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Ríos A, López-Gómez S, Belmonte J, López-Navas A, Sánchez A, Carrillo J, Ruiz-Manzanera JJ, Hernández AM, Ramírez P, Parrilla P. Gypsy Population Presents a Favorable Attitude Toward Related Living Donation. Transplant Proc 2019; 51:296-298. [PMID: 30879526 DOI: 10.1016/j.transproceed.2018.10.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2018] [Accepted: 10/23/2018] [Indexed: 10/28/2022]
Abstract
INTRODUCTION Negative organ donation rates among the Gypsies is much higher than that of any other social group in Spain. However, living donation rates have not been raised much in this social group, despite the existence of several Gypsy patients on the waiting list for transplantation. OBJECTIVE To analyze the attitude toward related living donation among the Gypsy population who reside in Spain. METHODS This type of study is an observational sociological study. The study consisted of the adult Gypsy population residing in Spain, and a random sampling of 230 adult gypsies was conducted. Attitude questionnaires for live donation, both hepatic PCID-DVH-Ríos and renal PCID-DVR-Ríos, were used, and random selection was based on stratification. Questionnaires were self-administered and completed anonymously. Student t test, χ2, Fisher, and a logistic regression analysis were used. RESULTS A sample of 206 Gypsies (52% women) with a mean age of 34 years is obtained. Seventy-two percent (n = 150) would donate an organ to a relative in life, 8% (n = 16) would not donate it, and 20% (n = 41) have doubts. Respondents with a favorable attitude toward living donation presented a more favorable attitude toward cadaveric organ donation (55% vs 0%, P < .001). The attitude toward living kidney donation was more favorable (81% in favor) than toward living liver donation (P < .001). CONCLUSIONS The Gypsy ethnic group is sensitized to live donor transplantation. The family and cultural roots of Gypsy people could condition this favorable attitude, a fact to be taken into account to sensitize this social group and promote donation campaigns with the aim of increasing donation rates.
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Affiliation(s)
- A Ríos
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Surgery, Pediatrics, Obstetrics y Gynecology, University of Murcia; Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.
| | - S López-Gómez
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain
| | - J Belmonte
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Servicio de Anestesia y Reanimación, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - A López-Navas
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Psychology, UCAM, San Antonio Catholic University, Murcia, Spain
| | - A Sánchez
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain
| | - J Carrillo
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Surgery, Pediatrics, Obstetrics y Gynecology, University of Murcia; Spain
| | - J J Ruiz-Manzanera
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Surgery, Pediatrics, Obstetrics y Gynecology, University of Murcia; Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - A M Hernández
- Endocrinology and Nutrition Service, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Ramírez
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Surgery, Pediatrics, Obstetrics y Gynecology, University of Murcia; Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Parrilla
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Surgery, Pediatrics, Obstetrics y Gynecology, University of Murcia; Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
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Ríos A, Carrillo J, López-Navas A, Ayala-García M, Sánchez Á, Hernández A, Ramírez P, Parrilla P. Knowledge of Brain Death Among the Nigerian Residents in Spain. Transplant Proc 2019; 51:277-279. [DOI: 10.1016/j.transproceed.2018.10.010] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2018] [Accepted: 10/23/2018] [Indexed: 11/28/2022]
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Ríos A, Carrillo J, López-Navas A, Ayala-García M, Sánchez Á, Hernández A, Ramírez P, Parrilla P. Multivariate Analysis of Factors That Condition the Attitude Toward Organ Donation Among the Population of Mali Residents in Spain. Transplant Proc 2019; 51:269-272. [DOI: 10.1016/j.transproceed.2018.10.008] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2018] [Accepted: 10/23/2018] [Indexed: 11/24/2022]
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104
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Ríos A, López-Gómez S, Belmonte J, López-Navas A, Sánchez A, Carrillo J, Ruiz-Manzanera J, Hernández A, Ramírez P, Parrilla P. Acceptance of the Xenotransplantation of Organs Among the Population of the Spanish Gypsy Ethnic Group. Transplant Proc 2019; 51:293-295. [DOI: 10.1016/j.transproceed.2018.10.013] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2018] [Accepted: 10/23/2018] [Indexed: 01/06/2023]
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105
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Ríos A, López-Navas A, Gutiérrez P, Gómez F, Iriarte J, Herruzo R, Blanco G, Llorca F, Asunsolo A, Sánchez P, Fernández A, de Jesús M, Martínez Alarcón L, Lana A, Fuentes L, Hernández J, Virseda J, Yelamos J, Bondía J, Hernández A, Ayala M, Flores-Medina J, Carrillo J, Sánchez Á, Ramírez P, Parrilla P. Do Religious Factors Influence the Attitude Toward Organ Donation Among Medical Students? A Spanish Multicenter Study. Transplant Proc 2019; 51:250-252. [DOI: 10.1016/j.transproceed.2018.11.003] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2018] [Revised: 11/24/2018] [Accepted: 11/26/2018] [Indexed: 11/30/2022]
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Martínez-Insfran LA, Alconchel F, Ramírez P, Cascales-Campos PA, Carbonell G, Barona L, Pons JA, Sánchez-Bueno F, Robles-Campos R, Parrilla P. Liver Transplantation for Fulminant Hepatic Failure Due to Heat Stroke: A Case Report. Transplant Proc 2019; 51:87-89. [PMID: 30661899 DOI: 10.1016/j.transproceed.2018.03.137] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2018] [Accepted: 03/15/2018] [Indexed: 11/16/2022]
Abstract
Heat stroke is a condition caused by an excessive increase in body temperature in a relatively short period of time, and is clinically characterized by central nervous system dysfunction, including delirium, seizures, coma, and severe hyperthermia. In this context, the resulting fulminant hepatic failure makes liver transplant the best choice when there are no guarantees of better results with conservative treatment. We present our experience in this case, possible alternative choices, and the current role of liver transplantation in the resolution of fulminant liver failure due to heat stroke. CASE REPORT: We report the case of a 32-year-old man with a history of malabsorption syndrome and unconfirmed celiac disease controlled with a gluten-free diet, who, while working on a typical summer midday in southern Spain (approximately 40°C), abruptly presented with loss of consciousness, coma, and a temperature of 42°C, as well as seizures at the initial medical assessment that subsided after the administration of diazepam. On the third day, the patient presented with multiple organ dysfunction syndrome, requiring mechanical ventilation, hemodialysis, and inotropic support. He did not improve with the support of conservative treatment, therefore it was decided to perform an urgent liver transplant, after which he recovered completely. CONCLUSIONS: Liver transplantation should be a main choice of treatment for cases in which, despite intensive medical treatment, there is still clinical and analytical evidence of massive and/or irreversible hepatocellular damage.
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Affiliation(s)
- L A Martínez-Insfran
- Liver Transplant Unit, Department of Surgery, Hospital Clínico Universitario Virgen de la Arrixaca (Murcia)-IMIB-Arrixaca, Murcia, Spain
| | - F Alconchel
- Liver Transplant Unit, Department of Surgery, Hospital Clínico Universitario Virgen de la Arrixaca (Murcia)-IMIB-Arrixaca, Murcia, Spain.
| | - P Ramírez
- Liver Transplant Unit, Department of Surgery, Hospital Clínico Universitario Virgen de la Arrixaca (Murcia)-IMIB-Arrixaca, Murcia, Spain
| | - P A Cascales-Campos
- Liver Transplant Unit, Department of Surgery, Hospital Clínico Universitario Virgen de la Arrixaca (Murcia)-IMIB-Arrixaca, Murcia, Spain
| | - G Carbonell
- Department of Radiology, Hospital Clínico Universitario Virgen de la Arrixaca (Murcia)-IMIB-Arrixaca, Murcia, Spain
| | - L Barona
- Department of Pathology, Hospital Clínico Universitario Virgen de la Arrixaca (Murcia)-IMIB-Arrixaca, Murcia, Spain
| | - J A Pons
- Department of Hepatology, Hospital Clínico Universitario Virgen de la Arrixaca (Murcia)-IMIB-Arrixaca, Murcia, Spain
| | - F Sánchez-Bueno
- Liver Transplant Unit, Department of Surgery, Hospital Clínico Universitario Virgen de la Arrixaca (Murcia)-IMIB-Arrixaca, Murcia, Spain
| | - R Robles-Campos
- Liver Transplant Unit, Department of Surgery, Hospital Clínico Universitario Virgen de la Arrixaca (Murcia)-IMIB-Arrixaca, Murcia, Spain
| | - P Parrilla
- Liver Transplant Unit, Department of Surgery, Hospital Clínico Universitario Virgen de la Arrixaca (Murcia)-IMIB-Arrixaca, Murcia, Spain
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Ríos Zambudio A, López-Navas AI, Garrido G, Ayala-García MA, Sebastián MJ, Hernández AM, Ramírez P, Parrilla P. Attitudes of Latin American Immigrants Resident in Florida (United States) Toward Related Living Kidney Donation. Prog Transplant 2018; 29:11-17. [PMID: 30595099 DOI: 10.1177/1526924818817073] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
INTRODUCTION Latin American immigrants comprise an important population group in the United States. The purpose of this study was to analyze the attitude toward living kidney donation found among Latin American citizens who are residents in Florida and to identify the psychosocial variables affecting their attitude. MATERIAL AND METHODS A sample of Latin American residents in the state of Florida was randomly obtained and stratified by nationality, age, and sex (n = 1524). Attitude was assessed through a validated questionnaire that was self-administered and completed anonymously. Descriptive, Student t test and the χ2 test were used to analyze findings. RESULTS The questionnaire completion rate was 94% (N = 1433), with 59% (n = 845) in favor of related living donation, 40% (n = 571) were opposed to donation, with the remaining 1% (n = 17) undecided. The following variables were related to attitude toward living donation: country of origin (P < .001), marital status (P < .001), having descendants (P = .004), educational background (P < 0.001), having had previous experience of donation and transplantation (P < .001), attitude toward deceased donation (P < .001), considering the possibility of needing a transplant (P < .001), the respondent's partner's opinion (P < .001), having considered the subject with one's family (P < .001), having carried out prosocial type activities (P < .001), the respondent's religion (P < .001), knowing that one's religion is in favor of this therapy (P < .001), concern about mutilation after donation (P < .001), and considerations of the risks of living donation (P < .001). CONCLUSIONS The attitude toward related living kidney donation of Latin American residents in Florida is not very favorable (only 59%).
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Affiliation(s)
- Antonio Ríos Zambudio
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain.,Department of Surgery, Pediatrics, Obstetrics and Gynecology, 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
| | - Ana Isabel López-Navas
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain.,Department of Surgery, Pediatrics, Obstetrics and Gynecology, University of Murcia, Murcia, Spain.,Department of Psychology, Universidad Católica San Antonio, UCAM, Murcia, Spain
| | | | - Marco Antonio Ayala-García
- Hospital Regional de Alta Especialidad del Bajío, León, Guanajuato, Mexico.,HGSZ No. 10 del Instituto Mexicano del Seguro Social Delegación, Guanajuato, Mexico
| | - María José Sebastián
- Transplant Coordination Center, UMAE Hospital de Especialidades Nº 25 IMSS, Monterrey, Mexico
| | - Antonio Miguel Hernández
- Endocrinology and Nutrition Service, Hospital Clínico Universitario Virgen de la Arrixaca, El Palmar, Servicio Murciano de Salud, Murcia, Spain
| | - Pablo Ramírez
- Department of Surgery, Pediatrics, Obstetrics and Gynecology, 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
| | - Pascual Parrilla
- 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
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108
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Ríos A, Carrillo J, López-Navas AI, Ayala-García MA, Sánchez Á, Hernández AM, Ramírez P, Parrilla P. What Is the Attitude Toward Cadaveric Organ Donation of the Ghanian Residents in Spain? Transplant Proc 2018; 51:273-276. [PMID: 30879519 DOI: 10.1016/j.transproceed.2018.10.009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2018] [Accepted: 10/23/2018] [Indexed: 11/29/2022]
Abstract
INTRODUCTION The Ghanaian population is migrating toward the European economic community, especially toward the southern countries. OBJECTIVE To analyze the attitude toward organ donation among the population born in Ghana but currently residing in Spain. METHOD The study included the population born in Ghana who are ≥ 15 years of age and residents of Spain, stratified by age and sex. The assessment instrument used is the donation and transplant attitude questionnaire of Proyecto Colaborativo Internacional Donante (PCID-DTO Ríos), which was self-administered and anonymously completed with verbal consent. The statistics used were descriptive, χ2, Student t test, and a logistic regression analysis. RESULTS The questionnaire was completed by 237 Ghanaians. Forty-three percent (n = 102) are in favor of cadaveric organ donation, 35% (n = 83) are against donating their own organs, and 20% (n = 48) are undecided. In the multivariate analysis, the association was maintained at the level of the primary studies (P < .001, OR = 25), not being afraid of possible mutilation after donating (P < .001, OR = 76.923), religion (P < .001; OR = 27.777), performing prosocial activities (P = .016, OR = 12.048), and having previously commented on the issue of organ donation and transplantation in the family setting (P = .012, OR = 4.878). CONCLUSIONS The Ghanaian immigrant population in Spain has an unfavorable attitude toward the donation of their own organs at death, which is conditioned by multiple psychosocial factors.
