Organ and tissue donation and transplants

Transplant coordination Contact

For the coordination of these centers and activities, the Regional Transplant Coordination Office (ORCT) of the Community of Madrid was created by Order 949/1992, of December 15. Organically it depends on the Madrid Health Service (First Additional Provision of Decree 23/2008, of April 3, of the Governing Council).

The main functions carried out by the ORCT are:

Coordination of activities related to the donation and transplantation of organs, tissues and hematopoietic progenitors in the Community of Madrid.
Information for the public and professionals on donation and transplants.
Preparation of the Annual Transplant Report of the Community of Madrid.
Promotion of organ and tissue donation.
Preparation of studies and analysis.
Training of professionals related to donation and transplantation.

As one more service to the citizen, the Organ and Tissue Donor Card of the Community of Madrid is drawn up.

Regional Transplant Coordination Office of the Community of Madrid:

Paseo de La Castellana, 280 – 3rd floor
28046 Madrid
Telephone: 91 426 59 11
Fax: 91 426 59 14
E-mail: orct@salud.madrid.org

See map in google

La Regional Office for Coordination of Transplants of the Community of Madrid It is located in the offices of the Madrid Health Service, in the Sollube Building, in the AZCA-Castellana Zone.

Means of transport:

Buses: 66, 173, 174, 176, 815, SE704

Metro: Begoña (L10), Chamartin (L1, L10)

Renfe commuter trains: "Chamartin" station

Customer service hours:

From 9 to 14 hours, from Monday to Friday.

Our full details are:

Phone: 91 426 59 11
Fax: 91 426 59 14
E-mail: orct@salud.madrid.org
E-mail: Regional Transplant Coordination Office.
Paseo de la Castellana, 280, 3rd floor. 28046 Madrid

See map in google

FAQs

Who needs a transplant?

Sick people who suffer irreversible damage to one of their organs that cannot be cured with another type of medical treatment. Transplantation is your only solution to avoid death or to lead a better quality of life.
Every day around 900 people in our Community are waiting to be transplanted in order to continue living or improve the quality of their life. The high donation rates in our region make it possible to carry out around 750 organ transplants annually; however, they are not enough to alleviate the needs of all patients for whom transplantation is indicated as the best treatment alternative.

What is our situation?

In the hospitals of the Community of Madrid all types of organ transplants are carried out and we are even a national reference for intestinal transplants. Our organ donation and transplant programs enjoy national and international prestige thanks to the quality of our hospitals and especially our healthcare professionals.
Our society is an example of solidarity and proof of this is that Spain is the country with the highest donation rate in the world. This gives us the privilege of having a better chance of obtaining a transplant if we need one. However, every day there are more people who need a transplant and there are still people who die waiting to receive an organ. Therefore, we need to be aware that without donors there are no transplants.

How is the donation-transplantation process?

Organ donation can only be done in a licensed hospital. Authorized centers in the Community of Madrid can be consulted here>

After death, the transplant coordination team:

Carry out the death checks required by law

Assess organs and tissues for transplant

Consultation with the family about the will of the deceased in relation to organ donation

Establishes, in collaboration with the National Transplant Organization, the mechanisms that allow donation and transplantation to be carried out successfully in suitable recipients. More than a hundred professionals can intervene in any process.

After the donation, the body is made available to the family to be veiled, without its image being altered.

How is the donation-transplantation process organized?

The donation-transplantation process begins with an act of solidarity and generosity, but requires the effective and synchronized intervention of multiple professionals, not only health professionals, but also from other areas (judges, forensic and court personnel, ambulance drivers, pilots and personnel). from airlines and airports, security forces, etc.). In a single donation-transplantation process, more than 100 different professionals with different geographical locations can intervene. To achieve the adequate quality of the process, Coordination is essential.
In our National Health System, the Transplant Coordination is organized on three levels:

National Coordination. Through the National Transplant Organization (ONT), dependent on the Ministry of Health, Social Services and Equality.

Autonomous Coordination. There are Regional Transplant Coordination Offices in each Autonomous Community, depending on the different Departments of Health. In the Community of Madrid, the Regional Transplant Coordination Office (ORCT), dependent on the Madrid Health Service (SERMAS) was created according to order 949/1992, of December 15, with the functions of advice, management and coordination of activities related to the donation and transplantation of organs and tissues

Hospital Coordination. In each hospital authorized for donation and/or transplant there is a Transplant Coordination Team.

Are organ donations enough?

Unfortunately not. Although the donation rates in our Community and in Spain are the highest in the world, there are still people who die while waiting to receive an organ.

How can you help?

Talk to your family and friends about donating. Know what they think and express your decision. You can request the Donor Card of organs and tissues, and receive it at your home. This card is not legally binding. If you change your mind just break it and tell your relatives.

What do you have to do to be a donor?

Have the will to be a donor and make it known to the people close to you. In the event of death in circumstances that make donation possible, the relatives will be consulted about the will of the deceased in relation to the donation. Respecting the will of the deceased makes it easier for the family to make the decision about donation and can help them overcome the loss.

How can I record my will in relation to the donation?

According to our legislation, to proceed with the donation when a person dies in circumstances that allow one of their organs to be valid for a transplant, we must verify the absence of opposition to the donation by the deceased. For this purpose, an interview is held with the relatives, so that they can transmit the wishes of the deceased to us, since they are his witnesses in his lifetime and who can know his last wishes.

