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Ríos A, Ruiz-Pardo J, Balaguer-Román A, Puñal JA, Moreno P, Mercader E, Ferrero E, Morlán MA, Martín J, Durán M, Bravo JM, Casanova D, Salvador-Egea MP, Torregrosa NM, Exposito-Rodríguez A, Martínez-Fernández G, Carrión AM, Vidal O, Herrera F, Ruiz-Merino G, Rodríguez JM. Is unicentric familial papillary thyroid microcarcinoma different from multicentric? Endocrine 2023; 82:613-621. [PMID: 37490266 DOI: 10.1007/s12020-023-03455-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/22/2023] [Accepted: 07/13/2023] [Indexed: 07/26/2023]
Abstract
BACKGROUND Familial papillary thyroid microcarcinoma (FPTMC) appears to be more aggressive than sporadic papillary thyroid microcarcinoma (SPTMC). However, there are authors who indicate that unicentric FPTMC has a similar prognosis to SPTMC. The objective is to analyze whether unicentric FPTMC has a better prognosis than multicentric FPTMC. DESIGN AND METHODS Type of study: National multicenter longitudinal analytical observational study. STUDY POPULATION Patients with FPTMC. STUDY GROUPS Two groups were compared: Group A (unicentric FPTMC) vs. Group B (multicentric FPTMC). STUDY VARIABLES It is analyzed whether between the groups there are: a) differentiating characteristics; and b) prognostic differences. STATISTICAL ANALYSIS Cox regression analysis and survival analysis. RESULTS Ninety-four patients were included, 44% (n = 41) with unicentric FPTMC and 56% (n = 53) with multicentric FPTMC. No differences were observed between the groups according to socio-familial, clinical or histological variables. In the group B a more aggressive treatment was performed, with higher frequency of total thyroidectomy (99 vs. 78%; p = 0.003), lymph node dissection (41 vs. 15%; p = 0.005) and therapy with radioactive iodine (96 vs. 73%; p = 0.002). Tumor stage was similar in both groups (p = 0.237), with a higher number of T3 cases in the group B (24 vs. 5%; p = 0.009). After a mean follow-up of 90 ± 68.95 months, the oncological results were similar, with a similar disease persistence rate (9 vs. 5%; p = 0.337), disease recurrence rate (21 vs. 8%; p = 0.159) and disease-free survival (p = 0.075). CONCLUSIONS Unicentric FPTMC should not be considered as a SPTMC due to its prognosis is similar to multicentric FPTMC.
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Affiliation(s)
- A Ríos
- Unidad de Cirugía Endocrina. Servicio de Cirugía General y de Aparato Digestivo. Instituto Murciano de Investigación Bio-Sanitaria (IMIB-Arrixaca). Hospital Clínico Universitario Virgen de la Arrixaca, Servicio Murciano de Salud, Murcia, Spain.
- Departamento de Cirugía, Pediatría y Obstetricia, y Ginecología, Universidad de Murcia, Murcia, Spain.
| | - J Ruiz-Pardo
- Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario Torrecardenas, Almería, Spain
| | - A Balaguer-Román
- Unidad de Cirugía Endocrina. Servicio de Cirugía General y de Aparato Digestivo. Instituto Murciano de Investigación Bio-Sanitaria (IMIB-Arrixaca). Hospital Clínico Universitario Virgen de la Arrixaca, Servicio Murciano de Salud, Murcia, Spain
- Departamento de Cirugía, Pediatría y Obstetricia, y Ginecología, Universidad de Murcia, Murcia, Spain
| | - J A Puñal
- Servicio de Cirugía General y Aparato Digestivo. C.H.U, Santiago de Compostela, Spain
| | - P Moreno
- Cirugía Endocrina, Hospital Universitario de Bellvitge. L´Hospitalet de Llobregat, Barcelona, Spain
| | - E Mercader
- Sección de Cirugía Endocrino-Metabólica, Hospital General Universitario Gregorio Marañón, Madrid, Spain
| | - E Ferrero
