Objectives: To describe and analyze data from the 2024 Brazilian Transplant Registry, comparing it with previous years and projected goals, as well as evaluating Brazil’s position in the global transplantation scenario. Methods: Descriptive analysis of data from the 2024 Brazilian Transplant Registry, published by the Brazilian Association of Organ Transplantation (ABTO), focusing on donation rates, transplants performed by organ type, regional distribution, and international comparisons. Results: In 2024, Brazil performed 26,509 transplants, including 6,297 kidney, 2,449 liver, 440 heart, 93 lung, 141 pancreas, and 17,089 cornea transplants. There was an increase in the absolute number of all types of transplants compared to 2023, but the rates per million population (pmp) were below the projected goals. The notification rate of potential donors (71.0 pmp) reached the expected target, but the donation effectiveness rate (27%) was below the expected rate (30%), mainly due to high family refusal (46%). Brazil ranks fourth worldwide in absolute number of kidney and liver transplants, but holds intermediate positions when analyzing pmp rates. Significant regional disparities persist, with the Southern region leading in various indicators. Conclusion: The Brazilian transplant system has demonstrated resilience and post-pandemic recovery capacity, but still faces challenges to achieve projected goals. The high family refusal rate and regional disparities represent the main obstacles to be overcome. It is recommended to intensify awareness campaigns, improve the family interview process, strengthen organ procurement organizations, and implement specific policies to reduce regional disparities.
Ferreira et al. (Mon,) studied this question.
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