Quality metrics in solid organ donation: A narrative review

Table 2 Evidence on quality metrics in organ donation - Europe

Ref.	Year	Country	Main results	Limitations/characteritics
Manyalich et al[11]	2013	Consortium: Austria, Croatia, France, Germany, Italy, Poland, Portugal, Romania, Spain, Sweden, and the United Kingdom, as well as five collaborating partners from Greece, Hungary, Malta, Slovenia, and Turkey	131 quality criteria and 31 quality indicators	Methodological issues
Karpeta et al[19]	2024	Warsaw (Poland)	Hospitals with implementing procedures had significantly higher values than hospitals without	Critical analysis of quality assessment in donation activity
Lazzeri et al[25]	2025	Tuscany Region (Italy)	From January to November 2024, 352 donors (2024 January-November): Donation activity comparable 2024 vs in 2023 (101.2 vs 103 pmp). Controlled DCD increased (+13). Transplant activity: Increased (2024: 91.3 pmp vs 2023: 80 pmp)	A method for buidling a quality assessment system. This reporting system was suited to the Tuscany Region. However, the methodology of implementing this system may be trasferred to other donation and transplantation systems

pmp: Per milion population; DCD: Donation after circulatory death.