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A historic opportunity to improve organ donation rates in the UK
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Organ transplantation saves lives and improves lives. It trebles the life expectancy of patients with end-stage renal failure compared with dialysis1 and improves their quality of life immeasurably.2 For liver, lung, and heart failure, transplantation is often the only alternative to premature death. The very success of transplantation has led to a significant increase in the demand for donor organs over the last decade, but there has not been a similar increase in their availability. In the UK, demand for donor organs now far outstrips their supply and although the relative shortage of donor organs is a worldwide problem, the disappointing aspect of the situation in the UK is that, although many countries have been able to increase cadaveric donation, deceased donation rates in the UK have remained stubbornly static.3 The current UK rate of 12.8 deceased donors per million of population (pmp) per year was once quite typical, but
Declaration of interest
1 The National Hospital for Neurology and Neurosurgery
University College London Hospitals NHS Trust
London
UK
2 Neuroanaesthesia and Intensive Care
Leeds Teaching Hospitals NHS Trust
Leeds
UK
* E-mail: martin.smith@uclh.nhs.uk
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