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Article History

Received: 22 August 2025

Revised: 9 November 2025

Accepted: 12 December 2025

First Online: 27 December 2025

Competing interests

: The authors have no relevant financial or non-financial interests to disclose. The authors have no competing interests to declare that are relevant to the content of this article. All authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest or non-financial interest in the subject matter or materials discussed in this manuscript. The authors have no financial or proprietary interests in any material discussed in this article.

: The study was conducted in accordance with the ethical principles of the Declaration of Helsinki and complies with relevant national and European data protection regulations, including the General Data Protection Regulation (GDPR–EU Regulation 2016/679). The Delphi phase involved the voluntary participation of healthcare professionals (nurses and physicians) affiliated with GITMO-accredited transplant centres. Participants were informed about the study’s objectives, methodology, and anonymous and confidential handling of the data. Survey completion was considered tacit informed consent to participate. No sensitive or personally identifiable data were collected. Responses were fully anonymized and submitted via a secure online platform (Microsoft Forms). In accordance with local ethical guidelines, formal approval by an ethics committee was not needed for this study. The results are reported in aggregate form, without identifying individual participants or centres.