Nav: Home

How Spain achieved a remarkably high rate of deceased organ donation

January 09, 2017

Spain is leading the world in deceased organ donation. A new article published in the American Journal of Transplantation contains important information that can help other countries learn from the success of the Spanish system to help address the worldwide problem of transplant organ shortages.

In the United States, nearly 120,000 people need a lifesaving organ transplant, and every ten minutes, someone is added to the national transplant waiting list. Due to organ shortages in the United States and around the world, many individuals die or experience a poor quality of life while on transplant waiting lists.

In 1989, the Spanish Ministry of Health created the Organización Nacional de Trasplantes (ONT), a technical agency in charge of the coordination and oversight of donation and transplantation activities in Spain. It created a model of coordination in deceased donation that made the country evolve from 15 donors per million population to more than 30 per million population in less than a decade. The so-called Spanish model relies on the designation of appropriate professionals (mostly intensive care doctors) to make donation happen when a patient dies in conditions that allow organ donation. These professionals are supported in their work by ONT and regional coordination offices.

The Spanish model also makes it a priority to identify donation opportunities not only in intensive care units, but also in emergency departments and hospital wards. In addition, it considers organ donation from persons over the age of 65 years. (While only seven percent of organ donors are over the age of 65 years in the United States, ten percent of organ donors in Spain are over the age of 80.) Furthermore, the model has considered donation after circulatory death, in which circulation, heartbeat, and breathing have stopped (as opposed to brain death, in which all the functions of the brain have stopped), even in the setting when death follows a sudden cardiac arrest in the street.

"The most important success is that the system has made organ donation be routinely considered when a patient dies, regardless of the circumstances of death," said ONT's Beatriz Domínguez-Gil, MD, PhD, co-author of the article highlighting the Spanish Model's impact. "Professionals attending to these patients in our country consider that, in caring for patients at the end of their lives, it is their duty to systematically explore their wishes with regards to donating organs upon their death."

Lead author Rafael Matesanz, MD, PhD, who is the director of ONT, highlighted that "good organization in the process of deceased donation and continuous adaptations of the system to changes are always the basis of successful results in organ donation". He noted that the elements and strategies of the Spanish model might be applicable to other countries, with some adaptations depending on the way organ donation is organized, the type of healthcare system in place, and other factors.
-end-
For more information or to obtain a PDF of any study, please contact:

Dawn Peters (US)
+1 781-388-8408
sciencenewsroom@wiley.com
Follow us on Twitter @WileyNews

Full Citation

"How Spain reached 40 deceased organ donors per million population." Rafael Matesanz, Beatriz Domínguez-Gil, Elisabeth Coll, Beatriz Mahíllo, and Rosario Marazuela. American Journal of Transplantation; Published Online: January 9, 2017 (DOI: 10.1111/ajt.14104).

URL Upon Publication: http://doi.wiley.com/10.1111/ajt.14104

Author Contact

Matilde Duque, of the Organización Nacional de Trasplantes' press office, at mduque@msssi.es.

About the Journal

American Journal of Transplantation (AJT) is the official journal of the American Society of Transplantation (AST) and the American Society of Transplant Surgeons (ASTS). This #1 ranked transplantation journal serves as a forum for debate and re-assessment and is a major platform for promoting understanding, improving results and advancing science in this dynamic field. Published monthly, AJT provides an essential resource for researchers and clinicians around the world. Find out more at http://www.amjtransplant.com.

About Wiley

Wiley, a global company, helps people and organizations develop the skills and knowledge they need to succeed. Our online scientific, technical, medical, and scholarly journals, combined with our digital learning, assessment and certification solutions help universities, learned societies, businesses, governments and individuals increase the academic and professional impact of their work. For more than 200 years, we have delivered consistent performance to our stakeholders. The company's website can be accessed at http://www.wiley.com.

Figure: Solid organ transplant activity (number of recipients of solid organ transplants per million population) in the world. Transplants from living and deceased organ donors. The absolute number of transplant procedures is shown in brackets. Year 2015. Source: WHO-ONT Global Observatory on Organ Donation and Transplantation.

