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How Spain Reached 40 Deceased Organ Donors per Million Population
R Matesanz1, B Domínguez-Gil1, E Coll1
1Organización Nacional de Trasplantes, Madrid, Spain.
Summary
Spain leads globally in organ donation and transplantation, achieving 40 donors per million population. This success is driven by innovative strategies addressing declining brain deaths and evolving end-of-life care, enhancing organ procurement and public support.
Area of Science:
- Transplantation Medicine
- Public Health Policy
- Organ Donation Systems
Background:
- Spain is a global leader in organ transplantation, with 40 donors/million population in 2015.
- The success occurs despite declining brain death rates and changing end-of-life care practices.
- A strategic plan was developed to maintain and enhance organ donation rates.
Purpose of the Study:
- To describe the organizational approach and specific actions taken in Spain to optimize organ donation.
- To analyze the impact of these strategies on donation and transplantation activities.
- To address challenges posed by declining brain death and evolving end-of-life care.
Main Methods:
- Implementation of the "40 donors per million population" plan.
- Focus on early donor identification outside intensive care units (ICUs).
- Expansion of criteria for donor selection and development of donation after circulatory death (DCD) protocols.
Main Results:
- Systematic identification and transition of donation opportunities.
- Increased public support for organ donation after death.
- Successful adaptation to changing medical and societal landscapes impacting donation.
Conclusions:
- Spain's organizational model is highly effective in maximizing organ donation and transplantation.
- Proactive strategies, including DCD and expanded criteria, are crucial for sustained success.
- The Spanish approach offers a valuable framework for other countries facing similar challenges.
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