of single organs on which life of the
donor is dependent is prohibited.
Organ donation should be accepted by the donor without any social or financial pressure.
Organ donation should be on written consent and signed by the donor who has the right
to change his mind at any time before surgery.
Relevant medical examination should be performed as laid down in these regulations.
The donor should be informed about all possible and probable hazards resulting from
organ removal and this should be documented in his medical file.
An organ transplant co-ordinator should be assigned in each organ transplant center
entrusted with the following responsibilities.
Acts as liaison between the Saudi Center for Organ Transplantation and the organ
transplant center.
101
Reporting the names of all patients fit for transplantation to the Saudi Center for Organ
Transplantation in order to include them in the national waiting list as well as preparation
of a local waiting list for each organ transplant center, according to priority regulations
for each organ.
Co-ordination with the Saudi Center for Organ Transplantation when there is a braindeath case in any of the hospitals affiliated to his center and extending assistance as
needed.
Informing the Saudi Center for Organ Transplantation when a suitable patient fit for
transplantation is not available in the local waiting list.
In every hospital, other than the organ transplant center an organ transplant coordinator
should be assigned to send the update all information related to patients with end-stage
organ failure (kidney, heart, liver lung etc.) who are fit for transplantation in accordance
with special forms issued for this purpose. A second person should be appointed to
continue duties when he is absent.
Each hospital and organ transplant center should send a list of the names of end-stage
organ failure patients to the Saudi Center for Organ Transplantation which is turn
establishes national and local waiting lists for each organ transplant in accordance with
priority regulations. This waiting list is sent back to organ transplant centers to act
accordingly.
Each transplant center should provide reports and statistics of organ transplant recipients,
both from living related and cadaveric donors, every three months to the Saudi Center for
Organ Transplantation in accordance with the special forms of transplant follow-up.
All kidney transplant centers have to carry out their responsibilities towards the patients
in the areas which are under their sin accordance with the established regulations.
Evaluation of organ transplant centers is done every two years by specialized scientific
committees in each respective filed and in accordance with the criteria laid down by the
Saudi Center for Organ Transplantation.
102
Ref: 328025/11
Date: 17/12/1432H
13/11/2011G
Important Memo
His Excellency the Director of the National Guard Health Affairs
His Excellency the Executive Administrator of the General Organization
King Faisal Specialist Hospital and Research Center
Deputy Minister of Higher Education
His Excellency Deputy Minister for Executive Affairs
His Excellency Director General of Medical Services of the Armed Forces
Director General of Security Forces Hospital Program
Due to the importance of supporting the national program for organ donation and transplantation
and the large increase in the number of patients on waiting lists for transplantation and the
resulting health and social burden on the patients and financial burden on different health sectors ,
I appeal to the staff in all hospitals and especially those in the intensive care units, emergency
departments, neurology and neurosurgical departments, and all relevant departments to cooperate
with the Saudi Center for Organ Transplantation of the administration of each hospital to
fulfill the following:
1. Early Notification of cases of brain death to Saudi Center for Organ
Transplantation and considering that as the core tasks of intensive care physicians
and other relevant departments.
2. Support for organ donation in the hospital and put the appropriate plan with the
Saudi Center for Organ Transplantation for optimizing cases of organ donation
after death and overcome the obstacles faced by.
3. Facilitate continuous communication of medical and administrator coordinators
inside the hospitals with intensive care units and emergency departments and
relevant departments with respect to the organ donation and transplantation
program.
DR. ABDULLAH BIN ABDELAZIZ AL RABEEAH
Minister of Health
Chairman of the Health Services Council
103
OFFICIAL STATEMENT OF THE NATIONAL COMMITTEE FOR THE DIAGNOSIS OF
DEATH BY NEUROLOGICAL CRITERIA AND VENTILATOR SYSTEM.
STATEMENT
The members of National Committee for diagnosis of death by Neurological Criteria held a meeting in
Saudi Center for Organ Transplantation (SCOT) on Sunday 31/01/2010 (23/11/1431H) to discuss what has
been published recently in the media about the reluctance of some medical doctors on the “fatwa” on
removing the ventilator machine from brain dead case where some consider it as killing a person.
