1
|
Khoo LS, Ballesté C. A 25-year scoping review of the organ donation system in Malaysia: past, present, and future. CLINICAL TRANSPLANTATION AND RESEARCH 2024; 38:163-187. [PMID: 39099237 PMCID: PMC11464157 DOI: 10.4285/ctr.24.0020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/16/2024] [Revised: 05/17/2024] [Accepted: 06/17/2024] [Indexed: 08/06/2024]
Abstract
Organ donation and transplantation are integral components of modern medicine. This scoping review thoroughly explores the historical evolution, current status, and future prospects of organ donation and transplantation in Malaysia. Historically, Malaysia faced significant challenges in establishing a robust organ transplantation system, with various factors hindering organ donation efforts. Currently, Malaysia continues to struggle with stagnant donation rates despite collaborative efforts from various sectors. There is an urgent need to amend the 50-year-old Human Tissue Act to strengthen the legal framework for organ donation and address ethical concerns. Looking to the future, Malaysia could adopt a soft opt-out system and prioritize advancements in organ preservation techniques by exploring new sources of organs through the donation after circulatory death program. Continued efforts are necessary to enhance education programs for professionals and the public, dispelling myths about organ donation and effectively educating on the concepts of brain death. Malaysia strives to create a more accessible future for organ transplantation, aligning with the Sustainable Development Goals to reduce the burden of organ failure and improve the population's health and well-being.
Collapse
Affiliation(s)
- Lay See Khoo
- National Institute of Forensic Medicine, Hospital Kuala Lumpur, Ministry of Health Malaysia, Kuala Lumpur, Malaysia
- Donation and Transplantation Institute, Barcelona, Spain
| | - Chloë Ballesté
- Donation and Transplantation Institute, Barcelona, Spain
| |
Collapse
|
2
|
Nadi-Ravandi S, Batooli Z. Knowledge Mapping of Articles on Application of the Quran and Hadiths in Health Care: VOSviewer Visualization Techniques. JOURNAL OF RELIGION AND HEALTH 2022; 61:3940-3968. [PMID: 35486283 DOI: 10.1007/s10943-022-01562-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 04/04/2022] [Indexed: 06/14/2023]
Abstract
This study sought to conduct a knowledge mapping of articles to shed light on the application of the Quran and Hadiths in health care. The study is applied in terms of purpose and scientometrics in terms of type, which has been carried out using retrospective bibliometric analysis methods and visualization through knowledge mapping. In order to do so, the PubMed database with related keywords was thoroughly searched. Then, 302 relevant articles were reviewed in terms of the author, the year of publication, the journal, and the subject. In addition, VOSviewer software was employed to analyze and visualize keywords and maps of the articles. The findings showed that 302 articles were published between 1972 and 2021 in 190 journals, among which the Journal of Religion and Health was ranked first with 43 articles. Word co-occurrence map of scientific products of the Quran and Hadith in health care were categorized into six clusters, namely: "complementary and alternative medicine," "ethics," "the effectiveness of spirituality on the treatment and control of mental illness," "women's rights and status," "family planning, infertility treatment and abortion," and "the views of the Quran and Hadiths on sexual issues." Adopting a holistic approach toward the application of various aspects of the Quran and Hadiths on health care, the present study can be considered as a pioneering research whose results can account for determining relevant applied research projects.
Collapse
Affiliation(s)
- Somayyeh Nadi-Ravandi
- Health Information Management Research Center, Kashan University of Medical Sciences, Kashan, Iran
- Educational Development Center, Kashan University of Medical Sciences, Kashan, Iran
| | - Zahra Batooli
- Social Determinants of Health (SDH) Research Center, Kashan University of Medical Sciences, Kashan, Iran.