To expressly record our will in relation to the donation, we can use three ways:

Communication to our relatives of our decision to donate

The Organ and Tissue Donor Card

El Registration of Advance Directives

Is it necessary to have a check-up to become a donor?

No. The evaluation of the possible donor will be carried out once deceased. The presence of diseases that can be transmitted to the recipients will be ruled out and the organs and tissues will be assessed to guarantee their function in the recipients.

Are religions favorable to donation?

Yes. The religions around us are in favor of donation as a sublime act of generosity and love of neighbor.

Where can you apply for the Donor Card?

The donor card can be obtained at the following points:

Transplant Coordination of the Hospitals of the Community of Madrid

Transplant Associations. You can see more detailed information in the "Donor card" from this same page.

Blood donation points in the Community of Madrid

You can also download it here, fill in your data and print it. Its validity is the same and it will also express your unequivocal desire to donate.

How are transplants regulated?

Through the Law on Organ Extraction and Transplantation (Law 30/1979) and the Decrees that develop it (RD 1723/2012, RD-L 9/2014), which guarantee altruism, equity, gratuity and anonymity.

What is brain death (or brain death)?

Brain death is the cessation of all functions of the brain. Both from a medical and scientific point of view, as well as from a legal, ethical and social point of view, brain death is the death of the person as such.

Brain death = Death of the person

How much does a transplant cost me?

Any. Our legislation establishes free transplantation, therefore the patient does not cost anything. The organ is donated altruistically and is transplanted free of charge thanks to the fact that we have a National Health System that guarantees universal and free assistance.

Under what circumstances does death have to occur in order to donate organs and tissues?

In order to be able to donate organs and tissues, the donor must die suddenly and not have suffered from diseases that can be transmitted to the recipients through the transplanted organs or tissues. In addition, the death must occur in a hospital where organ or tissue preservation measures can be established to guarantee their function after the transplant.

How will the will of the organ and tissue donor be respected after his death?

If the donation is possible, the hospital transplant coordinator will verify the wishes expressed in life by the donor with all the means at his disposal, mainly through an interview with his family, who are his life witnesses and can therefore transmit their will if he had expressed it or, if not, interpret it.

Is it the same to donate organs for transplantation as donating the body for science?

No. The donation of the corpse for study and scientific research is carried out through the Departments of Morphology and Anatomy of the Faculties of Medicine of the Universities. If a person wishes to donate his body to science, he has to contact the medical schools in his area.

Can you be a living organ donor?

Although most transplants come from a deceased donor, in certain circumstances an organ (a kidney, for example) or a part of an organ (part of the liver) can be obtained from a living donor. Current regulations provide for and regulate this possibility, with the following conditions:

The donor must be of legal age, have full mental faculties and be in adequate health

It must be an organ or part of it, the extraction of which is compatible with life and whose function can be compensated

That the destiny of the organ be to a certain person and that great possibilities of success can be expected

Be carried out in specifically authorized centers

Consent must be given expressly, freely, consciously and disinterestedly.

Mandatory report of the Ethics Committee

It must be ratified in writing, before the Judge, present the doctors involved in the process.

What tissues can be donated in life?

In addition to living organ donation, certain tissues can be donated in the same way, the most important being bone marrow or, better said, hematopoietic progenitors, since in most cases they are no longer extracted from the bone marrow, but from peripheral blood, in a much simpler procedure, similar to normal blood extraction. The more donors we get of this tissue, the more likely we are to find donors for the sick who need it. For more information, see the information on bone marrow donation.

Furthermore, we cannot stress enough the need for the most basic donation: blood. For more information, see the blood donation information

Link of interest for patients and relatives

.

ONT- National Transplant Organization

Europe:

National Transplant Organizations:

Hematopoietic progenitors:

Fabrics:

Other links:

Organ and Tissue Donor Card

What is What are their characteristics Where to get it? On your Virtual Health Card

The organ donor card has an exclusively testimonial value. Its usefulness lies in providing the citizen who requests it with the possibility of attesting to his will in relation to the donation. It does not imply any legal commitment on the part of its owner. If you change your mind, just destroy the card.

The donor card is self-filling. It can be personalized by writing your first and last name on the identification band. And the owner can endorse his will by signing it in the space reserved for that purpose.

The donor card is generic. It allows expressing the will to donate those organs or tissues that are valid for transplantation after death. However, if the owner wishes to make a specification, it is possible to do so in the area reserved for signature.

The donor card can be obtained at the following points:

Patient Care Services and Transplant Coordination of Hospitals in the Community of Madrid
Transplant Associations:
- ALCER Madrid (Association for the Fight Against Kidney Diseases)
  - http://www.alcer.org
  - e-mail: alcermadrid@alcermadrid.org
- Liver Transplant Association of Madrid
  - http://www.athcm.org/
  - E-mail: athcm1@hotmail.com
- Madrid Cystic Fibrosis Association
  - http://www.fqmadrid.org
  - e-mail: info@fqmadrid.org
- NUPA (Spanish Association for Helping Children, Adults and Families Affected by Intestinal Failure, Multivisceral Transplantation and Parenteral Nutrition)
  - http://somosnupa.org/
  - e-mail: help@somosnupa.org
Blood donation points in the Community of Madrid.
Health centers:
- CS. MARQUIS OF VALDAVIA
- CS. VIRGIN OF BEGOÑA
- CS. PARACUELLES OF THE JARAMA
- CS. QUEEN VICTORIA
- CS. VALDELASFUENTES
- CS. V CENTENARY
- CS. CATHOLIC KINGS
- CS. THE WINDOW
- CS. SOTO OF THE REAL
- All health centers in the DA Northwest: see list of centers >

also can download here, fill in your data and print it. Its validity is the same and it will also express the unequivocal will to donate.

