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Are High Rates of Deceased Donation Conditioning the Attitude Toward Liver Donation Among Medical Students? Transplant Proc 2019; 51:253-257. [PMID: 30879514 DOI: 10.1016/j.transproceed.2018.11.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2018] [Revised: 11/24/2018] [Accepted: 11/26/2018] [Indexed: 11/22/2022]
Abstract
The involvement of health professionals from their training period is important for the promotion of living liver donation. There are data that indicate that the awareness of living donation is lower in areas with high rates of deceased donation. OBJECTIVE To analyze the attitude toward living liver donation among Spanish medical students, according to donation rates of their regions. METHOD Population under study: Medical students in Spanish universities. Database of the Collaborative International Donor Project, stratified by geographic area and academic course. The completion was anonymous and self-administered. Groups under study: group 1 (n = 1136): students in universities of regions with >50 donors per million population (pmp); group 2 (n = 2018): students in region universities with <40 donors pmp. Assessment instrument: the attitude questionnaire for living liver donation Proyecto Colaborativo Internacional Donante sobre Donación de Vivo Hepático-Ríos (PCID-DVH Ríos). RESULTS The attitude toward related liver donation is more favorable among the students of regions with <40 donors pmp than among those of >50 donors pmp. Thus, in group 1, a total of 88% (n = 1002) of students are in favor compared with 91% (n = 1831) of group 2 (P=.02). The psychosocial profile of each study group about their attitude toward living related liver donation is analyzed. There is a similar profile between the 2 groups, although there are differences in some variables such as age, a belief that one might need a transplant, family discussion about donation and transplantation, discussion with friends about donation and transplantation, and knowing about a donor. CONCLUSIONS The awareness of living related donation among Spanish medical students is greater among the regions with lower organ donation rates.
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Lin MM, Hsu YN, Wang YW, Weng LC, Chin YF. Factors Associated With the Willingness of Clinical Health Care Professionals for Living Organ Donation. Transplant Proc 2018; 50:2320-2322. [PMID: 30316350 DOI: 10.1016/j.transproceed.2018.02.179] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2017] [Accepted: 02/19/2018] [Indexed: 01/11/2023]
Abstract
Understanding the attitudes and willingness in regard to living organ donation of health care professionals is important for clinical practice and needs to be addressed. Thus, the objective of this study was to examine willingness and its influencing factors in regard to living organ donation in clinical health care professionals. METHODS This study used a cross-sectional design. A total of 375 health care professionals from a regional teaching hospital in northern Taiwan were included in this study. RESULTS Nearly 65% of the participants indicated a willingness to donate their living organ. Of these participants, 97.1% were willing to donate to family members, 80.8% were willing to donate to friends, and 78.9% were willing to donate to strangers. The predictors of willingness to engage in living organ donation were the desire to help others (odds ratio [OR] = 2.96; P < .01), positive attitude toward living organ donation (OR = 1.12; P < .01), financial support from the government (OR = 4.99; P < .01), and fewer physical concerns (OR = 0.97; P = .04). The willingness to donate a living organ was not associated with age, sex, religious belief, education level, participation in voluntary work, years of clinical work, type of profession, or knowledge about living organ donation. CONCLUSION In general, health care professionals had a positive attitude toward and willingness to engage in living organ donation. It is hoped that the results of this study will serve as a referent framework for policymaking in regard to living organ donation and transplantation.
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Affiliation(s)
- M M Lin
- Tao Yuan General Hospital, Ministry of Health and Welfare, Taoyuan, Taiwan
| | - Y N Hsu
- Ministry of Health and Welfare, Taoyuan, Taiwan
| | - Y W Wang
- School of Nursing, College of Medicine, Chang Gung University, Taoyuan, Taiwan
| | - L C Weng
- School of Nursing, College of Medicine, Chang Gung University, Taoyuan, Taiwan; Department of General Surgery, Chang Gung Memorial Hospital Linkuo, Taoyuan, Taiwan.
| | - Y F Chin
- School of Nursing, College of Medicine, Chang Gung University, Taoyuan, Taiwan; Division of Endocrinology and Metabolism, Chang Gung Memorial Hospital Linkuo, Taoyuan, Taiwan
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Martínez-Alarcón L, Ríos A, Ramis G, Gómez-Laguna J, Moll X, Falceto V, San Román-Acaso F, San Román-Llorens F, José Quereda J, Herrero-Medrano JM, Mendonça L, Martin-Barrasa JL, Fernández OM, López-Navas AI, Hernández AM, Muñoz A, Ramírez P, Parrilla P. Multicenter Stratified Study From Spain About Acceptance of Living Liver Donation Among Veterinarian Students. Transplant Proc 2018; 50:2272-2275. [PMID: 30316339 DOI: 10.1016/j.transproceed.2018.02.175] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2018] [Accepted: 02/26/2018] [Indexed: 02/07/2023]
Abstract
Veterinarians often hold decision-making positions in the public health care system, and therefore can influence public opinion about organ donation. The objective is to analyze the attitude of Spanish veterinarian students toward living liver donation (LLD) and to establish which factors have an influence on this attitude. METHODS A sociological, interdisciplinary, multicenter, and observational study was carried out in the veterinarian students enrolled in Spain (n = 9000) (university academic year 2010-2011). A sample of 2854 students was stratified by geographic area and academic year. A validated questionnaire (PCID-DVH RIOS) was self-administered and completed anonymously. The questionnaire was applied to each academic year at compulsory sessions at randomly selected veterinary schools. Statistical analysis included t test, χ2 test, and logistic regression analysis. RESULTS Completion rate was 94% (n = 2683); 89% (n = 2345) were in favor of related LLD, and 40% (n = 1053) supported unrelated LLD. The following variables were associated with a more favorable attitude: (1) age (P < .001), (2) sex (P < .001), (3) academic year (P < .001), (4) believing in the possibility of needing a transplant oneself in the future (P < .001), (5) attitude toward deceased donation (P < .001), (6) attitude toward living kidney donation (P < .001), (7) acceptance of a donated liver segment from a family member if one were needed (P < .001), (8) having discussed the subject with one's family (P = .009) and friends (P < .001), (9) a partner's opinion about the subject (P = .002), and (10) fear of the possible mutilation of the body after donation (P < .001). CONCLUSION Spanish veterinary students have a favorable attitude toward LLD.
