Swisstransplant, Bern, Switzerland.
National Transplant Center, National Institute of Health (ISS), Rome, Italy.
Transpl Int. 2023 Oct 31;36:11327. doi: 10.3389/ti.2023.11327. eCollection 2023.
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.
FOEDUS-EOEO 平台于 2015 年重新启动，用于在捐赠者所在国家没有合适受者时，在欧洲国家间分配已故供者的器官。我们分析了 2015 年 6 月 1 日至 2021 年 12 月 31 日期间的器官提供情况，介绍了器官提供数量、移植数量和利用率（以移植器官百分比表示）。共提供了 1483 个器官，移植了 287 个（利用率为 19.4%）。2017 年至 2021 年，器官提供和移植数量逐年增加，而 2018 年后利用率趋于稳定。利用率最高的器官来自斯洛伐克（47.2%），其次是立陶宛、法国、希腊和捷克（19.3%-22.9%）。提供数量最多的器官是心脏（n = 405；27.3%），其次是肺（n = 369；24.9%）和肝（n = 345；23.3%）。器官类型的利用率存在显著差异（肝最高，35.7%；其次是心脏，18.8%；和肾脏，18.3%），以及供者年龄（1-5 岁供者最高，25.0%）。FOEDUS-EOEO 使许多欧洲患者能够接受期待已久的移植，特别是非常年幼的儿科患者，他们等待肝、心或肾的移植。参与国家的数量增加，不仅增加了提供的器官数量，而且在较小程度上增加了移植的器官数量。