You can also activate your organ and tissue donor card at your Virtual Health Card. To do this, if you have not already done so, you must download the Community of Madrid Virtual Health Card application and, once activated, in the section of my health cards and tests you will find the organ donor card.

This card, like the physical one, is merely informative and does not link the donation at any time. If you change your mind, you just have to delete the card.

Informative brochure "Become a donor. It's in your hands" (4.79 MB)

How can I record my will in relation to the donation?

According to our legislation, to proceed with the donation when a person dies in circumstances that allow any of their organs to be valid for a transplant, we must verify the absence of opposition to the donation by the deceased.

For this purpose, an interview is held with the relatives, so that they can transmit the wishes of the deceased to us, since they are his witnesses in life and who can know his last wishes.

For this reason, it is essential that people who wish to donate their organs communicate it to their family and close friends, so that they know their intentions and the decision is facilitated in particularly difficult moments.

To expressly record our will in relation to the donation, we can use three ways:

Communication to our relatives of our decision to donate
The Organ and Tissue Donor Card
El Registration of Advance Directives

Data and technical reports

Data on donation and transplants in the Community of Madrid

Annual reports of the ORCT

Authorized centers in the Community of Madrid

1. Organ and tissue donation centers

Corpse donor:

Living donor:

2. Organ transplant centers

3. Tissue implant centers

4. Tissue Establishments (Banks)

Madrid registry of kidney patients (RЄMЭЯ)

Madrid Registry of Kidney Patients

The Madrid Registry of Renal Patients (RЄMEЯ) was officially born with the ORDER 685/2008, of September 23, of the Ministry of Health, which creates the Madrid Registry of Renal Patients in the Community of Madrid, published in the BOCM on October 10 of that year.

This Registry aims to collect health activity in the Community of Madrid in relation to kidney disease that requires replacement treatment, such as peritoneal dialysis, hemodialysis and kidney transplantation. The registry is the result of collaboration between the Madrid Health Service and the Madrid Society of Nephrology (SOMANE) .

It has been operating operationally since mid-2010, beginning with the collection of data corresponding to 2009, although previous work by SOMANE, which had been carrying out a Registry for several years, made it possible to have the information available as of January 1, 2008. Since then , the RЄMEЯ is providing a complete and detailed picture of kidney disease that requires replacement therapy in the Community of Madrid. It also intends to have the history of kidney transplantation in our Community.

The address of the RЄMEЯ rests with a Technical Committee, made up of representatives of the Madrid Health Service, SOMANE and the Madrid Association for the Fight against Kidney Diseases (ALCER Madrid), chaired by the Vice-Ministry of Health Assistance of the Community of Madrid.

Every year it publishes an Annual Report, of which several editions are published, and communicates its data to the Spanish Registry of Renal Patients (REER), coordinated by the National Transplant Organization (ONT), in order to unite the data with the rest of the Autonomous Communities and have a portrait of kidney disease in our country.

El RЄMEЯ It is attached to the Regional Transplant Coordination Office, which performs the tasks of coordinating and maintaining information, in collaboration with the 37 centers in the region that participate in the Registry.

Report RЄMEЯ 2008-2012
Report RЄMEЯ 2013
Report RЄMEЯ 2014
report RЄMEЯ 2015
Report RЄMEЯ 2016
Report RЄMEЯ 2017
Report RЄMEЯ 2018
Report RЄMEЯ 2019
Report RЄMEЯ 2020
Report RЄMEЯ 2021
Report RЄMEЯ 2021. Historical transplant annex

Information for professionals

The content of this section is especially intended for all those professionals linked to the world of transplantation, and specifically for professionals from the Community of Madrid. However, there may be useful information for professionals from other areas of medicine, from other geographical areas or even the general public who need to delve into certain aspects of transplantation.

Legislation Documentation Transplant coordination

Legislation on organ and tissue donation and transplantation

Legislation on transplants has three areas of development: National, regional of the Community of Madrid and European within the scope of the European Community (normally Directives that are transposed into Spanish legislation). Pressing on each of the regulations, the full text will appear, both in html and pdf versions.