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Affiliation(s)
- L Martínez-Alarcón
- Servicio de Cirugía, Unidad de Trasplantes, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain; Instituto Murciano de Investigación Biosanitaria (IMIB), Murcia, Spain; International Collaborative Donor Project, Murcia, Spain
| | - A Ríos
- Servicio de Cirugía, Unidad de Trasplantes, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain; Instituto Murciano de Investigación Biosanitaria (IMIB), Murcia, Spain; International Collaborative Donor Project, Murcia, Spain.
| | - G Ramis
- Instituto Murciano de Investigación Biosanitaria (IMIB), Murcia, Spain; International Collaborative Donor Project, Murcia, Spain; Departamento de Producción Animal, Facultad de Veterinaria, Universidad de Murcia, Murcia, Spain
| | - J Gómez-Laguna
- Department of Anatomy and Comparative Pathology, University of Córdoba, Córdoba, Spain
| | - X Moll
- Departamento de Medicina y Cirugía Animal, Facultad Veterinaria, Universitat Autonoma Barcelona (UAB), Barcelona, Spain
| | - V Falceto
- Universidad Zaragoza, Zaragoza, Spain
| | | | | | - J José Quereda
- Grupo Fisiopatología de la Reproducción, Departamento Producción y Sanidad Animal, Salud Pública Veterinaria y Ciencia y Tecnología de los Alimentos, Facultad de Veterinaria, Universidad Cardenal Herrera-CEU, CEU Universities Valencia, Valencia, Spain
| | - J M Herrero-Medrano
- Departamento de Producción Animal, Facultad de Veterinaria, Universidad de Murcia, Murcia, Spain
| | - L Mendonça
- Escola de Veterinária e Zootecnia, Universidade Federal de Goiás, Goiania, Brazil
| | - J L Martin-Barrasa
- Experimental Animal Facility, Research Unit, Hospital Universitario de Gran Canaria, Dr. Negrín, Las Palmas de Gran Canaria, Arucas, Spain; Animal Infectious Diseases and Ictiopatology, University Institute of Animal Health (IUSA), University of Las Palmas de Gran Canaria, Arucas, Spain
| | - O M Fernández
- Instituto Murciano de Investigación Biosanitaria (IMIB), Murcia, Spain; Animalario libre de Patógenos Arrixaca-IMIB, Murcia, Spain
| | - A I López-Navas
- International Collaborative Donor Project, Murcia, Spain; Department of Psychology, Catholic University of Murcia, Murcia, Spain
| | - A M Hernández
- Endocrinology and Nutrition Service, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - A Muñoz
- Departamento de Producción Animal, Facultad de Veterinaria, Universidad de Murcia, Murcia, Spain
| | - P Ramírez
- Servicio de Cirugía, Unidad de Trasplantes, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain; Instituto Murciano de Investigación Biosanitaria (IMIB), Murcia, Spain; International Collaborative Donor Project, Murcia, Spain
| | - P Parrilla
- Servicio de Cirugía, Unidad de Trasplantes, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain; Instituto Murciano de Investigación Biosanitaria (IMIB), Murcia, Spain
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Krespi MR, Tankurt A, Acarli K, Kanmaz T, Yankol Y, Kalayoglu M. Beliefs of Living Donors About Recipients' End-Stage Liver Failure and Surgery for Organ Donation. Transplant Proc 2017; 49:1369-1375. [PMID: 28736009 DOI: 10.1016/j.transproceed.2017.02.050] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2016] [Revised: 01/26/2017] [Accepted: 02/07/2017] [Indexed: 11/29/2022]
Abstract
BACKGROUND The concept of beliefs could provide a basis for how donors may perceive recipients' end-stage liver failure (ESLF) and surgery for organ donation. However, there is no such quantitative study. Therefore, the objective of this study was to explore beliefs of living donors about recipients' ESLF and surgery for organ donation. METHODS The sample comprised 16 living donors who donated a part of their liver to a patient who had ESLF. The data were analyzed by following established procedures for inductive qualitative analysis. RESULTS Analysis showed that donors' beliefs can be viewed in a number of groups. Beliefs about recipients' ESLF included diverse explanations for ESLF (blaming oneself and physicians) and physical symptoms (developmental slowing down). Beliefs about being a donor included reasons for being a donor (performing a good deed, being healed), barriers to being a donor (other people being ignorant and selfish), ways to manage these barriers (following one's gut feeling), and factors facilitating being a donor (the feeling that one does not have many people to leave behind). Beliefs about surgery for organ donation included physical effects (pain, feeling stiff). Beliefs about organ donation included views that general organ donation should be encouraged and that people's awareness should be raised. CONCLUSIONS Existing psychological perspectives could help to interpret some beliefs. Nevertheless, other beliefs, not previously reported, could be considered as targets for individual consultations/psycho-educational programs for fostering emotional well-being.
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Affiliation(s)
- M R Krespi
- Department of Psychology, Kadir Has University, Istanbul, Turkey.
| | - A Tankurt
- Department of Child and Adolescent Mental Health, Bezmialem Foundation Trust University, Istanbul, Turkey
| | - K Acarli
- Memorial Sisli Hospital, Centre of Organ Transplantation, Istanbul, Turkey
| | - T Kanmaz
- Memorial Sisli Hospital, Centre of Organ Transplantation, Istanbul, Turkey
| | - Y Yankol
- Memorial Sisli Hospital, Centre of Organ Transplantation, Istanbul, Turkey
| | - M Kalayoglu
- Memorial Sisli Hospital, Centre of Organ Transplantation, Istanbul, Turkey
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Ríos A, López-Navas AI, López-López AI, Gómez FJ, Iriarte J, Herruzo R, Blanco G, Llorca FJ, Asunsolo A, Sánchez-Gallegos P, Gutiérrez PR, Fernández A, de Jesús MT, Martínez-Alarcón L, Lana A, Fuentes L, Hernández JR, Virseda J, Yelamos J, Bondía JA, Hernández AM, Ayala MA, Ramírez P, Parrilla P. Acceptance of living liver donation among medical students: A multicenter stratified study from Spain. World J Gastroenterol 2016; 22:5800-5813. [PMID: 27433093 PMCID: PMC4932215 DOI: 10.3748/wjg.v22.i25.5800] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/16/2016] [Revised: 05/08/2016] [Accepted: 06/15/2016] [Indexed: 02/06/2023] Open
Abstract
AIM: To analyze the attitude of Spanish medical students toward living liver donation (LLD) and to establish which factors have an influence on this attitude.
METHODS: Study type: A sociological, interdisciplinary, multicenter and observational study. Study population: Medical students enrolled in Spain (n = 34000) in the university academic year 2010-2011. Sample size: A sample of 9598 students stratified by geographical area and academic year. Instrument used to measure attitude: A validated questionnaire (PCID-DVH RIOS) was self-administered and completed anonymously. Data collection procedure: Randomly selected medical schools. The questionnaire was applied to each academic year at compulsory sessions. Statistical analysis: Student´s t test, χ2 test and logistic regression analysis.
