The First 5 Years of the Newest Eurotransplant Member State: Hungarian Results of International Organ Exchange From 2014 to 2018 |
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Authors: | Sándor Mihály Anikó Smudla László Ablonczy László Kóbori Balázs Nemes Ferenc Rényi-Vámos Zoltán Szabolcs Péter Szakály Károly Kalmár Nagy Edit Szederkényi Brigitta Auer Orsolya Deme Anita Egyed-Varga Emese Holtzinger Anikó Vida-Mező János Nacsa Anikó Szilvási Béla Merkely |
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Institution: | 1. Transplantation Directorate, Hungarian National Blood Transfusion Service, Budapest, Hungary;2. Department of Transplantation and Surgery, Semmelweis University, Budapest, Hungary;3. Pediatric Heart Center, Gottsegen György Hungarian Institute of Cardiology, Budapest, Hungary;4. Institute of Surgery, University of Debrecen Medical and Health Science Center, Debrecen, Hungary;5. Thoracic Surgery Clinic, Semmelweis University, Budapest, Hungary;6. Heart and Vascular Center, Semmelweis University, Budapest, Hungary;7. Department of Surgery, University of Pécs, Pécs, Hungary;8. Department of Surgery, University of Szeged, Szeged, Hungary;9. Research and Development Directorate, Hungarian National Blood Transfusion Service, Budapest, Hungary;10. Transplantation Immunogenetics Laboratory, Hungarian National Blood Transfusion Service, Budapest, Hungary |
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Abstract: | IntroductionHungary joined Eurotransplant International (ET) to improve the chance of transplantation for Hungarian patients and patient outcomes, including access and graft and patient survival. After 5 years of full membership, the evaluation of numbers and quality indicators is possible.MethodA comparison was made between 5 years prior to a preliminary cooperation agreement (2007-2011) and 5 years after full ET membership (2014-2018). During the 2 study periods, we analyzed numbers and circumstances of deceased organ donors, multiorgan donors, donated organs, and transplantations in Hungary and development of waiting lists along with international organ exchanges.ResultThe number of actual organ donors increased by 22.09% (729 vs 890), an additional 823 organ removals represents an increase of 42.71% (1927 vs 2750). There were 46.51% more transplants managed in the selected periods (1561 vs 2287). The number of new patients on the waiting list increased (2305 vs 3247; 40.87%). The mean kidney mismatch number decreased from 3.21 to 2.96.ConclusionJoining ET has been an effective and efficient in terms of increasing access to organs and the lives of patients on the Hungarian waiting list posttransplant. It is also a benefit for patients with special needs because the number of organ transplants is greater than the increased number of donors. |
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