- Faculty of Health, Kashan University of Medical Sciences, Kashan, Iran.
| |
Collapse
|
3
|
Ali AA, Al-Hashimi BA, Al-Taee HA, Bahaaldan SS. Knowledge and Attitude of People With or Without a Medical Education Regarding Organ Donation and Transplant: A Sample From the City of Baghdad. EXP CLIN TRANSPLANT 2022; 20:299-305. [PMID: 33535931 DOI: 10.6002/ect.2020.0145] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
OBJECTIVES Organ donation is the driving force for transplant. Awareness about donation and transplant is invaluable for improved transplant services in any country. Our objective was to assess the knowledge and attitude toward organ donation and transplant among medically educated adult Iraqis versus adult Iraqis who were not medically educated, in Baghdad, Iraq. MATERIALS AND METHODS For this study, we recruited 400 Iraqi residents of Baghdad city from December 1, 2018, to March 1, 2019. We used an interviewer-adm-inistered questionnaire to survey 200 health care professionals and 200 adults who lacked medical education, and then we analyzed the responses from the 2 groups. RESULTS The study included 165 males and 235 females (mean age 33.73 ± 10.38 years). Most participants (60%) were aware of organ donation, and a health care provider was the main source of their knowledge. Only 11.25% were aware of Iraqi legislation that permits donation after brain death. Nearly 50% of the participants volunteered to be living donors, and 229/400 (57.25%%) volunteered to donate after death. About 50% accepted the idea of organ donation as an act to save life, whomever the donor. The most important barrier was the fear of future risks to health after living donation and body disfigurement after death. There was a statistically significant difference in the knowledge and attitude scores between the 2 groups. From the study sample, 46.5% accepted the concept of incenting living donors or families of deceased donors. CONCLUSIONS Iraqi people are moderately informed about organ donation and transplant. Medically educated people demonstrated an attitude of greater acceptance. Religion and social beliefs were not barriers to organ donation in the study sample. Regulated governmental application of incentive programs may be a useful strategy at present.
Collapse
Affiliation(s)
- Ala A Ali
- From the Nephrology and Renal Transplantation Centre, The Medical City Teaching Hospital, Baghdad, Iraq
| | | | | | | |
Collapse
|
4
|
Padela AI, Duivenbode R, Quinn M, Saunders MR. Informing American Muslims about living donation through tailored health education: A randomized controlled crossover trial evaluating increase in biomedical and religious knowledge. Am J Transplant 2021; 21:1227-1237. [PMID: 32772460 DOI: 10.1111/ajt.16242] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2020] [Revised: 07/21/2020] [Accepted: 07/21/2020] [Indexed: 01/25/2023]
Abstract
Biomedical and religious knowledge affects organ donation attitudes among Muslims. We tested the effectiveness of mosque-based, religiously tailored, ethically balanced education on organ donation among Muslim Americans. Our randomized, controlled, crossover trial took place at 4 mosques randomized to an early arm where organ donation education preceded a control educational workshop or a late arm with the order reversed. Primary outcomes were changes in biomedical (Rotterdam Renal Replacement Knowledge Test living donation subscale, R3KT) and religious (Islamic Knowledge of Living Organ Donation, IK-LOD) living kidney donation knowledge. Statistical analysis employed a 2 (Treatment Arm) X 3 (Time of Assessment) mixed-method analysis of variance. Of 158 participants, 59 were in the early arm and 99 in the late arm. A between group t test comparison at Period 1 (Time 1 - Time 2), demonstrated that the early arm had a significantly higher mean IK-LOD (7.11 v 5.19, P < .05) and R3KT scores (7.65 v 4.90, P < .05) when compared to the late arm. Late arm participants also had significant increases in mean IK-LOD (5.19 v 7.16, P < .05) and R3KT scores (4.90 v. 6.81, P < .05) postintervention (Time 2-Time 3). Our novel program thus yielded significant kidney donation-related knowledge gains among Muslim Americans (NCT04443114 Clinicaltrials.gov).