- Servicio de Cirugía General, Aparato Digestivo y Trasplante de Órganos Abdominales, Hospital Universitario 12 de Octubre, Madrid, Spain
| | - M A Morlán
- Servicio de Cirugía General y del Aparato Digestivo, Hospital Virgen de la Salud, Toledo, Spain
| | - J Martín
- Servicio de Cirugía General y Aparato digestivo, Hospital Universitario Severo Ochoa. Leganés, Madrid, Spain
| | - M Durán
- Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario Rey Juan Carlos. Móstoles, Madrid, Spain
- Facultad de Ciencias de la Salud, Universidad Rey Juan Carlos. Alcorcón, Madrid, Spain
| | - J M Bravo
- Servicio de Cirugía General y del Aparato Digestivo, Hospital de la Princesa, Madrid, Spain
| | - D Casanova
- Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario Marqués de Valdecilla, Santander, Spain
| | - M P Salvador-Egea
- Servicio de Cirugía General y Digestiva, Complejo Hospitalario de Pamplona. Pamplona, Navarra, Spain
| | - N M Torregrosa
- Servicio de Cirugía General y del Aparato Digestivo, Hospital de Santa Lucia, Cartagena, Murcia, España
| | - A Exposito-Rodríguez
- Servicio de Cirugía General y del Aparato Digestivo, Hospital de Basurto, Vizcaya, España
| | - G Martínez-Fernández
- Unidad de Cirugía Endocrina, Servicio de Cirugía General (Hospital Universitario de Cruces), Barakaldo (Bizkaia), Spain
| | - A M Carrión
- Servicio de Cirugía, Hospital General Universitario de Alicante, Alicante, Spain
| | - O Vidal
- Cirugía General y del Aparato Digestivo, Hospital Universitario de Burgos, Burgos, Spain
| | - F Herrera
- Servicio de Cirugía General, Hospital General Básico Santa Ana, Motril (Granada), Spain
| | - G Ruiz-Merino
- FFIS, Fundación para la Formación e Investigación Sanitarias de la Región de Murcia, Murcia, España
| | - J M Rodríguez
- Unidad de Cirugía Endocrina. Servicio de Cirugía General y de Aparato Digestivo. Instituto Murciano de Investigación Bio-Sanitaria (IMIB-Arrixaca). Hospital Clínico Universitario Virgen de la Arrixaca, Servicio Murciano de Salud, Murcia, Spain
- Departamento de Cirugía, Pediatría y Obstetricia, y Ginecología, Universidad de Murcia, Murcia, Spain
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Nosiglia O, Cambón V, Filippi P, Ríos A, Romero Y, Vacca A, Gaiero C, Angulo M. Development of pectoral muscle atrophy in critically ill patients. Med Intensiva 2023; 47:350-353. [PMID: 36464581 DOI: 10.1016/j.medine.2022.11.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2022] [Revised: 09/15/2022] [Accepted: 10/23/2022] [Indexed: 05/29/2023]
Affiliation(s)
- O Nosiglia
- Departamento de Fisiopatología, Hospital de Clínicas, Universidad de la República, Montevideo, Uruguay
| | - V Cambón
- Departamento de Fisiopatología, Hospital de Clínicas, Universidad de la República, Montevideo, Uruguay
| | - P Filippi
- Departamento de Fisiopatología, Hospital de Clínicas, Universidad de la República, Montevideo, Uruguay
| | - A Ríos
- Departamento de Fisiopatología, Hospital de Clínicas, Universidad de la República, Montevideo, Uruguay
| | - Y Romero
- Departamento de Fisiopatología, Hospital de Clínicas, Universidad de la República, Montevideo, Uruguay
| | - A Vacca
- Departamento de Fisiopatología, Hospital de Clínicas, Universidad de la República, Montevideo, Uruguay
| | - C Gaiero
- Centro de Tratamiento Intensivo, Hospital de Clínicas, Universidad de la República, Montevideo, Uruguay
| | - M Angulo
- Departamento de Fisiopatología, Hospital de Clínicas, Universidad de la República, Montevideo, Uruguay; Laboratorio de Exploración Funcional Respiratoria, Centro de Tratamiento Intensivo, Hospital de Clínicas, Universidad de la República, Montevideo, Uruguay.