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Affiliation(s)
- A Ríos
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Surgery, Pediatrics, Obstetrics and Gynecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.
| | - J Carrillo
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Surgery, Pediatrics, Obstetrics and Gynecology, University of Murcia, Murcia, Spain
| | - A I López-Navas
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Surgery, Pediatrics, Obstetrics and Gynecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain; Department of Psychology, Universidad Católica San Antonio, UCAM, Murcia, Spain
| | - M A Ayala-García
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Hospital Regional de Alta Especialidad del Bajío, León, Guanajuato, Mexico; Regional General Hospital No. 58 of the IMSS, Delegación Guanajuato, México; Escuela de Medicina de la Universidad de Quetzalcoatl en Irapuato, Irapuato, México
| | - Á Sánchez
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain
| | - A M Hernández
- Endocrinology and Nutrition Service, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Ramírez
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Surgery, Pediatrics, Obstetrics and Gynecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain; Regional Transplant Centre, Consejería de Sanidad y Consumo de la Región de Murcia, Murcia, Spain
| | - P Parrilla
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Surgery, Pediatrics, Obstetrics and Gynecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
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Ramírez P, Nuvials X, Díaz E. Introducción. Med Intensiva 2018; 43:S0210-5691(18)30256-0. [PMID: 30366680 DOI: 10.1016/j.medin.2018.07.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2018] [Accepted: 07/31/2018] [Indexed: 11/26/2022]
Affiliation(s)
- P Ramírez
- Servicio de Medicina Intensiva, Hospital Universitario y Politécnico la Fe, Valencia, España.
| | - X Nuvials
- Servei de Medicina Intensiva, Hospital Universitari Vall d'Hebron, Barcelona, España; Grupo de Trabajo en Infección y Sepsis de la SEMICYUC
| | - E Díaz
- Servicio de Medicina Intensiva, Hospital Universitari Parc Taulí, Sabadell, Barcelona, España; Grupo de Trabajo en Infección y Sepsis de la SEMICYUC
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Ríos A, López-Navas AI, De-Francisco C, Sánchez Á, Hernández AM, Ramírez P, Parrilla P. Validation of the Attitude Toward Living Liver Donation Questionnaire (PCID-DVH-Ríos) in Spanish-Speaking Populations: Characteristics and Psychometric Properties. Transplant Proc 2018; 50:2287-2290. [PMID: 30316343 DOI: 10.1016/j.transproceed.2018.02.172] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2018] [Accepted: 02/26/2018] [Indexed: 02/07/2023]
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. Knowing the population's attitude toward this donation will help in designing more effective campaigns to increase the number of such donations. However, there are few validated questionnaires. OBJECTIVE To analyze the psychometric characteristics of questionnaire PCID-DVH-Ríos [questionnaire of the International Collaborative Donor Project about Living Liver Donation ("Proyecto Colaborativo Internacional Donante sobre Donación de Vivo Hepático" in Spanish) developed by Dr. Ríos, in order to validate the questionnaire for the Spanish-speaking population. METHODS The study population comprised native Spanish citizens. A sample of the population was obtained randomly and stratified by age and sex (N = 600) according to the following: 1. being older than 18 years; 2. being Spanish; and 3. living in Spain. Attitude was assessed using a validated questionnaire of attitude toward liver donation (PCID-DVH-Ríos). This questionnaire included items distributed into subscales or factors, an initial description of the data, an exploratory factor analysis, and an internal consistency analysis. RESULTS The questionnaire consists of a total of 11 items, distributed into 3 subscales: 1. factor 1 (6 items); 2. factor 2 (3 items); and 3. factor 3 (2 items), presenting a total explained variance of 63.995%. The factors have an explained variance of F1: 38.461%; F2: 14.228%; and F3: 11.306%, respectively. The analysis of items and internal consistency supported the 3 factors' composition. The internal consistency of each factor is as follows: α1 = 0.80; α2 = 0.70; and α3 = 0.55, respectively. CONCLUSIONS The dimensions analyzed in the PCID-DVH-Ríos questionnaire on attitudes toward living liver donation show a good fit in relation to their factorial validity and internal consistency values.
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Affiliation(s)
- A Ríos
- International Collaborative Donor Project, Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.
| | - A I López-Navas
- International Collaborative Donor Project, Murcia, Spain; Department of Psychology, Catholic University of Murcia, Murcia, Spain
| | - C De-Francisco
- Department of Psychology, Catholic University of Murcia, Murcia, Spain
| | - Á Sánchez
- International Collaborative Donor Project, Murcia, Spain
| | - A M Hernández
- Endocrinology and Nutrition Service, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Ramírez
- International Collaborative Donor Project, Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Parrilla
- International Collaborative Donor Project, Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
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111
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Ríos A, Carrillo J, López-Navas AI, Sánchez A, Flores-Medina J, Ayala MA, Hernández AM, Ramírez P, Parrilla P. Are Senegalese Immigrants Residing in Spain in Favor of Organ Donation? Transplant Proc 2018; 50:2249-2252. [PMID: 30316333 DOI: 10.1016/j.transproceed.2018.02.176] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2018] [Accepted: 02/26/2018] [Indexed: 11/25/2022]
Abstract
The Senegalese population is an emerging group in Europe. The number of foreign residents in Spain, France, and Italy has increased significantly. However, there are no studies that analyze their awareness of organ donation and transplantation. OBJECTIVE To analyze the attitude toward organ donation among the population born in Senegal residing in Spain. METHODS The study population was born in Senegal and resides in Spain. A sample of the population older than 15 years was obtained randomly and stratified by age and sex according to census data and immigrant support associations. Attitude was assessed using a validated questionnaire on psychosocial aspects toward organ donation (PCID-DTO Rios). A random selection of people to be surveyed was carried out. Assistance from African immigration support associations in Spain was needed to advise on the location of potential respondents. The survey was self-administered and completed anonymously. RESULTS A sample of 295 respondents was included in the study. Attitude toward deceased donation was favorable in 37% (n = 109) of respondents; 35% (n = 104) were against and 28% (n = 82) were undecided. Several variables were associated with having a more favorable attitude (P < .05): sex, having discussed donation with the family, not being concerned about the possible mutilation of the body after donation, the respondent's religion, and knowledge of one's partner's attitude in favor of organ donation. CONCLUSIONS The attitude toward organ donation among the population born in Senegal and residing in Spain is unfavorable, and it is associated with psychosocial factors.
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Affiliation(s)
- A Ríos
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.
| | - J Carrillo
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain
| | - A I López-Navas
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Psychology, Catholic University of Murcia, Murcia, Spain
| | - A Sánchez
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain
| | - J Flores-Medina
- Department of Psychology, Catholic University of Murcia, Murcia, Spain
| | - M A Ayala
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Bajio Regional High Specialty Hospital, León, Guanajuato, Mexico
| | - A M Hernández
- Endocrinology and Nutrition Service, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Ramírez
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Parrilla
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
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Ríos A, López-Navas AI, Sánchez A, Flores-Medina J, Ayala MA, Garrido G, Sebastián MJ, Martínez-Alarcón L, Ramis G, Hernández AM, Ramírez P, Parrilla P. Multivariate Analysis of the Factors Affecting Attitude Toward Organ Donation Among the Ecuadorian Population Residing in Spain. Transplant Proc 2018; 50:2253-2256. [PMID: 30316334 DOI: 10.1016/j.transproceed.2018.04.011] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2018] [Revised: 03/02/2018] [Accepted: 04/06/2018] [Indexed: 12/23/2022]
Abstract
INTRODUCTION Immigrants from Ecuador represent the largest group of Latin Americans in Spain and are, therefore, a subgroup of interest to understand their attitudes and influences in respect to organ donation and transplantation. OBJECTIVE To analyze the attitude of nationals of Ecuador residing in Spain regarding deceased organ donation. METHODS The study population included the Ecuadorian population residing in Spain. A sample of population older than 15 years was obtained randomly and stratified by age and sex (n=461). Attitude was assessed using a validated questionnaire on psychosocial aspects toward organ donation (PCID-DTO-Ríos). Assistance from immigration support associations in Spain was needed to advice on the location of potential respondents. RESULTS Attitude toward cadaveric donation was favorable in 59% (n=271) of respondents, 12% (n=57) were against cadaveric donation, and 29% (n=133) were undecided. Several variables were associated with having a more favorable attitude. In the multivariate analysis, the following variables were independently associated with a more positive attitude toward organ donation: 1. level of formal education (odds ratio [OR]=6.849 [25.641-1.818]; P = .004); 2. being in favor of donating a family member's organs (OR=8.849 [20.833-3.717]; P < .001); 3. having commented at a family level about transplant (OR=3.717 [6.578-2.109]; P < .001); 4. not being concerned about the possible mutilation of the body after donation (OR=4.608 [8.547-2.487]; P < .001) and 5. knowing the attitude of one's religion toward donation (OR=7.462 [34.482-1.623]; P = .010). CONCLUSIONS The attitude toward cadaveric organ donation among the Ecuadorian population residing in Spain is less favorable than that of the Spanish population and is determined by many different psychosocial variables.