Collapse
Affiliation(s)
- Aasim I Padela
- Initiative on Islam and Medicine, University of Chicago, Chicago, Illinois, USA.,MacLean Center for Clinical Medical Ethics, University of Chicago, Chicago, Illinois, USA.,Department of Medicine, University of Chicago Medical Center, Chicago, Illinois, USA
| | - Rosie Duivenbode
- Initiative on Islam and Medicine, University of Chicago, Chicago, Illinois, USA
| | - Michael Quinn
- Department of Medicine, University of Chicago Medical Center, Chicago, Illinois, USA
| | - Milda R Saunders
- MacLean Center for Clinical Medical Ethics, University of Chicago, Chicago, Illinois, USA.,Department of Medicine, University of Chicago Medical Center, Chicago, Illinois, USA
| |
Collapse
|
5
|
Padela AI, Duivenbode R, Saunders MR, Quinn M, Koh E. The impact of religiously tailored and ethically balanced education on intention for living organ donation among Muslim Americans. Clin Transplant 2020; 34:e14111. [PMID: 33063912 DOI: 10.1111/ctr.14111] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2020] [Revised: 09/29/2020] [Accepted: 10/01/2020] [Indexed: 01/02/2023]
Abstract
We tested the efficacy of religiously tailored and ethically balanced education upon living kidney organ donation intent among Muslim Americans. Pre-post changes in participant stage of change, preparedness, and likelihood judged efficacy. Among 137 participants, mean stage of change toward donation appeared to improve (0.59; SD ± 1.07, P < .0001), as did the group's preparedness to make a donation decision (0.55; SD ± 0.86, P < .0001), and likelihood to donate a kidney (0.39; SD ± 0.85, P < .0001). Mean change in likelihood to encourage a loved one, a co-worker, or a mosque community member with ESRD to seek a living donor also increased (0.22; SD ± 0.84, P = .0035, 0.23; SD ± 0.82, P = .0021, 0.33; SD ± 0.79, P < .0001 respectively). Multivariate ordered logistic regression models revealed that gains in biomedical knowledge regarding organ donation increased odds for positive change in preparedness (OR = 1.20; 95% CI 1.01-1.41, P = .03), while increasing age associated with lower odds of positive change in stage of change (OR = 0.98, 95% CI 0.96-0.998, P = .03), and prior registration as an organ donor lowered odds for an increase in likelihood to donate a kidney (OR = 0.22; 95% CI 0.08-0.60, P = .003). Our intervention appears to enhance living kidney donation-related intent among Muslim Americans [Clinicaltrials.gov number: NCT04443114].
Collapse
Affiliation(s)
- Aasim I Padela
- Initiative on Islam and Medicine, University of Chicago, Chicago, IL, USA.,Department of Emergency Medicine, Medical College of Wisconsin, Milwaukee, WI, USA.,Department of Medicine, University of Chicago Medical Center, Chicago, IL, USA
| | - Rosie Duivenbode
- Initiative on Islam and Medicine, University of Chicago, Chicago, IL, USA
| | - Milda R Saunders
- Department of Medicine, University of Chicago Medical Center, Chicago, IL, USA
| | - Michael Quinn
- Department of Medicine, University of Chicago Medical Center, Chicago, IL, USA
| | - Elizabeth Koh
- Initiative on Islam and Medicine, University of Chicago, Chicago, IL, USA
| |
Collapse
|
6
|
Akbulut S, Ozer A, Gokce A, Demyati K, Saritas H, Yilmaz S. Attitudes, awareness, and knowledge levels of the Turkish adult population toward organ donation: Study of a nationwide survey. World J Clin Cases 2020; 8:2235-2245. [PMID: 32548154 PMCID: PMC7281036 DOI: 10.12998/wjcc.v8.i11.2235] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/12/2020] [Revised: 05/04/2020] [Accepted: 05/26/2020] [Indexed: 02/05/2023] Open
Abstract
BACKGROUND The most important factors affecting attitudes on organ donation are socioeconomic, educational, cultural, and religious factors in many countries. AIM To evaluate the attitudes, awareness, and knowledge levels of the Turkish adult population toward organ donation. METHODS This nationwide study surveyed 3000 adults (≥ 18 years) in Turkey. To ensure a representative sample, the Nomenclature of Territorial Units for Statistics-II (modified for Turkey) was used. Turkey was divided into 26 regions based on social, economic, and geographic criteria as identified by the Turkish Statistical Institute. A stratified sampling method was used with an even distribution of adults across cities and towns based on population data. Data were collected by the PRP Research and Consultancy Company using computer-assisted personal interviews. RESULTS Out of 3000 individuals represented in the study population, 1465 (48.8%) were male and 1535 (51.2%) female. The results showed that most participants were under 45 years (59.0%) and married (72.1%), some had a bachelor's degree or higher (21.9%), and very few (1.5%) had any direct experience with organ transplantation - whether in the family, or a family member on a transplantation waiting list. Most of the study population (88.3%) had not considered donating an organ, however, most (87.9%) said that they would accept an organ from a donor if they needed one. Among the individuals surveyed, 67% were willing to donate an organ to a close relative, while 26.8% would donate an organ to an unrelated person. Only 47.2% said they had adequate information about brain death, and 85.2% refused to consent to donating organs of family members declared brain dead. Only 33.9% thought they had adequate information about organ donation. The main source of information was the television. The two main reasons for refusing organ donation were that it was too soon to think about organ donation and the importance of retaining the integrity of the dead person's body. CONCLUSION This study showed that Turkey's adult population has inadequate knowledge about organ donation. The study advocates for public education programs to increase awareness among the general population about legislation related to organ donation.