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González-Sánchez C, Salvador-Egea MP, Glückmann-Maldonado E, Ríos A, Martín-Fernández J, Pérez-García JI, García-Lorenzo F, Flores-Pastor B, Gómez-Ramírez J, Ortega-Serrano J, Ros-López S, Villar-Del-Moral J, Morales-García D, Gutiérrez-Rodríguez MT, Domènech-Calvet J, Nuño-Vázquez-Garza JM, Franch-Arcas G. Diagnosis and treatment of primary thyroid lymphoma from a surgical perspective: a multi-institutional study. Langenbecks Arch Surg 2023; 408:206. [PMID: 37221304 DOI: 10.1007/s00423-023-02945-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2022] [Accepted: 05/14/2023] [Indexed: 05/25/2023]
Abstract
PURPOSE Surgery of primary thyroid lymphoma (PTL) has been mostly limited to diagnostic work-up. This study aimed to further study its potential role. METHODS This was a retrospective study from a multi-institutional registry of PTL patients. Clinical, diagnostic work-up (fine needle aspiration, FNA; core needle biopsy, CoreNB), contribution of surgery (open surgical biopsy, OpenSB; thyroidectomy), histology subtype, and outcome data were evaluated. RESULTS Some 54 patients were studied. Diagnostic work-up included FNA in 47 patients, CoreNB in 11, and OpenSB in 21. CoreNB yielded the best sensitivity (90.9%). Thyroidectomy was performed in 14 patients with other diagnosis (incidental PTL), in 4 for diagnosis and in 4 for elective treatment of PTL. Incidental PTL was associated with not performed FNA nor CoreNB (OR 52.5; P = 0.008), mucosa-associated lymphoid tissue (MALT) subtype (OR 24.3; P = 0.012), and Hashimoto's thyroiditis (OR 11.1; P = 0.032). Lymphoma-related death (10 cases) mostly occurred within the first year after diagnosis and was associated with diffuse large B-cell (DLBC) subtype (OR 10.3; P = 0.018) and older patients (OR 1.08 for every 1-year increase; P = 0.010). There was a trend towards lower mortality rate in patients receiving thyroidectomy (2/22 versus 8/32, P = 0.172). CONCLUSION Incidental PTL accounts for most of thyroid surgery cases and are associated with incomplete diagnostic work-up, Hashimoto's thyroiditis and MALT subtype. CoreNB appears to be the best tool for diagnosis. Most of PTL deaths occurred during the first year after diagnosis and mostly related to systemic treatment. Age and DLBC subtype are poor prognostic factors.
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Affiliation(s)
- C González-Sánchez
- Department of Surgery, Complejo Asistencial Universitario de Salamanca, Paseo de San Vicente, 88-132, 37007, Salamanca, Spain.
- Instituto de Investigación Biomédica de Salamanca IBSAL, Salamanca, Spain.
| | - M P Salvador-Egea
- Department of Surgery, Complejo Hospitalario de Navarra B, Pamplona, Spain
| | | | - A Ríos
- Department of Surgery, Hospital Clínico Universitario Arrixaca, Murcia, Spain
| | - J Martín-Fernández
- Department of Surgery, Complejo Hospitalario de Ciudad Real, Ciudad Real, Spain
| | - J I Pérez-García
- Department of Surgery, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain
| | - F García-Lorenzo
- Department of Surgery, Hospital Alvaro Cunqueiro de Vigo, Vigo, Spain
| | - B Flores-Pastor
- Department of Surgery, Hospital General Universitario Morales Meseguer, Murcia, Spain
| | - J Gómez-Ramírez
- Department of Surgery, Hospital Universitario La Paz, Madrid, Spain
| | - J Ortega-Serrano
- Department of Surgery, Hospital Clínico Universitario de Valencia, Valencia, Spain
| | - S Ros-López
- Department of Surgery, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain
| | - J Villar-Del-Moral
- Department of Surgery, Hospital Universitario Virgen de las Nieves, Granada, Spain
- Instituto de Investigación Biosanitaria IBS de Granada, Granada, Spain
| | - D Morales-García
- Department of Surgery, Hospital Universitario Virgen de la Victoria, Málaga, Spain
| | | | - J Domènech-Calvet
- Department of Surgery, Hospital Universitario Sant Joan de Reus, Reus, Spain
| | | | - G Franch-Arcas
- Department of Surgery, Complejo Asistencial Universitario de Salamanca, Paseo de San Vicente, 88-132, 37007, Salamanca, Spain
- Instituto de Investigación Biomédica de Salamanca IBSAL, Salamanca, Spain
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Ríos A, Rodríguez MA, Puñal JA, Moreno P, Mercader E, Ferrero E, Ruiz-Pardo J, Morlán MA, Martín J, Durán-Poveda M, Bravo JM, Casanova D, Egea MPS, Torregrosa NM, Exposito-Rodríguez A, Martínez-Fernández G, Carrión AM, Vidal O, Herrera F, Ruiz-Merino G, Rodríguez JM. Biological behavior of familial papillary thyroid microcarcinoma: Spanish multicenter study. Langenbecks Arch Surg 2022; 407:3631-3642. [PMID: 36251077 DOI: 10.1007/s00423-022-02704-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2021] [Accepted: 10/05/2022] [Indexed: 10/24/2022]
Abstract
PURPOSE Familial papillary thyroid microcarcinoma (FPTMC) can present a more aggressive behavior than the sporadic microcarcinoma. However, few studies have analyzed this situation. The objective is to analyze the recurrence rate of FPTMC and the prognostic factors which determine that recurrence in Spain. METHODS Spanish multicenter longitudinal analytical observational study was conducted. Patients with FPTMC received treatment with curative intent and presented cure criteria 6 months after treatment. Recurrence rate and disease-free survival (DFS) were analyzed. Two groups were analyzed: group A (no tumor recurrence) vs. group B (tumor recurrence). RESULTS Ninety-four patients were analyzed. During a mean follow-up of 73.3 ± 59.3 months, 13 recurrences of FPTMC (13.83%) were detected and mean DFS was 207.9 ± 11.5 months. There were multifocality in 56%, bilateral thyroid involvement in 30%, and vascular invasion in 7.5%; that is to say, they are tumors with histological factors of poor prognosis in a high percentage of cases. The main risk factors for recurrence obtained in the multivariate analysis were the tumor size (OR: 2.574, 95% CI 1.210-5.473; p = 0.014) and the assessment of the risk of recurrence of the American Thyroid Association (ATA), both intermediate risk versus low risk (OR: 125, 95% CI 10.638-1000; p < 0.001) and high risk versus low risk (OR: 45.454, 95% CI 5.405-333.333; p < 0.001). CONCLUSION FPTMC has a recurrence rate higher than sporadic cases. Poor prognosis is mainly associated with the tumor size and the risk of recurrence of the ATA.
