MULTIORGAN DONATION IN THE NETHERLANDS - LIMITED BY CONSENT AND POLICY

The percentage of multiorgan donors (MOD) versus single organ donors o f kidneys only (SOD-K) has remained markedly low in the Netherlands co mpared to the other countries in the Eurotransplant region, This sugge sts a possible loss of donor organs. We investigated the causes of thi s persisting low percentage of MOD by studying the reasons for kidney donation only. All kidney donors in the Eurotransplant region in 1992 were studied retrospectively. In order to be able to make a comparison between all countries investigated, non-heart-beating donors and dono rs older than 55 years were excluded. Medical reasons were the most fr equent cause for kidney donation only in the Netherlands, but this was not significantly different from the other countries in the Eurotrans plant region, Multiorgan donation in the Netherlands was restricted by upper age limits for heart and liver transplantation and by the conse nt system.