Collapse
Affiliation(s)
- Sami Akbulut
- Department of Public Health, Inonu University Faculty of Medicine, Malatya 44280, Turkey
- Liver Transplant Institute, Inonu University, Malatya 44280, Turkey
| | - Ali Ozer
- Department of Public Health, Inonu University Faculty of Medicine, Malatya 44280, Turkey
| | - Ayse Gokce
- Department of Public Health, Inonu University Faculty of Medicine, Malatya 44280, Turkey
| | - Khaled Demyati
- Liver Transplant Institute, Inonu University, Malatya 44280, Turkey
- Department of Surgery, An-Najah National University Hospital, An-Najah National University, Nablus 11941, Palestine
| | - Hasan Saritas
- Department of Surgical Nursing, Inonu University Faculty of Nursing, Malatya 44280, Turkey
| | - Sezai Yilmaz
- Liver Transplant Institute, Inonu University, Malatya 44280, Turkey
| |
Collapse
|
7
|
Akbulut S, Ozer A, Firinci B, Saritas H, Demyati K, Yilmaz S. Attitudes, knowledge levels and behaviors of Islamic religious officials about organ donation in Turkey: National survey study. World J Clin Cases 2020; 8:1620-1631. [PMID: 32432140 PMCID: PMC7211525 DOI: 10.12998/wjcc.v8.i9.1620] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/25/2019] [Revised: 03/12/2020] [Accepted: 04/24/2020] [Indexed: 02/05/2023] Open
Abstract
BACKGROUND The most important factors affecting the decision of organ donation are socioeconomic, educational, cultural, and religious factors. AIM To evaluate Islamic religious officials' attitudes and behaviors toward and level of knowledge on organ donation and transplantation. METHODS This study surveyed 2350 Islamic religious officials in Turkey. To ensure a representative sample, we used and modified the Nomenclature of Territorial Units for Statistics. Based on the Nomenclature of Territorial Units for Statistics-II, Turkey was divided into 26 regions. The number of Islamic religious officials in each city and town in each of the 26 regions was proportionate to the population. A stratified sampling method based on demographic factors, such as age, marital status, and educational level, was used. Data were collected by PRP Research and Consultancy Company using computer-assisted personal interviewing. RESULTS Of the 2350 religious officials surveyed, 59.9% were in the age group of 35-54 years; 84.7% had either a bachelor's or a master's degree; 99.7% never donated an organ; and 75.4% were not considering donating in the future. About 22% of the religious officials said religious belief was their reason for not donating; 45.3% did not indicate any reason. Although 41.5% of participants considered cadaveric organ donation as the best source of organ transplantation, 36.3% deemed living donor transplantation as the best option. Meanwhile, 52.9% of participants considered donating an organ from a brain dead relative in case they were asked for permission; 80.1% considered donating to a relative, if necessary; 81.6% considered undergoing organ transplantation, if necessary. About 83.7% of participants deemed organ donation as a proper human behavior; 60.5% believed that it is allowed by Islam; 55% said they preach for organ donation at their mosque; and 41.1% said their views of organ donation were influenced by their leaders in society. CONCLUSION Religious officials are unsure whether or not organ donation is respectful of their religious belief, but they consider donating an organ if a relative need to undergo organ transplantation.