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Affiliation(s)
- A Ríos
- Unidad de Cirugía Endocrina, Servicio de Cirugía General Y de Aparato Digestivo, Instituto Murciano de Investigación Bio-Sanitaria (IMIB-Arrixaca), Hospital Clínico Universitario Virgen de La Arrixaca, Servicio Murciano de Salud, Murcia, Spain. .,Departamento de Cirugía, Pediatría Obstetricia, Y Ginecología, Universidad de Murcia, Murcia, Spain.
| | - M A Rodríguez
- Departamento de Cirugía, Pediatría Obstetricia, Y Ginecología, Universidad de Murcia, Murcia, Spain
| | - J A Puñal
- Servicio de Cirugía General Y Aparato Digestivo, C.H.U, Santiago de Compostela, Spain
| | - P Moreno
- Cirugía Endocrina, Hospital Universitario de Bellvitge, L´Hospitalet de Llobregat, Barcelona, Spain
| | - E Mercader
- Sección de Cirugía Endocrino-Metabólica, Hospital General Universitario Gregorio Marañón, Madrid, Spain
| | - E Ferrero
- Servicio de Cirugía General, Aparato Digestivo Y Trasplante de Órganos Abdominales, Hospital Universitario, 12 de Octubre, Madrid, Spain
| | - J Ruiz-Pardo
- Servicio de Cirugía General Y del Aparato Digestivo, Hospital Universitario Torrecárdenas, Almeria, Spain
| | - M A Morlán
- Servicio de Cirugía General Y del Aparato Digestivo, Hospital Virgen de La Salud, Toledo, Spain
| | - J Martín
- Servicio de Cirugía General Y Aparato Digestivo, Hospital Universitario Severo Ochoa, Leganés, Madrid, Spain
| | - M Durán-Poveda
- Servicio de Cirugía General Y del Aparato Digestivo, Hospital Universitario Rey Juan Carlos. Móstoles, Madrid, Spain.,Facultad de Ciencias de La Salud, Universidad Rey Juan Carlos, Alcorcón, Madrid, Spain
| | - J M Bravo
- Servicio de Cirugía General Y del Aparato Digestivo, Hospital de La Princesa, Madrid, Spain
| | - D Casanova
- Servicio de Cirugía General Y del Aparato Digestivo, Hospital Universitario Marqués de Valdecilla, Santander, Spain
| | - M P Salvador Egea
- Servicio de Cirugía General Y Digestiva, Complejo Hospitalario de Navarra, Pamplona, Spain
| | - N M Torregrosa
- Servicio de Cirugía General Y del Aparato Digestivo, Hospital de Santa Lucia, Cartagena, Murcia, Spain
| | - A Exposito-Rodríguez
- Servicio de Cirugía General Y del Aparato Digestivo, Hospital de Basurto, Bizkaia, Spain
| | - G Martínez-Fernández
- Unidad de Cirugía Endocrina, Servicio de Cirugía General (Hospital Universitario de Cruces), Barakaldo, Bizkaia, Spain
| | - A M Carrión
- Servicio de Cirugía, Hospital General Universitario de Alicante, Alicante, Spain
| | - O Vidal
- Cirugía General Y del Aparato Digestivo, Hospital Universitario de Burgos, Burgos, Spain
| | - F Herrera
- Servicio de Cirugía General, Hospital General Básico Santa Ana, Motril, Granada, Spain
| | - G Ruiz-Merino
- FFIS, Fundación Para La Formación E Investigación Sanitarias de La Región de Murcia, Murcia, Spain
| | - J M Rodríguez
- Unidad de Cirugía Endocrina, Servicio de Cirugía General Y de Aparato Digestivo, Instituto Murciano de Investigación Bio-Sanitaria (IMIB-Arrixaca), Hospital Clínico Universitario Virgen de La Arrixaca, Servicio Murciano de Salud, Murcia, Spain.,Departamento de Cirugía, Pediatría Obstetricia, Y Ginecología, Universidad de Murcia, Murcia, Spain
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Febrero B, Segura P, Ruiz-Manzanera JJ, Teruel E, Ros I, Ríos A, Hernández AM, Rodríguez JM. Uncommon tumors in multiple endocrine neoplasia (MEN) type 1: Do they have a relationship with the prognosis of these patients? J Endocrinol Invest 2021; 44:1327-1330. [PMID: 32909176 DOI: 10.1007/s40618-020-01414-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/27/2020] [Accepted: 08/31/2020] [Indexed: 10/23/2022]
Abstract
INTRODUCTION The prognosis of MEN 1 patients is not only determined by pancreatic disease; it is also related to other uncommon tumors. The objective of this study is to analyze the tumors associated with MEN 1 outside the classic triad and to investigate their relationship with mortality. MATERIALS AND METHODS One hundred and five MEN 1 patients were studied in a tertiary referral hospital (1980-2019). RESULTS With a follow-up of 11 ± 4 years, seven patients died (8%), four as a consequence MEN syndrome. Thirty-three percent had adrenal gland tumors. One patient died of adrenal cancer. Eight percent presented with a neuroendocrine thoracic neoplasm, and one patient died. Another patient died due to cutaneous T-cell lymphoma. A further patient died because of a gastrinoma with liver metastasis. CONCLUSIONS To conclude, 75% of MEN-related deaths were the result of an uncommon pathology, and we, therefore, recommend that these tumors should be taken into account in the screening and follow-up of these patients.