RESULTS: The completion rate was 95.7% (n = 9275). 89% (n = 8258) were in favor of related LLD, and 32% (n = 2937) supported unrelated LLD. The following variables were associated with having a more favorable attitude: (1) age (P = 0.008); (2) sex (P < 0.001); (3) academic year (P < 0.001); (4) geographical area (P = 0.013); (5) believing in the possibility of needing a transplant oneself in the future (P < 0.001); (6) attitude toward deceased donation (P < 0.001); (7) attitude toward living kidney donation (P < 0.001); (8) acceptance of a donated liver segment from a family member if one were needed (P < 0.001); (9) having discussed the subject with one's family (P < 0.001) and friends (P < 0.001); (10) a partner's opinion about the subject (P < 0.001); (11) carrying out activities of an altruistic nature; and (12) fear of the possible mutilation of the body after donation (P < 0.001).
CONCLUSION: Spanish medical students have a favorable attitude toward LLD.
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Mikla M, Rios A, Lopez-Navas A, Andruszkiewicz A, Felsmann M, Martinez-Alarcón L, Ramis G, Ramirez P, Lopez Montesinos MJ. Opinion of Nursing Students of the University of Bydgoszcz in Poland About the Transplantation of Living Liver Donors. Transplant Proc 2015; 47:2587-9. [PMID: 26680043 DOI: 10.1016/j.transproceed.2015.09.030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2015] [Accepted: 09/17/2015] [Indexed: 10/22/2022]
Abstract
INTRODUCTION Liver transplantation from living liver donation (LLD) has become an important source of liver grafts. MATERIAL AND METHOD We studied the 2011-2012 academic year attitude of nursing students from a university in Poland. The sampling points were compulsory attendance in the 5 nursing courses. The validated questionnaire was Project Collaborative International Donor-Living Liver Donation Rios. The questionnaire was completed anonymously and was self-administered. RESULTS The completion rate was 89% (440 of 495); 91% (n = 398) were in favor of the related LLD, 8% (n = 37) were undecided, and 1% (n = 5) were against. When the attitude toward LLD is not related, 40% (n = 177) of respondents were in favor. The favorable attitude was associated with the following: consideration of the needs of organs for transplantations are covered (P ≤ .001); attitude in favor toward organ donation and transplantation (ODT) (P = .001); attitude in favor toward LLD (P = .007); attitude in favor of the acceptance of a LLD by a family member (P = .001); discussion of ODT with the family (P ≤ .001); being in favor of donating organs of a relative (P ≤ .001); and being Catholic (P = .003). After multivariate analysis, we observed the following significant correlations: the thought that the needs of transplantation organs are covered (odds ratio [OR] = 4.608; P = .020); being ready to accept a liver from a LLD (OR = 3.125; P = .038); discussion with the family about the subject of donation and transplantation (OR = 3.215; P = .003); and not belonging to any doctrine or religious belief (OR = 11.363; P = .039). CONCLUSIONS In this study 91% of nursing students were in favor of living organ donation.
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Affiliation(s)
- M Mikla
- Department of Nursing, University of Murcia, Spain; International Collaborative Donor Project ("Project Collaborative International Donor"), Murcia, Spain; Hospital General Universitario Reina Sofia, Murcia, Spain.
| | - A Rios
- International Collaborative Donor Project ("Project Collaborative International Donor"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, Instituto Murciano de Investigación Biomédica, Clinical Hospital Universitario Virgen de la Arrixaca, Murcia, Spain; Regional Transplant Center, Department of Health and Consumer Affairs in the Region of Murcia, Murcia, Spain.
| | - A Lopez-Navas
- International Collaborative Donor Project ("Project Collaborative International Donor"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain; Department of Psychology, Catholic University San Antonio, Universidad Catolica San Antonio de Murcia, Murcia, Spain
| | - A Andruszkiewicz
- Faculty of Health Sciences, Nicolaus Copernicus University, Medical College, Bydgoszcz, Poland
| | - M Felsmann
- Faculty of Health Sciences, Nicolaus Copernicus University, Medical College, Bydgoszcz, Poland
| | - L Martinez-Alarcón
- International Collaborative Donor Project ("Project Collaborative International Donor"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, Instituto Murciano de Investigación Biomédica, Clinical Hospital Universitario Virgen de la Arrixaca, Murcia, Spain; Regional Transplant Center, Department of Health and Consumer Affairs in the Region of Murcia, Murcia, Spain
| | - G Ramis
- Faculty of Veterinary, University of Murcia, Murcia, Spain
| | - P Ramirez
- Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, Instituto Murciano de Investigación Biomédica, Clinical Hospital Universitario Virgen de la Arrixaca, Murcia, Spain; Regional Transplant Center, Department of Health and Consumer Affairs in the Region of Murcia, Murcia, Spain
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Ríos A, López-Navas A, Martínez-Alarcón L, Ramírez P, Parrilla P. Latin Americans in Spain and their attitude toward living kidney donation. Clin Transplant 2015; 29:1054-62. [DOI: 10.1111/ctr.12626] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/31/2015] [Indexed: 01/08/2023]
Affiliation(s)
- A. Ríos
- International Collaborative Donor Project (“Proyecto Colaborativo Internacional Donante”); Murcia Spain
- Department of Surgery, Paediatrics, Obstetrics and Gynaecology; University of Murcia; Murcia Spain
- Transplant Unit; Surgery Service; IMIB - Virgen de la Arrixaca University Hospital; Murcia Spain
- Regional Transplant Center; Consejería de Sanidad y Consumo de la Región de Murcia; Murcia Spain
| | - A. López-Navas
- International Collaborative Donor Project (“Proyecto Colaborativo Internacional Donante”); Murcia Spain
- Regional Transplant Center; Consejería de Sanidad y Consumo de la Región de Murcia; Murcia Spain
- Department of Psychology; UCAM; San Antonio Catholic University; Murcia Spain
| | - L. Martínez-Alarcón
- International Collaborative Donor Project (“Proyecto Colaborativo Internacional Donante”); Murcia Spain
- Transplant Unit; Surgery Service; IMIB - Virgen de la Arrixaca University Hospital; Murcia Spain
- Regional Transplant Center; Consejería de Sanidad y Consumo de la Región de Murcia; Murcia Spain
| | - P. Ramírez
- Department of Surgery, Paediatrics, Obstetrics and Gynaecology; University of Murcia; Murcia Spain
- Transplant Unit; Surgery Service; IMIB - Virgen de la Arrixaca University Hospital; Murcia Spain
- Regional Transplant Center; Consejería de Sanidad y Consumo de la Región de Murcia; Murcia Spain
| | - P. Parrilla
- Department of Surgery, Paediatrics, Obstetrics and Gynaecology; University of Murcia; Murcia Spain
- Transplant Unit; Surgery Service; IMIB - Virgen de la Arrixaca University Hospital; Murcia Spain
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Ríos A, López-Navas AI, Ayala-García MA, Sebastián MJ, Abdo-Cuza A, Martínez-Alarcón L, Ramírez EJ, Muñoz G, Palacios G, Suárez-López J, Castellanos R, González B, Martínez MA, Díaz E, Ramírez P, Parrilla P. [Hospital-based multicenter study in Spain, Mexico and Cuba on attitudes to living liver donation]. GASTROENTEROLOGIA Y HEPATOLOGIA 2015; 38:364-72. [PMID: 25623418 DOI: 10.1016/j.gastrohep.2014.12.004] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/05/2014] [Revised: 10/29/2014] [Accepted: 12/11/2014] [Indexed: 02/06/2023]
