Kidneys for Life Organs from deceased donors. Prof. Dr. Yves Vanrenterghem Honorary President Eurotransplant International Foundation

Transcription

1 Kidneys for Life Organs from deceased donors Prof. Dr. Yves Vanrenterghem Honorary President Eurotransplant International Foundation

2 Beginning of the 14 th Century Museum of Arts, North Carolina, USA

3 Willem Kolff

4 Eurotransplant living donor waiting list deceased donor.

5 Kidneys procured & transplanted p.m.p. Deceased Deceased kidney donors, donors, Council Council of Europe of Europe and Eurotransplant and Eurotransplant data 2007 data 2007 room for improvement?

6 Factors impacting on donation rates Legislative environment Organizational measures Professional education Health-economic variables Cultural & religious barriers

7 Opting-out Norway Sweden Finland Danmark Ireland UK France Opting-in Portugal Greece Spain Italy Cyprus

8 Countries collaborating within Eurotransplant Netherlands Germany Belgium Luxembourg Austria Hungary Slovenia Croatia Totale populatie 120 Milion

9 Impact of legislation Opting-out Opting-in

10 Non-heart-beating-donors (NHBD) * Data from Eurotransplant ( and BVT/SBT 15.8% (1.9 organs/donor)

11 European organ exchange organizations Scandiatransplant UK Transplant AdB, France Swiss Transplant Lusotransplante ONT, Spain Eurotransplant Balttransplant Poltransplant Czechtransplant Hungarotransplant CNT, Italy HNTO, Greece

12 CROATIA 4,29 million inhabitants 33 acute care hospitals 5 transplant centers 10 transplant programs

13 Kidneys procured & transplanted p.m.p. Deceased Deceased kidney donors, donors, Council Council of Europe of Europe and Eurotransplant and Eurotransplant data 2007 data 2007

14 Source: Newsletter Transplant of the Council of Europe 2011

15 Number of Effective Donors/Donors per million in Croatia from 2000 to 2010

16 ACTIONS TAKEN TO INCREASE DONOR RATE IN CROATIA In-house coordinators nominated in each acute hospital National Transplant Coordinator appointed in the Ministry 24 hours Coordination Office established at the Ministry Training programs for coordinators have been launched New legislation adopted Donor Hospital reimbursment provided Public awareness campaign launched Croatian Donor Network (donor Card) International cooperation ET membership Donor quality assurance program MINISTRY OF HEALTH

17 History of Croatian deceased organ donation/transplant system

18 Joining EUROTRANSPLANT positively influenced Croatia s National transplant system resulting in: Improvement in organ allocation process Quality Improvements in tissue typing practice (2 labs achieved EFI accreditation) Quality improvement in transplantation practice-ongoing Decrease in loss of organs Public trust Satisfaction of patients

19 IMPORTANCE OF TRAINED ICU STAFF

20 Joining forces (Sevilla, 1994) Eurotransplant International Foundation (The Netherlands) The Partnership for Organ Donation (Boston, MA) Organización Nacional de Trasplantes (Spain) Donor Action Program

21 Mission: To increase organ and tissue donation rates for the benefit of people needing transplants. To provide leadership in hospital organ donation processes and protocols.

22 Donor Action - Status Europe Implemented on local, regional or national scale pilot country, program substituted by national initiatives implementation scheduled for 2009 no activities in but also in: -Israel -Japan -Australia -Brazil

23 DA in France - sustained effect (7 hospitals ) % % referrals retrievals 52 0 year -2 year -1 year +1 year +2 Implementation DA

24 Kidneys procured & transplanted p.m.p. room for improvement?

25 Thank you