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Affiliation(s)
- A Ríos
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain; Department of Surgery, Pediatrics, Obstetrics and Gynecology, University of Murcia, Spain; Transplant Unit, Surgery Service, IMIB - Virgen de la Arrixaca University Hospital, Murcia, Spain.
| | - A I López-Navas
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain; Department of Psychology, Catholic University of Murcia, Murcia, Spain
| | - A Sánchez
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain
| | - J Flores-Medina
- Department of Psychology, Catholic University of Murcia, Murcia, Spain
| | - M A Ayala
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain; Regional de Alta Especialidad del Bajío Hospital, León, Guanajuato, México
| | - G Garrido
- National Organization of Transplants (Organización Nacional de Trasplantes - ONT), Madrid, Spain
| | - M J Sebastián
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain; Transplant Coordinatión, UMAE, de Specialty Hospital Nº 25 IMSS, Monterrey, México
| | - 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
| | - G Ramis
- Department of Animal Production, the Faculty of Veterinary Medicine, University of Murcia, Murcia, Spain
| | - A M Hernández
- Endocrinology and Nutrition Service, Virgen de la Arrixaca University Hospital, Murcia, Spain
| | - P Ramírez
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain; Department of Surgery, Pediatrics, Obstetrics and Gynecology, University of Murcia, Spain; Transplant Unit, Surgery Service, IMIB - Virgen de la Arrixaca University Hospital, Murcia, Spain
| | - P Parrilla
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain; Department of Surgery, Pediatrics, Obstetrics and Gynecology, University of Murcia, Spain; Transplant Unit, Surgery Service, IMIB - Virgen de la Arrixaca University Hospital, Murcia, Spain
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Ríos A, López-Navas A, Flores-Medina J, Sánchez A, Ayala M, Garrido G, Sebastián M, Martinez-Alarcón L, Ramis G, Hernández A, Ramírez P, Parrilla P. Knowledge of the Concept of Brain Death: Is This an Obstacle in the Acceptance of Donation and Transplantation of Organs Among the Bolivian Population Residing in Spain? Transplant Proc 2018; 50:2257-2259. [DOI: 10.1016/j.transproceed.2018.03.086] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2018] [Accepted: 03/02/2018] [Indexed: 12/18/2022]
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Ríos A, Carrillo J, López-Navas A, Sánchez A, Flores-Medina J, Ayala M, Hernández A, Ramírez P, Parrilla P. Guinean Residents in Spain Have Low Awareness of Living Kidney Related Donation. Transplant Proc 2018; 50:2284-2286. [DOI: 10.1016/j.transproceed.2018.03.098] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2018] [Accepted: 03/02/2018] [Indexed: 01/12/2023]
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115
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Martínez-Alarcón L, Ríos A, Ramis G, Quereda J, Herrero J, Mendonça L, Muñoz A, Hernández A, Ramírez P, Parrilla P. Impact of 2009 Pandemic H1N1 Influenza A Virus on Veterinary Students' Perception of Xenotransplantation. Transplant Proc 2018; 50:2291-2295. [DOI: 10.1016/j.transproceed.2018.02.178] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2018] [Accepted: 02/26/2018] [Indexed: 12/24/2022]
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116
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Ríos A, Carrillo J, López-Navas A, Sánchez Á, Flores-Medina J, Ayala M, Hernández A, Ramírez P, Parrilla P. Attitude Toward Living Kidney Donation in the Emigrant Algerine Population in Spain. Transplant Proc 2018; 50:2276-2279. [DOI: 10.1016/j.transproceed.2018.03.099] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2018] [Accepted: 03/02/2018] [Indexed: 10/17/2022]
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117
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Ríos A, López-Navas A, Flores-Medina J, Ayala M, Garrido G, José Sebastián M, Sánchez Á, Martínez L, Ramis G, Hernández A, Ramírez P, Parrilla P. Level of Acceptance of Solid Organ and Tissue Xenotransplantation Among the Bolivian Population Residing in Spain. Transplant Proc 2018; 50:2300-2302. [DOI: 10.1016/j.transproceed.2018.03.103] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2018] [Accepted: 03/02/2018] [Indexed: 10/17/2022]
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Zorrilla V, Vásquez G, Espada L, Ramírez P. [Update on tegumentary leishmaniasis and carrion's disease vectors in Peru]. ACTA ACUST UNITED AC 2018; 34:485-496. [PMID: 29267774 DOI: 10.17843/rpmesp.2017.343.2398] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2016] [Accepted: 07/12/2017] [Indexed: 11/06/2022]
Abstract
Among approximately 190 species of Lutzomyia in Peru, only a small number have been identified as vectors of tegumentary leishmaniasis in Western and inter-Andean valleys. These include L. peruensis, L. verrucarum, L. tejadai, L. ayacuchensis, and L. pescei. In the Amazon region, L. yuilli yuilli, L. chagasi, L. davisi, and L. auraensis are naturally infected, among the subgenera Leishmania and Viannia. L. auraensis is newly reported as a potential vector of leishmaniasis in neotropical regions. Among the primary and most widely distributed vectors of human bartonellosis or Carrión's disease, L. verrucarum and L. peruensis are predominant in the Andean regions of northern, central, and southern Peru. Other potential vectors of Carrion's disease are L. serrana in the Monzon Valley, Huamalies, and Huanuco; L. pescei in Apurímac and Cusco; and L. robusta and L. maranonensis in Jaén, San Ignacio, and Utcubamba provinces, and the high forests of Peru. Because of the high prevalence of leishmaniasis and bartonellosis outside of known endemic areas in Peru, it is necessary to update data and distribution maps of these disease vectors. This may improve both prevention and control measures. Existing information about sandfly vectors in Peru is also provided in this article.
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Affiliation(s)
- Victor Zorrilla
- Departamento de Entomología, Centro de Investigación de Enfermedades Tropicales de la Marina de los EE. UU. (NAMRU-6). Lima, Perú.,Facultad de Ciencias Biológicas, Universidad Nacional Mayor de San Marcos. Lima, Perú
| | - Gissella Vásquez
- Departamento de Entomología, Centro de Investigación de Enfermedades Tropicales de la Marina de los EE. UU. (NAMRU-6). Lima, Perú
| | - Liz Espada
- Departamento de Entomología, Centro de Investigación de Enfermedades Tropicales de la Marina de los EE. UU. (NAMRU-6). Lima, Perú
| | - Pablo Ramírez
- Facultad de Ciencias Biológicas, Universidad Nacional Mayor de San Marcos. Lima, Perú
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Cascales-Campos PA, Ramírez P, González-Sánchez MR, Alconchel F, Martínez-Insfran LA, Sánchez-Bueno F, Robles R, Pons JA, Vargas Á, Sanmartín J, Royo-Villanova M, Parrilla P. WITHDRAWN: Orthotopic Liver Transplantation with Very Elderly Donors (Over 80 Years of Age). A Prospective Evaluation. Transplant Proc 2018. [DOI: 10.1016/j.transproceed.2018.08.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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120
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González-Sánchez MR, Cascales-Campos PA, López-Espín JJ, Febrero B, Pons JA, Vargas Acosta A, Ros J, Sánchez-Bueno F, Robles R, Sáenz L, Ramírez P, Parilla P. Donors Older Than 75 Years Do Not Influence the Appearance of Biliary Complications After Liver Transplantation. Transplant Proc 2018; 50:640-643. [PMID: 29579875 DOI: 10.1016/j.transproceed.2017.11.048] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2017] [Revised: 10/21/2017] [Accepted: 11/11/2017] [Indexed: 01/14/2023]
Abstract
BACKGROUND In recent years, several studies have shown that the age of the donor may be related to an increase in the occurrence of biliary complications (BCs), which remain the main cause of morbidity after liver transplantation. This study analyzed the type and management of these BCs, the impact of BCs on graft and patient survival rates, and the influence of some characteristics of donors and recipients on BC appearance in patients transplanted with donors 75 years of age or older. PATIENTS AND METHODS From 2003 to 2016, 100 liver transplantations with donors 75 years of age or older (15.6%) were performed in our hospital. The data were compared with a control group of 400 patients with younger donors (case-control 1:4 per chronology). RESULTS The BC rate in the group of patients transplanted with organs from elderly donors was 18%, compared to 21.5% in the control group. Specifically, in the immediate post-transplantation period, 14% of the elderly donor group and 13.8% of the control group presented some BCs, with no statistically significant differences in the incidence, type, and treatment of BCs between the two groups. The occurrence of BCs was not a factor associated with graft and patient survival rates. In the global population, donor death by cerebral vascular accident and male donors have influenced the occurrence of BCs. CONCLUSIONS The advanced age of the donor has not influenced BC rates after transplantation.
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Affiliation(s)
- M R González-Sánchez
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Instituto Murciano de Investigaciones Biomédicas (IMIB), Murcia, Spain.
| | - P A Cascales-Campos
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Instituto Murciano de Investigaciones Biomédicas (IMIB), Murcia, Spain
| | - J J López-Espín
- Operation Research Institute, University of Miguel Hernández, Elche, Spain
| | - B Febrero
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Instituto Murciano de Investigaciones Biomédicas (IMIB), Murcia, Spain
| | - J A Pons
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Instituto Murciano de Investigaciones Biomédicas (IMIB), Murcia, Spain
| | - A Vargas Acosta
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Instituto Murciano de Investigaciones Biomédicas (IMIB), Murcia, Spain
| | - J Ros
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Instituto Murciano de Investigaciones Biomédicas (IMIB), Murcia, Spain
| | - F Sánchez-Bueno
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Instituto Murciano de Investigaciones Biomédicas (IMIB), Murcia, Spain
| | - R Robles
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Instituto Murciano de Investigaciones Biomédicas (IMIB), Murcia, Spain
| | - L Sáenz
- Clinical Analysis Department, Complejo Hospitalario de Navarra, Pamplona, Spain
| | - P Ramírez
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Instituto Murciano de Investigaciones Biomédicas (IMIB), Murcia, Spain
| | - P Parilla
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Instituto Murciano de Investigaciones Biomédicas (IMIB), Murcia, Spain
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121
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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, Quereda JJ, Herrero-Medrano JM, Mendonça L, Martin-Barrasa JL, Fernández OM, López-Navas AI, Hernández AM, Muñoz A, Ramírez P, Parrilla P. Attitude Toward Organ Donation and Transplantation in Veterinary Students: A Multicenter and Stratified Study in Spain. Transplant Proc 2018; 50:362-365. [PMID: 29579804 DOI: 10.1016/j.transproceed.2017.11.068] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2017] [Accepted: 11/11/2017] [Indexed: 11/16/2022]
Abstract
BACKGROUND Veterinarians often hold decision-making positions in the public health care system and can therefore influence public opinion about organ donation and transplantation (ODT). The aim of this work was to analyze the attitude of Spanish veterinary students toward ODT, because they may influence public opinion in the future, and to determine the factors that condition it. METHODS This was a sociologic, interdisciplinary, multicenter, observational study in Spain. The study population was students studying for a veterinary degree in Spain (n = 9000), and a sample of 2815 students (confidence of 99% and precision of ±1%) was stratified by geographic area and academic year. A validated questionnaire of attitude toward ODT (PCID-DTO-Ríos) was self-administered and anonymous. RESULTS Of the 2815 selected students (2790 plus the 0.9% per type of sample), 2650 completed the questionnaire (response rate, 94.14%): 83% (n = 2207) of the respondents were in favor of donation and 17% against. The following main variables were related to a favorable attitude: being female (odds ratio [OR], 0.752; P = .034); knowing a donor (OR, 1.834; P = .003); having discussed the matter with one's family (OR, 1.587; P = .002); having spoken about the subject in social circles with friends (OR, 1.633; P < .001), and being in favor of donating a deceased family member's organs (OR, 2.403; P < .001). CONCLUSIONS Seventeen percent of Spanish veterinary students were not in favor of ODT. It is important to know the factors that determine their attitude, because this will make it possible to optimize the resources invested in campaigns to promote ODT and to take more specific action.
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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
- Departament of Anatomy and Comparative Pathology, University of Córdoba, Córdoba, Spain
| | - X Moll
- Departamento de Medicina y Cirugía Animal, Facultad Veterinaria, Universitat Autonoma Barcelona, Barcelona, Spain
| | - V Falceto
- Departamento de Patología Animal, Facultad de Veterinaria, Universidad de Zaragoza, Zaragoza, Spain
| | | | | | - J J 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, 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, Spain; Animal Infectious Diseases and Ictiopatology, University Institute of Animal Health, 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
- Servicio de Cirugía, Unidad de Trasplantes, Hospital Clínico Universitario Virgen de la Arrixaca, 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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Martínez-Alarcón L, Ríos A, López-Navas AI, Sáez-Acosta A, Ramis G, Hernández AM, Ramírez P, Parrilla P. Attitude Toward Organ Donation Related to Personal Preferences for the Final Disposition of the Dead Body in Nursing Students in Southeast Spain. Transplant Proc 2018; 50:358-361. [PMID: 29579803 DOI: 10.1016/j.transproceed.2017.11.065] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2017] [Accepted: 11/11/2017] [Indexed: 10/17/2022]
Abstract
INTRODUCTION In organ donation and transplantation (ODT) and in nursing students, it is important to know the preferences about the final destination of the body once deceased. Whether these future professionals are afraid of this issue could influence their attitude toward ODT and future donation rates. OBJECTIVE To analyze the attitude of nursing students toward cremation, burial, and autopsy and to determine the factors affecting this attitude. METHODS A sociologic, interdisciplinary, multicenter, and observational study included nursing diploma students (n = 750) from 2010 to 2011 at 3 universities in the southeast of Spain. A validated questionnaire (PCID-DTO RIOS) was self-administered and completed anonymously. RESULTS Questionnaire completion rate was 92% (n = 687), with 71% (n = 486) of students accepting cremation as a body treatment after death. Those who were not worried about the possible mutilation of the body after donation (P < .05) and those who were in favor of deceased donation (P < .001) had a greater degree of acceptance. Of the students, 43% (n = 278) would accept burial of their body, which was related with being in the second year (P < .05) of study. Finally, 86% (n = 586) of students would accept an autopsy being carried out, if necessary, and this was related with the attitude toward ODT (P = .004). CONCLUSIONS A high percentage of nursing students would accept an autopsy being carried out. This degree of acceptance was related with a favorable attitude toward organ donation. The appropriate training of future nurses in ODT process will optimize their promotion.