Abstract
INTRODUCTION Given the lack of a sufficient number of livers available for transplantation, living liver donation (LLD) is being developed in the Spanish-speaking world. To do this, it is essential that health workers in hospitals are in favor of such donation, given that they are a key component in this treatment and that their attitudes influence public opinion. OBJECTIVE To analyze attitude toward LLD among hospital personnel from healthcare centers in Spain and Latin America. MATERIAL AND METHOD Ten hospitals were selected from the «International Donor Collaborative Project»: 3 from Spain, 5 from Mexico and 2 from Cuba. Random sampling stratified by type of service and job category was used. Attitudes to LLD were evaluated through a validated questionnaire on psychosocial aspects. The questionnaire was anonymous and self-administered. Statistical tests consisted of Student's T test, the chi-square test and logistic regression analysis. RESULTS Of the 2,618 employees surveyed, 85% (n=2,231) were in favor of related LLD; of these, 31% (n=804) were in favor of unrelated LLD. No association was found between the country of the interviewed, personal-social variables or work-related variables. The following factors were associated with a favorable attitude toward related LLD donation: having had personal experience of donation and transplantation (P<.001); being in favor of deceased donation (P<.001); believing that one might need a possible transplant (P<.001); being in favor of living kidney donation (P<.001); being willing to accept a liver from a living donor (P<.001); having discussed the matter of donation and transplantation within the family (P<.001) and with one's partner (P<.001); carrying out pro-social type activities (P<.001); being Catholic (P=.040); believing that one's religion is in favor of donation and transplantation (P<.001); and not being concerned about the possible mutilation of the body after donation (P<.001). CONCLUSIONS Hospital personnel from Spain and Latin America had a favorable attitude toward LLD, which was associated with factors directly and indirectly related to donation and transplantation, family and religious factors, and attitudes toward the body.
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Affiliation(s)
- Antonio Ríos
- Proyecto Colaborativo Internacional Donante, Murcia, España; Coordinación Regional de Trasplantes, Consejería de Sanidad y Consumo de la Región de Murcia, España; Unidad de Trasplantes, Servicio de Cirugía, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, España; Departamento de Cirugía, Ginecología y Pediatría, Universidad de Murcia, Murcia. España.
| | - Ana Isabel López-Navas
- Proyecto Colaborativo Internacional Donante, Murcia, España; Coordinación Regional de Trasplantes, Consejería de Sanidad y Consumo de la Región de Murcia, España; Departamento de Psicología, Universidad Católica de San Antonio, Universidad Católica de San Antonio de Murcia, Murcia, España
| | - Marco Antonio Ayala-García
- Hospital Regional de Alta Especialidad del Bajío, León, Guanajuato, México; Hospital General de SubZona n.(o) 10 del Instituto Mexicano del Seguro Social, Delegación Guanajuato, México
| | - María José Sebastián
- Centro de Coordinación de Trasplantes, Unidad Médica de Alta Especialidad, Hospital de Especialidades n.(o) 25 Instituto Mexicano del Seguro Social (IMSS), Monterrey, México
| | | | - Laura Martínez-Alarcón
- Proyecto Colaborativo Internacional Donante, Murcia, España; Coordinación Regional de Trasplantes, Consejería de Sanidad y Consumo de la Región de Murcia, España; Unidad de Trasplantes, Servicio de Cirugía, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, España
| | | | - Gerardo Muñoz
- Centro Médico Nacional Siglo XXI del Instituto Mexicano del Seguro Social, México
| | - Gerardo Palacios
- Centro de Coordinación de Trasplantes, Unidad Médica de Alta Especialidad, Hospital de Especialidades n.(o) 25 Instituto Mexicano del Seguro Social (IMSS), Monterrey, México
| | | | | | - Beatríz González
- Hospital Regional de Alta Especialidad del Bajío, León, Guanajuato, México; Universidad de Guanajuato, Guanajuato, México
| | | | - Ernesto Díaz
- Hospital Regional de Alta Especialidad del Bajío, León, Guanajuato, México; Hospital General de SubZona n.(o) 10 del Instituto Mexicano del Seguro Social, Delegación Guanajuato, México
| | - Pablo Ramírez
- Proyecto Colaborativo Internacional Donante, Murcia, España; Coordinación Regional de Trasplantes, Consejería de Sanidad y Consumo de la Región de Murcia, España; Unidad de Trasplantes, Servicio de Cirugía, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, España; Departamento de Cirugía, Ginecología y Pediatría, Universidad de Murcia, Murcia. España
| | - Pascual Parrilla
- Unidad de Trasplantes, Servicio de Cirugía, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, España; Departamento de Cirugía, Ginecología y Pediatría, Universidad de Murcia, Murcia. España
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Rios A, Lopez Navas A, Ayala Garcia MA, Sebastian J, Abdo Cuza A, Martinez Alarcon L, Ramirez EJ, Munoz G, Palacios G, Suarez Lopez J, Castellanos R, Gonzalez B, Martinez MA, Diaz E, Ramirez P, Parrilla P. Opinion toward living liver donation of hospital personnel from units related to organ donation and transplantation: a multicenter study from Spain and latin-america. HEPATITIS MONTHLY 2014; 14:e15405. [PMID: 25737727 PMCID: PMC4329234 DOI: 10.5812/hepatmon.15405] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/13/2013] [Revised: 01/27/2014] [Accepted: 03/12/2014] [Indexed: 12/11/2022]
Abstract
BACKGROUND Hospital personnel of services related to donation and transplantation process play a fundamental role in the development of transplantation. OBJECTIVES The aim of this study was to investigate the attitude toward living liver donation (LLD) among hospital personnel from services related to donation and transplantation in hospital centers in Spain and Latin America. MATERIALS AND METHODS Eight hospitals within the "International Donor Collaborative Project" were selected, three in Spain, three in Mexico and two in Cuba. The study was performed in transplant-related services, using a randomized sample, which was stratified by the type of service and job category. RESULTS In total, 878 workers were surveyed of which 82% (n = 720) were in favor of related LLD, 10% (n = 90) were against and 8% (n = 68) undecided. Attitudes toward related LLD were more favorable in the following groups: the Latin Americans (86% in favor vs. 77% among the Spanish; P = 0.007); younger people (37 vs. 40 years, P = 0.002); those in favor of either deceased donation (P < 0.001) or living kidney donation (P < 0.001); those who believed that they might need a transplant in the future (P < 0.001); those who would accept a liver from a living donor (P < 0.001); those who discussed the subject of donation and transplantation with their families (P = 0.040); and those whose partner was in favor of donation and transplantation (P = 0.044). CONCLUSIONS Personnel from donation and transplantation-related units had a favorable attitude toward LLD. This attitude was not affected by psychosocial factors, although it was influenced by factors directly and indirectly related to the donation and transplantation process.