Accordingly the following steps were done by the committee:
·
Review of these articles and international global scientific publications emerging on the subject.
·
Review of the medical ethics of diagnosis of death by neurological criteria.
·
Review the legal opinion “Fatwa” issued within the Kingdom of Saudi Arabia (Senior Ulama
Commission) or abroad, especially the resolution of the Council of Islamic Jurisprudence on
Resuscitation Apparatus.
Hence, we have decided unanimously the following:
1.
The diagnosis of death by the time was, and continues to be a medical decision made by the
experienced professionals.
2.
The concept of brain death based on evidence has not undergone any recent disputing developments
both in the definition or diagnosis using the Saudi protocol. Moreover, the protocol used within the
Kingdom of Saudi Arabia is one of the most demanding protocols in the world.
3.
According to the diagnosis of brain death by neurological criteria using the strict scientific protocol, the
deceased person reaches the point of no return and no chance that he will regain his life.
4. It is permissible to remove the respirator from the persons diagnosed dead by the neurological criteria
according to the scientific protocol applied in all the health institutions in the Kingdom and supervised
by the committees of ethics and medical expertise.
The National Committee For The Diagnosis Of Death By Neurological Criteria
Dr. Mohammad Zuheir Alkawi
Dr. Abdullah Turki
Chairman,
Senior Consultant Neurologist
King Faisal Specialist Hospital & Research Center, Riyadh
Consultant Pediatric Intensivist,
Director, Pediatric Critical Care Unit
King Faisal Specialist Hospital & Research Center, Riyadh
Dr. Mohammed Al-Bar
Dr. Mohammad Ibrahim Almajeed
Consultant, Islamic Medicine
King Abdul Aziz University - Jeddah
Consultant Anesthesiologist,
King Khalid University Hospital – Riyadh
Dr. Nabil Biary
Dr. Awad Addasi
Consultant, Neurologist
Consultant Intensivist,
This statement is approved by the Saudi Society of Critical Care (SCCS):
Dr. Yasser Mandourah
Dr. Amin M. Yousef
Head, Saudi Society of Critical Care
Head, Intensive Care Unit
Deputy Head, Saudi Society of Critical Care
Head, Intensive Care Unit
King Saud Medical Complex , Riyadh
104
Appendix V
Purport of the Senior Ulama Commission
Decision No. 99 Dated 06-11-1402 H
The board unanimously resolved the permissibility to remove an organ, or a part thereof
from a Moslem or Thimmi living person and graft it onto him, should the need arise,
should there be no risk in the removal and should the transplantation seem likely
successful.
The board also resolved, by majority the following:
The permissibility to remove an organ or part thereof from a dead person for the
benefit of a Moslem, should the need arise, should the removal cause no harm and
should the transplantation seem likely successful.
The permissibility for the living person to donate one of his organs or part thereof
for the benefit of a Moslem in need thereof.
Senior Ulama Commission.
105
Appendix VI
Resolution of the Council of Islamic Jurisprudence
on Resuscitation Apparatus
Decision No. (5) D 3/07/86
The council of Islamic Jurisprudence in its third meeting held in Amman, capital of
Jordan from 8 to 13 Safar 1407 H corresponding to 11 to 16 October 1986 and after
discussing all relevant aspects of resuscitation apparatus and after hearing the detailed
explanation from specialist doctors, decide the following:
A person is pronounced legally dead and consequently, all dispositions of the Islamic law
in case of death apply if one of the two following conditions has been established:
There is total cessation of cardiac and respiratory functions, and doctors have ruled that
such cessation is irreversible.
There is total cessation of all cerebral functions and experienced specialized doctors have
ruled that such cessation is irreversible and that brain has started to undergo autolysis.
In this case, it is permissible to take the person off resuscitation apparatus, even if the
function of some organs e.g., heart are still artificially maintained.
106

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