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Affiliation(s)
- L Martínez-Alarcón
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - A Ríos
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.
| | - A I López-Navas
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Psychology, Catholic University of Murcia, UCAM, Murcia, Spain
| | - A Sáez-Acosta
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Animal Production, Veterinary School, University of Murcia, Murcia, Spain
| | - G Ramis
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Animal Production, Veterinary School, University of Murcia, Murcia, Spain
| | - A M Hernández
- Endocrinology and Nutrition Service, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Ramírez
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Parrilla
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
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Ríos A, Carrillo J, López-Navas AI, Martínez-Alarcón L, Ayala MA, Garrido G, Ramis G, Hernández AM, Ramírez P, Parrilla P. Guinean Population Emigrant to Spain Has Very Little Awareness of the Donation and Transplantation of Organs. Transplant Proc 2018; 50:350-353. [PMID: 29579801 DOI: 10.1016/j.transproceed.2017.11.064] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2017] [Accepted: 11/11/2017] [Indexed: 01/22/2023]
Abstract
INTRODUCTION The Guinean population is an emerging group in Europe, but the group's awareness of organ donation and transplantation has not been studied. OBJECTIVE To analyze the attitude toward organ donation among the population born in Guinea living in Spain. METHODS The population older than 15 years, born in Guinea, and resident in Spain was studied, stratified by age and sex, according to census data and immigrant assistance associations. The valuation tool used was the attitude questionnaire toward organ donation PCID-DTO RIOS (questionnaire on "Donor International Collaborative Project" on organ donation and transplantation developed by Dr Ríos). A random selection of people to survey was based on stratification. Support from African immigration support associations was needed to advise on the location of potential respondents. The completion was anonymous and self-administered. A descriptive statistic was performed, and Student t, χ2, and Fisher tests and a logistic regression analysis were applied. RESULTS In all, 181 Guineans were surveyed, of whom 32% (n = 58) were in favor of the donation of their own organs after death, 32% (n = 57) were against, and 36% (n = 66) were undecided. The variables that are associated with attitude toward donation are separated mainly into 4 large groups (P < .001): (1) knowledge about the process of donation and organ transplantation; (2) attitude toward the manipulation of the body; (3) religious variables; and (4) sociofamily variables, especially in relation to the couple. CONCLUSIONS The Guinean population emigrant to Spain has an unfriendly attitude toward organ donation.
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Affiliation(s)
- A Ríos
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.
| | - J Carrillo
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain
| | - A I López-Navas
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Psychology, Catholic University of Murcia, UCAM, Murcia, Spain
| | - L Martínez-Alarcón
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - M A Ayala
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Bajio Regional High Specialty Hospital, León, Guanajuato, Mexico
| | - G Garrido
- National Transplant Organization, Madrid, Spain
| | - G Ramis
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Animal Production, Veterinary School, University of Murcia, Murcia, Spain
| | - A M Hernández
- Endocrinology and Nutrition Service, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Ramírez
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Parrilla
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
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Cascales-Campos PA, Ramírez P, González-Sánchez MR, Alconchel F, Martínez-Insfran LA, Sánchez-Bueno F, Robles R, Pons JA, Vargas Á, Sanmartín J, Royo-Villanova M, Parrilla P. Orthotopic Liver Transplantation With Elderly Donors (Over 80 Years of Age): A Prospective Evaluation. Transplant Proc 2018; 50:3594-3600. [PMID: 30577243 DOI: 10.1016/j.transproceed.2018.08.005] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2018] [Revised: 07/19/2018] [Accepted: 08/03/2018] [Indexed: 12/16/2022]
Abstract
BACKGROUND Our main objective was to assess the clinical outcomes obtained in a single orthotopic liver transplant (OLT) hospital with donors ≥80 years of age compared to a control group of patients subjected to OLT during the same period of time with donors who were under 65 years of age. METHODS A prospective analysis was carried out on all the OLTs performed using liver grafts from donors in a state of brain death and with an age of ≥80 years (study group) between April 2007 and January 2015. The results of the study group (n = 36) were compared with those of a control group of patients less than 65 years of age receiving transplants with grafts. RESULTS A total of 51 potential donors ≥80 years were assessed, with a total of 36 liver transplants being carried out and their results were compared with a control group of 283 patients receiving transplants. The median follow-up time of the patients in the series was 36 months (range: 24-120 months). Graft survival at 1, 2, and 3 years was 77%, 72%, and 62%, respectively, among the patients in the study group and 79%, 73%, and 65% among the patients in the control group, and there were no statistically significant differences. Patient survival at 1, 2, and 3 years was 86%, 82%, and 75%, respectively, among the patients in the study group and 82%, 76%, and 72% among the patients in the control group, also without there being any statistically significant differences. CONCLUSIONS There is no age limit for liver transplant donors. The use of octogenarian donors makes it possible to increase the pool of donors while providing enough safety for the recipient.
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Affiliation(s)
- P A Cascales-Campos
- Liver Transplantation Unit, Department of Surgery, Hospital Clínico Universitario Virgen de la Arrixaca-IMIB Arrixaca, Murcia, Spain
| | - P Ramírez
- Liver Transplantation Unit, Department of Surgery, Hospital Clínico Universitario Virgen de la Arrixaca-IMIB Arrixaca, Murcia, Spain
| | - M R González-Sánchez
- Liver Transplantation Unit, Department of Surgery, Hospital Clínico Universitario Virgen de la Arrixaca-IMIB Arrixaca, Murcia, Spain
| | - F Alconchel
- Liver Transplantation Unit, Department of Surgery, Hospital Clínico Universitario Virgen de la Arrixaca-IMIB Arrixaca, Murcia, Spain.
| | - L A Martínez-Insfran
- Liver Transplantation Unit, Department of Surgery, Hospital Clínico Universitario Virgen de la Arrixaca-IMIB Arrixaca, Murcia, Spain
| | - F Sánchez-Bueno
- Liver Transplantation Unit, Department of Surgery, Hospital Clínico Universitario Virgen de la Arrixaca-IMIB Arrixaca, Murcia, Spain
| | - R Robles
- Liver Transplantation Unit, Department of Surgery, Hospital Clínico Universitario Virgen de la Arrixaca-IMIB Arrixaca, Murcia, Spain
| | - J A Pons
- Department of Hepatology, Hospital Clínico Universitario Virgen de la Arrixaca-IMIB Arrixaca, Murcia, Spain
| | - Á Vargas
- Department of Hepatology, Hospital Clínico Universitario Virgen de la Arrixaca-IMIB Arrixaca, Murcia, Spain
| | - J Sanmartín
- Intensive Care Department, Hospital Clínico Universitario Virgen de la Arrixaca-IMIB Arrixaca, Murcia, Spain
| | - M Royo-Villanova
- Intensive Care Department, Hospital Clínico Universitario Virgen de la Arrixaca-IMIB Arrixaca, Murcia, Spain
| | - P Parrilla
- Liver Transplantation Unit, Department of Surgery, Hospital Clínico Universitario Virgen de la Arrixaca-IMIB Arrixaca, Murcia, Spain
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Ríos A, López-Navas AI, Sánchez Á, Martínez-Alarcón L, Ayala MA, Garrido G, Sebastián MJ, Ramis G, Hernández AM, Ramírez P, Parrilla P. Emigration From Puerto Rico to Florida: Multivariate Analysis of Factors That Condition Attitudes of the Puerto Rican Population Toward Organ Donation for Transplant. Transplant Proc 2018; 50:312-315. [PMID: 29579791 DOI: 10.1016/j.transproceed.2017.11.042] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2017] [Accepted: 11/11/2017] [Indexed: 12/28/2022]
Abstract
BACKGROUND The Puerto Rican population represents one of the largest immigration groups in Florida, and this has an impact on the organ transplant donation process. Our aim was to analyze attitudes toward organ donation among Puerto Ricans who currently reside in the state of Florida (USA). METHODS The population screened consisted of individuals >15 years old, who were born in Puerto Rico, living in Florida, and awaiting organs for transplant. All participants completed the "PCID-DTO Rios" questionnaire. Random selection was done according to stratification. Support from immigration associations in Spain was needed for advice on the locations of potential respondents. Study participation was anonymized and self-administered. RESULTS There were 259 respondents, 37% (n = 95) were in favor of donation, 36% (n = 93) were against donation, and 27% (n = 71) were undecided. The variables associated with these attitudes were: age (P = .017); civil status (P = .021); level of education (P < .001); previous experience with donation and transplant (P < .001); attitude toward organ donation of a relative (P < .001); carrying out pro-social activities (P < .001); discussing the issue of transplant with the family (P < .001) or couple (P < .001); attitude toward incineration (P < .001), burial (P < .001), and autopsy (P < .001); fear of mutilation after donation (P < .001); and religious beliefs (P < .001). In the multivariate study, it remained an independent variable to have discussed the issue at the family level (odds ratio = 11.627; P = .009). CONCLUSION The Puerto Rican study population residing in Florida has an unfavorable attitude toward organ donation.
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Affiliation(s)
- A Ríos
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.
| | - A I López-Navas
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Psychology, Catholic University of Murcia, UCAM, Murcia, Spain
| | - Á Sánchez
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain
| | - L Martínez-Alarcón
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - M A Ayala
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Hospital Regional de Alta Especialidad del Bajío, León, Guanajuato, Mexico
| | - G Garrido
- Organización Nacional de Trasplantes, Spain
| | - M J Sebastián
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Coordinación de Trasplantes, UMAE Hospital de Especialidades No. 25 IMSS, Monterrey, Mexico
| | - G Ramis
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - A M Hernández
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Endocrinology and Nutrition Service, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Ramírez
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Parrilla
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
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Febrero B, Ramírez P, Martínez-Alarcón L, Abete C, Galera M, Ríos A, Robles-Martínez R, Ramírez-Pino PM, Almela J, Ramis G, Pons JA, Parrilla P. Group Psychotherapy Could Improve Depression in Cirrhotic Patients on the Liver Transplant Waiting List. Transplant Proc 2018; 51:28-32. [PMID: 30685106 DOI: 10.1016/j.transproceed.2018.02.206] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2017] [Revised: 01/28/2018] [Accepted: 02/02/2018] [Indexed: 12/28/2022]
Abstract
BACKGROUND It is well-known that there is a high incidence of depression in patients on the liver transplant (LT) waiting list. However, there have been few studies of psychological intervention on these patients. OBJECTIVES To determine symptoms of depression in patients on the LT waiting list and the impact of group psychotherapy. METHODS Study population: patients on the LT waiting list who received group psychotherapy (n = 15). CONTROL GROUP patients who did not receive psychotherapy (n = 10). Measurement instrument: Beck's depression test, which was provided before psychotherapy was initiated and after it was completed (after 6 months). The control group was given the questionnaire at the same 2 points in time as the study group. The psychotherapeutic method consisted of discussing patients' feelings, which dealt with several matters related to transplantation. Different coping strategies were considered. RESULTS More than half of those surveyed initially had depressive symptoms. When the second survey was administered to the study population, all the patients improved in their psychopathological assessment. When the survey was administered to the control group, a worse psychopathological assessment was obtained in all cases. CONCLUSIONS Our data suggest an improvement in depressive symptoms in patients on the LT waiting list after receiving group psychotherapy.
