Situation Surrounding Organ Transplantation: A Comparison Between Spain and Japan

Mayumi Kobayashi Joichi Usui,Kunihiro Yamagata

doi:10.4172/2165-7920.1000589

Abstract

Organ transplantation in Japan, especially from deceased donors, has lagged behind that in other countries for many reasons. Even though the Japanese government approved the revised Organ Transplant Act in 2010, the number of donors remains small and the rate of donation from deceased persons was ranked 61st out of 62 countries registered in the International Registry in Organ Donation and Transplantation December 2014 (http:// www.irodat.org/). On the other hand, Spain has become known as the world-leading country of organ transplantation and set a new world record with 4,360 transplants from 1,682 donors in 2014. The so-called Spanish Model has had a great impact on the development in transplantation in Spain. Here we mention the difference between Spain and our country, Japan, and also how we Japanese can increase donations and improve the situation in our country.

Highlights

Organ transplantation in Japan, especially from deceased donors, has lagged behind that in other countries for many reasons
Japan has relied on living donor organs, but given the increasing numbers of patients who are waiting for transplantation and the necessity of self-sufficiency in transplantation proposed by the Declaration of Istanbul, we need to change the situation to promote registry for deceased organ donation
Even though the rate of donation from deceased persons in 1989 was 14 pmp, ranking the country at the mid-low position compared with other European countries, the so-called Spanish Model introduced by Organización Nacional De Trasplantes (ONT) drastically changed the situation of transplantation in Spain

Summary

Introduction

Organ transplantation in Japan, especially from deceased donors, has lagged behind that in other countries for many reasons. The number of cardiac death donors was 100 through 2009, but has been declining year by year to almost 40 in 2013 according to the data published by the Japan Organ Transplant Network.

Results

Conclusion