Impact of the Spanish management model for donation, distribution and transplantation of organs and tissues in Santa Catarina state between 2002 and 2014

Abstract

Introduction: Since Adam gave his rib to Eve to the 1960s with the first kidney donation in Brazil, the organ transplantation grows as a therapeutic measure, and sometimes unique in several morbidities. In the 1980s, Spain began what would later be denominated the Spanish Model, placing that country as a reference in transplants worldwide. Purpose: To study aspects of the management / coordination of the Santa Catarina transplant system (CNCDO-SC) and its correlation with the results obtained in the reporting, donation, capture and use of organs in the State during the period of 2002-2014. Method: An ecological study that included all the population from Santa Catarina who had undergone brain death with CNCDO-SC notification or who had been receiving organ transplantation during the studied period, using information obtained from the CNCDO-SC records and the National Transplant System. The indicators represented the annual performance of the system, and they were described in average rates elaborated during the study. A division between the non-effect period of the action considered (2002-2007) and the effect during the period studied (2008-2014) was set. Results: Through the improvement in the performance introduced by the Spanish model on the considered management rates, an important increase in the outcome rates (notification, donation and organ harvesting) can be observed. Notifying Hospitals Rate in the pre- and post-implantation period of the model studied, with a mean of 9.44 between 2002-2007, which jumped to 15.25 between 2008 and 2014 (p<0.001). The amount of training hours increased from 0.38 hours to 6.08 hours per 1000 health workers after the implementation of the new management model. Conclusion: The Spanish Management Model posed a significant impact on the improvement of the organ transplantation service in SC.