Wiley

Related Transplantation Articles:

Study provides clues to improving fecal microbiota transplantation
Results from a placebo-controlled trial provide a strategy for improving fecal microbiota transplantation (FMT) for patients with recurrent Clostridium difficile infection.
Brazil faces major challenges in liver transplantation
A recent analysis indicates that more than 1,700 liver transplantations are performed annually in Brazil.
These days fecal transplantation is no joke
Fecal transplants are increasingly being used to treat certain human illnesses and there has been a dramatic increase in animal experiments involving fecal material.
Transplantation and cell therapy
Key leaders in the field of cellular therapy will highlight new applications to potentially cure patients with blood diseases and infections on the occasion of the 5th Cell Therapy Day.
Elsevier announces the launch of Transplantation Reports
Elsevier, a world-leading provider of scientific, technical, and medical information products and services today announces the launch of Transplantation Reports, a new online-only open access journal covering all areas of transplantation.
Common cause for complications after kidney transplantation identified
The BK polyomavirus often causes complications after kidney transplantation. The research group of Professor Hans H.
Uterine transplantation: Subjects have 'adjusted well to their new life situation'
In October last year the Gothenburg, Sweden, group of Mats Brannstrom announced the world's first live birth following the transplantation of a donated uterus.
The road to successful uterus transplantation to restore fertility
Swedish clinicians recently reported the first live birth after uterus transplantation, which was followed by two more uneventful births and another pregnancy that is near term.
After lung transplantation: Go back to work and feel better
In an original article in Deutsches Ärzteblatt International, Hendrik Suhling and coauthors report the findings of the first study ever performed in Germany on the percentage of lung-transplant patients who resume employment after transplantation and the reasons that keep the others from going back to work.
Size of biomarker associated with improved survival following transplantation
Among patients with severe aplastic anemia who received stem cell transplant from an unrelated donor, longer leukocyte (white blood cells) telomere length (a structure at the end of a chromosome) was associated with increased overall survival at five years, according to a study in the Feb.

Related Transplantation Reading:

Handbook of Kidney Transplantation
by Dr. Gabriel M. Danovitch MD (Author)

Textbook of Organ Transplantation Set
by Allan D. Kirk (Editor), Stuart J. Knechtle (Editor), Christian P. Larsen (Editor), Joren C. Madsen (Editor), Thomas C. Pearson (Editor), Steven A. Webber (Editor)

Hematopoietic Stem Cell Transplantation: A Manual for Nursing Practice (Second Edition)
by S. A. Ezzone (Author)

Transplantation of the Liver
by Ronald W. Busuttil MD PhD (Author), Goran B. Klintmalm MD PhD (Author)

Manual of Stem Cell and Bone Marrow Transplantation
by Joseph H. Antin (Author), Deborah Yolin Raley (Author)

Lung Transplantation: Evolving Knowledge and New Horizons
by Ganesh Raghu (Editor), Roberto G. Carbone (Editor)

Kidney Transplantation - Principles and Practice: Expert Consult - Online and Print (Morris,Kidney Transplantation)
by Stuart J. Knechtle MD FACS (Author), Peter J Morris MD PhD FRS FRCS (Author)

Clinical Guide to Heart Transplantation
by Jon Kobashigawa (Editor)

Quick Guide to Kidney Transplantation
by Dr. Phuong-Chi T. Pham MD (Author), Dr. Phuong-Thu T. Pham MD (Author)

Transplantation Ethics
by Robert Veatch (Author), Lainie Friedman Ross (Author)

Best Science Podcasts 2019

We have hand picked the best science podcasts for 2019. Sit back and enjoy new science podcasts updated daily from your favorite science news services and scientists.
Now Playing: TED Radio Hour

Bias And Perception
How does bias distort our thinking, our listening, our beliefs... and even our search results? How can we fight it? This hour, TED speakers explore ideas about the unconscious biases that shape us. Guests include writer and broadcaster Yassmin Abdel-Magied, climatologist J. Marshall Shepherd, journalist Andreas Ekström, and experimental psychologist Tony Salvador.
Now Playing: Science for the People

#513 Dinosaur Tails
This week: dinosaurs! We're discussing dinosaur tails, bipedalism, paleontology public outreach, dinosaur MOOCs, and other neat dinosaur related things with Dr. Scott Persons from the University of Alberta, who is also the author of the book "Dinosaurs of the Alberta Badlands".