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,author=author)[Legislation on organ donation in Spain: political change and law change]. Organ donation is not a new issue in Spain. However, the field is currently being shaken, as a result of the changes being carried out in the field of transplantation in the past decade. In 2007, a new regulation of the transplantation law was approved. The legislative process involved legal commissions and the most relevant changes incorporated in this regulation are based on the compromise between the leading medical associations, the law departments and the national government. These changes have led to the creation of the current Spanish Organ Transplantation Act. In the current regulation, the number of organs available for transplantation has increased substantially, with an initial idea of just 2,000 organs being donated per year, to nearly 11,000 today. It is estimated that an additional 3,000 organs will become available by 2011, provided that the number of medical doctors qualified to donate is not reduced. The changes made by the Spanish Act will increase the efficiency of the donation process and consequently should provide a greater number of organs for transplantation.Efficacy of cryopreserved bone allografts in the management of proximal humeral fractures: a meta-analysis. Management of displaced proximal humeral fractures with intramedullary nailing requires reaming of the medullary cavity to prevent implant failure. Autografts harvested from the ipsilateral proximal humerus have been recommended to augment reaming, although nonunion rates are higher than after reamed nailing alone. Concerns regarding the potential transmission of disease through bone allografts may restrict use of these grafts. We undertook a systematic review to evaluate the efficacy of cryopreserved allografts in the management of proximal humeral fractures compared with autografts and reamed intramedullary nailing alone. Studies were identified using the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register, the Cochrane Central Register of Controlled Trials, MEDLINE, and EMBASE databases. Randomised controlled trials and nonrandomised controlled studies in English, French, German, or Dutch were reviewed by 2 independent reviewers. Primary outcomes were clinical nonunion and infection. Secondary outcomes were rates of malunion and hardware failure. Data were extracted and entered into RevMan 4.0.2 software. Statistical analysis was performed with random-effects models and funnel plots. Thirty-one studies, comprising 2185 patients, were included in

 

 


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