Elsevier

Transplantation Proceedings

Volume 41, Issue 8, October 2009, Pages 3453-3456
Transplantation Proceedings

Organ and tissue donation-societal aspect
The 40 Donors Per Million Population Plan: An Action Plan for Improvement of Organ Donation and Transplantation in Spain

https://doi.org/10.1016/j.transproceed.2009.09.011Get rights and content

Abstract

Introduction

Spain has been showing the highest rate of deceased donor organ recovery in the world for a whole country, namely, 33–35 donors per million population (pmp) during the last years. This activity is attributed to the so-called Spanish Model of organ donation, an integrated approach to improve organ donation since the start of the Organización Nacional de Trasplantes (ONT) in 1989. However, in 2007 there were 7/17 regions with >40 donors pmp and a marked regional variability. Thus, ONT has set a large-scale, comprehensive strategy to achieve a substantial improvement in donation and transplantation in Spain in the coming years: The 40 Donors pmp Plan.

Purpose and Scope

The overall objective is to increase the average rate of deceased donors to 40 pmp between 2008 and 2010. The areas of improvement, specific objectives, and actions have come from deep reflection on the data and the material generated from multidisciplinary discussions and open consultation with the donation and transplantation community.

Key Areas Selected for Action

Detection and management of brain-dead donors, with 4 specific subareas: access to intensive care units, new forms of hospital management, foreigners and ethnic minorities, and evaluation/maintenance of thoracic organ donors. Expanded criteria donors, with 3 subareas: aging, donors with positive tests to certain viral serologies, and donors with rare diseases. Special surgical techniques. Donation after cardiac death.

Section snippets

Purpose and Scope

As a general objective, the 40 Donor pmp Plan seeks to increase the average rate of deceased donors to 40 pmp between 2008 and 2010. It should be noted that living donation activity would also be further augmented.

The areas of improvement, the goals, and the actions are all integrated within the framework of the 40 Donors pmp Plan, based upon a deep reflection of analyzed data and material generated from multidisciplinary conferences and discussions at symposia organized ad hoc by the ONT as

Key Areas for Action

The identified and selected actions for improvement for this action plan are as follows.

References (12)

There are more references available in the full text version of this article.

Cited by (68)

  • Allocation of liver grafts worldwide – Is there a best system?

    2019, Journal of Hepatology
    Citation Excerpt :

    Liver transplantation started in Spain in 1984, currently involving 24 centers, 5 of which include a pediatric LT program. More than 1,000 LT/year are performed in Spain, which translates in the highest European transplant rate (25 pmp) and one of the highest European organ donation rates (39.7 pmp), with an increasing trend over time.39 Since 2008, a nationwide plan has been put in place to identify potential donors to be referred to appropriate ICUs.

  • Transplant Programs Worldwide and the Spanish Miracle

    2017, Kidney Transplantation, Bioengineering, and Regeneration: Kidney Transplantation in the Regenerative Medicine Era
View all citing articles on Scopus
View full text