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Gonen LD, Bokek-Cohen Y, Tarabeih M. The general public's attitude towards accepting payment for kidney donation. Front Med (Lausanne) 2023; 10:1282065. [PMID: 38162890 PMCID: PMC10756681 DOI: 10.3389/fmed.2023.1282065] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2023] [Accepted: 11/29/2023] [Indexed: 01/03/2024] Open
Abstract
Introduction Kidney transplantation has become the most cost-effective treatment for patients with end-stage kidney disease (ESKD) and offers them the highest quality of life. Yet, kidney donation is often inaccessible due to cultural and traditional beliefs about organ donation. The goal of our study is to assess the value of kidney donation using the Willingness to Accept (WTA) technique. We also aim to understand the factors influencing an individual's willingness to donate an organ. Methods A self-administered survey was completed by 985 participants from the general public. The quantitative method and survey design that were chosen used descriptive, correlational, nonparametric, and multivariate statistical tests. Results Most of the respondents, 895 (90.9%) are not willing to donate a kidney while alive. Four hundred and five (41.1%) of the respondents are not willing to donate a kidney after their death, while the rest are willing to donate their kidney after their death without financial compensation. The same attitude applies to the donation of a kidney from their relatives. Significant predictors from the results of the logistic regression model in predicting the lowest (minimal) amount that will encourage donation of one kidney after death were: Marital status; Nationality; Adi card holder; Knowing people who need a kidney donation; confidence in the medical staff; and consideration of the family's opinions regarding organ donation. Discussion Using cost benefit analysis (CBA), with the aim of evaluating the willingness of individuals to accept payment for innovative medical procedures, such as kidney donation, allows an assessment of the perceived value of the medical procedure and enables policymakers to decide whether to allocate funds or offer subsidies for kidney donation, given the limited healthcare resources available. During our research, we found that most participants did not support the commercialization of organs. Our recommendation for policymakers and health professionals is to continue providing adequate funding for kidney donations and to implement educational programs aimed at improving attitudes towards organ donation.
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Affiliation(s)
| | | | - Mahdi Tarabeih
- School of Nursing, The Academic College of Tel Aviv-Yaffo, Tel Aviv, Israel
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2
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Grossi AA, Puoti F, Fiaschetti P, Di Ciaccio P, Maggiore U, Cardillo M. Kidney transplantation and withdrawal rates among wait-listed first-generation immigrants in Italy. Eur J Public Health 2022; 32:372-378. [PMID: 35381065 PMCID: PMC9159323 DOI: 10.1093/eurpub/ckac027] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Background Multiple barriers diminish access to kidney transplantation (KT) in immigrant compared to non-immigrant populations. It is unknown whether immigration status reduces the likelihood of KT after wait-listing despite universal healthcare coverage with uniform access to transplantation. Methods We retrospectively collected data of all adult waiting list (WL) registrants in Italy (2010–20) followed for 5 years until death, KT in a foreign center, deceased-donor kidney transplant (DDKT), living-donor kidney transplant (LDKT) or permanent withdrawal from the WL. We calculated adjusted relative probability of DDKT, LDKT and permanent WL withdrawal in different immigrant categories using competing-risks multiple regression models. Results Patients were European Union (EU)-born (n = 21 624), Eastern European-born (n = 606) and non-European-born (n = 1944). After controlling for age, sex, blood type, dialysis vintage, case-mix and sensitization status, non-European-born patients had lower LDKT rates compared to other immigrant categories: LDKT adjusted relative probability of non-European-born vs. Eastern European-born 0.51 (95% CI: 0.33–0.79; P = 0.002); of non-European-born vs. EU-Born: 0.65 (95% CI: 0.47–0.82; P = 0.001). Immigration status did not affect the rate of DDKT or permanent WL withdrawal. Conclusions Among EU WL registrants, non-European immigration background is associated with reduced likelihood of LDKT but similar likelihood of DDKT and permanent WL withdrawal. Wherever not available, new national policies should enable coverage of travel and medical fees for living-donor surgery and follow-up for non-resident donors to improve uptake of LDKT in immigrant patients, and provide KT education that is culturally competent, individually tailored and easily understandable for patients and their potential living donors.
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Affiliation(s)
- Alessandra Agnese Grossi
- Department of Human Sciences, Innovation and Territory, University of Insubria, Como, Italy.,Center for Clinical Ethics, Department of Biotechnologies and Life Sciences, University of Insubria, Varese, Italy
| | - Francesca Puoti
- Italian National Transplant Center (CNT), Istituto Superiore di Sanità, Rome, Italy
| | - Pamela Fiaschetti
- Italian National Transplant Center (CNT), Istituto Superiore di Sanità, Rome, Italy
| | - Paola Di Ciaccio
- Italian National Transplant Center (CNT), Istituto Superiore di Sanità, Rome, Italy
| | - Umberto Maggiore
- Nephrology Unit, Dipartimento di Medicina e Chirurgia, Università di Parma, Parma, Italy
| | - Massimo Cardillo
- Italian National Transplant Center (CNT), Istituto Superiore di Sanità, Rome, Italy
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Ríos A, López-Navas AI, Carrillo J, Sánchez Á, Martínez-Alarcón L, Ayala-García MA, Parrilla P, Ramírez P. Factors Related to the Attitude Toward Living Kidney Donation of the Population of Havana. Transplant Proc 2020; 52:487-490. [PMID: 32057501 DOI: 10.1016/j.transproceed.2019.12.024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2019] [Revised: 12/20/2019] [Accepted: 12/26/2019] [Indexed: 11/16/2022]
Abstract
INTRODUCTION Living kidney donation (LKD) is one of the most used alternatives in the field of organ transplantation. OBJECTIVE Analyze the attitude toward LKD among the population of Havana, Cuba. METHODS Population under study. Population resident in Havana, Cuba. INCLUSION CRITERIA Sample of population over 15 years stratified by age and sex. INSTRUMENT Validated questionnaire of attitude toward donation and transplant "PCID-DVR-Ríos," self-administered and anonymously filled out. STATISTICS χ2, Student t test, and a logistic regression analysis. RESULTS A total of 920 respondents have been included in the study. A total of 85.5% (n = 787) are in favor of the related LKD. In our study, 26.5% (n = 244) would remain in favor of unrelated LKD. Regarding the related LKD, the following variables remain independent in the multivariate analysis: 1. having studies (odds ratio [OR] = 3.649; P = .018); 2. attitude toward cadaveric organ donation (OR = 8.547; P < .001); 3. religion (OR = 4.385; P = .001); 4. opinion of the couple (OR = 4.672; P = .028); and 5. risk with living donation (OR = 10.989; P = .003). CONCLUSIONS The population of Havana has a very favorable attitude toward related LKD. Only a quarter of respondents are in favor of unrelated LKD.
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Affiliation(s)
- A Ríos
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain; Transplant Unit, Surgery Service, IMIB - Virgen de la Arrixaca University Clinical Hospital, Murcia, Spain; Department of Surgery, University of Murcia, Murcia, Spain.
