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DOI: https://doi.org/10.22263/2312-4156.2018.5.7

Shchastniy A.T., Mikhnevich E.V.
Achievements and problems of transplantology at the present stage
Vitebsk State Order of Peoples’ Friendship Medical University, Vitebsk, Republic of Belarus

Vestnik VGMU. 2018;17(5):7-16.

Abstract.
Nowadays the growth of transplantation activity and the progress in the donor process organization are observed in the whole world. The greatest achievements in this field of medicine have been achieved by Spain.
Belgium and Portugal also demonstrate good results concerning the donation volume, but as to the number of transplantations per 1 mln of population Austria and Belgium are among the best. Great attention in these countries is paid to the training of transplantation co-ordinators.
The Republic of Belarus and Estonia are the leaders among the post-Soviet countries with regard to the number of transplantations, annually performing 52,9 and 43,8 of them per 1 mln of population, accordingly. Belarus has managed to achieve such results thanks to the organization of two-level transplantation coordination system, creation of the Unified transplantation register, as well as the adoption of the donation model based on the consent presumption.
The main problem that hinders the development of transplantology in all states is the deficiency of donor organs. For this reason different countries of the world take various steps aimed at the increase of donation level: the adoption of the consent presumption as the most effective model, as well as the carrying out of the measures aimed at the change of public opinion in favor of organs donation.
Performing transplantation is closely connected with the questions of guaranteeing the rights and legitimate interests of a potential donor after his / her death. Hence, up to now the discussions on the subject of the choice of optimal postmortem donation model (the presumption of consent or dissent) as well as the recognition of the human somatic rights institution still continue.
Key words: organs transplantation, transplantation activity, transplantation coordination, donation, donor’s rights.

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Information about authors:
Shchastniy A.T. – Doctor of Medical Sciences, professor, rector of Vitebsk State Order of Peoples’ Friendship Medical University,
ORCID iD 0000-0003-2796-4240;
Mikhnevich E.V. – lecturer of the Chair of Public Health & Health Service with the course of the Faculty for Advanced Training & Retraining, Vitebsk State Order of Peoples’ Friendship Medical University,
ORCID iD 0000-0001-8591-7376.

Correspondence address: Republic of Belarus, 210009, Vitebsk, 27 Frunze ave., Vitebsk State Order of Peoples’ Friendship Medical University, Chair of Public Health & Health Service with the course of the Faculty for Advanced Training & Retraining. E-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра. – Ekaterina V. Mikhnevich.

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