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Importance and Potential of European Cross-Border Deceased Donor Organ Allocation Through FOEDUS-EOEO Platform

The FOEDUS-EOEO platform was relaunched in 2015 to allocate deceased donor organs across European borders when there are no suitable recipients in the donor’s country. We analyzed organ offers from 01.06.2015–31.12.2021 and present the number of offers and transplants, and utilization as percentage...

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Autores principales: Elmer, Andreas, Lütolf, Vera Valérie, Carella, Claudia, Beyeler, Franziska, Krügel, Nathalie, Straka, Libor, Cardillo, Massimo, Immer, Franz
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10643207/
https://www.ncbi.nlm.nih.gov/pubmed/38020752
http://dx.doi.org/10.3389/ti.2023.11327
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author Elmer, Andreas
Lütolf, Vera Valérie
Carella, Claudia
Beyeler, Franziska
Krügel, Nathalie
Straka, Libor
Cardillo, Massimo
Immer, Franz
author_facet Elmer, Andreas
Lütolf, Vera Valérie
Carella, Claudia
Beyeler, Franziska
Krügel, Nathalie
Straka, Libor
Cardillo, Massimo
Immer, Franz
author_sort Elmer, Andreas
collection PubMed
description The FOEDUS-EOEO platform was relaunched in 2015 to allocate deceased donor organs across European borders when there are no suitable recipients in the donor’s country. We analyzed organ offers from 01.06.2015–31.12.2021 and present the number of offers and transplants, and utilization as percentage of transplanted organs. 1,483 organs were offered, 287 were transplanted (19.4% utilization). Yearly number of offers and transplants increased from 2017 to 2021, while utilization stabilized after 2018. Utilization was highest for organs offered by Slovakia (47.2%), followed for organs offered by Lithuania, France, Greece, and Czechia (19.3%–22.9%). The most frequently offered organ was the heart (n = 405; 27.3%), followed by the lungs (n = 369; 24.9%) and the liver (n = 345; 23.3%). Utilization differed significantly by organ type (highest for liver, 35.7%; followed by heart, 18.8%; and kidney, 18.3%) and by donor age (highest for 1 to 5 year-old donors (25.0%)). FOEDUS-EOEO allowed for many European patients receiving a long-awaited transplant, especially for very young pediatric patients waiting for a liver, a heart, or a kidney. The increasing number of participating countries has increased both the number of offered organs and, to a lesser extent, the number of transplanted organs.
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spelling pubmed-106432072023-10-31 Importance and Potential of European Cross-Border Deceased Donor Organ Allocation Through FOEDUS-EOEO Platform Elmer, Andreas Lütolf, Vera Valérie Carella, Claudia Beyeler, Franziska Krügel, Nathalie Straka, Libor Cardillo, Massimo Immer, Franz Transpl Int Health Archive The FOEDUS-EOEO platform was relaunched in 2015 to allocate deceased donor organs across European borders when there are no suitable recipients in the donor’s country. We analyzed organ offers from 01.06.2015–31.12.2021 and present the number of offers and transplants, and utilization as percentage of transplanted organs. 1,483 organs were offered, 287 were transplanted (19.4% utilization). Yearly number of offers and transplants increased from 2017 to 2021, while utilization stabilized after 2018. Utilization was highest for organs offered by Slovakia (47.2%), followed for organs offered by Lithuania, France, Greece, and Czechia (19.3%–22.9%). The most frequently offered organ was the heart (n = 405; 27.3%), followed by the lungs (n = 369; 24.9%) and the liver (n = 345; 23.3%). Utilization differed significantly by organ type (highest for liver, 35.7%; followed by heart, 18.8%; and kidney, 18.3%) and by donor age (highest for 1 to 5 year-old donors (25.0%)). FOEDUS-EOEO allowed for many European patients receiving a long-awaited transplant, especially for very young pediatric patients waiting for a liver, a heart, or a kidney. The increasing number of participating countries has increased both the number of offered organs and, to a lesser extent, the number of transplanted organs. Frontiers Media S.A. 2023-10-31 /pmc/articles/PMC10643207/ /pubmed/38020752 http://dx.doi.org/10.3389/ti.2023.11327 Text en Copyright © 2023 Elmer, Lütolf, Carella, Beyeler, Krügel, Straka, Cardillo and Immer. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Health Archive
Elmer, Andreas
Lütolf, Vera Valérie
Carella, Claudia
Beyeler, Franziska
Krügel, Nathalie
Straka, Libor
Cardillo, Massimo
Immer, Franz
Importance and Potential of European Cross-Border Deceased Donor Organ Allocation Through FOEDUS-EOEO Platform
title Importance and Potential of European Cross-Border Deceased Donor Organ Allocation Through FOEDUS-EOEO Platform
title_full Importance and Potential of European Cross-Border Deceased Donor Organ Allocation Through FOEDUS-EOEO Platform
title_fullStr Importance and Potential of European Cross-Border Deceased Donor Organ Allocation Through FOEDUS-EOEO Platform
title_full_unstemmed Importance and Potential of European Cross-Border Deceased Donor Organ Allocation Through FOEDUS-EOEO Platform
title_short Importance and Potential of European Cross-Border Deceased Donor Organ Allocation Through FOEDUS-EOEO Platform
title_sort importance and potential of european cross-border deceased donor organ allocation through foedus-eoeo platform
topic Health Archive
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10643207/
https://www.ncbi.nlm.nih.gov/pubmed/38020752
http://dx.doi.org/10.3389/ti.2023.11327
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