| | - A I López-Navas
- Department of Psychology, Catholic University of Murcia (UCAM), Murcia, Spain
| | - J Carrillo
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain
| | - Á Sánchez
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain
| | - L Martínez-Alarcón
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain; Transplant Unit, Surgery Service, IMIB - Virgen de la Arrixaca University Clinical Hospital, Murcia, Spain
| | - M A Ayala-García
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain; School of Medicine of the University of Quetzalcoatl in Irapuato, Guanajuato, Mexico
| | - P Parrilla
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain; Transplant Unit, Surgery Service, IMIB - Virgen de la Arrixaca University Clinical Hospital, Murcia, Spain; Department of Surgery, University of Murcia, Murcia, Spain
| | - P Ramírez
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain; Transplant Unit, Surgery Service, IMIB - Virgen de la Arrixaca University Clinical Hospital, Murcia, Spain; Department of Surgery, University of Murcia, Murcia, Spain
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4
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Febrero B, Ros I, Almela-Baeza J, Pérez-Sánchez MB, Rodríguez JM, Alconchel F, Ruiz-Manzanera JJ, Martínez-Insfran LA, Domingo J, Martínez-Alarcón L, Ríos A, Parrilla P, Ramírez P. Attitude of Older People Toward Living Donation. Transplant Proc 2020; 52:500-502. [PMID: 32044085 DOI: 10.1016/j.transproceed.2019.09.022] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2019] [Accepted: 09/03/2019] [Indexed: 01/16/2023]
Abstract
BACKGROUND Living donation is a potential source of organs that could help to reduce the organ transplant deficit. Given that we have a worldwide aging population, it is important to assess the opinion of older people toward this type of donation. OBJECTIVES To analyze the attitude of people aged > 65 years toward living kidney donation (LKD) and living liver donation (LLD) and to investigate the variables affecting their attitudes. METHODS A multicentric study was carried out using a representative sample of people > 65 years stratified by sex and geographic location in southeastern Spain (n = 420). The measurement instrument was a validated questionnaire about LKD and LLD. Statistics were analyzed using SPSS version 21.0 (IBM Corp, Armonk, NY, United States) software. Descriptive analysis was carried out using Student t test, χ2 test, and a multivariate analysis. RESULTS The questionnaire completion rate was 84% (n = 351) with 88% (n = 310) in favor of LKD, and 89% (n = 311) in favor of LLD. Favorable attitude decreased to 3% when the donation under consideration was unrelated. Attitudes toward LKD and LLD were associated with having received information from the television (P = .016 and P = .045) and from friends (P = .017 and P = .03); accepting an autopsy after death (P = .001 and P = .002); and not being worried about scars (P = .015 and P = .044). In the multivariate analysis, the following variables continued to be significant: having received information from the television (odds ratio [OR], 2) and from friends (OR, 10.3); and the acceptance of an autopsy (OR, 2). CONCLUSIONS Older people are in favor of both LKD and LLD, assuming it is a related donation. In addition, the information the elderly population receives regarding organ donation and transplantation affects their attitudes.
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Affiliation(s)
- B Febrero
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Mucian Institute of Biomedical Investigations, Murcia, Spain; Department of Surgery, Pediatrics, Gynecology and Obstetrics, University of Murcia School of Medicine, Murcia, Spain
| | - I Ros
- Department of Surgery, Pediatrics, Gynecology and Obstetrics, University of Murcia School of Medicine, Murcia, Spain
| | - J Almela-Baeza
- Faculty of Communication and Documentation, University of Murcia, Murcia, Spain.
| | - M B Pérez-Sánchez
- Department of Statistics, Mathematics and Informatics, University of Miguel Hernández, Elche, Spain
| | - J M Rodríguez
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Mucian Institute of Biomedical Investigations, Murcia, Spain; Department of Surgery, Pediatrics, Gynecology and Obstetrics, University of Murcia School of Medicine, Murcia, Spain
| | - F Alconchel
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Mucian Institute of Biomedical Investigations, Murcia, Spain
| | - J J Ruiz-Manzanera
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Mucian Institute of Biomedical Investigations, Murcia, Spain
| | - L A Martínez-Insfran
- Department of Surgery, Pediatrics, Gynecology and Obstetrics, University of Murcia School of Medicine, Murcia, Spain
| | - J Domingo
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Mucian Institute of Biomedical Investigations, Murcia, Spain
| | - L Martínez-Alarcón
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Mucian Institute of Biomedical Investigations, Murcia, Spain; Department of Surgery, Pediatrics, Gynecology and Obstetrics, University of Murcia School of Medicine, Murcia, Spain
| | - A Ríos
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Mucian Institute of Biomedical Investigations, Murcia, Spain; Department of Surgery, Pediatrics, Gynecology and Obstetrics, University of Murcia School of Medicine, Murcia, Spain
| | - P Parrilla
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Mucian Institute of Biomedical Investigations, Murcia, Spain; Department of Surgery, Pediatrics, Gynecology and Obstetrics, University of Murcia School of Medicine, Murcia, Spain
| | - P Ramírez
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Mucian Institute of Biomedical Investigations, Murcia, Spain; Department of Surgery, Pediatrics, Gynecology and Obstetrics, University of Murcia School of Medicine, Murcia, Spain
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Are Ghanaians Residing in Spain Aware of the Donation of Living Related Kidney? Transplant Proc 2020; 52:469-472. [PMID: 32044077 DOI: 10.1016/j.transproceed.2019.12.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2019] [Revised: 12/20/2019] [Accepted: 12/26/2019] [Indexed: 11/24/2022]
Abstract
INTRODUCTION The population of Ghana has an emerging migratory flow to Europe and especially to Spain. Therefore, there is an increase in waiting lists in kidney transplantation. OBJECTIVE To analyze the attitude toward related living kidney donation (LKD) among the population born in Ghana and residing in Spain. MATERIAL AND METHODS Population under study. Population born in Ghana and resident in Spain. INCLUSION CRITERIA Sample of population over 15 years stratified by age and sex, according to census data and immigrant assistance associations. INSTRUMENT Validated attitude questionnaire toward LKD "PCID-DVR-Ríos." Field work. Random selection of people to be surveyed according to stratification. RESULTS A total of 237 respondents have been included in the study. 72% are in favor of LKD, not just related. The remaining 28% do not accept the related living donation or have doubts about it. Respondents in favor of the related LKD have a more positive attitude toward ODT (P < .001). The attitude toward related LKD is linked to socio-personal factors, knowledge factors about the donation and organ transplantation process, social interaction factors, attitude factors toward the body, religious factors, and the risk assessment that comes with a living donation (P < .05). In the multivariate analysis persists: the attitude toward the cadaveric OTD (odds ratio [OR] = 6.993), perform pro-social activities (OR = 14.084), fear of body mutilation (OR = 20.408) and renal risk (OR = 29.411). CONCLUSIONS The Ghanaian population immigrating to Spain has an unfavorable attitude toward related LKD compared with existing studies of Western European and Spanish populations, which is conditioned by multiple psychosocial factors.
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Martínez-Alarcón L, Ríos A, Santainés-Borredá E, Agras-Suarez MC, Cañadas-De la Fuente GA, Hurtado-Pardos B, Bárcena-Calvo C, Alorda-Terrasa C, Morillo-Velázquez JM, Martí-García C, Redin-Areta MD, Alconero-Camarero AR, Jiménez-Navascues ML, Gutierrez-Izquierdo MI, Chamorro-Rebollo E, de Las Nieves Merchán-Felipe M, Barandiaran-Lasa M, Martín-Espinosa N, Gala-León FJ, Oter-Quintana C, Benbunan-Bentata B, Tirado-Altamirano F, Fernández-Vallhonrat MB, Ramírez-Rodrigo J, Maciá-Soler L, Saez A, Sánchez Á, López-Navas A, Ramírez P, Parrilla P. Student nurses at Spanish universities and their attitude toward xenotransplantation. Xenotransplantation 2019; 26:e12507. [PMID: 30963648 DOI: 10.1111/xen.12507] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2018] [Revised: 02/27/2019] [Accepted: 03/07/2019] [Indexed: 12/25/2022]
Abstract
INTRODUCTION Recent immunological and transgenic advances are a promising alternative using limited materials of human origin for transplantation. However, it is essential to achieve social acceptance of this therapy. OBJECTIVE To analyze the attitude of nursing students from Spanish universities toward organ xenotransplantation (XTx) and to determine the factors affecting their attitude. MATERIALS AND METHODS Type of study: A sociological, multicentre, and observational study. STUDY POPULATION Nursing students enrolled in Spain (n = 28,000). SAMPLE SIZE A sample of 10 566 students estimating a proportion of 76% (99% confidence and precision of ±1%), stratified by geographical area and year of study. Instrument of measurement: A validated questionnaire (PCID-XenoTx-RIOS) was handed out to every student in a compulsory session. This survey was self-administered and self-completed voluntarily and anonymously by each student in a period of 5-10 min. STATISTICAL ANALYSIS descriptive analysis, Student's t test, the chi-square test, and a logistic regression analysis. RESULTS A completion rate: 84% (n = 8913) was obtained. If the results of XTx were as good as in human donation, 74% (n = 6564) would be in favor and 22% (n = 1946) would have doubts. The following variables affected this attitude: age (P < 0.001); sex (P < 0.001); geographical location (P < 0.001); academic year of study (P < 0.001); attitude toward organ donation (P < 0.001); belief in the possibility of needing a transplant (P < 0.001); discussion of transplantation with one's family (P < 0.001) and friends (P < 0.001); and the opinion of one's partner (P < 0.001). The following variables persisted in the multivariate analysis: being a male (OR = 1.436; P < 0.001); geographical location (OR = 1.937; P < 0.001); an attitude in favor of donation (OR = 1.519; P < 0.001); belief in the possibility of needing a transplant (OR = 1.497; P = 0.036); and having spoken about the issue with family (OR = 1.351; P < 0.001) or friends (OR = 1.240; P = 0.001). CONCLUSIONS The attitude of nursing students toward organ XTx is favorable and is associated with factors of general knowledge about organ donation and transplantation and social interaction.