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Affiliation(s)
- Antonio Rios
- International Collaborative Donor Proyect, Murcia, Spain
- Regional Transplant Center, Ministry of Health, Murcia, Spain
- Transplant Unit, Surgery Service, Virgin of Arrixaca University Hospital, Murcia, Spain
- Department of Surgery, University of Murcia, Murcia, Spain
- Corresponding Author: Antonio Rios, International Collaborative Donor Proyect, Murcia, Spain. Tel: +968-270757; Fax: +968-369716;, E-mail:
| | - Ana Lopez Navas
- International Collaborative Donor Proyect, Murcia, Spain
- Regional Transplant Center, Ministry of Health, Murcia, Spain
- Department of Psychology, San Antonio Catholic University, UCAM, Murcia, Spain
| | - Marco Antonio Ayala Garcia
- Regional Hospital of High Specialty Bajio, Leon, Mexico
- Mexican Social Security Institute Delegation, Guanajuato, Mexico
| | - Jose Sebastian
- Transplant Coordination Center, UMAE Specialist Hospital, Monterrey, Mexico
| | | | - Laura Martinez Alarcon
- International Collaborative Donor Proyect, Murcia, Spain
- Regional Transplant Center, Ministry of Health, Murcia, Spain
- Transplant Unit, Surgery Service, Virgin of Arrixaca University Hospital, Murcia, Spain
| | | | - Gerardo Munoz
- The 21st Century National Medical Center of the Mexican Institute of Social Security, Mexico City, Mexico
| | - Gerardo Palacios
- Transplant Coordination Center, UMAE Specialist Hospital, Monterrey, Mexico
| | | | | | - Beatriz Gonzalez
- Regional Hospital of High Specialty Bajio, Leon, Mexico
- The 21st Century National Medical Center of the Mexican Institute of Social Security, Mexico City, Mexico
| | | | - Ernesto Diaz
- Regional Hospital of High Specialty Bajio, Leon, Mexico
- Mexican Social Security Institute Delegation, Guanajuato, Mexico
| | - Pablo Ramirez
- International Collaborative Donor Proyect, Murcia, Spain
- Regional Transplant Center, Ministry of Health, Murcia, Spain
- Transplant Unit, Surgery Service, Virgin of Arrixaca University Hospital, Murcia, Spain
- Department of Surgery, University of Murcia, Murcia, Spain
| | - Pascual Parrilla
- Transplant Unit, Surgery Service, Virgin of Arrixaca University Hospital, Murcia, Spain
- Department of Surgery, University of Murcia, Murcia, Spain
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Public awareness and attitudes to living organ donation: systematic review and integrative synthesis. Transplantation 2013; 96:429-37. [PMID: 23677051 DOI: 10.1097/tp.0b013e31829282ac] [Citation(s) in RCA: 36] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
BACKGROUND The deceased-donor organ shortage has driven widespread adoption of living-donor transplantation. Yet, public views on living donation are not well understood. This study aims to synthesize studies on public awareness and attitudes toward living organ donation. METHODS Electronic databases and reference lists were searched to September 2012. Summary estimates from survey data were obtained by random effects meta-analysis. Qualitative descriptive synthesis of each study was performed. RESULTS Forty-seven studies involving 34,610 respondents were included. The proportion of respondents aware of living organ donation was 76.7% (4 studies, n=3248; 95% confidence interval, 46.2%-97.0%; I=99.7%). The majority were in favor of living directed donation (85.5% (11 studies, n=15,836; 95% confidence interval, 81.6%-89.6%; I=98%), with recipient and community benefit as the rationale provided. However, barriers included fear of surgical and health risks, lack of knowledge, respect for cultural norms, financial loss, distrust in hospitals, and avoiding recipient indebtedness. The public voiced concern about possible risks or an obligatory pressure exerted on the donor. Many supported reimbursement for out-of-pocket expenses, paid leave, wait-listing priority, health insurance, and donor acknowledgment. There was strong opposition to financial incentives, which they believed risked exploitation and inequity and diminished voluntary altruistic donation. CONCLUSIONS The public is generally supportive of living donation and articulated important equity and ethical considerations for protecting the health and safety of living donors. This supports increased public engagement and strengthening of a shared view among professionals and the public in living donation practice and policy.
