Spain: world transplant leader

Spain improved its transplantation system in 1992 after Spanish protested long waiting queues. Today, Spain continues to hold its position as leading country for providing organ donations despite cuts to healthcare spending and the economic crisis, which makes this achievement even more commendable.

  • Proactive approach with trained hospital coordination team
  • Cadaveric Transplant Wait Time - under 8 months
  • Very few living donors used
  • Transplant coordinators in each hospital
  • Highest donation rate
  • Presumed consent ('opt-out' system)

UK: significant waiting list reduction recently

United Kingdom has made significant progress in increasing number of transplants carried out every year, resulting in steady reduction of the waiting list. The number of cadaveric transplant increased by 13% from 2013 to 2014 and has been increasing consistently over the last few years. Currently, with increase of number of transplants and decrease of wait-listed patients, the current wait will be around 1.5-2 years at any UK transplant center.

  • The median waiting time to transplant for adult patients registered on the kidney transplant list between 1 April 2011 and 31 March 2014 in UK was 2 years
  • Wales introduced a soft opt-out system to take effect on Dec 1, 2015 and improved organ donation consent rate by 20%

Iran: pays living donors

Paying living donors and removing disincentives to living organ donation has been a discussed in US for several years. Back in 2007, Dr Sally Satel shared her experience searching for a living donor. Most recently, Nobel Prize winner Gary S. Becker and professor Julio J. Elias presented a case for a Market for Organs. Dr Sigrid Fry-Revere spoke at the Kennedy Center in Washington, D.C. for TEDMED 2014, discussing Iran's system of compensated organ donation, where

  • Transplant Wait Time - under 16 months
  • Waiting list for living donors
  • System of selling/buying kidneys with government oversight and payment