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Affiliation(s)
- Laura Martínez-Alarcón
- Department of Surgery, Transplant Unit, Virgen de la Arrixaca Univeristy Hospital, El Palmar, Spain.,Instituto Murciano de Investigación Biosanitaria (IMIB-Arrixaca), El Palmar, Spain.,"International Collaborative Donor Project", El Palmar, Spain
| | - Antonio Ríos
- Department of Surgery, Transplant Unit, Virgen de la Arrixaca Univeristy Hospital, El Palmar, Spain.,Instituto Murciano de Investigación Biosanitaria (IMIB-Arrixaca), El Palmar, Spain.,"International Collaborative Donor Project", El Palmar, Spain
| | - Elena Santainés-Borredá
- Departamento de Enfermería, Facultad de Enfermeria, Universidad de Valencia, Valencia, Spain
| | | | | | | | - Carmen Bárcena-Calvo
- Departamento de Enfermería y Fisioterapia-Área de Enfermería, Facultad de Ciencias de la Salud, Universidad de León, León, Spain
| | - Carme Alorda-Terrasa
- Departamento de Enfermeria y Fisioterapia, Universidad de las Islas Baleares, Baleares, Spain
| | - Juan Manuel Morillo-Velázquez
- Departamento de Ciencias de la Salud, Escuela Universitaria de Enfermería y Fisioterapia "San Juan de Dios", Universidad Pontificia Comillas, Madrid, Spain
| | - Celia Martí-García
- Departamento de Enfermería, Facultad de Ciencias de la Salud, Universidad de Málaga, Málaga, Spain
| | | | | | | | | | - Elena Chamorro-Rebollo
- Facultad de Enfermería y Fisioterapia Salus Infirmorum, Universidad Pontificia de Salamanca, Madrid, Spain
| | | | - Maite Barandiaran-Lasa
- Facultad de Medicina y Enfermería, Departamento de Enfermería II Donostia, Sección Donostia UPV/EHU, Gipuzkoa, Spain
| | - Noelia Martín-Espinosa
- Escuela Universitaria de Enfermería y Fisioterapia de Toledo, Universidad de Castilla la Mancha, Toledo, Spain
| | | | | | - Bibinha Benbunan-Bentata
- Departamento de Personalidad, evaluación y tratamiento psicológico, Universalidad de Granada, Melilla, Spain
| | | | | | - Jesús Ramírez-Rodrigo
- Departamento de Enfermería, Facultad de Ciencias de la Salud de Ceuta, Universidad de Granada, Ceuta, Spain
| | - Loreto Maciá-Soler
- Departamento de Enfermería, Facultad de Ciencias de la salud, Universidad de Alicante, Alicante, Spain
| | - Aida Saez
- Instituto Murciano de Investigación Biosanitaria (IMIB-Arrixaca), El Palmar, Spain
| | - Álvaro Sánchez
- "International Collaborative Donor Project", El Palmar, Spain
| | - Ana López-Navas
- Departmento de Psicología, Universidad Católica San Antonio Murcia, Murcia, Spain
| | - Pablo Ramírez
- Department of Surgery, Transplant Unit, Virgen de la Arrixaca Univeristy Hospital, El Palmar, Spain.,Instituto Murciano de Investigación Biosanitaria (IMIB-Arrixaca), El Palmar, Spain.,"International Collaborative Donor Project", El Palmar, Spain
| | - Pascual Parrilla
- Department of Surgery, Transplant Unit, Virgen de la Arrixaca Univeristy Hospital, El Palmar, Spain.,Instituto Murciano de Investigación Biosanitaria (IMIB-Arrixaca), El Palmar, Spain
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7
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Ríos A, López-Navas A, Gutiérrez PR, Gómez FJ, Iriarte J, Herruzo R, Blanco G, Llorca FJ, Asunsolo A, Sánchez P, Fernández A, de Jesús MT, Martínez Alarcón L, Lana A, Fuentes L, Hernández JR, Virseda J, Yelamos J, Bondía JA, Hernández AM, Ayala MA, Flores-Medina J, Carrillo J, Sánchez Á, Ramírez P, Parrilla P. Sensitization Toward Organ Donation Among Medical Students in Spanish Regions With More Than 50 Donors Per Million Population. Transplant Proc 2019; 51:261-264. [PMID: 30879516 DOI: 10.1016/j.transproceed.2018.10.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2018] [Accepted: 10/23/2018] [Indexed: 12/24/2022]
Abstract
The awareness of organ donation among health professionals is important at the time of transplant promotion. In this sense, the training and awareness of the professionals in training is fundamental. OBJECTIVE To analyze the differences in the attitude toward organ donation and the factors that condition it among medical students of regions with donation rates >50 donors per million population (pmp) with respect to those with rates <40 donor pmp. METHOD Population under study: medical students in Spanish universities. Database of the Collaborative International Donor Project, stratified by geographic area and academic course. The completion was anonymous and self-administered. Groups under study: Group 1 (n = 1136): students in universities of regions with >50 donors pmp. Group 2 (n = 2018): university students in regions with <40 donors pmp. Assessment instrument: attitude questionnaire for organ donation for transplant PCID-DTO-Ríos. RESULTS The attitude toward organ donation for transplantation is similar among students from the autonomous communities with >50 donors pmp and with <40 donors pmp. In group 1, 79% (n = 897) of students are in favor compared with 81% (n = 1625) of group 2 (P=.29). The psychosocial profile toward donation is similar in both groups relating to the following variables (P < .05): sex, having discussed transplantation with family and as a couple, considering the possibility of needing a transplant, involvement in prosocial activities, attitude toward the manipulation of corpses, knowledge of the brain death concept, and religion. CONCLUSIONS The awareness of organ donation in Spanish medical students is quite homogeneous and is not related to the local donation rates of each region.
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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; Regional Transplant Centre, Consejería de Sanidad y Consumo de la Región de Murcia, Murcia, Spain.