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López-Navas A, Ríos A, Moya-Faz FJ, Febrero B, Jiménez-Morales MI, Orteso FJ, Ros-Martínez A, Martínez-Alarcón L, Pons JA, Miras M, Ramírez P, Parrilla P. Emotional-type psychopathologic symptoms among patients with terminal chronic alcohol-induced liver cirrhosis. Transplant Proc 2013; 44:1510-2. [PMID: 22841199 DOI: 10.1016/j.transproceed.2012.05.021] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
INTRODUCTION Patients with toxic substance abuse syndrome, such as alcohol abuse, have elevated psychopathologic morbidity and mortality such as mood disorders. OBJECTIVE To evaluate the emotional-type psychopathologic symptoms in patients with alcohol-induced hepatic cirrhosis on the liver transplant waiting list. MATERIALS AND METHODS Patients with alcoholic liver cirrhosis who were candidates for liver transplant (n = 41) completed the SA-45 questionnaire (González y Cuevas; 88), which assesses nine dimensions: somatizations, obsessive-compulsivity, interpersonal sensitivity, depression, anxiety, hostility, phobic anxiety, paranoid ideation, and psychoticism. A control group consisted of patients with chronic nonalcoholic terminal hepatopathies (n = 22). RESULTS Seventy-six percent of patients had some kind of psychopathologic symptom compared to 68% of the patients in the control group with other nonalcoholic etiologies (P > .05). The emotional-type clinical symptoms were: (1) somatizations: 37% of patients with alcoholic cirrhosis had this type of clinical symptoms compared to 32% of the control group (P > .05); (2) obsessive-compulsivity: 56% versus 46%, respectively (P > .05); (3) interpersonal sensitivity: 19% versus 9%, respectively (P > .05); (4) depression: 54% versus 27%, respectively (P = .045); (5) anxiety: 59% versus 46%, respectively (P > .05); (6) hostility: 29% versus 5%, respectively (P = .021); (7) phobic anxiety: 10% versus 14%, respectively (P > .05); (8) paranoid Ideation: 7% versus 5%, respectively (P > .05); (9) psychoticism: 5% versus 4%, respectively (P > .05). CONCLUSIONS The patients with alcoholic liver cirrhosis on the liver transplant waiting list had elevated psychopathologic symptoms. Depressive- and hostile-type emotional alterations were most frequent in this type of patients.
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Affiliation(s)
- A López-Navas
- Department of Psychology, Catholic University of San Antonio, Murcia, Spain
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Ríos A, López-Navas A, Ayala-García M, Sebastián MJ, Abdo-Cuza A, Martínez-Alarcón L, Ramírez EJ, Muñoz G, Suárez-López J, Castellanos R, González B, Martínez MÁ, Díaz E, Ramírez P, Parrilla P. [Attitudes among Spanish and Latin American non-medical health professionals to living donor liver transplantation]. GASTROENTEROLOGIA Y HEPATOLOGIA 2012; 35:625-33. [PMID: 23084665 DOI: 10.1016/j.gastrohep.2012.07.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/25/2012] [Revised: 07/08/2012] [Accepted: 07/10/2012] [Indexed: 11/15/2022]
Abstract
INTRODUCTION Hospital professionals are an opinion group that influences the general population. OBJECTIVE To analyze attitudes to living donor liver transplantation (LDLT) among non-medical professionals working in Spanish and Latin American hospitals and to determine the variables that influence these attitudes. MATERIAL AND METHOD A random sample, stratified by department, was selected from non-medical staff in the "International Donor Collaborative Project": there were three hospitals in Spain, five in Mexico and two in Cuba. Attitudes were evaluated through a validated, anonymous, self-administered questionnaire. RESULTS There were 951 non-medical professionals: 277 from Spain, 632 from Mexico and 42 from Cuba. A total of 86% (n = 818) were in favor of related living donation and 31% (n = 299) were in favor of unrelated living donation. This attitude was associated with the following: country (Mexico 88%, Cuba 83%, Spain 81%) (p =0.016), female sex (p =0.026), having experience of donation and transplantation (p =0.001), having a favorable attitude to donation (P <0.001), considering the possibility of needing a transplant (P <0.001), being in favor of living kidney donation (P <0.001), being willing to accept a transplant from a living donor if necessary (P <0.001), discussing donation and transplantation with the family and partner (P <0.001), carrying out pro-social activities (P <0.001), believing that one's religion was in favor of donation and transplantation (P<0.001), and not worrying about bodily mutilation after donation (P <0.001). CONCLUSIONS Attitudes toward related LDLT among non-medical staff in various Spanish, Mexican and Cuban hospitals are favorable. In 86% of those surveyed, this attitude was not influenced by classical psychosocial factors.
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Affiliation(s)
- Antonio Ríos
- Proyecto Colaborativo Internacional Donante, Murcia, España.
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Multivariate Analysis of the Factors Affecting Attitude Toward Living Liver Donation among Workers in Surgical Services in Spanish, Mexican, and Cuban Hospitals. Transplant Proc 2012; 44:1482-5. [DOI: 10.1016/j.transproceed.2012.05.066] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
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López-Navas A, Ríos A, Riquelme A, Martínez-Alarcón L, Pons J, Miras M, Sanmartín A, Febrero B, Ramis G, Ramírez P, Parrilla P. Psychological Characteristics of Patients on the Liver Transplantation Waiting List With Depressive Symptoms. Transplant Proc 2011; 43:158-60. [DOI: 10.1016/j.transproceed.2010.11.005] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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15
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Liu B, Liu S, Cui D, Dai X. The attitude toward living liver donation among the hospital personnel in a northeast China center with a liver transplant program. Transplant Proc 2010; 42:1460-5. [PMID: 20620454 DOI: 10.1016/j.transproceed.2009.11.051] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2009] [Accepted: 11/24/2009] [Indexed: 01/14/2023]
Abstract
China has the largest population of end-stage liver disease patients, but the acceptance of liver donation is really poor. Our objective was to analyze the attitudes toward living liver donation among hospital workers in a hospital with an authorized living donor liver transplant program in northeast China. A random sample stratified by department of service and job category (n = 800) evaluated attitudes using a modified psychosocial questionnaire, which was self-administered and completed anonymously. The factors were divided into subcategories of psychosocial variables, family variables, and attitudes toward other types of organ donation and willingness to accept an organ if needed. The results showed favorable attitudes toward living liver donation among hospital personnel. Family factors were closely related to this attitude as were altruistic activities and feelings of reciprocity.
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Affiliation(s)
- B Liu
- Department of Surgery, Shengjing Hospital, China Medical University, Shenyang, China
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Fujita M, Matsui K, Monden M, Akabayashi A. Attitudes of medical professionals and transplantation facilities toward living-donor liver transplantation in Japan. Transplant Proc 2010; 42:1453-9. [PMID: 20620453 DOI: 10.1016/j.transproceed.2009.12.072] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2009] [Accepted: 12/14/2009] [Indexed: 01/25/2023]
Abstract
The Japan Society for Transplantation (JST) revised their guidelines in 2003 to specify that a living donor must be "a relative by blood within the sixth degree or an in-law within the third degree." Although several criticisms have been raised on this issue, these criteria have persisted without any empirical data showing the opinions and attitudes of people who are affected by the revision. Therefore, we performed a questionnaire survey to determine what Japanese medical professionals involved with living-donor liver transplantation (LDLT) regarded as eligible relationships for donation, as well as the kind of relationship for which they would be willing to donate their liver, and what donor eligibility criteria was currently used by their institutions. Among the 71 representatives of the Japanese Liver Transplantation Society, >90% answered that liver donations to emotionally close parents, siblings, children, or spouses were acceptable. However, the numbers were considerably lower for donation to emotionally close blood relatives, in-laws, friends, and strangers (78.2%, 52.1%, 18.6%, and 5.9%, respectively). This gap was more prominent when participants were questioned about their own willingness to donate. More than two-thirds of facilities that perform LDLTs have independent regulations for donor eligibility that are more conservative than the JST guidelines. No facility accepted friends or strangers as donors. When introducing policies or guidelines, it is important to carefully investigate the views of the people who are affected. The data obtained in this study should serve as a resource for ongoing discussions about the JST revised guidelines.
