Organ donation and transplantation: a multi-stakeholder call to action

Raymond Vanholder, Beatriz Domínguez-Gil, Mirela Busic, Helena Cortez-Pinto, Jonathan C. Craig, Kitty J. Jager, Beatriz Mahillo, Vianda S. Stel, Maria O. Valentin, Carmine Zoccali, Gabriel C. Oniscu

Research output: Contribution to journalReview articlepeer-review

17 Citations (Scopus)


Although overall donation and transplantation activity is higher in Europe than on other continents, differences between European countries in almost every aspect of transplantation activity (for example, in the number of transplantations, the number of people with a functioning graft, in rates of living versus deceased donation, and in the use of expanded criteria donors) suggest that there is ample room for improvement. Herein we review the policy and clinical measures that should be considered to increase access to transplantation and improve post-transplantation outcomes. This Roadmap, generated by a group of major European stakeholders collaborating within a Thematic Network, presents an outline of the challenges to increasing transplantation rates and proposes 12 key areas along with specific measures that should be considered to promote transplantation. This framework can be adopted by countries and institutions that are interested in advancing transplantation, both within and outside the European Union. Within this framework, a priority ranking of initiatives is suggested that could serve as the basis for a new European Union Action Plan on Organ Donation and Transplantation.

Original languageEnglish
Pages (from-to)554-568
Number of pages15
JournalNature Reviews Nephrology
Issue number8
Early online date5 May 2021
Publication statusPublished - Aug 2021


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