| | - A López-Navas
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Psychology, Catholic University of Murcia (UCAM), Murcia, Spain
| | - P R Gutiérrez
- Servicio de Urología (Complejo Hospitalario Universitario de Canarias, CHUC) y Departamento de Cirugía (Universidad de La Laguna, ULL) San Cristóbal de La Laguna, Tenerife, Spain
| | - F J Gómez
- Universidad de Granada, Granada, Spain
| | - J Iriarte
- Universidad de Navarra, Navarra, Spain
| | - R Herruzo
- Universidad Autónoma de Madrid, Madrid, Spain
| | - G Blanco
- Servicio de Cirugía HBP y Trasplante Hepático, Complejo Hospitalario Universitario de Badajoz, Hospital Infanta Cristina, Badajoz, Spain
| | - F J Llorca
- Universidad de Cantabria, Santander, Spain
| | - A Asunsolo
- Departamento de Cirugía, Ciencias Médicas y Sociales, Facultad de Medicina y Ciencias de la Salud, Universidad de Alcalá Campus Científico-Tecnológico, Alcala de Henares, Madrid, Spain
| | - P Sánchez
- Facultad de Medicina, Universidad de Málaga, Málaga, Spain
| | - A Fernández
- Servicio de Urología (Complejo Hospitalario Universitario de Canarias, CHUC) y Departamento de Cirugía (Universidad de La Laguna, ULL) San Cristóbal de La Laguna, Tenerife, Spain
| | - M T de Jesús
- Departamento de Ciencias Biomédicas Básicas, Facultad de Ciencias Biomédicas, Universidad Europea de Madrid, 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
| | - A Lana
- Universidad Rey Juan Carlos, Madrid, Spain
| | - L Fuentes
- Facultad de Medicina y Ciencias de la Salud, Área de Medicina Preventiva y Salud Pública, Universidad de Oviedo, Oviedo, Spain
| | - J R Hernández
- Departamento de Farmacología y Fisiología Facultad de Ciencias de la Salud y del Deporte, Universidad de Zaragoza, Huesca, Spain
| | - J Virseda
- Universidad de las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain
| | - J Yelamos
- Universidad de Castilla La Mancha, Albacete, Spain
| | - J A Bondía
- Department of Immunology, Hospital del Mar, Barcelona, Spain
| | - A M Hernández
- Endocrinology and Nutrition Service, Hospital Clínico Universitario Virgen de la Arrixaca, El Palmar, Servicio Murciano de Salud, Murcia, Spain
| | - M A Ayala
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Hospital Regional de Alta Especialidad del Bajío, León, Guanajuato, México; Hospital Regional no. 58 del IMSS, Delegación Guanajuato, México; Escuela de Medicina de la Universidad de Quetzalcoatl en Irapuato, Irapuato, México
| | - J Flores-Medina
- Department of Psychology, Catholic University of Murcia (UCAM), Murcia, Spain
| | - J Carrillo
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics, y Gynaecology, University of Murcia, Murcia, Spain
| | - Á Sánchez
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), 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; Regional Transplant Centre, Consejería de Sanidad y Consumo de la Región de Murcia, Murcia, Spain
| | - P Parrilla
- 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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Are High Rates of Deceased Donation Conditioning the Attitude Toward Liver Donation Among Medical Students? Transplant Proc 2019; 51:253-257. [PMID: 30879514 DOI: 10.1016/j.transproceed.2018.11.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2018] [Revised: 11/24/2018] [Accepted: 11/26/2018] [Indexed: 11/22/2022]
Abstract
The involvement of health professionals from their training period is important for the promotion of living liver donation. There are data that indicate that the awareness of living donation is lower in areas with high rates of deceased donation. OBJECTIVE To analyze the attitude toward living liver donation among Spanish medical students, according to donation rates of their regions. METHOD Population under study: Medical students in Spanish universities. Database of the Collaborative International Donor Project, stratified by geographic area and academic course. The completion was anonymous and self-administered. Groups under study: group 1 (n = 1136): students in universities of regions with >50 donors per million population (pmp); group 2 (n = 2018): students in region universities with <40 donors pmp. Assessment instrument: the attitude questionnaire for living liver donation Proyecto Colaborativo Internacional Donante sobre Donación de Vivo Hepático-Ríos (PCID-DVH Ríos). RESULTS The attitude toward related liver donation is more favorable among the students of regions with <40 donors pmp than among those of >50 donors pmp. Thus, in group 1, a total of 88% (n = 1002) of students are in favor compared with 91% (n = 1831) of group 2 (P=.02). The psychosocial profile of each study group about their attitude toward living related liver donation is analyzed. There is a similar profile between the 2 groups, although there are differences in some variables such as age, a belief that one might need a transplant, family discussion about donation and transplantation, discussion with friends about donation and transplantation, and knowing about a donor. CONCLUSIONS The awareness of living related donation among Spanish medical students is greater among the regions with lower organ donation rates.
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Gypsy Population With University Studies Is a Key Ethnic Subgroup for the Promotion of Organ Donation Among the Gypsy Population. Transplant Proc 2019; 51:283-285. [PMID: 30879522 DOI: 10.1016/j.transproceed.2018.10.014] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2018] [Accepted: 10/23/2018] [Indexed: 11/23/2022]
Abstract
INTRODUCTION The refusal to consider death and the donation and transplantation of organs make Gypsies one of the subpopulation groups with the lowest donation rates in Europe. The approach of this social group implies the support of the most favorable social groups within their own ethnic group. In this sense, the young population with a high level of education is usually the most favorable toward organ donation. OBJECTIVE To analyze the attitude toward the donation of one's own organs for transplantation among the Gypsy population under 45 years and with secondary or university studies. METHOD Population under study: The Gypsy population under 45 years old with secondary or university studies who currently reside in Spain. Assessment instrument: The attitude questionnaire for organ donation for transplantation PCID-DTO Ríos. Fieldwork: A random selection based on stratification. Anonymity and self-administered fulfillment. STATISTICS Student t test and χ2. RESULTS A total of 44 Gypsy people under 45 years of age were surveyed (mean age 31 ± 8.9 years); 66% were women, and the rest were men. Of these, 20 had university studies, and 24 had secondary or vocational studies. The attitude is favorable toward organ donation in 64% of the respondents, with 80% among university students and 50% among those with secondary or vocational education (P < .005). CONCLUSIONS The young Gypsy population with university studies has a very favorable attitude toward organ donation. This population subgroup must be key in the promotion of organ donation in the Gypsy population, so the transplant coordinators must request their collaboration in the promotion campaigns of organ donation and transplantation.
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Ríos A, Sánchez A, López-Navas A, Martínez L, Ayala MA, Carillo J, Ruiz-Manzanera JJ, Hernández AM, Ramírez P, Parrilla P. Attitude Toward Organ Donation in the Population of Cienfuegos, Cuba. Transplant Proc 2019; 51:286-289. [PMID: 30879523 DOI: 10.1016/j.transproceed.2018.10.015] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2018] [Accepted: 10/23/2018] [Indexed: 12/19/2022]
Abstract
INTRODUCTION The sensitization of the population toward organ donation is fundamental; for that reason, it is important to determine the factors that condition the opinion toward donation on the population scope in order to carry out cost-effective campaigns. OBJECTIVE To analyze the attitude toward the donation of the proper organs for transplantation among the population residing in Cienfuegos, Cuba. METHOD Population under study: Population who reside in Cienfuegos, Cuba. INCLUSION CRITERIA Population over 15 years old as stratified by age and sex. Assessment instrument: The attitude questionnaire for organ donation for transplant-PCID-DTO Ríos. Fieldwork: A random selection based on stratification. The available data from the census were used. The completion was anonymous and self-administered. Verbal consent was requested to collaborate in the study. STATISTICS Student t test, χ2, Fisher, and a logistic regression analysis. RESULTS A sample of 636 respondents was included in the study, of which 71% (n = 453) are in favor of donating their organs after death, 16% (n = 103) are against, and 13% (n = 80) are undecided. This attitude is associated with different psychosocial variables (P < .001): age, marital status, having offspring, level of studies, carrying out prosocial activities, discussing with the family the subject of donation and transplantation, knowledge of the concept of brain death, the attitude toward the manipulation of the corpse, the religion of the respondent, and the attitude of the couple toward organ transplantation. The main independent factors obtained in the multivariate analysis (odds ratio >2.5): knowledge of the brain death concept, attitude toward the manipulation of the corpse, religion, and attitude of the couple toward transplantation. CONCLUSIONS The attitude toward organ donation among the population of Cienfuegos, Cuba, is favorable and is conditioned by several 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 y Gynecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.
| | - A Sánchez
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), 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
| | - L Martínez
- 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; Regional General Hospital No. 58 of the IMSS, Delegación Guanajuato, México; Escuela de Medicina de la Universidad de Quetzalcoatl en Irapuato, Irapuato, México
| | - J Carillo
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Surgery, Pediatrics, Obstetrics y Gynecology, University of Murcia, 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, 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, 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, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
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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] [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, 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] [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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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] [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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Multivariate Analysis of Factors Affecting Attitude Toward Living Kidney Donation Among the Puerto Rican Population Resident in Florida. Transplant Proc 2018; 51:265-268. [PMID: 30879517 DOI: 10.1016/j.transproceed.2018.10.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2018] [Accepted: 10/23/2018] [Indexed: 12/15/2022]
Abstract
Puerto Rican and Cuban populations are 2 of the most important migration groups in Florida. Awareness about organ donation among them is fundamental. It is important to determine the factors that influence attitudes toward organ donation. OBJECTIVE To analyze the attitude toward living kidney donation (LKD) among Florida's Puerto Rican residents. METHODS Study population: Population born in Puerto Rico resident in Florida (United States). INCLUSION CRITERIA A sample of population older than 15 years was obtained randomly and stratified by age and sex. Instrument valuation: LKD attitude questionnaire Proyecto Colaborativo Internacional Donantesobre Donación de Vivo Renal, Rios. SETTING for the study: Random selection based on stratification. Immigration support associations in Florida were needed to locate potential respondents. Anonymized and self-administered with verbal consent completion. RESULTS Of the 259 respondents, 55% (n = 143) are in favor of related LKD (family or friends). The following factors were associated with this attitude: marital status (P = .008); educational level (P < .001); personal experience with organ donation and transplantation (P < .001); attitude toward deceased organ donation (P < .001); realization of prosocial activities (P = .02); family comments about organ donation (P < .001) and comments within couples (P < .001); not being concerned about possible mutilation of the body after donation (P < .001); believing that one's own religion was in favor of donation and transplantation (P < .001); economic incentives of donation (P < .001), and evaluation of the risk from living kidney donation (P < .001). In the multivariate analysis, only marital status is featured as an independent variable (odds ratio, 32.258; P < .001). CONCLUSIONS The attitude toward related LKD among the Puerto Rican population who resides in Florida is not very favorable; only 55% would do it.