National:

30 / 79, of October 27, on Extraction and transplantation of organs (pdf version)
Royal Decree 1723/2012, of December 28, which regulates the activities of procurement, clinical use and territorial coordination of human organs intended for transplantation and establishes quality and safety requirements. (BOE website version)
Real Decreto-Ley 9 / 2014, of July 4, which establishes the quality and safety standards for the donation, procurement, evaluation, processing, preservation, storage and distribution of human cells and tissues and approves the coordination standards and performance for use in humans.(BOE website version)

Madrid's community:

Order 949 / 1992, of December 15, by which the Regional Transplant Coordination Office of the Community of Madrid is created. (pdf version)
Order 950 / 1992, of December 15, of the Ministry of Health, on authorization and accreditation of the Organ Extraction and Transplantation Services in the Community of Madrid.(pdf version)
Order 1980 / 1998, of October 28, of the Ministry of Health and Social Services, on authorization and accreditation of activities related to the use of human tissues in the Community of Madrid. (pdf version)

European Community:

2004 / 23 / CE Directive of the European Parliament and of the Council, of March 31, 2004, on the establishment of quality and safety standards for the donation, procurement, evaluation, processing, preservation, storage and distribution of human cells and tissues . (EUR-Lex web version)
2006 / 17 / CE Directive of the Commission of February 8, 2006 by which Directive 2004/23/CE of the European Parliament and of the Council is applied in relation to certain technical requirements for the donation, obtaining and evaluation of human cells and tissues.

Documents for sending periodic information on organ and tissue transplants to the ORCT

In accordance with the legal regulations currently in force, the authorized centers in our Community must report all activities related to the transplant to the Regional Transplant Coordination Office of the Community of Madrid.

Each of the types of activity and authorized programs has specific documentation, which is listed below in the various types of documents that must be used.

Regulations for completing and sending the documentation

In addition to the specific rules for each type of document and activity related to the transplant, and which are generally found in the corresponding documentation, there are the following general rules:

The sending of documents related to organ donation and transplantation is channeled through the Centers' Transplant Coordination Offices. The documents and information sheets of the tissue transplant can be done through email, safeguarding the conditions of confidentiality, fax or regular mail:

E-mail:

data.tejidos@salud.madrid.org

Fax:

91 426 59 14

Ordinary mail:

Regional Transplant Coordination Office.
Plaza Carlos Trías Bertrán, 7. 3rd Floor. 28020-Madrid.

The sending of the information must always be done, even if there has been no total or partial activity of any kind. The Regional Transplant Coordination Office must be reliably informed of any activity that is null during the period.

Each center must send as many different documents as types of activity it is authorized to carry out, each activity has a specific document.

ALL the requested information must be completed, without omitting any of the data that appears in the documents.

All these documents can be requested from the Regional Transplant Coordination Office, which will provide them to professionals in the most comfortable format:

Documents related to the donation (fast shipping).

Potential donor registration document in cardiac arrest.
Brain death registration document.
Family interview document. Authorized donation.
Family interview document. Denied donation.
Cadaver donor tissue donation sheet.

Documents related to tissue transplantation (submitted quarterly):

eye tissue:

Document for the ocular tissue extraction activity.
Document for the ocular tissue implant activity.
Document for the ocular tissue bank activity.

Osteotendinous tissue:

Document for the activity of extraction of osteotendinous tissue.
Document for the osteotendinous tissue implant activity.
Document for the osteotendinous tissue bank activity.

amniotic membrane:

Document for the amniotic membrane extraction activity.
Document for the amniotic membrane implant activity.
Document for the amniotic membrane bank activity.

Hematopoietic progenitors (except umbilical cord blood):

Document for the activity of extraction of hematopoietic progenitors.
Document for the hematopoietic stem cell implantation activity.

Umbilical cord blood:

Document for the umbilical cord extraction activity.
Document for the activity of the umbilical cord bank.

Skin:

Document for the skin extraction activity.
Document for the skin implant activity.
Document for the skin bank activity.

Vascular segments:

Document for the activity of extraction of vascular segments.
Document for the activity of implantation of vascular segments.
Document for the vascular segment bank activity.

Heart valves:

Document for the activity of extracting heart valves.
Document for the activity of heart valve implantation.

The donation-transplantation process begins with an act of solidarity and generosity, but requires the effective and synchronized intervention of multiple professionals, not only health professionals, but also from many other areas: Judges, Forensic and Court personnel, ambulance drivers, pilots and personnel from airlines and airports, Security Forces, etc.

In a single donation-transplantation process, more than 100 different professionals with different geographical locations can intervene. To achieve the adequate quality of the process, Coordination is essential.

In our country, the Transplant Coordination is organized at three levels:

Hospital Coordination

In each hospital authorized for donation and/or transplantation in the Community of Madrid there is a Hospital Transplant Coordination Team.

The list of authorized centers and professionals in the Community of Madrid is in the attached table.

