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Coordinating a European initiative among national organizations for organ transplantation [COORENOR] [20091103] - Project
General objectives

The objective is to establish a coordinated network between national
programmes existing in the participating European Member States in the field of organ
transplantation. It will coordinate the efforts of countries from Eastern and Western Europe, all having different approaches and programmes to tackle the issues of organ procurement and transplantation. A first step of benchmarking and analysis of the state of art in EU will be followed by the coordination of some selected joint activities. In countries in which organ transplantation is already a well established and organised activity, the identification of best possible strategies will have a positive effect on quality and coordination, whereas for those where some programmes are not yet fully developed we aim at the project serving as a catalyser of existing positive energies. The project will be of considerable value to countries in which Organ Transplantation is presently developing with a special attention to the communication issue that has proved to be of pivotal importance for overcoming organ shortage.

Strategic relevance and contribution to the public health programme

All project activities will foster coordination of efforts of countries from Eastern and Western Europe, all having different approaches and programmes to tackle the issues of organ procurement and transplantation. Such approach is in line with what is presently debated at European level and is meant to couple with present and future institutional proposed solutions. 2009 Workplan foresees in its priorities both the reduction of health inequalities and the improvement of health security together with the development of good practices. COORENOR meets all these demands.

Methods and means

COORENOR will take full advantage of a consolidated and tested methodology, acquired through several experiences got from most partners. The analyses will be performed through questionnaires (national/regional transplant programmes, cadaveric donation, living donation, ongoing organ exchanges and terms of exchange). After stating the art of the examined processes,when the case, common recommendations or best practices will be either issued or identified for the specific field. Sinergies between WPs will be properly ensured through the organization of common meetings.
A core workpackage (WP7) will be focused on a study protocol to explore the feasibility of cross-border organ exchanges and identify the necessary features and characteristics of an international IT tool designed to manage organ exchanges between countries.
This will include an analysis of national rules in this specific field, an overview of any
existing cooperation agreements already in place and a pilot trial through a dedicated web
portal model designed to support the activities of organ exchange.

Expected outcomes period

The expected outcome is harmonization and coordination in defining the best common practices and guidelines. One of the main outputs that can have a relevant impact at the EU level is a study protocol where cross border ongoing organ exchanges will be analyzed and an overview of the legal basis upon which such exchanges are carried out will be performed. A special attention will be here devoted to the needs of special patients` categories, such as urgent patients, hypersensitized or pediatrics.
All requirements for ensure recipient safety and high quality of the treatment as well as running models for quality assurance will be considered and transferred to the EU institutions. Moreover, the design of a common model of reference on the organizational structure of the transplant system at national and local level might become a pivotal tool. The work on living donation could bring to a more active promotion of this practice in Europe and to a mutual exchange of know-how to improve the performance of countries where living donation is not well developed.

Details
Start date: 25/06/2010
End date: 25/12/2012
Duration: 30 month(s)
Current status: Finalised
Programme title: Second Programme of Community action in the Field of Health 2008-2013
EC Contribution: € 799 145,08