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Are Dominicans in Favor of Xenotransplantation? A Study of the Attitude of Dominican Immigrants Residing in Spain and the United States. Transplant Proc 2018; 50:2296-2299. [PMID: 30316345 DOI: 10.1016/j.transproceed.2018.02.193] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2018] [Accepted: 02/26/2018] [Indexed: 11/24/2022]
Abstract
Xenotransplantation carries many social and cultural implications. The immigrant population in countries with xenotransplantation programs, such as Spain and the United States, will play an important role in accepting such therapy. The objective of the study is to analyze the attitude toward xenotransplantation among the Dominican population residing in the United States and Spain. METHODS The study population was born in the Dominican Republic and resides in the southeastern United States and Spain. A sample population older than 15 years was obtained randomly and stratified by age and sex. Attitude was assessed using a validated questionnaire on psychosocial aspects toward xenotransplantation (PCID-XENOTx-Ríos). A random selection of people to be surveyed was carried out. Assistance from immigration support associations was needed to advise on the location of potential respondents. RESULTS A total of 123 respondents were included in the study: A sample was taken of residents of the population from the Dominican Republic residing in Florida, United States (n = 66), and in Spain (n = 57). If it was assumed that xenotransplanted organs functioned as well as human ones, 30% would be in favor. If the results were worse, only 7% would be in favor. This favorable attitude was related to the following variables (P < .05): level of education, an attitude in favor of deceased and living organ donation, and having spoken about donation and transplantation within the family. CONCLUSIONS The attitude toward xenotransplantation among the population from the Dominican Republic who are residing in the southeastern United States and Spain is unfavorable.
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Nigerian Residents in Spain Have Poor Awareness of Organ Donation and Transplantation. Transplant Proc 2018; 50:2264-2267. [PMID: 30316337 DOI: 10.1016/j.transproceed.2018.03.070] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2018] [Accepted: 03/02/2018] [Indexed: 11/21/2022]
Abstract
INTRODUCTION The number of people of Nigerian origin in Europe is growing. However, there are no studies that have analyzed their awareness of organ donation and transplantation. OBJECTIVE To analyze the attitude toward organ donation among Nigerian-born population living in Spain. METHODS The sample population was a selection of people born in Nigeria who are now living in Spain. A sample of this cohort older than 15 years was obtained randomly and stratified by age and sex. Attitude was assessed using a validated questionnaire on the psychosocial attitudes toward organ donation (PCID-DTO-Ríos). A random selection of people from this cohort was surveyed. RESULTS A sample of 183 respondents was included in the study. Of their attitudes toward cadaveric donation, 33% were in favor of it, 34% were against it, and 33% were undecided. The variables associated with having a more favorable attitude (P < .001) were: 1. Knowledge related to donation and transplantation; 2. attitude toward the body; 3. religion; and 4. social interaction. In the multivariate analysis, the main independent factor associated with the attitude toward organ donation was the knowledge of the concept of encephalic death. Respondents who are familiar with the concept of brain death are 10 times more likely to be in favor of donation than those who are not. CONCLUSIONS The attitude toward organ donation among the Nigerian-born population living in Spain is not very favorable and is associated with psychosocial factors. A campaign to raise awareness among Nigerian residents in Spain has become a priority.
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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] [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] [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, 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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2018] [Accepted: 03/02/2018] [Indexed: 01/12/2023]
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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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2018] [Accepted: 03/02/2018] [Indexed: 10/17/2022]
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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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2018] [Accepted: 03/02/2018] [Indexed: 10/17/2022]
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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] [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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Factors That Condition the Attitude Toward Living Related Kidney Donation Among Santiago of Cuba's Population. Transplant Proc 2018; 50:326-329. [PMID: 29579795 DOI: 10.1016/j.transproceed.2017.11.041] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2017] [Accepted: 11/11/2017] [Indexed: 01/10/2023]
Abstract
INTRODUCTION Living kidney donation is currently the most important kidney donor source in Latin America, and it is necessary to further increase its rates. OBJECTIVE To analyze the attitude toward living kidney donation among the Santiago de Cuba's population and to determine the sociopersonal factors with which it is associated. METHOD The population over 15 years old residing in Santiago de Cuba, stratified by sex and age, was screened. The "PCID-LKD Ríos" attitude questionnaire toward living kidney donation was administered to a random selection of the people surveyed according to the stratification and the census data. The completion was anonymized and self-administered. Verbal consent was obtained. RESULTS The study was completed by 445 people, of whom the 86% (n = 389) were in favor of living related kidney donation. This attitude is associated with the level of education (P < .001); previous experience with organ donation (P = .006); attitude toward cadaveric organ donation (P < .001); carrying out of prosocial activities (P = .010); discussion of the issue with the family (P < .001) and the significant other (P < .001); concern about mutilation after donation (P = .001); religious beliefs (P = .001); and assessment of the risk of living kidney donation (P < .001). In the multivariate study, the following variables persisted: (1) level of education; (2) attitude of cadaveric donation; (3) carrying out of prosocial activities; and (4) risk assessment of living donation. CONCLUSIONS Living related donation is very well accepted among the Santiago de Cuba's population.
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Differences in Attitudes Toward Living Kidney Donation Among Dominican Immigrants Living in Spain and the United States. Transplant Proc 2018; 50:316-318. [PMID: 29579792 DOI: 10.1016/j.transproceed.2017.11.045] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2017] [Accepted: 11/11/2017] [Indexed: 11/23/2022]
Abstract
BACKGROUND The Dominican population has a double-emigration pathway: one is to the USA, by proximity, and the other is to Spain, by sociocultural identification. Our aim was to determine attitudes toward living organ donation among Dominicans residing in Florida (USA) and Spain. METHODS All study participants were at least 15 years old and living in either Florida (USA) or Spain, and stratified by gender and age. A questionnaire on attitudes toward living kidney donation ("PCID-LKD Ríos") was used. The support of immigrant associations in Florida and Spain was required to advise on survey locations. Data obtained were anonymized and self-administered. RESULTS The study questionnaire was completed by 123 Dominicans, 68% of whom were in favor of living related kidney donation. There were differences (P = .004) according to the country of residence. Eighty-one percent of Spain's Dominican residents were in favor, compared with 56% of Florida's residents. Factors associated with attitude toward donation were level of education (P < .001), previous experience with organ donation (P = .006), attitude toward cadaveric organ donation (P < .001), belief in the possibility of needing a transplant in the future (P = .016), discussing the issue with one's family (P = .007), discussing the issue with husband/wife/partner (P = .002), carrying out pro-social activities (P = .029), religious beliefs (P = .001), and understanding the risk of living kidney donation (P = .046). CONCLUSION Attitudes toward living kidney donation among immigrant Dominicans varies between Spain and the USA, with the former showing a more positive view.