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Affiliation(s)
- M Fujita
- Department of Biomedical Ethics, Graduate School of Medicine, The University of Tokyo, Bunkyo-ku, Tokyo, Japan.
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Ríos A, López-Navas A, Ayala-García M, Sebastián M, Abdo-Cuza A, Martínez-Alarcón L, González B, Ramírez E, Muñoz G, Camacho A, Suárez-López J, Castellanos R, Rodríguez J, Martínez M, Nieto A, Ramis G, Ramírez P, Parrilla P. Attitude Toward Living Liver Donation in Transplant Hospitals in Spain, Mexico and Cuba. Transplant Proc 2010; 42:3102-5. [DOI: 10.1016/j.transproceed.2010.05.074] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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International Multicenter Opinion Study: Administrative Personnel From Spanish and Mexican Health Centers Faced With Human Organ Donation for Transplantation. Transplant Proc 2010; 42:3093-7. [DOI: 10.1016/j.transproceed.2010.05.065] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Abstract
Live donors are a continuing source of organ grafts for solid organ transplantation in Asia. Ethical issues surrounding the development of living donor organ transplantation in Eastern countries are different from those in Western countries. Donor safety is still the paramount concern in any donor operation. Issues on organ trafficking remain societal concerns in low-income nations. Religion, cultural background, economic prerogatives, and timely legislation contribute to the social acceptance and maturation of organ donation.
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Affiliation(s)
- Allan M Concejero
- Liver Transplantation Program, Department of Surgery, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Kaohsiung, Taiwan
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Bo W, Yan L. The Difference and the Transition of Indication for Adult Living Donor Liver Transplantation Between the West and the East. Transplant Proc 2008; 40:3507-11. [DOI: 10.1016/j.transproceed.2008.06.096] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2008] [Revised: 04/17/2008] [Accepted: 06/16/2008] [Indexed: 02/07/2023]
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Ríos A, Ramírez P, Martínez-Alarcón L, Galindo PJ, Montoya MJ, Rodríguez MM, Cascales P, Pons JA, Parrilla P. Hospital Personnel in Surgical Services in a Transplant Hospital Faced With Living Liver Donation: An Attitudinal Survey. Transplant Proc 2007; 39:2079-82. [PMID: 17889101 DOI: 10.1016/j.transproceed.2007.06.041] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
UNLABELLED Living liver donation is becoming a more widely accepted practice given the decrease in donor morbidity and mortality and the beneficial results in the recipient. Use of this technique is unusual in Spain. There are a number of workers against its use within the health care system. The objective of this study was to analyze attitudes toward and the variables that affect them concerning living liver donation among surgical services in a transplant hospital. MATERIALS AND METHODS A random survey was stratified by surgical area and job category in a Spanish third-level hospital with an ongoing solid organ transplant program. Attitudes toward living liver donation were assessed using a questionnaire about organ donation and transplantation that evaluated various psychosocial variables. Student's t test and the chi square test were used. RESULTS A total of 263 workers were surveyed (mean age as 40 +/- 9 years). Regarding attitudes toward living liver donation, the level of acceptance was 80% (n = 211) of respondents, whereas 10% were undecided (n = 26), and another 10% were against (n = 26), assuming that the donations were related. When we asked about unrelated living donation, the percentage in favor decreased to 10% (n = 27). No differences were found with respect to job category or type of service. The variables that are related to such an attitude are the following: (1) possibility of respondent needing an organ (P = .001); (2) favorable attitude toward living kidney donation (P < .000); and (3) a belief that medical errors exist (P = .004). An important finding was that attitudes toward living liver donation were not more favorable according to whether the respondent was in favor or against cadaveric organ donation (P = .175). CONCLUSION There was a highly favorable attitude toward living liver donation among hospital personnel in surgical services, which is an important factor to take into account if this type of donation is to be encouraged in Spain.
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Affiliation(s)
- A Ríos
- Unidad de Trasplantes, Departamento de Cirugía, Hospital Universitario Virgen de la Arrixaca, Servicio Murciano de Salud, El Palmar, Murcia, Spain.
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Ríos A, Ramírez P, Rodríguez MM, Martínez L, Rodríguez JM, Galindo PJ, Parrilla P. Attitude of hospital personnel faced with living liver donation in a Spanish center with a living donor liver transplant program. Liver Transpl 2007; 13:1049-56. [PMID: 17600353 DOI: 10.1002/lt.21226] [Citation(s) in RCA: 60] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
In Spain, despite its high rate of cadaveric donation, death while on the liver transplant waiting list is high. For this reason, living liver donation is being encouraged despite of the risk of morbidity for the donor. The objective of this study was to analyze attitudes toward living liver donation among hospital personnel in a hospital with a recently authorized living donor liver transplantation program. A random sample was taken and was stratified by type of service and job category (n = 1,262). Attitude was evaluated by means of a validated psychosocial questionnaire. The questionnaire was completed anonymously and was self-administered. Statistical analysis included the Student t test, the chi(2) test, and logistical regression analysis. The questionnaire completion rate was 93% (n = 1,168). Only 15% (n = 170) of respondents were in favor of living liver donation if it were unrelated. An additional 65% (n = 766) were in favor if this donation, but only for relatives. Of the rest, 9% (n = 107) did not agree with living liver donation, and the remaining 11% (n = 125) were undecided. The variables related to this attitude were age (P = 0.044); job category (P = 0.002); type of service (according to whether it is related to organ donation and transplantation) (P = 0.044); participation in prosocial activities (P = 0.026); attitude toward cadaveric organ donation (P <0.001); attitude of a respondent's partner toward organ donation (P = 0.010); a respondent's belief that in the future, he or she may need a transplant (P < 0.001); and a willingness to receive a donated living liver organ if one were needed (P < 0.001). There is also a close relationship between attitude toward living kidney donation and living liver donation (P < 0.001). In the multivariate analysis, the only common independent variable from the bivariate analysis was a willingness to receive a living donor liver transplant if one were needed (odds ratio = 9.3). Attitude toward living liver donation among hospital personnel in a hospital with a solid organ transplant program is favorable and is affected by factors related to cadaveric donation, altruistic activity, and feelings of reciprocity. Physicians and the youngest hospital workers are those who are most in favor, which leads us to think that there is a promising future for living liver transplantation, which is essential given the cadaveric organ deficit and the high mortality rate while on the waiting list.