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Affiliation(s)
- B Febrero
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain, Instituto Murciano de Investigaciones Biomédicas (IMIB); Department of Surgery, University of Murcia, Murcia, Spain.
| | - P Ramírez
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain, Instituto Murciano de Investigaciones Biomédicas (IMIB); Department of Surgery, University of Murcia, Murcia, Spain; Regional Transplant Center, Consejería de Sanidad y Consumo de la Región de Murcia, Spain
| | - L Martínez-Alarcón
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain, Instituto Murciano de Investigaciones Biomédicas (IMIB); Department of Surgery, University of Murcia, Murcia, Spain
| | - C Abete
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain, Instituto Murciano de Investigaciones Biomédicas (IMIB)
| | - M Galera
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain, Instituto Murciano de Investigaciones Biomédicas (IMIB)
| | - A Ríos
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain, Instituto Murciano de Investigaciones Biomédicas (IMIB); Department of Surgery, University of Murcia, Murcia, Spain
| | - R Robles-Martínez
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain, Instituto Murciano de Investigaciones Biomédicas (IMIB)
| | - P M Ramírez-Pino
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain, Instituto Murciano de Investigaciones Biomédicas (IMIB)
| | - J Almela
- Department of Surgery, University of Murcia, Murcia, Spain
| | - G Ramis
- Department of Surgery, University of Murcia, Murcia, Spain
| | - J A Pons
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain, Instituto Murciano de Investigaciones Biomédicas (IMIB)
| | - P Parrilla
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain, Instituto Murciano de Investigaciones Biomédicas (IMIB); Department of Surgery, University of Murcia, Murcia, Spain
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Febrero B, Ramírez P, Martínez-Alarcón L, Abete C, Galera M, Ríos A, Robles-Martínez R, Ramírez-Pino PM, Almela J, Ramis G, Pons JA, Parrilla P. Quality of Life and Group Psychological Intervention in Patients With Cirrhosis on Liver Transplant Waiting List. Transplant Proc 2018; 50:2626-2629. [PMID: 30401363 DOI: 10.1016/j.transproceed.2018.04.013] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2017] [Revised: 03/11/2018] [Accepted: 04/06/2018] [Indexed: 01/29/2023]
Abstract
BACKGROUND The patients on the liver transplant (LT) waiting list usually present with deterioration in their quality of life. Previous studies on psychological intervention have shown how the quality of life can be improved. OBJECTIVE To analyze preliminary results of the influence of group psychotherapy on the quality of life of patients on the LT waiting list. METHOD Fifteen patients on the LT waiting list who accepted receiving group psychotherapy were selected. The development of each 1 of these sessions was carried out at fortnightly periods for 6 months (12 sessions). Those patients who received a transplant and those patients who did not attend more than 6 group psychotherapy sessions were excluded. The Nottingham Health Profile was used to assess the quality of life. It consists of 38 items belonging to 6 health dimensions: energy, pain, physical mobility, emotional reaction, sleep, and social isolation. The study population was given a questionnaire before starting group psychotherapy and after it was finished. RESULTS Of the 15 patients selected from the study population, 3 patients were given a transplant before the psychotherapy had finished, and 5 patients were excluded for not having attended more than 50% of the sessions. Therefore, the study was completed on 7 patients (n = 7). Overall, a better assessment can be seen in the second questionnaire. CONCLUSIONS Group psychotherapy might favorably influence the quality of life of patients on the LT waiting list; therefore, it might be interesting to carry out studies on a larger scale in order to confirm these results.
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Affiliation(s)
- B Febrero
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain, Instituto Murciano de Investigaciones Biomédicas (IMIB); Department of Surgery, University of Murcia, Murcia, Spain.
| | - P Ramírez
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain, Instituto Murciano de Investigaciones Biomédicas (IMIB); Department of Surgery, University of Murcia, Murcia, Spain; Regional Transplant Center, Consejería de Sanidad y Consumo de la Región de Murcia, Spain
| | - L Martínez-Alarcón
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain, Instituto Murciano de Investigaciones Biomédicas (IMIB); Department of Surgery, University of Murcia, Murcia, Spain
| | - C Abete
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain, Instituto Murciano de Investigaciones Biomédicas (IMIB)
| | - M Galera
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain, Instituto Murciano de Investigaciones Biomédicas (IMIB)
| | - A Ríos
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain, Instituto Murciano de Investigaciones Biomédicas (IMIB); Department of Surgery, University of Murcia, Murcia, Spain
| | - R Robles-Martínez
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain, Instituto Murciano de Investigaciones Biomédicas (IMIB)
| | - P M Ramírez-Pino
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain, Instituto Murciano de Investigaciones Biomédicas (IMIB)
| | - J Almela
- Department of Surgery, University of Murcia, Murcia, Spain
| | - G Ramis
- Department of Surgery, University of Murcia, Murcia, Spain
| | - J A Pons
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain, Instituto Murciano de Investigaciones Biomédicas (IMIB)
| | - P Parrilla
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain, Instituto Murciano de Investigaciones Biomédicas (IMIB); Department of Surgery, University of Murcia, Murcia, Spain
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Ríos A, López-Navas AI, Flores-Medina J, Sánchez A, Ayala MA, Garrido G, Martínez-Alarcón L, Ramis G, Hernández AM, Ramírez P, Parrilla P. Psychosocial Factors Affecting Attitude Toward Organ Donation in Santiago, Cuba. Transplant Proc 2018; 50:2268-2271. [PMID: 30316338 DOI: 10.1016/j.transproceed.2018.04.012] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2018] [Revised: 03/02/2018] [Accepted: 04/06/2018] [Indexed: 12/23/2022]
Abstract
INTRODUCTION Awareness about organ donation among the general population is fundamental to organ donation programs. It is important to determine the factors that influence attitudes toward organ donation within the general population in order to carry out cost-effective campaigns. OBJECTIVE To analyze the attitude toward organ donation among Santiago, Cuba, citizens. METHODS The study population encompassed residents in Santiago, Cuba. A sample population of residents older than 15 years was obtained randomly and stratified by age and sex. Attitude was assessed using a validated questionnaire on psychosocial aspects toward organ donation and transplant (PCID-DTO Ríos). Available census data were used. The survey was self-administered and completed anonymously. RESULTS Of the 455 respondents, 70% of respondents are in favour of cadaveric donation, 16% are against, and 14% were undecided. Several variables were associated with having a more favorable attitude. And in the multivariate analysis, the following variables continue to feature as independent variables: 1. knowledge of the concept of brain death [OR = 2.386 (4.761-1.194); P = .014]; 2. being in favor of donating a family member's organs [OR = 3.067 (5.952-1.584); P = .001]; 3. a partner's favorable attitude [OR = 5.795 (1.477-22.731); P = .012]; 4. being an atheist/agnostic as the religious beliefs [OR = 1.845 (3.289-1.038); P = .037]; 5. not being concerned about the possible mutilation of the body after donation [OR = 7.437 (2.918-18.955); P < .001]; 6. not accepting other treatment options after death, such as inhumation [OR = 3.048 (5.714-1.626); P = .001]. CONCLUSIONS The attitude toward cadaveric organ donation among the Santiago, Cuba population is favorable and it is associated with several psychosocial factors.
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Affiliation(s)
- A Ríos
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.
| | - A I López-Navas
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Psychology, Catholic University of Murcia, Murcia, Spain
| | - J Flores-Medina
- Department of Psychology, Catholic University of Murcia, Murcia, Spain
| | - A Sánchez
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain
| | - M A Ayala
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Bajio Regional High Specialty Hospital, León, Guanajuato, Mexico
| | - G Garrido
- National Transplant Organization, Madrid, Spain
| | - L Martínez-Alarcón
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - G Ramis
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Animal Production Veterinary School, University of Murcia, Murcia, Spain
| | - A M Hernández
- Endocrinology and Nutrition Service, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Ramírez
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Parrilla
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
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Lopez T, Cuevas J, Ilharco L, Ramírez P, Rodríguez-Reinoso F, Rodríguez-Castellón E. XPS characterization and E. Coli DNA degradation using functionalized Cu/TiO2 nanobiocatalysts. Molecular Catalysis 2018. [DOI: 10.1016/j.mcat.2018.02.010] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
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Febrero B, Almela J, Febrero R, Ríos A, González MR, Gil PJ, Ferreras D, Ros I, Ramírez P, Parrilla P. Importance for the Elderly of Discussion in the Family and Society About Attitude Toward Organ Donation. Transplant Proc 2018; 50:523-525. [PMID: 29579841 DOI: 10.1016/j.transproceed.2017.09.056] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2017] [Accepted: 09/21/2017] [Indexed: 10/17/2022]
Abstract
BACKGROUND The aging of the population has changed some of the approaches to the organ donation and transplant (ODT) process, such as considering elderly people as potential donors. We aimed to assess social and family discussions among the elderly about ODT and its effect on their attitude toward organ donation. METHODS A study was carried out at 2 publicly-funded social centers for the elderly. Contact was made with individuals >65 years of age (n = 120) to seek their participation in the study. A questionnaire was distributed to them with questions about ODT. A descriptive assessment was performed with the Student t test and χ2 test used for statistical analysis. RESULTS The completion rate was 87% (n = 104). Of the respondents with a partner and children, 48% had discussed the topic of ODT. It was found that talking about the subject with one's partner, children, or friends had a favorable influence on attitude compared with when this was not done (93%, 86%, and 83% vs 19%, 30%, and 31%, respectively; P < .001). In addition, the opinion of one's partner and children toward ODT also had an influence; if favorable, the respondent's attitude was more favorable, compared with when they did not know their opinion (92% to 88% vs 58% to 37%, respectively; P < .001). Other ODT-related variables did not affect their attitude (P > .05). CONCLUSIONS Almost half of the elderly people had discussed ODT socially or with their family. This discourse has a favorable influence on their attitude toward organ donation and, therefore, it is important to encourage social and family dialog among this group.
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Affiliation(s)
- B Febrero
- Department of Surgery, University of Murcia, Murcia, Spain; Virgen de la Arrixaca University Hospital and Instituto Murciano de Investigaciones Biomédicas, Murcia, Spain.
| | - J Almela
- Department of Surgery, University of Murcia, Murcia, Spain
| | - R Febrero
- Department of Surgery, University of Murcia, Murcia, Spain
| | - A Ríos
- Department of Surgery, University of Murcia, Murcia, Spain; Virgen de la Arrixaca University Hospital and Instituto Murciano de Investigaciones Biomédicas, Murcia, Spain
| | - M R González
- Virgen de la Arrixaca University Hospital and Instituto Murciano de Investigaciones Biomédicas, Murcia, Spain
| | - P J Gil
- Virgen de la Arrixaca University Hospital and Instituto Murciano de Investigaciones Biomédicas, Murcia, Spain
| | - D Ferreras
- Virgen de la Arrixaca University Hospital and Instituto Murciano de Investigaciones Biomédicas, Murcia, Spain
| | - I Ros
- Department of Surgery, University of Murcia, Murcia, Spain
| | - P Ramírez
- Department of Surgery, University of Murcia, Murcia, Spain; Virgen de la Arrixaca University Hospital and Instituto Murciano de Investigaciones Biomédicas, Murcia, Spain; Regional Transplant Center, Consejería de Sanidad y Consumo de la Región de Murcia, Spain
| | - P Parrilla
- Department of Surgery, University of Murcia, Murcia, Spain; Virgen de la Arrixaca University Hospital and Instituto Murciano de Investigaciones Biomédicas, Murcia, Spain
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Ríos A, López-Navas AI, Sánchez Á, Ayala MA, Garrido G, Sebastián MJ, Martínez-Alarcó L, Ramis G, Hernández AM, Ramírez P, Parrilla P. Factors That Affect the Attitudes of the Bolivian Population in Spain With Regard to Organ Donation for Transplant. Transplant Proc 2018; 50:319-322. [PMID: 29579793 DOI: 10.1016/j.transproceed.2017.11.044] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2017] [Accepted: 11/11/2017] [Indexed: 10/17/2022]
Abstract
BACKGROUND The Bolivian population is an emerging Latin American immigrant group in Spain, several of whom have been transplanted or are awaiting transplant. We aimed to assess attitudes toward organ donation among Bolivians currently residing in Spain. METHOD The population screened was born in Bolivia but living in Spain, stratified by gender and age. The appraisal tool used was a questionnaire that assesses attitudes toward organ donation for transplant ("PCID-DTO Ríos"). Support from immigration associations in Spain was needed for advice on locations of potential respondents. Survey participation was anonymized and the questionnaire was self-administered. Verbal consent was obtained before participation. RESULTS There were 206 respondents: 49% (n = 101) in favor of donating their organs after death; 21% (n = 44) against donation; and 30% (n = 61) undecided. Their attitudes were found to be associated with level of education (P = .008), previous experience with donation and transplant (P = .011), concern regarding mutilation after donation (P = .002), knowing the attitude of their religion toward transplant (P = .001), the opinion of their partner (P < .001), and the possibility of needing a future transplant (P = .050). In the multivariate study, the main factor was having a partner in favor of organ donation (odds ratio = 16.129; P = .003). CONCLUSION Attitudes toward organ donation among Bolivians residing in Spain are far more negative compared with rest of the Spanish population, due to various factors.
