Peritore D, Rizzato L, Di Ciaccio P, Trapani S, Carella C, Oliveti A, Rizzo A, Nanni Costa A
The Italian National Transplant Centre, Istituto Superiore di Sanità, Rome, Italy.
The Italian National Transplant Centre, Istituto Superiore di Sanità, Rome, Italy.
Transplant Proc. 2017 May;49(4):629-631. doi: 10.1016/j.transproceed.2017.02.034.
To optimize the use of nontransplantable organs in their own territory, the European Commission, as part of a project led by Italy, has promoted the use of an information technology (IT) portal, the COORENOR portal, developed by the Czech Republic in 2012, which evolved to become FOEDUS in 2015.
To evaluate the impact of the portal on our reality, we analyzed the number and type of offers received and organs imported in the previous 48 months (period A) as well as the 48 months after the introduction of the portal (period B). We also examined the origin and the offer mode.
The offers received were 404 and 753, respectively, in the two periods, with 315 (41.8%) organs received through the portal. The organs transplanted were 53 and 64, respectively, in the two periods; 20 (31.2%) were sent through the portal. The most commonly offered organs are lungs (36.7% and 29.3% of offers in periods A and B, respectively). The most transplanted organ is the liver (59.4% and 45% of transplants in periods A and B, respectively). The use of the portal has gradually increased, growing from 16.4% of the offer mode in 2012 to 84.7% in 2016.
The increase of offers related to the increase of donations and the attitude to the sharing of resources has determined an increase of 19.2% of total transplants, especially for certain types such as pediatric transplants. The portal, ensuring speed and simultaneity of offer, real time sharing of information and transparency of allocation, is also used for trade in the International Partnership Agreements. Therefore, transplants have been conditioned by the existing agreements with Greece, Malta, and the countries of the South Transplant Alliance.
为了在其自身领域优化不可移植器官的利用，欧盟委员会作为由意大利牵头的一个项目的一部分，推动使用了一个信息技术（IT）门户网站，即由捷克共和国于2012年开发的COORENOR门户网站，该网站在2015年演变为FOEDUS。
为了评估该门户网站对我们实际情况的影响，我们分析了在前48个月（A期）以及该门户网站引入后的48个月（B期）收到的供体数量和类型以及进口的器官。我们还研究了来源和供体模式。
在这两个时期收到的供体分别为404个和753个，通过该门户网站接收了315个（41.8%）器官。在这两个时期移植的器官分别为53个和64个；其中20个（31.2%）是通过该门户网站发送的。最常提供的器官是肺（在A期和B期的供体中分别占36.7%和29.3%）。移植最多的器官是肝脏（在A期和B期的移植中分别占59.4%和45%）。该门户网站的使用逐渐增加，从2012年供体模式的16.4%增长到2016年的84.7%。
与捐赠增加相关的供体增加以及资源共享的态度使总移植量增加了19.2%，特别是对于某些类型，如儿科移植。该门户网站确保了供体的速度和同步性、信息的实时共享以及分配的透明度，也用于国际伙伴关系协议中的交易。因此，移植受到了与希腊、马耳他以及南方移植联盟国家现有协议的制约。