Centro	Name	Last name
HU October 12	Beloved	Andres Belmonte
	Mario	Chico Fernandez
	Maria Paz	Cebrian Mirror
	M loneliness	Vereda Rodriguez
	Sofia	Vazquez Guntin
	Sonia	Red Hair
	Maria Paz	Orejana Martin
	Nuria	Rodriguez Muñoz
HU Clinic San Carlos	Irene	Burruezo Lopez
	Enrique	del Toro Daza
	Marta	Encabo Pérez
	Mark Oliver	Fragiel Saavedra
	David	Oteo Mata
	Cristina	Outon Gonzalez
	Naive	Brown King
	Monica Teresa	Vega Bayoll
	Paula Isabel	Fernandez Vega
	Juan Ignacio	Torres Gonzalez
	Sara	Resino Garcia
HU of Fuenlabrada	Carlos	Sails Amo
HU of Getafe	Lucia	Lopez Rodriguez
HU of Getafe	Celia	Casares
HU The Princess	snows	Garcia Vazquez
	Beatriz	Abad Santamaria
	Dolores	Rodriguez Huerta
	Mª Jesus	Rodriguez Alonso
	Susana	Rodriguez Dominguez
H. General of Defense - Gómez Ulla	Cuca	Fernandez Suero
Hospital del Henares	Antonio	Naharro Abellan
Hospital del Henares	Leire	López de la Oliva Calvo
Southeastern Hospital	Susana	Zubillaga Muñoz
HU of the Tagus	Miriam	Chana Garcia
HU of the Tagus	Julian	Villarin Hernandez
HU Alcorcón Foundation	Natalia	from Pedrosa Street
	Sofia	Rovisorsa Bigot
	Montserrat	Martinez Lareo
	Lucia	Minor Pozuelo
HU King Juan Carlos	Maite	Gomez Calderon
	Ana Isabel	Round Weaver
	Maria Luisa	Fernandez Gutierrez
HGU Gregorio Marañón	Braulio	Reviriego Street
	Miracles	Sancho Gonzalez
	Alexis	Codecided Jasper
	Maria Dolores	Sainz Diaz
	Sara	Casanova Prieto
	Conception	Velasco Felix
	Jesus	Ledesma Fajardo
	Santiago	Sabell Stewart-Howie
	Cristina	Munoz Martinez
	Javier	Lopez Parriego
HU Infanta Cristina	Eva	Manteiga Riestra
	Isabel	Moreno Porras
	Cristina	Muñoz Leal
	Roberto	Gomez Santos
HU Infanta Sofia	Jose Manuel	Fernandez Blanco
HU Infanta Sofia	Miguel Angel	Gonzalez Gallego
HU Infanta Leonor	Begoña	Good Garcia
	Mercedes	Villanova Martinez
	Beatriz	Dominguez Hairstyle
	Carmen	Aparicio Child
HU La Paz	Belén	Estebanez Montiel
	Eva	Flowers Head
	Pablo	Millán Estañ
	cristina	rodriguez perez
	Carmen	Gomez Aragon
Moncloa Clinic	Samuel	Gonzalez Lopez
	Josesy	Tineo Aponte
	Juan José	Oñoro Cañaberal
	Ingrid Lorena	Bernal Gonzalez
Baby Jesus	Montserrat	Grandson Moro
Baby Jesus	Alberto	Garcia Salido
Prince of Asturias	María	Trascasa Muñoz de la Peña
Prince of Asturias	Yaiza Betania	Ortiz de Zárate Ansótegui
HU Iron Gate	Marina	Perez Redondo
	David	Uruñuela Olloqui
	carlin	Garcia Steel
Ramón y Cajal	Adolfo	Martínez Pérez
	Maria Concepcion	Collado Cowboy
	Álvaro	Ruigomez Saiz
	Pillar	by Nicolás Gaya
	Lourdes	Gonzalez Perez
	Mary Angels	by Santos Martin
	Maria Isabel	Garcia Baonza
ruber international	Mercedes	Cuesta Nuín
Ruber, SA	Ramon	Delgado Lillo
HU Severo Ochoa	José	Suarez Saiz
	Ricardo	Diaz Abad
	Eva Maria	Sánchez Sánchez
	Irene	Jimenez del Rio
	Paloma	Pérez de Albéniz Ruiz
	Eva Maria	Espinosa Serrano
HU Torrejón	Mª Elena	Gonzalez Gonzalez
	Angel Luis	Cordoba Sanchez
	Conception	Fauras
HU El Escorial	Carmen	weaver
HU El Escorial	Ava	Squirrel

Autonomous Coordination

In the Community of Madrid, the Regional Transplant Coordination is carried out from the Regional Transplant Coordination Office (ORCT), whose members are:

Francisco J. del Rio Gallegos. Madrid Transplant Coordinator
Alonso Mateos Rodriguez. Attached to the Transplant Coordination
Teodoro Grau Carmona. Deputy to the Transplant Coordination
Almudena Escribá Bárcena. Attached to the Transplant Coordination
María Cristina de la Torre Toyos. Attached to the Transplant Coordination
María José Polonio Anguas. Attached to the Transplant Coordination
Francisco Miguel Jiménez García. Administrative.

National Coordination

The Coordination of Transplants at the national level is carried out through the National Transplant Organization (ONT), dependent on the Ministry of Health, Social Services and Equality.

Spanish Registry of Bone Marrow Donors

Search requests for unrelated donors to REDMO

The inexistence of family donors for patients who require a hematopoietic stem cell transplant (HSCT) implies that a request must be made to search for possible unrelated donors (SBDNE) at the national and international level.

These searches for unrelated donors (BDNE) are carried out in our country through the Spanish Registry of Bone Marrow Donors (REDMO), of the Josep Carreras International Foundation for the Fight against Leukemia, through the conventions and agreements signed between this institution and the Ministry of Health and Social Policy, as well as with the various Autonomous Communities

In the Community of Madrid, and similarly to the rest of the country, the Regional Transplant Coordination Office of the Community of Madrid collects, analyzes and redirects the Hematopoietic Stem Donor Search Requests that have been submitted to the REDMO since July 2002 .

For the channeling of the SBDNE, there is a protocol or instructions, health centers must abide by it. These complete instructions for processing the SBDNE were reflected in the Document of Final Instructions, issued on July 17, 2002, from the former Director General of the Madrid Institute of Health, and which is reproduced adapted to the current reality, as it is still valid.