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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] [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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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] [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] [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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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] [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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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] [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-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] [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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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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2017] [Accepted: 11/11/2017] [Indexed: 01/10/2023]
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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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2017] [Accepted: 11/11/2017] [Indexed: 02/06/2023]
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Living Kidney Donation Questionnaire (PCID-DVR-Ríos): Validation and Psychometric Characteristics in a Spanish-Speaking Population. Transplant Proc 2018; 50:370-373. [DOI: 10.1016/j.transproceed.2017.11.069] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2017] [Accepted: 11/11/2017] [Indexed: 11/19/2022]
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Algerian Immigrants to Spain: Study of Attitude to the Donation of Organs for Transplantation. Transplant Proc 2018; 50:330-333. [DOI: 10.1016/j.transproceed.2017.11.038] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2017] [Accepted: 11/11/2017] [Indexed: 12/30/2022]
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Does the Attitude Toward Organ Donation Change as a Function of the Country Where People Emigrate? Study Between Uruguayan Emigrants to the United States and Spain. Transplant Proc 2018; 50:334-337. [DOI: 10.1016/j.transproceed.2017.11.039] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2017] [Accepted: 11/11/2017] [Indexed: 12/19/2022]
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Ríos Zambudio A. Proyecto colaborativo internacional donante. Cir Esp 2018; 96:69-75. [DOI: 10.1016/j.ciresp.2017.11.009] [Citation(s) in RCA: 66] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2017] [Accepted: 11/25/2017] [Indexed: 02/07/2023]
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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, Martínez-Alarcón L, del Olivo M, Fuentes L, Hernández JR, Virseda J, Yelamos J, Bondía JA, Hernández A, Ayala MA, Ramírez P, Parrilla P. Medical students faced with related and unrelated living kidney donation: a stratified and multicentre study in Spain. World J Urol 2016; 34:1673-1684. [DOI: 10.1007/s00345-016-1797-3] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2016] [Accepted: 02/16/2016] [Indexed: 10/22/2022] Open
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What Do Future Nursing Professionals Believe About Living Donor Kidney Transplantation? An Analysis of Attitudes of Nursing Students of the Medical University of Poznan in Western Poland. Transplant Proc 2015; 47:2581-3. [PMID: 26680041 DOI: 10.1016/j.transproceed.2015.10.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2015] [Revised: 10/03/2015] [Accepted: 10/07/2015] [Indexed: 11/20/2022]
Abstract
BACKGROUND Living donor kidney transplantation (LDKT) is the best treatment option in the late stage of chronic kidney disease. The objective of the study was to analyze the attitudes of nursing students at the Medical University of Poznan toward living donation of kidney. METHODS Sampling points were compulsory attendance in the 5 nursing courses of the degree of fulfilment of 80%. The validated questionnaire (PCID-DVR Rios) was self-administered and anonymous. RESULTS The completion rate was 92% (324 of 354). Among the students, 91% (n = 296) were in favor of LDKT, 5% (n = 15) were undecided, and 4% (n = 11) remained is against. When the living kidney donor is not related, 57% (n = 185) of respondents were in favor. The factors that are associated with a more favourable attitude are 1) the needs of organs for transplantation are covered (P = .012); 2) attitude in favor of organ donation and transplantation (P ≤ .001); 3) attitude toward living liver donation (P = .001); 4) attitude in favor of acceptance of LDKT for a relative (P ≤ .001); 5) discussing organ donation and transplantation with friends (P = .002); and 6) attitude in favor of organ donation from a family member (P = .011). In the multivariate analysis, highlights are acceptance of the donation of a living kidney donor from a family member [OR = 9.900 (35.714-2.770); P ≤ .001] and donating a piece of liver in life [OR = 50 (166.666-14.492); P ≤.001]. CONCLUSIONS Among the nursing students, 91% are in favor of living kidney donation.
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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, Martínez Alarcón L, Lana A, Fuentes L, Hernández JR, Virseda J, Yelamos J, Bondía JA, Hernández A, Ayala MA, Ramis G, Ramírez P, Parrilla P. The level of acceptance of spanish medical students of the transplantation of solid organs from animals: a stratified and multicentre study. Xenotransplantation 2015; 22:476-86. [PMID: 26602493 DOI: 10.1111/xen.12208] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2015] [Accepted: 10/15/2015] [Indexed: 01/07/2023]
Abstract
INTRODUCTION Research into the transplantation of solid organs from animals (xenotransplantation) is generating interest and curiosity given that this could be a way of resolving the shortage in transplant organs. However, the fact is that currently xenotransplantation is far from becoming a clinical practice. OBJECTIVE To analyse the attitude of medical students from Spanish universities towards the donation of organs from animals and to determine the factors affecting their attitudes. MATERIAL AND METHODS TYPE OF STUDY A sociological, interdisciplinary, observational and multicentre study in Spain. STUDY POPULATION Students enrolled on the medical degree in Spain (n = 34 000). SAMPLE SIZE A sample of 9598 students (a confidence level of 99% and precision of ± 1%) stratified by geographical area and academic year. Instrument of measurement: A validated questionnaire of attitude towards organ xenotransplantation (PCID-XenoTx RIOS) which was self-administered and completed anonymously. RESULTS A completion rate of 95.7% (n = 9275) was obtained. If the results of xenotransplantation were as good as in human donation, 81% (n = 7491) would be in favour, 3% (n = 308) against and 16% (n = 1476) undecided. The following variables affected this attitude: sex (P < 0.001); academic year (P < 0.001); discussion of transplantation with one's family (P < 0.001) and friends (P < 0.001); the opinion of one's partner (P < 0.001); the respondent's attitude towards organ donation (P < 0.001); religion (P < 0.001); and participation in altruistic activities (P < 0.001). The following variables persisted in the multivariate analysis: (1) being a female (OR = 1.794; P < 0.001); (2) academic year (OR = 2.487; P < 0.001); (3) having spoken about the issue with one's family (OR = 1.200; P = 0.019); (4) the favourable opinion of one's partner (OR = 1.526; P = 0.028); (5) an attitude in favour of donation (OR = 2.087; P < 0.001); (6) being an atheist/agnostic, (OR = 2.5; P < 0.001); and (7) a belief that one's religion is in favour of transplantation (OR = 1.317; P = 0.005). CONCLUSIONS Spanish medical students have a favourable attitude towards xenotransplantation. This willingness and interest could be a decisive platform for the development and strengthening of research, both for centres with a pre-clinical xenotransplantation programme and new healthcare centres.
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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 de la Región de Murcia, Murcia, Spain
| | - Ana López-Navas
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain.,Department of Psychology, Universidad Católica San Antonio (UCAM), Murcia, Spain
| | - Ana López-López
- Department of Urology, San Juan University Hospital of Alicante, Alicante, Spain
| | | | | | | | - Gerardo Blanco
- Servicio de Cirugía HBP y Trasplante Hepático, Complejo Hospitalario Universitario de Badajoz, Hospital Infanta Cristina, Badajoz, Spain
| | | | - Angel Asunsolo
- Departamento de Cirugía, Ciencias Médicas y Sociales, Facultad de Medicina y Ciencias de la Salud, Universidad de Alcalá Campus Científico-Tecnológico, Alcala de Henares, Madrid, Spain
| | - Pilar Sánchez
- Facultad de Medicina, Universidad de Málaga, Málaga, Spain
| | - Pedro Ramón Gutiérrez
- Servicio de Urología (Complejo Hospitalario Universitario de Canarias, CHUC) y Departamento de Cirugía (Universidad de La Laguna, ULL) San Cristóbal de La Laguna, Tenerife, Spain
| | - Ana Fernández
- Departamento de Ciencias Biomédicas Básicas, Facultad de Ciencias Biomédicas, Universidad Europea de Madrid, Madrid, Spain
| | | | - Laura 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
| | - Alberto Lana
- Facultad de Medicina y Ciencias de la Salud, Área de Medicina Preventiva y Salud Pública, Universidad de Oviedo, Oviedo, Spain
| | - Lorena Fuentes
- Departamento de Farmacología y Fisiología Facultad de Ciencias de la Salud y del Deporte, Universidad de Zaragoza, Huesca, Spain
| | | | | | - José Yelamos
- Department of Immunology, Hospital del Mar, Barcelona, Spain
| | | | - Antonio Hernández
- Endocrinology and Nutrition Service, Unidad de Docencia y Formación Continuada, Hospital Clínico Universitario Virgen de la Arrixaca, El Palmar, Servicio Murciano de Salud, El Palmar, Spain
| | - Marco Antonio Ayala
- Hospital Regional de Alta Especialidad del Bajío, León, Mexico.,HGSZ No. 10 del Instituto Mexicano del Seguro Social Delegación Guanajuato, Guanajuato, Mexico
| | | | - Pablo 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 de la Región de Murcia, Murcia, Spain
