Borsi J D, Borka P, Tornai E, Mihály S, Deme O, Mina A
Hungarotransplant Public Service Corporation, Gardonyi G.u. 20/b, 1026 Budapest, Hungary.
Transplant Proc. 2005 Oct;37(8):3260-1. doi: 10.1016/j.transproceed.2005.09.010.
Hungarotransplant Public Service Corporation, the national organ exchange organization, was established in 2001. The assessment of donation- and transplantation-related data allows the evaluation of the current situation and future trends. The donor reports show involvement of new hospitals and an increase in reported donors. These results are due to a new centralized organ referral system implemented by Hungarotransplant, employment of donation links in donor hospitals, training for key persons in intensive care units, and implementation of a Donor Action program, generating frequent and positive media attention. In 2002 the number of realized cadaveric donors increased by 21% and remained stable in 2003 despite the further increase in referrals. In 2002 the number of heart transplants remained the same, and liver transplant activity declined. In contrast, in 2003 the heart transplant activity rose by 33% and liver transplant activity by 82%. The multiorgan donation rate and the total number of transplanted organs have increased continuously. Our data demonstrate that organized multilateral efforts resulted in an immediate improvement in donation-transplantation activity in Hungary. However, the role of factors other than the shortage of organs, such as capacity problems and limited financial resources, are also highlighted.
匈牙利国家器官移植公益服务公司，即全国器官交换组织，成立于2001年。对捐赠及移植相关数据的评估有助于对当前形势和未来趋势进行评估。捐赠者报告显示有新医院参与其中，且报告的捐赠者数量有所增加。这些成果得益于匈牙利国家器官移植公司实施的新的集中器官转诊系统、在捐赠医院设立捐赠联络点、对重症监护病房关键人员的培训以及开展“捐赠行动”项目，该项目还获得了媒体的频繁正面报道。2002年，实际尸体捐赠者数量增加了21%，2003年尽管转诊数量进一步增加，但该数量保持稳定。2002年心脏移植数量保持不变，肝脏移植活动有所下降。相比之下，2003年心脏移植活动增长了33%，肝脏移植活动增长了82%。多器官捐赠率和移植器官总数持续上升。我们的数据表明，有组织的多边努力使匈牙利的捐赠-移植活动立即得到改善。然而，除了器官短缺之外，诸如能力问题和财政资源有限等因素的作用也凸显出来。