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Affiliation(s)
- B Febrero
- General Surgery Service, Endocrine Surgery Unit, Instituto Murciano de Investigación Biosanitaria (IMIB), Virgen de La Arrixaca University Hospital, Crta./Madrid-Cartagena, S/N, 30120, El Palmar, Murcia, Spain.
| | - P Segura
- Endocrinology Service, Virgen de la Arrixaca University Hospital, 30120, Murcia, Spain
| | - J J Ruiz-Manzanera
- General Surgery Service, Endocrine Surgery Unit, Instituto Murciano de Investigación Biosanitaria (IMIB), Virgen de La Arrixaca University Hospital, Crta./Madrid-Cartagena, S/N, 30120, El Palmar, Murcia, Spain
| | - E Teruel
- Maxillofacial Surgery Service, Virgen de la Arrixaca University Hospital, 30120, Murcia, Spain
| | - I Ros
- General Surgery Service, Endocrine Surgery Unit, Instituto Murciano de Investigación Biosanitaria (IMIB), Virgen de La Arrixaca University Hospital, Crta./Madrid-Cartagena, S/N, 30120, El Palmar, Murcia, Spain
| | - A Ríos
- General Surgery Service, Endocrine Surgery Unit, Instituto Murciano de Investigación Biosanitaria (IMIB), Virgen de La Arrixaca University Hospital, Crta./Madrid-Cartagena, S/N, 30120, El Palmar, Murcia, Spain
| | - A M Hernández
- Endocrinology Service, Virgen de la Arrixaca University Hospital, 30120, Murcia, Spain
| | - J M Rodríguez
- General Surgery Service, Endocrine Surgery Unit, Instituto Murciano de Investigación Biosanitaria (IMIB), Virgen de La Arrixaca University Hospital, Crta./Madrid-Cartagena, S/N, 30120, El Palmar, Murcia, Spain
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6
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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, Lana A, Fuentes L, Hernández JR, Virseda J, Yelamos J, Bondía JA, Carrillo J, Sánchez Á, Alarcón LM, Parrilla P, Ramírez P. What Reasons Lead Spanish Medical Students Not to Be in Favor of Organ Donation? Transplant Proc 2020; 52:443-445. [PMID: 32057503 DOI: 10.1016/j.transproceed.2019.11.040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2019] [Accepted: 11/06/2019] [Indexed: 02/07/2023]
Abstract
INTRODUCTION Despite sensitization of medical students toward the donation of organs, a non-negligible percentage of students are not in favor of donation. OBJECTIVE To analyze the reasons of Spanish medical students who do not have a favorable attitude toward the donation of their own organs after death. METHOD The population under study is medical students in Spanish universities, using the database of the International Donor Collaborative Project, stratified by geographic area and academic year. The questionnaire completion was anonymous and self-administered. The study group is medical students with an unfavorable attitude toward organ donation. The assessment instrument used is a validated questionnaire of attitude toward the donation of organs for transplant, "PCID-DTO-Ríos." The reasons against the donation are valued in the questionnaire through a question. RESULTS Of the participants included in the PCID, students who are not in favor of organ donation were selected (n = 1899). Of them, 8.1% (n = 154) are against and 91.1% (n = 1745) are doubtful. The main reasons indicated are the fear of apparent death in 11.4% of respondents, fear of possible mutilation after donation in 11.1%, and religious reasons in 2.6%. Of those, 6.9% indicate other reasons but do not clearly specify the reasons, using words such as "fear" (2.5%) or "doubts about the process" (4.1%); 66.2% (n = 1257) indicated an "assertive refusal" ("I don't want to express my reasons"). CONCLUSION Twenty percent of Spanish medical students are not in favor of donating their organs and are not in favor of showing their reasons.
