Euro GTP Guidance - Euro GTPs

isk factors from transmissible diseases or behaviour, there should be a questionnaire
addressed to the donor family.
a) Medical records should show that all exclusion criteria have been appropriately
investigated and applied.
b) According to the EU Directive 2006/17 Annex IV the social history has to be sought
from an individual that has known the donor well. Mostly this is the reporting
physician. If this is not the case, this could be:
i. General practitioner
ii. Other treating physician
iii. Family
iv. Friends
c) In case the social history cannot be traced with some certainty, the donor has to be
rejected. The social history contains information on the potential donor’s lifestyle,
(e.g. alcohol abuse, use of drugs and other intoxications); if there is reason to suspect
that the patient was at risk of a sexually transmitted disease, such as HIV, Hepatitis,
etc., this forms a general contra-indication. Information on travel history is also
sought.
5. In case a legal process applies; judicial consent will be obtained according to local
regulations before starting any recovery activities. When judicial authorization is needed due
to an unknown cause of death, the transplant coordinator will be the person responsible to ask
consent from the judge on call and in charge of the investigation. Recovery will only carried
out if it does not affect the judicial autopsy.
6. ‘All information must be given and all necessary consents and authorisations must be
obtained in accordance with the legislation in force in Member States.
7. The confirmed results of the donor's evaluation must be communicated and clearly
explained to the relevant persons in accordance with the legislation in Member States. 28
A.3.1.2.2. Living donor
1. Informed consent shoukd be obtained for living donors. The informed consent should
include an explanation, in understandable terms, of all the reasonable risk and potential harm,
both for the donor and recipient, as well as all the tests to be performed. ‘The health
professional responsible for obtaining the health history must ensure that the donor has:
a) understood the information provided;
b) had an opportunity to ask questions and been provided with satisfactory
responses;
28 Directive 2004/23/EC of the European Parliament and of the Council ( Annex)
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