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Affiliation(s)
- A Ríos
- Coordinación Regional de Trasplantes de la Comunidad Autónoma de Murcia, Consejería de Sanidad, Murcia, Spain. mailto:
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Ríos A, Ramírez P, Rodríguez MM, Martínez L, Montoya MJ, Lucas D, Parrilla P. Personnel in cadaveric organ transplant-related hospital units faced with living liver donation: an attitudinal study in a Spanish hospital with a cadaveric and living liver transplant programme. Liver Int 2007; 27:687-93. [PMID: 17498255 DOI: 10.1111/j.1478-3231.2007.01464.x] [Citation(s) in RCA: 31] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
INTRODUCTION The attitude of health-care personnel is fundamental for the procurement of transplant organs, especially in those services that are related to transplantation. The objective of this study is to find out the attitude towards living liver donation among personnel who work in transplant-related services in a hospital with a cadaveric and living organ transplant programme. MATERIALS AND METHODS A random sample was taken and stratified by type of service and job category (N=330), in services related to transplantation (procurement units, transplant units and follow-up units). Attitude was evaluated using a validated psychosocial questionnaire. CONTROL GROUP a random sample of personnel in clinical services that do not have any direct contact with solid organ transplantation. Student's t-test and the chi(2) test complemented by a logistical regression analysis were applied in the statistical analysis. RESULTS The questionnaire completion rate was 94% (N=309). Only 10% (N=31) of respondents are in favour of living liver donation if it is unrelated, but another 67% (N=207) are in favour if donation were for a relative. Of the rest, 11% (N=33) do not agree with living liver donation and the remaining 12% (N=38) are undecided. In the control group, attitude towards living liver donation is favourable in 82% (N=344) (P=0.0908). An analysis of the variables that influence attitude shows that the following factors are significantly related: (1) age (P=0.037); (2) a respondent's belief that he or she may need a transplant in the future (P=0.013); and (3) if it were necessary, a willingness to receive a donated living liver organ (P=0.000). Of the variables that have the most influence on attitude towards living liver donation in the bivariate analysis, there are two variables that are statistically significant in the multivariate analysis: (1) age and (2) willingness to accept a donated living liver organ from a relative if it were needed (OR=14.19). There is also a close relationship between attitude towards living liver donation and attitude towards living kidney donation (P=0.000) CONCLUSIONS: There is a favourable attitude towards living liver donation among personnel in units related to the transplantation and donation process, although it is less favourable than expected. Therefore, it will be necessary to increase this level of acceptance and to improve information about the matter if we want to encourage living liver donation. The youngest workers in these units are those who are most in favour, which leads us to believe that there is a hopeful future for this type of liver donation that is so necessary given the cadaveric organ deficit.
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Affiliation(s)
- A Ríos
- Coordinación Regional de Trasplantes de la Comunidad Autónoma de Murcia, Consejería de Sanidad, Murcia, España.
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Ríos A, Ramírez P, Galindo PJ, Rodríguez MDM, Martínez L, Montoya MJ, Lucas D, Alcaraz J, Parrilla P. [Physicians faced with living liver donation: an attitudinal study in a Spanish hospital with a living donor liver transplant program]. GASTROENTEROLOGIA Y HEPATOLOGIA 2007; 29:597-601. [PMID: 17198635 DOI: 10.1157/13095194] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
INTRODUCTION Mortality on the waiting list for liver transplants is high. Consequently, alternatives such as living donation are being sought. Therefore, one of the aspects that should be improved is the attitude of healthcare professionals toward this type of donation in order to create a favorable climate. The objective of this study was to identify attitudes toward living liver donation among physicians in a hospital with a living donor liver transplant program and to analyze the variables that affect these attitudes. PATIENTS AND METHODS A random sample stratified by type of service (n = 369) was performed among physicians in the hospital. Attitudes were evaluated using a survey validated in our geographical area. In each service, the head of service, or in their absence, an attending physician, was contacted. This person was given an explanation of the study and was made responsible for distributing the questionnaire in selected work shifts. The questionnaire was completed anonymously and was self-administered. Statistical analysis consisted of chi2 test, Student's t-test, and a logistic regression analysis. RESULTS The survey completion rate was 93% (n = 345). Of those surveyed, 15% (n = 52) were in favor of living liver donation whether related or unrelated. This percentage increased to 85% (n = 292) if donation was related. Of the remainder, 8% (n = 27) did not accept living liver donation and the remaining 7% (n = 26) were undecided. This attitude was associated with only two factors: the respondent's belief that he or she might need a transplant in the future (p = 0.003) -90% of those who believed that they might need a transplant at some point in the future were in favor-, and the respondent's acceptance (if transplantation were necessary at some point in the future) of a living donated liver from a family member or a friend (p = 0.000). Thus, 96% of those who would be prepared to accept a living organ were in favor. In the multivariate analysis, both variables remained significant: the respondent's belief that he or she might need a transplant in the future (odds ratio [OR] = 2.36) and, if this were the case, the respondent's acceptance of a living donated liver (OR = 7.11). CONCLUSIONS Attitudes toward living liver donation among physicians in a hospital with a living donor transplant program were highly favorable. Consequently, these health professionals may be a key element for the promotion of living donation at the present time when this form of donation is being encouraged to avoid mortality on waiting lists.
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Affiliation(s)
- Antonio Ríos
- Coordinación Regional de Trasplantes de la Comunidad Autónoma de Murcia, Consejería de Sanidad, España
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Ríos A, Ramírez P, Parrilla P. Unidades trasplantadoras de órganos sólidos ante la donación de vivo. Med Clin (Barc) 2006; 127:595-6. [PMID: 17145018 DOI: 10.1157/13094004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Ríos A, Conesa C, Ramírez P, Parrilla P. [Evaluation of living liver donation among resident physicians. An opinion survey]. GASTROENTEROLOGIA Y HEPATOLOGIA 2006; 29:322. [PMID: 16733042 DOI: 10.1157/13087476] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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