[The required coordination of pancreas-islet-kidney transplantation in Spain].

We describe the historical background and current situation of pancreatic and islet cell transplantations in Spain and other countries, as well as their relationship with replacement therapy in chronic renal failure in diabetic kidney transplant recipients. Emphasis is placed on the improved results achieved in the last decade, the increased demand for these techniques and the need for highly efficient organization of these transplantations to optimize the available resources, which are clearly limited in terms of both donation and finances. The process initiated by the National Transplantation Organization (NTO) to coordinate all these activities and the preparation of a consensus document endorsed by all the professional bodies involved is described.