Skip to main content
Log in

Factors influencing the adaptation of the Spanish Model of organ donation

  • Original Article
  • Published:
Transplant International

Abstract

Spain is the only existing example of a large country (40 million inhabitants) with a continuous increase in cadaveric organ donation for a period of over 10 years, and, in parallel, with an increase in the overall number of solid organ transplantations. A proactive donor detection program performed by well-trained transplant coordinators, the introduction of systematic death audits in the hospitals combined with a positive social atmosphere, adequate management of mass media relations, and adequate economic reimbursement for the hospitals accounted for this success. Some regions of Italy, for example Tuscany, have successfully adapted this approach with excellent results. We can conclude that the "Spanish Model" can be partially or totally adapted to other countries or regions if basic conditions are guaranteed. An adequate and careful study of the local characteristics that influence organ donation directly or incirectly should be carried out before planning any specific action to improve organ donor rates.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1.
Fig. 2.
Fig. 3.

Similar content being viewed by others

References

  1. First MR. Transplantation in the nineties. Transplantation 1992; 53: 1–11

    Google Scholar 

  2. Hou S. Expanding the donor pool: Ethical and medical considerations. Kidney Int 2000; 58: 1820–1836

    Google Scholar 

  3. Matesanz R. Organ procurement in Spain. The Lancet 1992; 340: 733

    Google Scholar 

  4. Matesanz R, Miranda B, Felipe C. Organ procurement in Spain: The impact of transplant coordination. Clin Transplant 1994; 8: 281–286

    Google Scholar 

  5. Matesanz R. La Organización Nacional de Trasplantes: Un año después. Nefrología 1991; 11(Suppl 1): 13–22

  6. Matesanz R, Miranda B, Felipe C, Naya T. Continuous improvement in organ donation. Transplantation 1996; 61: 1119–1121

    Google Scholar 

  7. Miranda B, Matesanz R. International issues in transplantation. Setting the scene and flagging the urgent and controversial issues. Ann N Y Acad Sci 1998; 862: 129–143

    Google Scholar 

  8. International figures on organ donation and transplantation-2000. In: Transplant Newsletter—Council of Europe. 2001; 6: 10–25

  9. Matesanz R, Miranda B. A decade of continuous improvement in cadaveric organ donation: The Spanish Model. J Nephrol 2002; 15: 22–28

    Google Scholar 

  10. Matesanz R, Miranda B. Expanding the organ donor pool. The Spanish Model. Kidney Int 2001; 59: 801–803

    Google Scholar 

  11. The Economist: Pocket world in figures. Profile books, Vicenza, 2001

  12. The Economist: Pocket Europe in Figures. Profile books, Vicenza, 2001

  13. EUROSTAT.http://europa.eu.int/co/mm/eurostat

  14. ISTAT.http://demo.istat.it/pop1/start.html

  15. U.E.M.S.http://www.uems.be

  16. Matesanz R, Miranda B, Felipe C, Fernandez M, Naya MT. The national transplant organization. Donation, evolution and transplant activity in Spain. In: Grupo Aula Medica, eds. Organ donation for transplantation. The Spanish Model. Madrid, 1996; 19–34

  17. Cuende N, Cañón J, Alonso M, et al. Programa de garantía de calidad en el proceso de donación y trasplante de la organización nacional de trasplantes. Nefrología 2001; 21(Suppl 4): 77–85

    Google Scholar 

  18. Matesanz R: Trasplantes de órganos, gestión y sistemas sanitarios. Nefrología 2001; 21 (Suppl 4): 3–12

  19. http://www.msc.es/ont/esp/calidad/f_calidad.htm

  20. Matesanz R, Miranda B. Organ donation—the role of the media and public opinion. Nephrol Dial Transplant 1996; 11: 2127–2128

    Google Scholar 

  21. Matesanz R. The panorama effect on altruistic organ donation. Transplantation 1996; 62: 1700–01

    Google Scholar 

  22. Matesanz R. Cadaveric organ donation: comparison of legislation in various countries of Europe. Nephrol Dial Transplant 1998; 13: 1632–1635

    Google Scholar 

  23. Duro V. Grupo "Punta Cana", una nueva propuesta en América Latina. Nefrología 2001; 21 (Suppl 4): 138–140

  24. Mizraji R. Proyecto Siembra 7 años después. Nefrología 2001; 21 (Suppl 4): 141–143

  25. Paredes D, Valero R, Navarro A et al. Transplant Procurement Management: A training tool to increase donation. Transplant Proc 1999; 31: 2610–2611

    Google Scholar 

  26. Council of Europe. Meeting the Organ Shortage: Current status and strategies for improvement. 1999;http://www.social.coe.int/en/qoflife/publi/donation.htm

  27. Morales F. Influencia del Modelo Español en la República Dominicana. Nefrología 2001; 21 (Suppl 4): 144–147

  28. Martínez Torres A, Rivas R, Mármol A, Vilá P. Influencia del Modelo Español en la Organización del Programa Cubano de trasplante renal. Nefrología 2001, 21 (Suppl 4): 148–150

  29. Lindsay B. Translation of the Spanish Model to Australia: Pros and Cons. Nefrología 2001; (Suppl 4): 130–133

  30. Simini B. Policy and people: Tuscany doubles organ donation rates by following Spanish example. Lancet 2000; 355: 467

    Google Scholar 

  31. Legge 1 Aprile 1999, N. 91.- Disposizioni in materia di prelievi e di trapianti di organi e di tessuti. G.U. del 15–4-1999, N 879

  32. Gómez-Marinero P, Santiago C, Moñino A. The donation interview. In: Matesanz R, Miranda, B. eds. Organ donation for transplantation the Spanish Model. Grupo Aula Medica, Madrid 1996; 93–109

  33. Libro del I Corso Nazionale: Donazioni, Trapianti e Mezzi di Comunicazione. Eds. Matesanz R, March y JC, Pacini A. Semper Editrici, Firenze, 2002

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Rafael Matesanz.

About this article

Cite this article

Matesanz, R. Factors influencing the adaptation of the Spanish Model of organ donation. Transpl Int 16, 736–741 (2003). https://doi.org/10.1007/s00147-003-0623-1

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00147-003-0623-1

Keywords

Navigation