| | - Pascual 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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Rios A, Lopez-Navas A, Fernández-Olivares P, Martinez-Alarcón L, Mikla M, Ramis G, Ramirez P, Parrilla P. Attitudes Toward Living Donation in the Bolivian Population Residing in Spain. Transplant Proc 2015; 47:2597-9. [DOI: 10.1016/j.transproceed.2015.10.011] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2015] [Revised: 10/03/2015] [Accepted: 10/07/2015] [Indexed: 10/22/2022]
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Ríos A, López-Navas A, Martínez-Alarcón L, Ramírez P, Parrilla P. Latin Americans in Spain and their attitude toward living kidney donation. Clin Transplant 2015; 29:1054-62. [DOI: 10.1111/ctr.12626] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/31/2015] [Indexed: 01/08/2023]
Affiliation(s)
- A. Ríos
- International Collaborative Donor Project (“Proyecto Colaborativo Internacional Donante”); Murcia Spain
- Department of Surgery, Paediatrics, Obstetrics and Gynaecology; University of Murcia; Murcia Spain
- Transplant Unit; Surgery Service; IMIB - Virgen de la Arrixaca University Hospital; Murcia Spain
- Regional Transplant Center; Consejería de Sanidad y Consumo de la Región de Murcia; Murcia Spain
| | - A. López-Navas
- International Collaborative Donor Project (“Proyecto Colaborativo Internacional Donante”); Murcia Spain
- Regional Transplant Center; Consejería de Sanidad y Consumo de la Región de Murcia; Murcia Spain
- Department of Psychology; UCAM; San Antonio Catholic University; Murcia Spain
| | - L. Martínez-Alarcón
- International Collaborative Donor Project (“Proyecto Colaborativo Internacional Donante”); Murcia Spain
- Transplant Unit; Surgery Service; IMIB - Virgen de la Arrixaca University Hospital; Murcia Spain
- Regional Transplant Center; Consejería de Sanidad y Consumo de la Región de Murcia; Murcia Spain
| | - P. Ramírez
- Department of Surgery, Paediatrics, Obstetrics and Gynaecology; University of Murcia; Murcia Spain
- Transplant Unit; Surgery Service; IMIB - Virgen de la Arrixaca University Hospital; Murcia Spain
- Regional Transplant Center; Consejería de Sanidad y Consumo de la Región de Murcia; Murcia Spain
| | - P. Parrilla
- Department of Surgery, Paediatrics, Obstetrics and Gynaecology; University of Murcia; Murcia Spain
- Transplant Unit; Surgery Service; IMIB - Virgen de la Arrixaca University Hospital; Murcia Spain
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Ríos A, López-Navas AI, Ayala-García MA, Sebastián MJ, Abdo-Cuza A, Martínez-Alarcón L, Ramírez EJ, Muñoz G, Palacios G, Suárez-López J, Castellanos R, González B, Martínez MA, Díaz E, Ramírez P, Parrilla P. [Hospital-based multicenter study in Spain, Mexico and Cuba on attitudes to living liver donation]. GASTROENTEROLOGIA Y HEPATOLOGIA 2015; 38:364-72. [PMID: 25623418 DOI: 10.1016/j.gastrohep.2014.12.004] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/05/2014] [Revised: 10/29/2014] [Accepted: 12/11/2014] [Indexed: 02/06/2023]
Abstract
INTRODUCTION Given the lack of a sufficient number of livers available for transplantation, living liver donation (LLD) is being developed in the Spanish-speaking world. To do this, it is essential that health workers in hospitals are in favor of such donation, given that they are a key component in this treatment and that their attitudes influence public opinion. OBJECTIVE To analyze attitude toward LLD among hospital personnel from healthcare centers in Spain and Latin America. MATERIAL AND METHOD Ten hospitals were selected from the «International Donor Collaborative Project»: 3 from Spain, 5 from Mexico and 2 from Cuba. Random sampling stratified by type of service and job category was used. Attitudes to LLD were evaluated through a validated questionnaire on psychosocial aspects. The questionnaire was anonymous and self-administered. Statistical tests consisted of Student's T test, the chi-square test and logistic regression analysis. RESULTS Of the 2,618 employees surveyed, 85% (n=2,231) were in favor of related LLD; of these, 31% (n=804) were in favor of unrelated LLD. No association was found between the country of the interviewed, personal-social variables or work-related variables. The following factors were associated with a favorable attitude toward related LLD donation: having had personal experience of donation and transplantation (P<.001); being in favor of deceased donation (P<.001); believing that one might need a possible transplant (P<.001); being in favor of living kidney donation (P<.001); being willing to accept a liver from a living donor (P<.001); having discussed the matter of donation and transplantation within the family (P<.001) and with one's partner (P<.001); carrying out pro-social type activities (P<.001); being Catholic (P=.040); believing that one's religion is in favor of donation and transplantation (P<.001); and not being concerned about the possible mutilation of the body after donation (P<.001). CONCLUSIONS Hospital personnel from Spain and Latin America had a favorable attitude toward LLD, which was associated with factors directly and indirectly related to donation and transplantation, family and religious factors, and attitudes toward the body.
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Affiliation(s)
- Antonio Ríos
- Proyecto Colaborativo Internacional Donante, Murcia, España; Coordinación Regional de Trasplantes, Consejería de Sanidad y Consumo de la Región de Murcia, España; Unidad de Trasplantes, Servicio de Cirugía, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, España; Departamento de Cirugía, Ginecología y Pediatría, Universidad de Murcia, Murcia. España.
| | - Ana Isabel López-Navas
- Proyecto Colaborativo Internacional Donante, Murcia, España; Coordinación Regional de Trasplantes, Consejería de Sanidad y Consumo de la Región de Murcia, España; Departamento de Psicología, Universidad Católica de San Antonio, Universidad Católica de San Antonio de Murcia, Murcia, España
| | - Marco Antonio Ayala-García
- Hospital Regional de Alta Especialidad del Bajío, León, Guanajuato, México; Hospital General de SubZona n.(o) 10 del Instituto Mexicano del Seguro Social, Delegación Guanajuato, México
| | - María José Sebastián
- Centro de Coordinación de Trasplantes, Unidad Médica de Alta Especialidad, Hospital de Especialidades n.(o) 25 Instituto Mexicano del Seguro Social (IMSS), Monterrey, México
| | | | - Laura Martínez-Alarcón
- Proyecto Colaborativo Internacional Donante, Murcia, España; Coordinación Regional de Trasplantes, Consejería de Sanidad y Consumo de la Región de Murcia, España; Unidad de Trasplantes, Servicio de Cirugía, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, España
| | | | - Gerardo Muñoz
- Centro Médico Nacional Siglo XXI del Instituto Mexicano del Seguro Social, México
| | - Gerardo Palacios
- Centro de Coordinación de Trasplantes, Unidad Médica de Alta Especialidad, Hospital de Especialidades n.(o) 25 Instituto Mexicano del Seguro Social (IMSS), Monterrey, México
| | | | | | - Beatríz González
- Hospital Regional de Alta Especialidad del Bajío, León, Guanajuato, México; Universidad de Guanajuato, Guanajuato, México
| | | | - Ernesto Díaz
- Hospital Regional de Alta Especialidad del Bajío, León, Guanajuato, México; Hospital General de SubZona n.(o) 10 del Instituto Mexicano del Seguro Social, Delegación Guanajuato, México
| | - Pablo Ramírez
- Proyecto Colaborativo Internacional Donante, Murcia, España; Coordinación Regional de Trasplantes, Consejería de Sanidad y Consumo de la Región de Murcia, España; Unidad de Trasplantes, Servicio de Cirugía, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, España; Departamento de Cirugía, Ginecología y Pediatría, Universidad de Murcia, Murcia. España
| | - Pascual Parrilla
- Unidad de Trasplantes, Servicio de Cirugía, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, España; Departamento de Cirugía, Ginecología y Pediatría, Universidad de Murcia, Murcia. España
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Martínez-Alarcón L, Ramis G, Gómez-Laguna J, Quereda J, Herrero-Medrano J, Mrowiec A, Mendonça L, López-Navas A, Ríos A. Attitude Toward Living Kidney Donation: Differences Between Students From Two Spanish Universities. Transplant Proc 2015; 47:10-2. [DOI: 10.1016/j.transproceed.2014.12.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Ríos A, López-Navas A, Ayala-García MA, Sebastián MJ, Abdo-Cuza A, Martínez-Alarcón L, Ramírez EJ, Muñoz G, Palacios G, Suárez-López J, Castellanos R, González B, Martínez MA, Díaz E, Ramírez P, Parrilla P. The attitude toward living kidney donation among personnel from units related to donation and transplantation in Spain, Mexico and Cuba. Ren Fail 2014; 36:489-94. [DOI: 10.3109/0886022x.2013.875814] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Febrero B, Ríos A, López-Navas A, Martínez-Alarcón L, Almela J, Sánchez Á, Sánchez J, Parrilla JJ, Ramírez P, Parrilla P. A multicenter study of the attitude of secondary school teachers toward solid organ donation and transplantation in the southeast of Spain. Clin Transplant 2014; 28:259-66. [PMID: 24476384 DOI: 10.1111/ctr.12308] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/05/2013] [Indexed: 01/03/2023]
Abstract
BACKGROUND Teachers play a fundamental role in providing information to adolescents and could influence their attitudes. OBJECTIVES To analyze the attitude of teachers toward organ donation and the concept of brain death (BD); the psychosocial variables related to attitude; and the information provided to pupils. METHODS A multicenter study was carried out using a random sample of secondary school teaching staff from 10 schools (n = 327) in the southeast of Spain. Attitude toward organ donation was assessed using a validated questionnaire that was self-administered and completed anonymously. RESULTS The questionnaire completion rate was 88% (n = 288), with 75% (n = 215) in favor of organ donation, 23% had doubts, and 2% were not in favor. Regarding the knowledge of BD, 62% (n = 179) accepted that this meant a person's death. The variables associated with a more favorable attitude included conversations with family and friends (p < 0.05); a partner's favorable opinion (OR 3.194); knowledge of the concept of BD (p = 0.006); being a blood donor (OR 8.264); and a favorable attitude toward autopsy (OR 4.716). Teachers provided information about organ donation to pupils in 16% of cases (n = 47). CONCLUSIONS Seventy-five percent of teachers are in favor of organ donation. Their attitude is affected by psychosocial factors.