To carry out donor search requests, the following documents must be sent:

Standard application formIncluding lacing selection request. Both forms can be requested by email to the Regional Transplant Coordination Office
Updated clinical report of the patient.
High resolution HLA typing of the patient.
HLA typing of related relatives. If this analysis is not presented, justification for his/her absence (death, only child, etc.).
Document of acceptance of costs by the requesting hospital, endorsed by a person in charge of the center.
In the event that the transplanting hospital is different from the applicant, document accepting the performance of the transplant by the destination hospital.
In the case of lymphoproliferative syndromes for which the transplant center has a treatment protocol approved by the center's Ethics Committee, a copy of the approval document must be sent. It will only be necessary to send it the first time. If not, these requests will be sent to the Committee of Experts for validation, as well as requests that are outside the protocol of the Current Document of Indications (by age, pathology, etc.)

OTHER DOCUMENTS:

Recommendations and minimum requirements for the search for histocompatible unrelated donors for the practice of hematopoietic stem cell transplants. Document approved by the National Hematopoietic Stem Transplant Commission. (February 2005)

Instructions for Hematopoietic Stem Searches from Unrelated Donors

The possibility of carrying out hematopoietic stem cell transplants from unrelated donors has been an important scientific advance that has repercussions on the benefit of patients who are susceptible to receiving these transplants.

According to the agreement signed between the Ministry of Health, Social Services and Equality and the Josep Carreras International Foundation for the Fight against Leukemia, the Spanish Registry of Bone Marrow Donors (REDMO) would carry out searches for unrelated donors for those indications that limit the National Health System through a Commission of Experts, and prior agreement with the different health administrations. Said indications would be reviewed periodically as advances in scientific-technical knowledge on the matter occurred.

The Ministry of Health of the Community of Madrid, after receiving the transfer of health management, signed a Collaboration Agreement with the Josep Carreras Foundation, dated June 3, 2002, in which they updated the procedures for searching for parents hematopoietic from unrelated donors.

In accordance with the foregoing, at the proposal of the Regional Transplant Coordination Office, it is necessary to issue the following:

INSTRUCTIONS

Home: Requirements to start a search for hematopoietic progenitors from unrelated donors:

1.1. General conditions.- The physician responsible for the patient must verify that the general conditions to start the search are met, which are reflected in Annex I (Current document of indications for the search for hematopoietic progenitors from unrelated donors approved by the National TPH Commission) , specifying in a reasoned way in each request, if the requested search is:

1.1.1. Bone marrow/peripheral blood only.
1.1.2. Umbilical cord blood exclusively.
1.1.3. Bone marrow/peripheral blood and umbilical cord blood simultaneously.

1.2. Diagnosis: You must have confirmed one of the diagnoses that also appear in the aforementioned Annex I .

1.3. Before starting any search It is an essential condition that a center authorized for unrelated allogeneic transplants (Annex II) has established the clinical indication and agrees to perform the type of transplant requested once a donor or a compatible umbilical cord blood unit is located. This means that if the patient comes from a hospital not authorized to carry out this type of transplant, the doctor in charge must have contacted an authorized center where they are carried out, sending all the patient's data, and having received the written consequent approval in terms of clinical indication.

1.4. The existence of a potential donor must have been ruled out, within their family environment, through appropriate immunological studies.

Monday: Processing of searches for hematopoietic progenitors from unrelated donors:

2.1. Once the diagnosis is established and the indication of hematopoietic stem cell transplantation from an unrelated donor, the Hospital Management (through the Admission service or the route that each center determines) where the physician who makes the indication belongs, will process the Regional Coordination Office of Transplants an application stating the following:

a) Clinical report of the patient in which the name, age, diagnosis, weight, analytical or diagnostic tests carried out and current situation of the patient will appear. It must also contain the name of the requesting hospital, address, fax, e-mail and telephone; as well as the name of the service physician responsible for it.

b) In order to avoid possible transcription errors, it will be essential to send a copy of the report from the Immunology Laboratory stating the patient's typing: Class I in split, and Class II by molecular biology. Likewise, the types of direct relatives will appear.

c) Standardized form for this purpose, completed by the responsible physician, according to the model (Annex III). For the Search for umbilical cord units, the corresponding form will be filled out.

d) In the event that the requesting hospital is not authorized to perform the transplant, a document must be sent from the authorized hospital where it will be performed with the explicit commitment to accept said patient.

2.2. The Regional Transplant Coordination Office, in accordance with the criteria approved for search requests, will communicate as soon as possible whether said request is accepted or not. In the case of indications that do not meet the criteria referred to in the current Document of Indications for the Search of hematopoietic progenitors from unrelated donors (Annex I), the Regional Transplant Coordination Office will forward the request to the National Transplant Organization, which , within a maximum period of 72 hours, will submit it to the Committee of Experts on Hematopoietic Stem Transplantation and provide a reasoned response.

2.3. Once the report is positive, the Regional Transplant Coordination Office will process the appropriate request for the type of search requested before the REDMO. The REDMO has undertaken not to initiate any search that is not endorsed by the aforementioned Office. Both the request to start the search, as well as its follow-up, and the payment of the expenses of certain analytical and immunological tests that derive from the same process, will be made by the hospital of the doctor who indicates said search, with charge to Chapter II, regardless of whether he is authorized to perform the transplant.