Collapse
Affiliation(s)
- Sami Akbulut
- Department of Public Health, Inonu University Faculty of Medicine, Malatya 44280, Turkey
- Liver Transplant Institute, Inonu University, Malatya 44280, Turkey
| | - Ali Ozer
- Department of Public Health, Inonu University Faculty of Medicine, Malatya 44280, Turkey
| | - Betul Firinci
- Department of Public Health, Inonu University Faculty of Medicine, Malatya 44280, Turkey
| | - Hasan Saritas
- Department of Surgical Nursing, Inonu University Faculty of Nursing, Malatya 44280, Turkey
| | - Khaled Demyati
- Liver Transplant Institute, Inonu University, Malatya 44280, Turkey
- Department of Surgery, An-Najah National University Hospital, An-Najah National University, Nablus 11941, Palestine
| | - Sezai Yilmaz
- Liver Transplant Institute, Inonu University, Malatya 44280, Turkey
| |
Collapse
|
8
|
Ali A, Ahmed T, Ayub A, Dano S, Khalid M, El‐Dassouki N, Orchanian‐Cheff A, Alibhai S, Mucsi I. Organ donation and transplant: The Islamic perspective. Clin Transplant 2020; 34:e13832. [DOI: 10.1111/ctr.13832] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2019] [Revised: 01/28/2020] [Accepted: 02/14/2020] [Indexed: 12/11/2022]
Affiliation(s)
- Abeera Ali
- Division of Nephrology Multi‐Organ Transplant Program University Health Network Toronto ON Canada
| | - Tibyan Ahmed
- Division of Nephrology Multi‐Organ Transplant Program University Health Network Toronto ON Canada
| | - Ali Ayub
- Division of Nephrology Multi‐Organ Transplant Program University Health Network Toronto ON Canada
| | - Sumaya Dano
- Division of Nephrology Multi‐Organ Transplant Program University Health Network Toronto ON Canada
| | - Maroof Khalid
- Division of Nephrology Multi‐Organ Transplant Program University Health Network Toronto ON Canada
| | - Noor El‐Dassouki
- Division of Nephrology Multi‐Organ Transplant Program University Health Network Toronto ON Canada
| | - Ani Orchanian‐Cheff
- Library and Information Services University Health Network Toronto ON Canada
| | - Shabbir Alibhai
- Toronto General Hospital Research Institute and Toronto Rehabilitation Institute University Health Network Toronto ON Canada
- Division of General Internal Medicine and Geriatrics University Health Network Toronto ON Canada
| | - Istvan Mucsi
- Division of Nephrology Multi‐Organ Transplant Program University Health Network Toronto ON Canada
| |
Collapse
|
9
|
Vorstius Kruijff PE, Witjes M, Jansen NE, Slappendel R. Barriers to Registration in the National Donor Registry in Nations Using the Opt-In System: A Review of the Literature. Transplant Proc 2018; 50:2997-3009. [PMID: 30577159 DOI: 10.1016/j.transproceed.2018.01.054] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2017] [Accepted: 01/23/2018] [Indexed: 12/16/2022]
Abstract
BACKGROUND To increase the number of postmortem organ and tissue donors, donor registries (DRs) have been introduced. The aim of this review was to understand why people in nations with an Opt-in system, who are for or against donation after death, do not register in the DR. Knowing these barriers will help in developing policies to increase the registration rate in the DR. METHODS For this review, 2 authors independently assessed the eligibility of the identified studies from 2000 to 2015 in the Pubmed- Medline database. Included were observational and interventional studies concerned with reported barriers to residents joining the national DR in Denmark, The Netherlands, and the United Kingdom. RESULTS We included 15 relevant articles for the review. The main barriers to signing the DR in nations using the Opt-in system were: religion; medical mistrust, anxiety, and affective emotions; lack of information; concern about insufficient time to mourn, and that the funeral may be delayed and the deceased not look presentable; physical integrity; ignorance about how to register in the DR; own benefit; and social status. CONCLUSIONS The outcome suggests that the main barriers to enrolling in the DR are based on people's doubts about their own ability to perform the registration and cope with the consequences, knowledge, outcome expectations, and concerns about what others will think of them for agreeing to donation. However, not all barriers are easily modifiable, owing to their association with affect or emotions.
Collapse
Affiliation(s)
- P E Vorstius Kruijff
- Department of Quality and Safety, Amphia Teaching Hospital, Breda, The Netherlands.
| | - M Witjes
- Department of Intensive Care Medicine, Radboud University Medical Center, Nijmegen, The Netherlands; Department of Organ Procurement, Dutch Transplant Foundation, Leiden, The Netherlands
| | - N E Jansen
- Department of Organ Procurement, Dutch Transplant Foundation, Leiden, The Netherlands
| | - R Slappendel
- Department of Anesthesia, University of Antwerp, Antwerpen, Belgium
| |
Collapse
|