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Affiliation(s)
- Beatriz Febrero
- Proyecto Colaborativo Internacional Donante, Murcia, Spain; Regional Transplant Center, Consejería de Sanidad, Servicio Murciano de Salud, Murcia, Spain; Transplant Unit, Surgery Service, Hospital Clínico Universitario Virgen de la Arrixaca, Servicio Murciano de Salud, Centro de Investigación Biomédica en Red en el Área temática de Enfermedades Hepáticas y Digestivas (CIBEREHD), Murcia, Spain; Department of Surgery, Pediatrics and Obstetrics and Gynecology, University of Murcia, Murcia, Spain
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47
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Ríos A, López-Navas AI, Martínez-Alarcón L, Sánchez J, Ramis G, Ramírez P, Parrilla P. A study of the attitude of Latin-American residents in Spain toward organ xenotransplantation. Xenotransplantation 2013; 21:149-61. [DOI: 10.1111/xen.12078] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2013] [Accepted: 11/02/2013] [Indexed: 12/26/2022]
Affiliation(s)
- Antonio Ríos
- International Collaborative Donor Project; Murcia Spain
- Regional Transplant Center; Consejería de Sanidad; Servicio Murciano de Salud; Murcia Spain
- Department of Surgery; Faculty of Medicine; University of Murcia; Murcia Spain
- Surgery Service; Virgen de la Arrixaca University Hospital; Murcia Health Service; Murcia Spain
| | - Ana Isabel López-Navas
- International Collaborative Donor Project; Murcia Spain
- Regional Transplant Center; Consejería de Sanidad; Servicio Murciano de Salud; Murcia Spain
- Department of Psychology; UCAM; San Antonio Catholic University; Murcia Spain
| | - Laura Martínez-Alarcón
- International Collaborative Donor Project; Murcia Spain
- Regional Transplant Center; Consejería de Sanidad; Servicio Murciano de Salud; Murcia Spain
- Surgery Service; Virgen de la Arrixaca University Hospital; Murcia Health Service; Murcia Spain
| | - José Sánchez
- International Collaborative Donor Project; Murcia Spain
| | | | - Pablo Ramírez
- Regional Transplant Center; Consejería de Sanidad; Servicio Murciano de Salud; Murcia Spain
- Department of Surgery; Faculty of Medicine; University of Murcia; Murcia Spain
- Surgery Service; Virgen de la Arrixaca University Hospital; Murcia Health Service; Murcia Spain
| | - Pascual Parrilla
- Department of Surgery; Faculty of Medicine; University of Murcia; Murcia Spain
- Surgery Service; Virgen de la Arrixaca University Hospital; Murcia Health Service; Murcia Spain
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Ríos A, Martínez-Alarcón L, López-Navas A, Ayala-García M, Sebastián MJ, Abdo-Cuza A, Ramírez EJ, Muñoz G, Palacios G, Suárez-López J, Castellanos R, González B, Martínez MÁ, Díaz E, Nieto A, Ramis G, Ramírez P, Parrilla P. Level of acceptance of solid organ xenotransplantation among personnel in Spanish, Mexican, and Cuban hospitals. Xenotransplantation 2013; 21:84-90. [DOI: 10.1111/xen.12074] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2013] [Accepted: 10/11/2013] [Indexed: 12/23/2022]
Affiliation(s)
- Antonio Ríos
- “International Collaborative Donor Project”; Murcia Spain
- Regional Transplant Center; Consejería de Sanidad y Consumo de la Región de Murcia; Murcia Spain
- Transplant Unit; Surgery Service; University Hospital Virgen de la Arrixaca; Murcia Spain
- Instituto Murciano de Investigación Biosanitaria (IMIB); Murcia Spain
- Department of Surgery; University of Murcia; Murcia Spain
| | - Laura Martínez-Alarcón
- “International Collaborative Donor Project”; Murcia Spain
- Regional Transplant Center; Consejería de Sanidad y Consumo de la Región de Murcia; Murcia Spain
- Transplant Unit; Surgery Service; University Hospital Virgen de la Arrixaca; Murcia Spain
- Instituto Murciano de Investigación Biosanitaria (IMIB); Murcia Spain
- Department of Surgery; University of Murcia; Murcia Spain
| | - Ana López-Navas
- “International Collaborative Donor Project”; Murcia Spain
- Regional Transplant Center; Consejería de Sanidad y Consumo de la Región de Murcia; Murcia Spain
- Department of Psychology; Universidad Católica San Antonio; UCAM; Murcia Spain
| | - Marcos Ayala-García
- Hospital Regional de Alta Especialidad del Bajío. León; Guanajuato Mexico
- HGSZ No. 10 del Instituto Mexicano del Seguro Social Delegación Guanajuato; Guanajuato Mexico
| | - Mª José Sebastián
- Transplant Coordination Center; UMAE Hospital de Especialidades No 25 IMSS; Monterrey Mexico
| | | | | | - Gerardo Muñoz
- The 21st Century National Medical Center of the Mexican Institute of Social Security; Mexico, DF Mexico
| | - Gerardo Palacios
- Transplant Coordination Center; UMAE Hospital de Especialidades No 25 IMSS; Monterrey Mexico
| | | | | | - Beatriz González
- Hospital Regional de Alta Especialidad del Bajío. León; Guanajuato Mexico
- University of Guanajuato; Guanajuato Mexico
| | | | - Ernesto Díaz
- Hospital Regional de Alta Especialidad del Bajío. León; Guanajuato Mexico
- HGSZ No. 10 del Instituto Mexicano del Seguro Social Delegación Guanajuato; Guanajuato Mexico
| | - Adrián Nieto
- State Public Health Institute of Guanajuato; Guanajuato Mexico
| | - Gillermo Ramis
- Instituto Murciano de Investigación Biosanitaria (IMIB); Murcia Spain
- Department of Animal Production; Faculty of Veterinary; University of Murcia; Murcia Spain
| | - Pablo Ramírez
- “International Collaborative Donor Project”; Murcia Spain
- Regional Transplant Center; Consejería de Sanidad y Consumo de la Región de Murcia; Murcia Spain
- Transplant Unit; Surgery Service; University Hospital Virgen de la Arrixaca; Murcia Spain
- Instituto Murciano de Investigación Biosanitaria (IMIB); Murcia Spain
- Department of Surgery; University of Murcia; Murcia Spain
| | - Pascual Parrilla
- Transplant Unit; Surgery Service; University Hospital Virgen de la Arrixaca; Murcia Spain
- Instituto Murciano de Investigación Biosanitaria (IMIB); Murcia Spain
- Department of Surgery; University of Murcia; Murcia Spain
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Martínez-Alarcón L, Ríos A, Ramis G, López-Navas A, Febrero B, Ramírez P, Parrilla P. Factor Analysis of Sources of Information on Organ Donation and Transplantation in Journalism Students. Transplant Proc 2013; 45:3579-81. [DOI: 10.1016/j.transproceed.2013.10.013] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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50
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Ríos A, Martínez-Alarcón L, López-Navas A, Febrero B, Sánchez J, Ramis G, Ramírez P, Parrilla P. Attitudes of Scottish Residents in the Southeast of Spain Concerning Living Donation. Transplant Proc 2013; 45:3575-8. [DOI: 10.1016/j.transproceed.2013.11.002] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
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