Third: Location of hematopoietic progenitors:

When a donor or a suitable umbilical cord blood unit is located, the REDMO will contact the hospital where the transplant is to be performed and, where appropriate, the requesting hospital.

According to current legislation, it will be essential for the REDMO to request from the National Transplant Organization, sufficiently in advance of the transfer, the corresponding authorization for the entry of bone marrow, peripheral blood or the umbilical cord blood unit into Spain (RD 1301 /2006, of November 10, in the case of parents from non-EU countries). No bone marrow, peripheral blood or umbilical cord blood unit may be transferred without the corresponding authorization. For which, the REDMO must provide the following:

1.- A report containing: Patient code, name of the transplanting hospital and name, address, telephone and fax of the Registry of Voluntary Donors or of the Cord Blood Bank of the country of origin.

2.- Type of hematopoietic progenitor cells: bone marrow, peripheral blood or umbilical cord blood.

3*.- Expected flight plan: date and time of departure and arrival, city of origin and destination, name of the airline and flight number. Where appropriate, the data referring to an alternative flight must also be included.

4.- Code of the donor or of the umbilical cord blood unit.

5*.- Name and ID or passport of the courier (if necessary) or of the courier company in charge of the transfer.

6.- Certificate from the Donor Registry of the country of origin stating the studies carried out on the donor or from the cord blood bank of origin stating the necessary studies carried out on the cord blood unit and on the mother to demonstrate that he did not suffer from a disease likely to constitute a risk to the recipient.

The National Transplant Organization will send the REDMO the authorization corresponding to the entry of the bone marrow, peripheral blood or cord blood unit to Spain.

*The data in sections 3 and 5, together with the details of the accommodation in the donor's city of origin, must be provided to REDMO by the transplant center at least 5 business days before the transfer of the bone marrow or blood. peripheral.

Quarter: Transfer of hematopoietic progenitors from bone marrow or peripheral blood.

4.1. In the event that the donor is found in a foreign Donor Registry, the procedure to follow, in accordance with the REDMO, will be as follows:

a) A duly informed member of the transplant team will travel to the donor's country of origin to collect and transfer the bone marrow or peripheral blood to our country. This expense, as well as the extraction of the marrow or peripheral blood and the corresponding transfer, will be borne by the transplanting hospital.

b) If this is not possible, the bone marrow or peripheral blood, once extracted, may be transferred to our country by a person in charge of the Registry of the country of origin, provided that the corresponding Registry of origin contemplates this procedure. The expenses of the extraction and the transfer of the same will be borne by the transplanting hospital.

4.2. In the event that the donor is located among Spanish donors registered by the REDMO, the marrow or peripheral blood will be transferred, also in accordance with the REDMO, according to the action protocol of the transplanting hospital. The costs of the extraction and those of the transfer will be covered by the hospital in which the transplant is performed.

Thursday: Transfer of the cord blood unit.

5.1. In the event that the compatible cord blood unit is found in a foreign cord bank The transfer will be carried out through a courier company, in accordance with the action protocol of the transplanting hospital and in accordance with the REDMO and the corresponding Cord Bank. The costs of the cord blood unit itself and those of the transfer will be borne by the transplanting hospital.

5.2. In the event that the cord blood unit is in a Spanish cord blood bank It will be transferred through a courier company or according to the action protocol of the transplanting hospital and in accordance with the REDMO and the corresponding Cord Bank. The costs of the cord blood unit itself and those of the transfer will be borne by the transplanting hospital.

Friday: New extraction of hematopoietic progenitors from bone marrow or peripheral blood from the same donor.

In the case of requiring a new extraction of bone marrow or peripheral blood from the SAME donor or to obtain lymphocytes from the SAME donor, the transplanting hospital will send an urgent request to the REDMO in those indications included as such in Annex I. expenses arising from the new extraction and transport will be covered by the transplanting hospital. Expenses corresponding to a new search will not be charged. In any case, those derived from new determinations that may be specified in this donor may be imputed.

Seventh: Documents that are attached.

Annex I.- Current document indicating indications for the search for hematopoietic stem cells from unrelated donors approved by the National Commission for Hematopoietic Stem Cell Transplantation (Document in Word© format).

Annex II.- Centers authorized by the Ministry of Health to carry out allogeneic transplants of haematopoietic progenitors from an unrelated donor.

Annex III.- Request form to start the search for haematopoietic progenitors of unrelated donors (Document in Word© format).

Annex II

CENTERS THAT HAVE AUTHORIZATION FROM THE MINISTRY OF HEALTH TO PERFORM ALLOGENIC TRANSPLANTATION OF HEMATOPOIETIC PROGENITORS FROM AN UNRELATED DONOR

General University Hospital Gregorio Marañón.
Responsible for the Program: Dr. José Luis Díez Martín.
La Paz University Hospital.
Responsible for the Program (adult): Dr. Miguel Ángel Canales Albendea.
Responsible for the Program (children): Dra. Ana M.ª Martínez Rubio
Responsible for the Program (adult and child): Dr. Rosario Arrieta Gallastegui.
Princess University Hospital.
Responsible for the Program: Dr. Adrián Alegre Amor.
Niño Jesús University Children's Hospital.
Responsible for the Program (children): Dr. Luis Madero López.
Ramón y Cajal University Hospital.
Head of the Adult Program: Dr. Javier López Jiménez.
University Hospital Puerta de Hierro-Majadahonda
Responsible for the Program: Dr. Rafael Cabrera Marín

