Evidence map›Paper›PMID 37305337›Full record

ReviewTransplant international : official journal of the European Society for Organ Transplantation2023

Ten Lessons From the Spanish Model of Organ Donation and Transplantation.

Simon Streit, Charlotte Johnston-Webber, Jasmine Mah, Apostolos Prionas, George Wharton, Daniel Casanova, Elias Mossialos, Vassilios Papalois

Abstract readReview
In one paragraph

Review in Transplant international : official journal of the European Society for Organ Transplantation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Does opt-out legislation crowd out living organ donations? A cross-country study.The European journal of health economics : HEPAC : health economics in prevention and care · 2026
    Article
  9. Review
  10. Article
  11. Kidney Transplantation in Western Balkans: A Regional Blueprint for Access, Capacity, and Equity.Transplant international : official journal of the European Society for Organ Transplantation · 2026
    Article
  12. Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Hospital-Related Determinants of Refusal of Organ Donation in France: A Multilevel Study.International journal of environmental research and public health · 2025
    Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Simon StreitDepartment of Health Policy, London School of Economics and Political Science, London, United Kingdom.
Charlotte Johnston-WebberDepartment of Health Policy, London School of Economics and Political Science, London, United Kingdom.
Jasmine MahDepartment of Medicine, Dalhousie University, Halifax, NS, Canada.
Apostolos PrionasDepartment of Surgery, Imperial College, London, United Kingdom.
George WhartonDepartment of Health Policy, London School of Economics and Political Science, London, United Kingdom.
Daniel CasanovaUniversity Hospital Valdecilla, University of Cantabria, Santander, Spain.
Elias MossialosDepartment of Health Policy, London School of Economics and Political Science, London, United Kingdom.
Vassilios PapaloisDepartment of Surgery, Imperial College, London, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The organ donation and transplantation program in Spain has long been considered the gold standard worldwide. An in-depth understanding of the Spanish program may promote the development and reform of transplant programs in other countries. Here, we present a narrative literature review of the Spanish organ donation and transplantation program supplemented by expert feedback and presented according to a conceptual framework of best practices in the field. Core features of the Spanish program include its three-tiered governing structure, close and collaborative relationships with the media, dedicated professional roles, a comprehensive reimbursement strategy, and intensive tailored training programs for all personnel. Several more sophisticated measures have also been implemented, including those focused on advanced donation after circulatory death (DCD) and expanded criteria for organ donation. The overall program is driven by a culture of research, innovation, and continuous commitment and complemented by successful strategies in prevention of end-stage liver and renal disease. Countries seeking ways to reform their current transplant systems might adopt core features and may ultimately aspire to include the aforementioned sophisticated measures. Countries intent on reforming their transplant system should also introduce programs that support living donation, an area of the Spanish program with potential for further improvement.

Indexed as

Organ TransplantationTissue and Organ ProcurementTransplantsHumansLiverSpainorgan donationorgan transplantationSpaintransplantation policytransplant program

Identifiers

PMID37305337
PMCPMC10249502

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.