The European experience


  • Conflicts of Interest
    The authors have declared no conflicts of interest.

Axel Rahmel MD, Medical Director Eurotransplant, PO Box 2304, 2301 CH Leiden, The Netherlands. Tel.: +31 71 5795795; fax: +31 71 5790057; e-mail:


This mini-review on European experiences with tackling the problem of organ shortage for transplantation was based on a literature review of predominantly European publications dealing with the issue of organ donation from deceased donors. The authors tried to identify the most significant factors that have demonstrated to impact on donation rates from deceased donors and subsequent transplant successes. These factors include legislative measures (national laws and European Directives), optimization of the donation process, use of expanded criteria donors, innovative preservation and surgical techniques, organizational efforts, and improved allocation algorithms.