Although overall donation and transplantation activity is higher in Europe than on other continents, differences between European countries in almost every aspect of transplantation activity (for example, in the number of transplantations, the number of people with a functioning graft, in rates of living versus deceased donation, and in the use of expanded criteria donors) suggest that there is ample room for improvement. Herein we review the policy and clinical measures that should be considered to increase access to transplantation and improve post-transplantation outcomes. This Roadmap, generated by a group of major European stakeholders collaborating within a Thematic Network, presents an outline of the challenges to increasing transplantation rates and proposes 12 key areas along with specific measures that should be considered to promote transplantation. This framework can be adopted by countries and institutions that are interested in advancing transplantation, both within and outside the European Union. Within this framework, a priority ranking of initiatives is suggested that could serve as the basis for a new European Union Action Plan on Organ Donation and Transplantation.

虽然欧洲的总体捐赠和移植活动高于其他大陆，但欧洲国家之间在移植活动的几乎每个方面都存在差异（例如，移植数量、移植物功能正常的人数、存活率与死者捐赠，以及在使用扩大标准捐赠者）表明有很大的改进空间。在此，我们回顾了应该考虑的政策和临床措施，以增加获得移植的机会并改善移植后结果。该路线图由一组主要的欧洲利益相关者在专题网络内合作生成，概述了提高移植率所面临的挑战，并提出了 12 个关键领域以及应考虑促进移植的具体措施。欧盟内外对推进移植感兴趣的国家和机构都可以采用该框架。在此框架内，建议对倡议进行优先排序，以作为新的欧盟器官捐赠和移植行动计划的基础。