Authorization of centers and activities

Authorization of transplant activities public prices

The Community of Madrid, through DECREE 22/2008, of April 3, of the Governing Council, which establishes the organic structure of the Ministry of Health, determined that the health authority rests with the General Directorate of Inspection and Ordination. Article 10 (Competences of the General Directorate of Inspection and Planning):

...
c) The accreditation and health evaluation of the centers and services that make up the health system of the Community of Madrid.
d) The granting of administrative authorization for the installation, operation, modification and closure of health and pharmaceutical centres, services and establishments, public and private, of any kind or nature, located in the Community of Madrid.
e) The maintenance, updating, organization and management of the records of health and pharmaceutical centres, services and establishments in the Community of Madrid.
f) The preparation, processing and resolution of procedures regarding the authorization of pharmacy offices and, in general, centers, services and establishments for the distribution and dispensing of medicines for human and veterinary use, as well as opticians and optician services. pharmacy offices and distribution, dispensing and sale of health products.
...

Therefore, it is up to that General Directorate to carry out as many legal procedures as are necessary for the renewal of activities, authorization of new transplant activities, closure of the same, changes of location. For more information, access here...>>

For consultation of centers authorized to carry out the activities of extraction and transplantation of tissues and organs, and tissue banks, access the Registry of Health Centers >>

The Regional Transplant Coordination Office offers its collaboration to all those centers and professionals who want advice on any legal matter related to transplantation, although we remind you that the official procedures must be carried out from the General Directorate of Planning and Inspection.

Public prices of fabrics in Banks of the Community of Madrid

By ORDER 727/2017, of August 7, of the Ministry of Health, by which public prices are set for the provision of services and activities of a health nature of the network of centers of the Community of Madrid, published in the Official Gazette of the Community of Madrid on August 21, 2017, the latest update of the public prices of health services in our Community was published. This text sets the rates for healthcare activities when they must be paid by the final recipient or by insurance companies, etc.

Within the broad list of services and activities contemplated, one of them, section “E 03.1.7. Services and products of the Tissue Banks”, covers the public prices applicable to tissues that from the Tissue Banks of the centers of the Public Health Network of the Community of Madrid are served to professionals and centers that must pay them.

Since 1995, when the first list was published, this update is the fourth to occur.

though through this link it is possible to have access to the entire Order, in the attached table the prices related to tissue transplantation are collected:

E03.1.7	Services and products of the Tissue Banks
E03.1.7.1	eye bank
E03.1.7.1.1	Cornea (unit)	759
E03.1.7.1.2	Scleral membrane (unit)	522
E03.1.7.2	Bank of vascular segments and heart valves
E03.1.7.2.1	Arterial/venous segment, bifurcated or not (unit), and heart valves (aortic, mitral, pulmonary)	1.214
E03.1.7.3	leather bench
E03.1.7.3.1	per cm² of human skin from a cadaver, regardless of the conservation system	1,21
E03.1.7.4	Amniotic membrane bank
E03.1.7.4.1	per cm² membrane patch prepared	20
E03.1.7.5	Osteotendinous tissue bank
E03.1.7.5.01	Large complete bones, or large fragments 2/3 of them (hemipelvis, femur, tibia, humerus and ulna), with or without articular ends, and large joints of the upper limb (whole elbow and radiocarpal joint) and lower (knee), complete extensor apparatus	2.862
E03.1.7.5.02	Proximal/distal fragment (1/3) of large bones, (femur, tibia and humerus) iliac crest, fibula and entire radius	1.827
E03.1.7.5.03	Diaphyseal fragment of tibia and femur	693
E03.1.7.5.04	Femoral condyle, tibial plateau (1/2), iliac crest (1/2 or large fragments)	922
E03.1.7.5.05	femoral head	759
E03.1.7.5.06	Independent menisci (medial/external), Bone-Tendon-Bone (medial/lateral), anterior and posterior tibial tendon, Achilles tendon plus calcaneal bone, peroneal tendon, semitendinosus, medial rectus, other tendons	754
E03.1.7.5.07	Acetabulum (includes pelvic rami), proximal interphalangeal joint (1st, 2nd, 3rd, 4th and 5th fingers), medial and lateral menisci	1.095
E03.1.7.5.08	Fascia lata (1/2)	291
E03.1.7.5.09	Fluffy (25 gram bag)	759
E03.1.7.5.09.1	Spongy (10 gram bag), entire patella	380
E03.1.7.5.10	0,5-2ml granular powder, 10cm³ of volume	97
E03.1.7.5.11	bone cylinder	219
E03.1.7.5.12	2-10mm chips, 15cm³ of volume	146

	2016	2017	2018	2019	2020	2021	2022
CORPSE DONORS	226	234	222	228	176	183	211
LIVING DONORS	48	46	52	61	41	52	53
RENAL TX	399	404	420	426	359	379	449
HEPATIC TX	184	194	202	216	174	193	206
CARDIAC TX	57	75	89	77	73	88	77
PULMONARY TX	74	75	91	96	71	90	97
PANCREATIC TX	11	14	12	5	11	17	13
INTESTINAL TX	4	8	6	4	4	7	6