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Affiliation(s)
- A Ríos
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics y Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB - Virgen de la Arrixaca University Clinical Hospital, Murcia, Spain; Regional Transplant Center, Ministry of Health and Consumer Affairs of the Region of Murcia, Murcia, Spain.
| | - A López-Navas
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain; Department of Psychology, Catholic University of Murcia (UCAM), Murcia, Spain
| | - P R Gutiérrez
- Urology Service (University Hospital Complex of the Canary Islands, CHUC) and Department of Surgery (University of La Laguna, ULL) San Cristóbal de La Laguna, Tenerife, Spain
| | - F J Gómez
- University of Granada, Granada, Spain
| | - J Iriarte
- University of Navarra, Navarra, Spain
| | - R Herruzo
- Autonomous University of Madrid, Madrid, Spain
| | - G Blanco
- BPH Surgery and Liver Transplant Service, Badajoz University Hospital Complex, Infanta Cristina Hospital, Badajoz, Spain
| | - F J Llorca
- University of Cantabria, Santander, Spain
| | - A Asunsolo
- Department of Surgery, Medical and Social Sciences, Faculty of Medicine and Health Sciences, Universidad de Alcalá Scientific-Technological Campus, Alcalá de Henares, Madrid, Spain
| | - P Sánchez
- Faculty of Medicine, University of Málaga, Málaga, Spain
| | - A Fernández
- Department of Basic Biomedical Sciences, Faculty of Biomedical Sciences, Universidad Europea de Madrid, Madrid, Spain
| | | | - A Lana
- Faculty of Medicine and Health Sciences, Area of Preventive Medicine and Public Health, University of Oviedo, Oviedo, Spain
| | - L Fuentes
- Department of Pharmacology and Physiology School of Health and Sports Sciences, University of Zaragoza, Huesca, Spain
| | - J R Hernández
- University of Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain
| | - J Virseda
- University of Castilla La Mancha, Albacete, Spain
| | - J Yelamos
- Endocrinology and Nutrition Service, Virgen de la Arrixaca University Clinical Hospital, El Palmar, Murcia Health Service, Murcia, Spain
| | - J A Bondía
- Faculty of Medicine, University of Málaga, Málaga, Spain
| | - J Carrillo
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics y Gynaecology, University of Murcia, 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
| | - P Parrilla
- Department of Surgery, Paediatrics, Obstetrics y Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB - Virgen de la Arrixaca University Clinical Hospital, Murcia, Spain
| | - P Ramírez
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics y Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB - Virgen de la Arrixaca University Clinical Hospital, Murcia, Spain; Regional Transplant Center, Ministry of Health and Consumer Affairs of the Region of Murcia, Murcia, Spain
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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] [What about the content of this article? (0)] [Affiliation(s)] [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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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, Lana A, Fuentes L, Hernández JR, Virseda J, Yelamos J, Bondía JA, Carrillo J, Sánchez Á, Alarcón LM, Parrilla P, Ramírez P. Are Medical Students of Non-Spanish Nationality Studying in Spain as Sensitized to Transplantation as Those of Spanish Nationality? Transplant Proc 2020; 52:435-438. [PMID: 32057498 DOI: 10.1016/j.transproceed.2019.11.039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2019] [Accepted: 11/06/2019] [Indexed: 11/26/2022]
Abstract
INTRODUCTION Awareness of organ donation among Spanish doctors and medical students is very positive. However, the emerging group of professionals of non-Spanish nationality studying in Spain has not been analyzed. OBJECTIVE To analyze the differences in the attitudes toward the different types of donation among medical students, according to their nationality. METHODS The population under study is medical students in Spanish universities using the database of the International Collaborative Donor Project, stratified by geographic area and academic year. Groups under study include students of non-Spanish nationality as group 1 (n = 1570) and students of Spanish nationality as Group 2 (n = 7705). Instruments are validated questionnaires of attitude toward donation "PCID-DTO-Ríos," "PCID-DVR-Ríos," "PCID-DVH-Ríos," and "PCID-XenoTx-Ríos." RESULTS The attitude toward the donation of own organs after death is similar in both groups (P = .703). Non-Spaniards are 79.2% in favor compared to 79.6% of Spaniards. Living kidney donation, both unrelated (33.3% vs 29.3% in favor; P = .001) and related (91.2% vs 89, 6% in favor; P = .047), is more favorable among non-Spanish students. There are no differences regarding non-related living liver donation (29.7% vs 29.3% in favor; P = .063), but there are differences in the results for related living liver donation (94.1% vs 88%; P < .001). The attitude toward xenotransplantation of organs is similar (80.8% vs 80.8%; P = .999). CONCLUSIONS Awareness of the donation of organs among Spanish medical students is similar to non-Spanish students studying in Spain, except the attitude toward living donation.