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Affiliation(s)
- A Ríos
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.
| | - A I López-Navas
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Psychology, Catholic University of Murcia, UCAM, Murcia, Spain
| | - Á Sánchez
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain
| | - M A Ayala
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Hospital Regional de Alta Especialidad del Bajío, León, Guanajuato, Mexico
| | - G Garrido
- Organización Nacional de Trasplantes, Madrid, Spain
| | - M J Sebastián
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Coordinación de Trasplantes, UMAE Hospital de Especialidades No. 25 IMSS, Monterrey, Mexico
| | - L Martínez-Alarcó
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - G Ramis
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - A M Hernández
- Endocrinology and Nutrition Service, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Ramírez
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Parrilla
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
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Ríos A, López-Navas AI, Sánchez Á, Ayala MA, Garrido G, Sebastián MJ, Flores-Medina J, Martinez-Alarcon L, Ramis G, Hernández AM, Ramírez P, Parrilla P. Multivariate Analysis of Factors That Influence the Attitude of the Ecuadorian Population Resident in Spain Toward Living-Related Kidney Donation. Transplant Proc 2018; 50:366-369. [PMID: 29579805 DOI: 10.1016/j.transproceed.2017.11.067] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2017] [Accepted: 11/11/2017] [Indexed: 11/19/2022]
Abstract
BACKGROUND The Ecuadorian population is the largest Latin-American immigrant group in Spain. Currently, several Ecuadorians have received transplants or are awaiting transplants in Spain. The aim of this work was to analyze the attitude toward living kidney donation among the Ecuadorian population residing in Spain. METHODS The population screened were born in Ecuador, residing in Spain, and >15 years old, stratified by gender and age, and appraised with the use of the questionnaire on attitude toward organ donation for transplantation "PCID-DVR-Ríos." Support from immigration associations in Spain was used to advise on the location of potential respondents. The completion was anonymous and self-administered. Verbal consent was obtained. Statistics included Student t test, χ2, Fisher exact test, and logistic regression analysis. RESULTS A total of 461 respondents were included: 80% (n = 367) were in favor of living-related kidney donation (for a relative or close friend). This attitude was associated with psychosocial variables that persisted in the multivariate study: 1) female gender (odds ratio [OR], 3.086; P = .001); 2) considering oneself a potential kidney receptor in the future (OR, 16.949; P = .002); 3) economic incentive in the donation (OR, 100; P = .004); and 4) knowing the attitude of their religion toward transplantation (OR, 32.258; P < .001). CONCLUSIONS Living-related donation is accepted among the Ecuadorian population residing in Spain and is associated with sociopersonal and religious factors.
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Affiliation(s)
- A Ríos
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Surgery, Pediatrics, Obstetrics, and Gynecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.
| | - A I López-Navas
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Psychology, Catholic University of Murcia, Murcia, Spain
| | - Á Sánchez
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain
| | - M A Ayala
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Hospital Regional de Alta Especialidad del Bajío, León, Guanajuato, Mexico
| | - G Garrido
- Organización Nacional de Trasplantes, Madrid, Spain
| | - M J Sebastián
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Coordinación de Trasplantes, UMAE Hospital de Especialidades No. 25 IMSS, Monterrey, Mexico
| | - J Flores-Medina
- Department of Psychology, Catholic University of Murcia, Murcia, Spain
| | - L Martinez-Alarcon
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - G Ramis
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Animal Production, Faculty of Veterinary Medicine, University of Murcia, Murcia, Spain
| | - A M Hernández
- Endocrinology and Nutrition Service, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Ramírez
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Surgery, Pediatrics, Obstetrics, and Gynecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Parrilla
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Surgery, Pediatrics, Obstetrics, and Gynecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
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Rosique F, Cabezuelo JB, Ferreras D, González-Sánchez MR, Ros J, Pons JA, Cascales-Campos PA, Sánchez-Bueno F, Robles R, Ramírez P, Parrilla P. Long-term Survival and Evolution of the Kidney Function for Liver Transplant Patients Who Required Postoperative Dialysis. Transplant Proc 2018; 50:634-636. [PMID: 29579873 DOI: 10.1016/j.transproceed.2017.11.053] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2017] [Revised: 10/23/2017] [Accepted: 11/19/2017] [Indexed: 11/16/2022]
Abstract
Patients who underwent orthotopic liver transplantation (OLT) frequently develop chronic kidney disease, with those who present postoperative acute kidney failure and require renal replacement therapy (RRT) at higher risk. The objective of the study was to assess the kidney function and long-term survival of patients who underwent OLT and required RRT during or in the immediate postoperative period. Medical records of OLT and postoperative RRT patients with over 6-month survival were reviewed between January 1, 2005, and December 31, 2015. A variance analysis was carried out for repeated measurements to compare the estimate glomerular filtration rate (eGFR) baseline with the different periods (statistical significance level P < .05). Kaplan-Meier estimator was used to estimate the survival rate. Of 539 patients, 20 (3.7%) met the selection criteria. The basal eGFR at 6 months and 1, 3, 5, and 7 years was 93.41 ± 25, 78.28 ± 33, 73.06 ± 29, 65.96 ± 19, 79.81 ± 28, and 59.06 ± 24 mL/min/1.73 m2, respectively. The comparison of the eGFR baseline within the different periods was statistically significant at 1 year and at 3 years. Four patients died, 3 of them due to sepsis and 1 due to recurrence of hepatitis C virus infection. The average survival was 28 months. The probability of surviving at 1 year was 100%, at 3 years was 84.21% (95% confidence interval: 58.65-94.62), and at 5 and 10 years was 78.6% (95% confidence interval: 52.49-91.39). In conclusion, we have found a progressive worsening of the kidney function in the long term in patients who required postoperative dialysis. However, actuarial survival of these patients was very successful.
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Affiliation(s)
- F Rosique
- Department of Nephrology, Hospital General Universitario Reina Sofía, Murcia, Spain.
| | - J B Cabezuelo
- Department of Nephrology, Hospital General Universitario Reina Sofía, Murcia, Spain
| | - D Ferreras
- Department of General Surgery. Hospital Universitario Virgen de la Arrixaca, Murcia, Spain
| | - M R González-Sánchez
- Department of General Surgery. Hospital Universitario Virgen de la Arrixaca, Murcia, Spain
| | - J Ros
- Intensive Care Unit, Hospital Universitario Virgen de la Arrixaca, Murcia, Spain
| | - J A Pons
- Department of Digestive, Hospital Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P A Cascales-Campos
- Department of Digestive, Hospital Universitario Virgen de la Arrixaca, Murcia, Spain
| | - F Sánchez-Bueno
- Department of General Surgery. Hospital Universitario Virgen de la Arrixaca, Murcia, Spain
| | - R Robles
- Department of General Surgery. Hospital Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Ramírez
- Department of General Surgery. Hospital Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Parrilla
- Department of General Surgery. Hospital Universitario Virgen de la Arrixaca, Murcia, Spain
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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, Quereda JJ, Herrero-Medrano JM, Mendonça L, Martin-Barrasa JL, Fernández OM, Hernández AM, Muñoz A, Ramírez P, Parrilla P. Veterinary Students' Attitude Toward Living Kidney Donation: A Multicenter Stratified Study From Spain. Transplant Proc 2018; 50:2280-2283. [PMID: 30316341 DOI: 10.1016/j.transproceed.2018.02.177] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2018] [Accepted: 02/26/2018] [Indexed: 02/07/2023]
Abstract
Living kidney related donations (LKRD) should be promoted because of the current deficit of organs for transplantation. The objective of the study was to analyze the attitude of Spanish veterinary students toward LKRD, because they may influence public opinion in the future, and to determine the factors that condition it. METHODS A sociological, interdisciplinary, multicenter, and observational study was carried out in the veterinary students enrolled in Spain (n = 9000) in the university academic year 2010-2011. A sample of 2815 students was stratified by geographical area and academic year. The students' attitude toward LKRD was assessed using a psychosocial validated questionnaire (PCID-DVR Rios), was self-administered, and was completed anonymously. Veterinary schools were randomly selected. The questionnaire was applied to each academic year at compulsory sessions. Statistical analysis was preformed using t test, χ2 test, and logistic regression analysis. RESULTS The completion rate was 95% (n = 2683); 93% (n = 2504) were in favor of LKRD and 36% (n = 945) supported unrelated living kidney donation. The following variables were associated with having a more favorable attitude: (1) sex (P < .001), (2) being a student of southern universities (P = .03), (3) attitude toward deceased donation (P < .001), (4) having a father (P < .001) or a mother (P < .001) in favor of organ donation, and (5) having discussed the subject with friends (P = .03) or family (P = .02). However, only 60% would accept a kidney from a relative. CONCLUSION Spanish veterinary students have a favorable attitude toward LKRD. However, only 60% would accept a kidney from a relative.
