title: Use of quality index in the evaluation of organ procurement and transplant programs in a University Hospital.
abstract: OBJECTIVE
  To evaluate organ procurement efficiency at Hospital Clinic of Barcelona (HCP), a University Hospital, in 2000 and 2003 compared with other Catalan, other Spanish, and American (US) results.
  
  
  METHODS
  Efficacy rate of the donor procurement was calculated per million population per year (pmp/y). Efficacy rate in kidney, liver, and heart transplantation was calculated also in pmp/y. We evaluated 1-year graft survival.
  
  
  RESULTS
  During this period, the average rate number of donors was 49.1 pmp/y in HCP, 38 in Catalonia, 33.4 in Spain, and 21.7 in the United States. The average rate of kidney transplantation was 74 pmp/y in HCP, 55 in Catalonia, 47 in Spain, and 24.6 in the United States. The average rate of liver transplantation was 44.5, 26.6, 23.2, and 18 pmp/y, respectively. The average rate of heart transplantation was 13.3, 8.5, 7.8, and 6.4 pmp/y, respectively. One-year graft survival in HCP was 90.6% for kidney, 89.5% for liver, and 88.2% for heart transplants.
  
  
  CONCLUSIONS
  The results show that organ procurement and transplantation programs in HCP are efficient. The organizational model is based on a hospital transplant coordinator and efficient, well-trained transplant teams.
authors.affiliation: Transplant Coordination Service, Hospital Clínic, Barcelona, Spain. mmanya@clinic.ub.es
authors.forename: M
authors.initials: M
authors.lastname: Manyalich
authors.forename: R
authors.initials: R
authors.lastname: Mañalich
authors.forename: R C
authors.initials: RC
authors.lastname: Boni
authors.forename: D
authors.initials: D
authors.lastname: Paredes
authors.forename: A
authors.initials: A
authors.lastname: Vilarrodona
authors.forename: J
authors.initials: J
authors.lastname: Vilardell
mesh_terms: D006085:Graft Survival; D016027:Heart Transplantation / Q000592:standards; D006785:Hospitals, University / Q000592:standards*; D006801:Humans; D016030:Kidney Transplantation / Q000592:standards; D016031:Liver Transplantation / Q000592:standards; D016377:Organ Transplantation / Q000592:standards*; D013030:Spain; D014019:Tissue Donors / Q000600:supply & distribution; D009927:Tissue and Organ Procurement / Q000592:standards* / Q000706:statistics & numerical data; D014481:United States