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Affiliation(s)
- A Ríos
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics y Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB - Virgen de la Arrixaca University Clinical Hospital, Murcia, Spain; Regional Transplant Center, Ministry of Health and Consumer Affairs of the Region of Murcia, Murcia, Spain.
| | - A López-Navas
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain; Department of Psychology, Catholic University of Murcia (UCAM), Murcia, Spain
| | - P R Gutiérrez
- Urology Service (University Hospital Complex of the Canary Islands, CHUC) and Department of Surgery (University of La Laguna, ULL) San Cristóbal de La Laguna, Tenerife, Spain
| | - F J Gómez
- University of Granada, Granada, Spain
| | - J Iriarte
- University of Navarra, Navarra, Spain
| | - R Herruzo
- Autonomous University of Madrid, Madrid, Spain
| | - G Blanco
- BPH Surgery and Liver Transplant Service. Badajoz University Hospital Complex, Infanta Cristina Hospital, Badajoz, Spain
| | - F J Llorca
- University of Cantabria, Santander, Spain
| | - A Asunsolo
- Department of Surgery, Medical and Social Sciences, Faculty of Medicine and Health Sciences, Universidad de Alcalá Scientific-Technological Campus, Alcalá de Henares, Madrid, Spain
| | - P Sánchez
- Faculty of Medicine, University of Málaga, Málaga, Spain
| | - A Fernández
- Department of Basic Biomedical Sciences, Faculty of Biomedical Sciences, Universidad Europea de Madrid, Madrid, Spain
| | | | - A Lana
- Faculty of Medicine and Health Sciences, Area of Preventive Medicine and Public Health, University of Oviedo, Oviedo, Spain
| | - L Fuentes
- Department of Pharmacology and Physiology School of Health and Sports Sciences, University of Zaragoza, Huesca, Spain
| | - J R Hernández
- University of Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain
| | - J Virseda
- University of Castilla La Mancha, Albacete, Spain
| | - J Yelamos
- Endocrinology and Nutrition Service. Virgen de la Arrixaca University Clinical Hospital, El Palmar, Murcia Health Service, Murcia, Spain
| | - J A Bondía
- Faculty of Medicine, University of Málaga, Málaga, Spain
| | - J Carrillo
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics y Gynaecology, University of Murcia, 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
| | - P Parrilla
- Department of Surgery, Paediatrics, Obstetrics y Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB - Virgen de la Arrixaca University Clinical Hospital, Murcia, Spain
| | - P Ramírez
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics y Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB - Virgen de la Arrixaca University Clinical Hospital, Murcia, Spain; Regional Transplant Center, Ministry of Health and Consumer Affairs of the Region of Murcia, Murcia, Spain
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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, Lana A, Fuentes L, Hernández JR, Virseda J, Yelamos J, Bondía JA, Carrillo J, Sánchez Á, Alarcón LM, Parrilla P, Ramírez P. Information About Donation and Organ Transplantation Among Spanish Medical Students. Transplant Proc 2020; 52:446-448. [PMID: 32057497 DOI: 10.1016/j.transproceed.2019.11.041] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2019] [Accepted: 11/06/2019] [Indexed: 11/16/2022]
Abstract
INTRODUCTION Health professionals are asked to promote health, especially organ transplantation; however, they do not always have specific training. OBJECTIVE To analyze information about donation and organ transplantation among Spanish medical students. METHOD The population under study is medical students in Spanish universities using the database of the International Donor Collaborative Project, stratified by geographic area and academic year (n = 9275). The instrument used is the attitude questionnaire for organ donation for "PCID-DTO-Ríos" transplantation, validated with an explained variance of 63.203% and α = 0.834. The Student t test was applied together with the χ2 test, complemented by an analysis of the remainders, and Fisher's exact test was applied. RESULTS Of the students, 74% indicate that they have received information from university professors about organ transplant. Concerning specific issues with the donation, it is notable that only 66.7% (n = 6190) know and accept the concept of brain death as the death of a person. However, only 22% consider themselves as having good information, and 35.3% indicate that their information is scarce or void. Students indicate having received information about transplant from other extra-university sources, such as television and Internet (80.9%), books and magazines (73.2%), and the press (66.9%). From the information obtained in the sociofamilial field, 60.7% have obtained information from the family and 58.1% from friends. Of this information, 9% has been negative from friends, 7.5% from family, 6% from the Internet and television, and 4% from university professors. CONCLUSION Spanish medical students believe they have little information about organ transplantation and have received negative information.