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Affiliation(s)
- L Martínez-Alarcón
- International Collaborative Donor Project, Murcia, Spain; Instituto Murciano de Investigación Biosanitaria (IMIB), Murcia, Spain; Servicio de Cirugía, Unidad de Trasplantes, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - A Ríos
- International Collaborative Donor Project, Murcia, Spain; Instituto Murciano de Investigación Biosanitaria (IMIB), Murcia, Spain; Servicio de Cirugía, Unidad de Trasplantes, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.
| | - G Ramis
- Instituto Murciano de Investigación Biosanitaria (IMIB), Murcia, Spain; Servicio de Cirugía, Unidad de Trasplantes, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain; Departamento de Producción Animal, Facultad de Veterinaria, Universidad de Murcia, Murcia, Spain
| | - J Gómez-Laguna
- Departament 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 J 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, 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 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
- International Collaborative Donor Project, Murcia, Spain; Instituto Murciano de Investigación Biosanitaria (IMIB), Murcia, Spain; Servicio de Cirugía, Unidad de Trasplantes, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Parrilla
- International Collaborative Donor Project, Murcia, Spain; Instituto Murciano de Investigación Biosanitaria (IMIB), Murcia, Spain; Servicio de Cirugía, Unidad de Trasplantes, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
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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] [What about the content of this article? (0)] [Affiliation(s)] [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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Ríos A, López-Navas AI, De-Francisco C, Sánchez Á, Hernández AM, Ramírez P, Parrilla P. Attitude Toward Organ and Tissue Xenotransplantation Questionnaire (PCID-XENOTx-Ríos): Characteristics and Psychometric Properties of the Validation in Spanish-Speaking Populations. Transplant Proc 2018; 50:2303-2307. [PMID: 30316347 DOI: 10.1016/j.transproceed.2018.02.173] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2018] [Accepted: 02/26/2018] [Indexed: 12/18/2022]
Abstract
INTRODUCTION Making xenotransplantation socially acceptable is the first step in working toward the promotion of this potential therapy option for providing transplant organs. However, most of the questionnaires used for this task are not validated. OBJECTIVE To analyze the psychometric characteristics of the questionnaire of attitud toward xenotransplantation PCID-XENOTx-Ríos (Questionnaire of Proyecto Colaborativo Internacional Donante about Xenotransplantation developed by Dr. Ríos) to validate the questionnaire in the Spanish speaking population. METHODS The study population was the native Spanish population living in southeast Spain. A sample of the population was obtained randomly and stratified by age and sex (N = 600), using the following inclusion criteria: 1. being older than 18 years; 2. being Spanish; and 3. living in Spain. Instrument valuation. Attitude was assessed using the validated PCID-XENOTx-Ríos questionnaire to gauge attitudes toward organ and tissue xenotransplantation. The statistical analysis included an initial description of the data, an exploratory factor analysis, an items analysis, and an internal consistency analysis. RESULTS The questionnaire consists of a total of 30 items, distributed in 4 subscales: 1. Factor 1: consequences (11 items); 2. Factor 2: associated risks (7 items); 3. Factor 3: transmission of infections (6 items); and 4. Factor 4: origins of transplantation (6 items). This structure presents a total explained variance of 61.18%. The internal consistency of each factor was as follows: α1 = 0.91; α2 = 0.92; α3 = 0.89; and α4 = 0.72. The analysis of items and internal consistency supported the 4 factors' composition. CONCLUSIONS Dimensions analyzed in the PCID-XENOTx-Ríos questionnaire of attitudes toward organ and tissue xenotransplantation show a good fit in relation to their factorial validity and internal consistency values.
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Affiliation(s)
- A Ríos
- International Collaborative Donor Project, Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.
| | - A I López-Navas
- International Collaborative Donor Project, Murcia, Spain; Department of Psychology, Catholic University of Murcia, Murcia, Spain
| | - C De-Francisco
- Department of Psychology, Catholic University of Murcia, Murcia, Spain
| | - Á Sánchez
- International Collaborative Donor Project, Murcia, Spain
| | - A M Hernández
- Endocrinology and Nutrition Service, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Ramírez
- International Collaborative Donor Project, Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Parrilla
- International Collaborative Donor Project, Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
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Ríos A, López-Navas AI, Flores-Medina J, Sánchez Á, Ayala MA, Garrido G, Martínez-Alarcón L, Ramis G, Hernández AM, Ramírez P, Parrilla P. Attitude of the Citizens of Havana, Cuba, Toward Organ Donation: A Multivariate Analysis of the Psychosocial Factors Affecting Attitude. Transplant Proc 2018; 50:2260-2263. [PMID: 30316336 DOI: 10.1016/j.transproceed.2018.03.069] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2018] [Accepted: 03/02/2018] [Indexed: 01/09/2023]
Abstract
INTRODUCTION Because personal decisions affect the availability of organs for transplants, awareness about organ donations among the general population is fundamental. OBJECTIVE To analyze attitudes toward organ donation among the citizens of Havana, Cuba. METHODS The sample population was the residents of the city of Havana, Cuba. The inclusion criterion was being older than 15 years; the sample was obtained randomly and stratified by age and sex. Attitude was assessed using a validated questionnaire on psychosocial aspects of organ donation and transplant (PCID-DTO-Ríos). A random selection of people to be surveyed was carried out. RESULTS A sample of 920 respondents was included in the study. Attitude toward cadaveric donation was favorable in 68% of respondents, while 14% were against and 18% were undecided. Several variables were associated with having a more favorable attitude. In the multivariate analysis, the following variables continue to feature as independent variables (P < .05): 1. level of studies; 2. knowledge of the concept of brain death; 3. attitude toward organ donation of a relative; 4. having discussed the issue of organ donation and transplantation with one's family; 5. the attitude of the couple toward organ donation and transplantation; 6. the religion of the respondent; 7. knowing the opinion of one's religion toward organ transplantation; 8. fear of manipulation of the body after death; and 9. acceptance of burial as a treatment of the body after the death. CONCLUSIONS The attitude toward cadaveric organ donation among the residents of Havana is favorable and similar to that of the citizens of Spain. Improving the organ procurement system will increase donation rates given the population's awareness of the issue.
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Affiliation(s)
- A Ríos
- International Collaborative Donor Project, Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics, and Gynaecology, University of Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.
| | - A I López-Navas
- International Collaborative Donor Project, Murcia, Spain; Department of Psychology, Catholic University of Murcia, Murcia, Spain
| | - J Flores-Medina
- Department of Psychology, Catholic University of Murcia, Murcia, Spain
| | - Á Sánchez
- International Collaborative Donor Project, Murcia, Spain
| | - M A Ayala
- International Collaborative Donor Project, Murcia, Spain; Bajio Regional High Specialty Hospital, León, Guanajuato, Mexico
| | - G Garrido
- National Transplant Organization, Spain
| | - L Martínez-Alarcón
- International Collaborative Donor Project, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - G Ramis
- International Collaborative Donor Project, Murcia, Spain; Department of Animal Production, Veterinary School, University of Murcia, Spain
| | - A M Hernández
- Endocrinology and Nutrition Service, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Ramírez
- International Collaborative Donor Project, Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics, and Gynaecology, University of Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Parrilla
- International Collaborative Donor Project, Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics, and Gynaecology, University of Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
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Ríos A, López-Navas A, Sánchez Á, Martinez-Alarcon L, Ayala M, Garrido G, Sebastián M, Ramis G, Abdo-Cuza A, Hernández A, Ramírez P, Parrilla P. Knowledge of the Brain Death Concept Among the Population of Havana, Cuba. Transplant Proc 2018; 50:323-325. [DOI: 10.1016/j.transproceed.2017.11.043] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2017] [Accepted: 11/11/2017] [Indexed: 12/20/2022]
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139
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Ríos A, López-Gómez S, López-Navas AI, Belmonte J, Sánchez Á, Martínez-Alarcón L, Hernández AM, Ramírez P, Parrilla P. Approach of Social Groups With Little Sensitization to Organ Donation: Pilot Study in the Gypsy Population to Assess the Best Approach to Determine the Attitude Toward Organ Donation for Transplantation. Transplant Proc 2018; 50:338-340. [PMID: 29579798 DOI: 10.1016/j.transproceed.2017.12.051] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2017] [Revised: 11/19/2017] [Accepted: 12/05/2017] [Indexed: 11/27/2022]
Affiliation(s)
- A Ríos
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics y Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.
| | - S López-Gómez
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain
| | - A I López-Navas
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Psychology, Catholic University of Murcia, UCAM, Murcia, Spain
| | - J Belmonte
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Servicio de Anestesia y Reanimación, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - Á Sánchez
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain
| | - L Martínez-Alarcón
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - A M Hernández
- Endocrinology and Nutrition Service, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Ramírez
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics y Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Parrilla
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics y Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
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140
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Ríos A, Carrillo J, López-Navas A, Martínez-Alarcón L, Ayala M, Garrido G, Ramis G, Hernández A, Ramírez P, Parrilla P. Is the Incipient Community of Senegalese Emigrants to Spain in Favor of the Donation of Related Renal Live? Transplant Proc 2018; 50:341-344. [DOI: 10.1016/j.transproceed.2017.11.073] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2017] [Accepted: 11/11/2017] [Indexed: 01/10/2023]
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141
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Ríos A, Carrillo J, López-Navas A, Ayala M, Garrido G, Sebastián M, Martínez-Alarcón L, Ramis G, Hernández A, Ramírez P, Parrilla P. Nigerian Immigrant Population in Spain Is Little Sensitized to Living-Related Kidney Donation. Transplant Proc 2018; 50:354-357. [DOI: 10.1016/j.transproceed.2017.11.066] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2017] [Accepted: 11/11/2017] [Indexed: 02/06/2023]
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142
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Febrero B, Almela J, Ríos A, Ros I, Pérez-Sánchez B, Martínez-Alarcón L, Ruiz-Carreño P, Ferreras D, Ramírez P, Parrilla P. Teenagers in Rural Areas Faced With Organ Donation and Transplantation. Transplant Proc 2018; 50:520-522. [DOI: 10.1016/j.transproceed.2017.09.054] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2017] [Accepted: 09/21/2017] [Indexed: 01/06/2023]
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143
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Ríos A, López-Navas A, De-Francisco C, Sánchez Á, Hernández A, Ramírez P, Parrilla P. Psychometric Characteristics of the Attitude Questionnaire Toward the Donation of Organs for Transplant (PCID-DTO-RIOS). Transplant Proc 2018; 50:345-349. [DOI: 10.1016/j.transproceed.2017.11.063] [Citation(s) in RCA: 34] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2017] [Accepted: 11/11/2017] [Indexed: 01/01/2023]
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144
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Febrero B, Ríos A, López-Navas A, Martínez-Alarcón L, Almela J, Ramis G, Ramírez P, Parrilla P. Teenagers and Their Future Role in Transplantation: An Analysis of Their Attitudes Toward Solid Organ Xenotransplantation. Transplant Proc 2018; 50:526-529. [DOI: 10.1016/j.transproceed.2017.09.062] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2017] [Accepted: 09/21/2017] [Indexed: 01/13/2023]
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145
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Ríos A, López-Navas A, López-López A, Gómez FJ, Iriarte J, Herruzo R, Blanco G, Llorca FJ, Asunsolo A, Sánchez P, Gutiérrez PR, Fernández A, de Jesús MT, Alarcón LM, del Olivo M, Fuentes L, Hernández JR, Virseda J, Yelamos J, Bondía JA, Hernández AM, Ayala MA, Ramírez P, Parrilla P. Do Spanish Medical Students Understand the Concept of Brain Death? Prog Transplant 2018; 28:77-82. [DOI: 10.1177/1526924817746687] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Objective: To analyze the level of understanding of the brain death concept among medical students in universities in Spain. Methods: This cross-sectional sociological, interdisciplinary, and multicenter study was performed on 9598 medical students in Spain. The sample was stratified by geographical area and academic year. A previously validated self-reported measure of brain death knowledge (questionnaire Proyecto Colaborativo Internacional Donante sobre la Donación y Transplante de Organos) was completed anonymously by students. Results: Respondents completed 9275 surveys for a completion rate of 95.7%. Of those, 67% (n = 6190) of the respondents understood the brain death concept. Of the rest, 28% (n = 2652) did not know what it meant, and the remaining 5% (n = 433) believed that it did not mean that the patient was dead. The variables related to a correct understanding of the concept were: (1) being older ( P < .001), (2) studying at a public university ( P < .001), (3) year of medical school ( P < .001), (4) studying at one of the universities in the south of Spain ( P = .003), (5) having discussed donation and transplantation with the family ( P < .001), (6) having spoken to friends about the matter ( P < .001), (7) a partner’s favorable attitude toward donation and transplantation ( P < .001), and (8) religious beliefs ( P < .001). Conclusions: Sixty-seven percent of medical students know the concept of brain death, and knowledge improved as they advanced in their degree.
