Download
1 / 29
290 likes | 469 Views
Organ donation and transplantation in Slovenia Role of ET. Valentin Sojar, MD, FEBS, MBA, University Medical Center Ljubljana President, Slovenian Transplant Society. Challanges in transplantation. Small Difficult match HU impossible Small Easy to manage. Slovenia transplant.
E N D
Organ donation and transplantation in SloveniaRole of ET Valentin Sojar, MD, FEBS, MBA, University Medical Center Ljubljana President, Slovenian Transplant Society
Challanges in transplantation • Small • Difficult match • HU impossible • Small • Easy to manage
Slovenia transplant • Competent authority • organs, tissues and cells • Central TX coordination • Mobile teams • brain death • surgical team
Kidney • 1300 pts EKD, • 650/PMP • 53 pts on waiting list • 22 PMPB – 73 PMP • 55 – 60 tx/y, • 27 – 30 PMPB – 38 PMP • No living donors B – 10 % • ????
Results • Results of treatment comparable • Smallnumberoftransplantations • Not enoughpts. on waitinglists • Exception
Heart • No. TX • Highest (9) / pmp • Long waiting list • New organization • Dept. for advanced heart failure in UMC Ljubljana • National center
Goals • Offer TX to all the patients in need • Donor • Recipient • Achieve comparable results of treatment
Future • Professional development • Organizational development • Give better opportunity for the patients
EU Directive on Organ Transplantation • Is it a positive change in the field of transplantation?
Answer • Makes people to redifine attitude • Explores existing situation • Raises positive effect
Role of ET • The best possible use of a donor organ • Localy • Regionaly • Nationaly • Internationaly
ET benefits • Best use of organs Best match • Waiting list mangement Strict rules • International excahange Balance of organs • HU patients management Time • Regular meetings Sharing knowledge • Exchange • Discussion • R & D
ET potential • Registries – national, international • Statistics • Adverse events • Data management • Logistical support • Profesional support • Export of good practices • expansion
Definition • Region? • ET – UNOS – UK – others • Voluntary / obligatory • Responsibilities (country, ET, personal) • Sanctions
Impact oforgan procurement organization on organ quality and exchange with Eurotransplant V. Sojar, UMC Ljubljana, Slovenia
Impact oforgan procurement organization on organ quality and exchange with Eurotransplant • Education • Formal ? • Equal ? • Certified ?
Quality • Education • Control • Trust
Trust • Same principles (language also) • Education • Personal • Formal
Slovenia • Small team (8 surgeons) • 6 – 12 y experience • Step wise involvement • Self education (experience) • Internal courses (the whole team) • International courses
Working principles • Donor/organ accepted by tx surgeon • Online contact during retrieval • Biopsy in doubt • Regular feedback • Regular update of protocols
Possible improvements • Certification (European diploma – EBS, Div. of Transplantation) • National • International • Respect of protocols • Regular feedback on potential risks and adverse events • Organ quality • Complication after tx • Logistics (coordination, comunication, transport) • Quality managment in ET • Board for quality assesment ? • Inspections ? • Funds • EU Directive
