Abstract
The growing shortage of cadaveric organ donors remains the major obstacle to the full development of transplants. There is a growing discrepancy between organ supply and demand. Consent laws, although effective when fully accepted, as in Austria, or partially accepted as in Belgium, have not been introduced in most countries [1]. Organ shortage reflects not only a shortage of donors, but also a failure to make use of existing donors. To overcome this problem, a model of organization has been adopted in Spain, which is based on a decentralized transplant coordinating network comprising 3 levels — national, regional and local (i.e. hospital) — with organ procurement as a specific goal. Since 1989, when the National Organization of Transplants (ONT) was started, a 50% increase has been achieved in the number of kidneys available for transplantation and an increase of more than 100% has been realized for other solid organs.
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