Spanish experience as a leading country: what kind of measures were taken?
- 6 January 2011
- journal article
- review article
- Published by Frontiers Media SA in Transplant International
- Vol. 24 (4), 333-343
- https://doi.org/10.1111/j.1432-2277.2010.01204.x
Abstract
A recent call for self‐sufficiency in transplantation issued by the WHO faces variable worldwide activity, in which Spain occupies a privileged position, with deceased donation rates of 33–35 per million population (pmp) and 85 transplants pmp. An evaluation of current challenges, including a decrease in deaths because of traffic accidents and cerebrovascular diseases, and a diversity of cultures in Spain, has been followed by a comprehensive strategy to increase organ availability. Actions include an earlier referral of possible donors to the transplant coordination teams, a benchmarking project to identify critical success factors in donation after brain death, new family approach and care methods, and the development of additional training courses aimed at specific groups of professionals, supported by their corresponding societies. Consensus documents to improve knowledge about safety limits for organ donation have been developed to minimize inappropriate discarding of organs. Use of organs from expanded criteria donors under an ‘old for old’ allocation policy has resulted from adaptation to the progressive decline of optimal organs. National strategic plans to deal better with organ shortage, while respecting solid ethical standards, are essential, as reflected in the WHO Guiding Principles and the Istanbul Declaration on Organ Trafficking and Transplant tourism.This publication has 23 references indexed in Scilit:
- A Colloquium on the Congress “A Gift for Life. Considerations on Organ Donation”Transplantation, 2009
- Liver transplantation using uncontrolled non-heart-beating donors under normothermic extracorporeal membrane oxygenationLiver Transplantation, 2009
- Long-Term Consequences of Kidney DonationThe New England Journal of Medicine, 2009
- The Spanish National Transplant Organization (ONT) Tumor RegistryTransplantation, 2008
- Prospective Age-Matching in Elderly Kidney Transplant Recipients—A 5-Year Analysis of the Eurotransplant Senior ProgramAmerican Journal of Transplantation, 2007
- Effect of Population Aging on the International Organ Donation Rates and the Effectiveness of the Donation ProcessAmerican Journal of Transplantation, 2007
- Factors influencing the adaptation of the Spanish Model of organ donationTransplant International, 2003
- Donor characteristics associated with reduced graft survival: an approach to expanding the pool of kidney donors1Transplantation, 2002
- THE PANORAMA EFFECT ON ALTRUISTIC ORGAN DONATIONTransplantation, 1996
- High Survival Rates of Kidney Transplants from Spousal and Living Unrelated DonorsThe New England Journal of Medicine, 1995