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Affiliation(s)
- Antonio 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 Centre, Consejería de Sanidad y Consumo, Murcia, Spain
| | - A. López-Navas
- International Collaborative Donor Project (“Proyecto Colaborativo Internacional Donante”), Murcia, Spain
- Department of Psychology, Universidad Católica San Antonio (UCAM), Murcia, Spain
| | - A. López-López
- San Juan University Hospital of Alicante, Alicante, Spain
| | | | | | - R. Herruzo
- Universidad Autónoma de Madrid, Madrid, Spain
| | - G. Blanco
- Liver Transplant Unit, Hospital Infanta Cristina, Badajoz, Spain
| | | | - A. Asunsolo
- Department of Surgery, Universidad de Alcalá de Henares, Madrid, Spain
| | - P. Sánchez
- Facultad de Medicina, Universidad de Málaga, Málaga, Spain
| | - P. R. Gutiérrez
- Department of Surgery, Universidad de La Laguna, Tenerife, Spain
| | - A. Fernández
- Departamento de Ciencias Biomédicas Básicas, Universidad Europea de Madrid, Madrid, 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
| | - M. del Olivo
- Medicine Faculty, Universidad de Oviedo, Oviedo, Spain
| | - L. Fuentes
- Department of Pharmacology and Physiology, Universidad de Zaragoza, Huesca, Spain
| | - J. R. Hernández
- Universidad de las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Islas Canarias, Spain
| | - J. Virseda
- Universidad de Castilla La Mancha, Albacete, Spain
| | - J. Yelamos
- Department of Immunology, Hospital del Mar, Barcelona, Spain
| | - J. A. Bondía
- Facultad de Medicina, Universidad de Málaga, Málaga, Spain
| | - A. M. Hernández
- Endocrinology and Nutrition Service, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - M. A. Ayala
- Hospital Regional de Alta Especialidad del Bajío, León, Guanajuato, Mexico
- HGSZ No. 10 del Instituto Mexicano del Seguro Social Delegación Guanajuato, Guanajuato, Mexico
| | - P. Ramírez
- 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 Centre, Consejería de Sanidad y Consumo, 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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146
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Ríos A, López-Navas AI, Martínez-Alarcón L, Garrido G, Ayala-García MA, Ramírez P, Hernández AM, Parrilla P. Knowledge of the Concept of Brain Death Among the Latin-American Population Residing in Spain. EXP CLIN TRANSPLANT 2017; 16:473-480. [PMID: 29251586 DOI: 10.6002/ect.2017.0009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
OBJECTIVES The knowledge of brain death is fundamental for being able to understand the organ donation process and for ensuring its acceptance or rejection. Here, we analyzed the level of knowledge of the concept of brain death among Latin-American individuals who are residents of Spain to determine the factors affecting this knowledge. MATERIALS AND METHODS Our patient group was a sample of 1314 Latin-American residents of Spain, obtained randomly and stratified according to the respondent's nationality, age, and sex. Their attitude was assessed using a validated questionnaire. The survey was self-administered and completed anonymously. RESULTS The questionnaire completion rate was 94% (n = 1237). Of total respondents, 25% (n = 313) knew the concept of brain death, which they considered to be an individual's death, 56% (n = 697) did not know the term, and 19% (n = 227) believed that it did not mean death. The variables related to knowledge of the brain death concept included (1) country of origin, with a better knowledge among those with Mexican nationality (P < .001); (2) male sex (30% vs 23%; P = .003); (3) having university-level education (35% vs 23%; P = .044); (4) having discussed the matter within the family (29% vs 23%; P = .044); (5) having a partner with a favorable attitude toward donation (39% vs 21%; P = .001); and (6) the respondent's religion (47% vs 7%; P < .001). The following factors persisted in the multivariate analysis: country of origin (odds ratio of 2.972), sex (odds ratio of 1.416), education level (odds ratio of 2.228), attitude of the respondent's partner (odds ratio of 1.835), and religion (odds ratio of 4.490). CONCLUSIONS Knowledge of the concept of brain death is limited among Latin-American residents of Spain, with marked differences among country of origin and other socio-personal factors.
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Affiliation(s)
- Antonio Ríos
- From the Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), and Surgery Service, IMIB-Virgen de la Arrixaca University Hospital, Murcia Health Service, Murcia, Spain
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147
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Fernández A, Salgado M, García A, Buxò E, Vera R, Adeva J, Jiménez P, Quintero G, Llorca C, Cañabate M, López L, Muñoz A, Ramírez P, González P, López C, Reboredo M, Gallardo E, Sánchez M, Gallego J, Guillén C. Treatment patterns, clinical characteristics, and outcomes of patients (pts) with metastatic pancreatic cancer (MPC) treated with nab-paclitaxel (nab-P) plus gemcitabine (GEM) in real-life practice: ANICE-Pac trial. Ann Oncol 2017. [DOI: 10.1093/annonc/mdx369.138] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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148
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Hernández JD, Castro P, Saavedra P, Ramírez P, Orós J. Morphologic and Cytochemical Characteristics of the Blood Cells of the Yellow-Bellied Slider (Trachemys scripta scripta). Anat Histol Embryol 2017; 46:446-455. [PMID: 28762256 DOI: 10.1111/ahe.12289] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
The increasing prevalence of yellow-bellied sliders (Trachemys scripta scripta) as pets in the European Union and also its utilization as animal models for experimental purposes makes crucial an accurate classification of their blood cells. The aim of this work was to provide a morphologic classification based on the cytochemical characteristics of the blood cells of 15 yellow-bellied sliders. Cytochemical stains included benzidine peroxidase, chloroacetate esterase, alpha-naphthyl butyrate esterase (with and without sodium fluoride), acid phosphatase (with and without tartaric acid), Sudan black B, periodic acid-Schiff and toluidine blue. Nuclear and cellular dimensions were also measured based on quick Romanowsky-type stained smears. Besides erythrocytes and thrombocytes, five types of white blood cells were identified: heterophils, eosinophils, basophils, lymphocytes and monocytes. The cytochemical patterns of heterophils, eosinophils and basophils were unique compared to those described for other chelonians. This paper provides a useful guideline for clinical settings and further haematological studies of this species.
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Affiliation(s)
- J D Hernández
- Unit of Veterinary Histology, Veterinary Faculty, University of Las Palmas de Gran Canaria (ULPGC), 35413, Arucas, Las Palmas, Spain.,Serviexotic, 35320, Vega de San Mateo, Las Palmas, Spain
| | - P Castro
- Unit of Veterinary Histology, Veterinary Faculty, University of Las Palmas de Gran Canaria (ULPGC), 35413, Arucas, Las Palmas, Spain
| | - P Saavedra
- School of Medicine, University of Las Palmas de Gran Canaria (ULPGC), 35016, Las Palmas de Gran Canaria, Spain
| | - P Ramírez
- Serviexotic, 35320, Vega de San Mateo, Las Palmas, Spain
| | - J Orós
- Unit of Veterinary Histology, Veterinary Faculty, University of Las Palmas de Gran Canaria (ULPGC), 35413, Arucas, Las Palmas, Spain
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149
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Ríos A, López-Navas AI, García JA, Garrido G, Ayala-García MA, Sebastián MJ, Hernandez AM, Ramírez P, Parrilla P. The attitude of Latin American immigrants in Florida (USA) towards deceased organ donation - a cross section cohort study. Transpl Int 2017; 30:1020-1031. [DOI: 10.1111/tri.12997] [Citation(s) in RCA: 68] [Impact Index Per Article: 9.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2016] [Revised: 10/20/2016] [Accepted: 06/01/2017] [Indexed: 12/17/2022]
Affiliation(s)
- Antonio Ríos
- International Collaborative Donor Project (‘Proyecto Colaborativo Internacional Donante’); Murcia Spain
- Department of Surgery, Pediatrics, Obstetrics and Gynecology; 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
| | - Ana Isabel López-Navas
- International Collaborative Donor Project (‘Proyecto Colaborativo Internacional Donante’); Murcia Spain
- Department of Surgery, Pediatrics, Obstetrics and Gynecology; University of Murcia; Murcia Spain
- Department of Psychology; Universidad Católica San Antonio, UCAM; Murcia Spain
| | - José Antonio García
- International Collaborative Donor Project (‘Proyecto Colaborativo Internacional Donante’); Murcia Spain
- Department of Surgery, Pediatrics, Obstetrics and Gynecology; University of Murcia; Murcia Spain
| | | | - Marco Antonio Ayala-García
- Hospital Regional de Alta Especialidad del Bajío; León Guanajuato Mexico
- HGSZ No. 10 del Instituto Mexicano del Seguro Social; Delegación Guanajuato Mexico
| | - María José Sebastián
- Transplant Coordination Center; UMAE Hospital de Especialidades No. 25 IMSS; Monterrey Mexico
| | | | - Pablo Ramírez
- Department of Surgery, Pediatrics, Obstetrics and Gynecology; 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
| | - Pascual Parrilla
- 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
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150
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Revilla-Nuin B, de Bejar Á, Martínez-Alarcón L, Herrero JI, Martínez-Cáceres CM, Ramírez P, Baroja-Mazo A, Pons JA. Differential profile of activated regulatory T cell subsets and microRNAs in tolerant liver transplant recipients. Liver Transpl 2017; 23:933-945. [PMID: 28006867 DOI: 10.1002/lt.24691] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/04/2016] [Revised: 11/24/2016] [Accepted: 11/29/2016] [Indexed: 02/07/2023]
Abstract
Regulatory T cells (Tregs) play a potential role in operational tolerance in liver transplantation (LT) patients, and microRNAs (miRNAs) are known to be involved in immunological responses and tolerance. Thus, we analyzed the implication of different peripheral blood Treg subsets and miRNAs on LT tolerance in 24 tolerant (Tol) and 23 non-tolerant (non-Tol) LT recipients by cellular, genetic, and epigenetic approximation. Non-Tol patients had a lower demethylation rate of the forkhead box P3 (FOXP3) regulatory T cell-specific demethylated region (TSDR) than Tol patients that correlated with the frequency of circulating Tregs. Tol patients presented a different signature of Treg subset markers compared with non-Tol patients with increased expression of HELIOS and FOXP3 and a higher proportion of latency-associated peptide (LAP)+ Tregs and CD45RA- human leukocyte antigen D related (HLA-DR)+ activated effector-memory Tregs. The expression of miR95, miR24, miR31, miR146a, and miR155 was higher in Tol than in non-Tol patients and was positively correlated with activated Treg markers. In conclusion, these data suggest that activated effector-memory Tregs and a TSDR-demethylation state of Tregs may play a role in the complex system of regulation of LT tolerance. In addition, we describe a set of miRNAs differentially expressed in human LT Tol patients providing suggestive evidence that miRNAs are implied in the preservation of self-tolerance as mediated by Tregs. Liver Transplantation 23 933-945 2017 AASLD.
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Affiliation(s)
- Beatriz Revilla-Nuin
- Biomedical Research Institute of Murcia, University Clinical Hospital "Virgen de la Arrixaca," University of Murcia, Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas, Murcia, Spain
| | - África de Bejar
- Clinical Laboratory Unit, Hospital General Universitario Santa Lucía, Cartagena, Spain
| | - Laura Martínez-Alarcón
- Biomedical Research Institute of Murcia, University Clinical Hospital "Virgen de la Arrixaca," University of Murcia, Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas, Murcia, Spain
| | - José Ignacio Herrero
- Liver Unit, Clínica Universidad de Navarra, Instituto de Investigación Sanitaria de Navarra, Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas, Pamplona, Spain
| | - Carlos Manuel Martínez-Cáceres
- Biomedical Research Institute of Murcia, University Clinical Hospital "Virgen de la Arrixaca," University of Murcia, Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas, Murcia, Spain
| | - Pablo Ramírez
- Biomedical Research Institute of Murcia, University Clinical Hospital "Virgen de la Arrixaca," University of Murcia, Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas, Murcia, Spain.,Division of Gastroenterology and Hepatology and Liver Transplant Unit, University Hospital Virgen de la Arrixaca, Murcia, Spain
| | - Alberto Baroja-Mazo
- Biomedical Research Institute of Murcia, University Clinical Hospital "Virgen de la Arrixaca," University of Murcia, Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas, Murcia, Spain
| | - José Antonio Pons
- Biomedical Research Institute of Murcia, University Clinical Hospital "Virgen de la Arrixaca," University of Murcia, Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas, Murcia, Spain.,Division of Gastroenterology and Hepatology and Liver Transplant Unit, University Hospital Virgen de la Arrixaca, Murcia, Spain
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