How to increase kidney transplant activity throughout Europe-an advocacy review by the European Kidney Health Alliance

Nephrol Dial Transplant. 2019 Aug 1;34(8):1254-1261. doi: 10.1093/ndt/gfy390.


Kidney transplantation offers better outcomes and quality of life at lower societal costs compared with other options of renal replacement therapy. In this review of the European Kidney Health Alliance, the current status of kidney transplantation throughout Europe and suggestions for improvement of transplantation rates are reported. Although the European Union (EU) has made considerable efforts in the previous decade to stimulate transplantation activity, the discrepancies among European countries suggest that there is still room for improvement. The EU efforts have partially been neutralized by external factors such as economic crises or legal issues, especially the illicit manipulation of waiting lists. Hence, growth in the application of transplantation throughout Europe virtually remained unchanged over the last few years. Continued efforts are warranted to further stimulate transplantation rates, along with the current registration and data analysis efforts supported by the EU in the Effect of Differing Kidney Disease Treatment Modalities and Organ Donation and Transplantation Practices on Health Expenditure and Patient Outcomes project. Future actions should concentrate on organization, harmonization and improvement of the legal consent framework, population education and financial stimuli.

Keywords: European policy; chronic renal failure; kidney transplantation; quality of life; renal replacement therapy.

Publication types

  • Review

MeSH terms

  • Europe
  • Humans
  • Kidney Failure, Chronic / therapy*
  • Kidney Transplantation / methods
  • Kidney Transplantation / standards*
  • Patient Advocacy*
  • Tissue Donors / statistics & numerical data*
  • Tissue Donors / supply & distribution*
  • Tissue and Organ Procurement / legislation & jurisprudence*
  • Tissue and Organ Procurement / organization & administration*