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Affiliation(s)
- A Ríos
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain; Department of Surgery, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB - Virgen de la Arrixaca University Clinical Hospital, Murcia, Spain; Regional Transplant Center, Ministry of Health and Consumer Affairs of the Region of Murcia, Murcia, Spain.
| | - A López-Navas
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain; Department of Psychology, Catholic University of Murcia (UCAM), Murcia, Spain
| | - P R Gutiérrez
- Urology Service (University Hospital Complex of the Canary Islands, CHUC) and Department of Surgery (University of La Laguna, ULL) San Cristóbal de La Laguna, Tenerife, Spain
| | - F J Gómez
- University of Granada, Granada, Spain
| | - J Iriarte
- University of Navarra, Navarra, Spain
| | - R Herruzo
- Autonomous University of Madrid, Madrid, Spain
| | - G Blanco
- BPH Surgery and Liver Transplant Service, Badajoz University Hospital Complex, Infanta Cristina Hospital, Badajoz, Spain
| | - F J Llorca
- University of Cantabria, Santander, Spain
| | - A Asunsolo
- Department of Surgery, Medical and Social Sciences, Faculty of Medicine and Health Sciences, Universidad de Alcala Scientific-Technological Campus, Alcala de Henares, Madrid, Spain
| | - P Sánchez
- Faculty of Medicine, University of Málaga, Málaga, Spain
| | - A Fernández
- Department of Basic Biomedical Sciences, Faculty of Biomedical Sciences, Universidad Europea de Madrid, Madrid, Spain
| | | | - A Lana
- Faculty of Medicine and Health Sciences, Area of Preventive Medicine and Public Health, University of Oviedo, Oviedo, Spain
| | - L Fuentes
- Department of Pharmacology and Physiology School of Health and Sports Sciences, University of Zaragoza, Huesca, Spain
| | - J R Hernández
- University of Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain
| | - J Virseda
- University of Castilla La Mancha, Albacete, Spain
| | - J Yelamos
- Endocrinology and Nutrition Service. Virgen de la Arrixaca University Clinical Hospital, El Palmar, Murcia Health Service, Murcia, Spain
| | - J A Bondía
- Faculty of Medicine, University of Málaga, Málaga, Spain
| | - J Carrillo
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain; Department of Surgery, University of Murcia, 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
| | - P Parrilla
- Department of Surgery, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB - Virgen de la Arrixaca University Clinical Hospital, Murcia, Spain
| | - P Ramírez
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain; Department of Surgery, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB - Virgen de la Arrixaca University Clinical Hospital, Murcia, Spain; Regional Transplant Center, Ministry of Health and Consumer Affairs of the Region of Murcia, Murcia, Spain
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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] [What about the content of this article? (0)] [Affiliation(s)] [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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11
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Almela-Baeza J, Febrero B, Ros I, Pérez-Sánchez MB, Pérez-Manzano A, Rodríguez JM, Alconchel F, Ruiz-Manzanera JJ, Martínez-Insfran LA, Royo-Villanova M, Martínez-Alarcón L, Ríos A, Parrilla P, Ramírez P. The Influence of Mass Media on Organ Donation and Transplantation in Older People. Transplant Proc 2020; 52:503-505. [PMID: 32044083 DOI: 10.1016/j.transproceed.2019.09.020] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2019] [Accepted: 09/03/2019] [Indexed: 11/16/2022]
Abstract
BACKGROUND Worldwide population aging has resulted in changes in the approach to the organ donation and transplantation (ODT) process, forcing us to include older people on transplant waiting lists and to assess older patients as potential donors. However, this is a sector of the population that has not been studied in great detail in terms of the information they receive about ODT. OBJECTIVES To analyze what kinds of media provide people > 65 years of age with information about ODT and which sources of information affect their attitude about this subject. METHODS A multicentric study was undertaken using a sample of people > 65 years of age stratified by sex and geographic location in southeastern Spain (n = 420). Questions about ODT and methods of receiving information were analyzed using a questionnaire. Statistical analysis was performed using SPSS version 21.0 (IBM Corp, Armonk, NY, United States). Descriptive analyses were performed with a Student t test and χ2 test. RESULTS The questionnaire completion rate was 84% (n = 351). People aged > 65 years received information about ODT, mainly positive, from the television (82%), followed by films (35%), the radio (30%), the press (26%), family (26%), and friends (17%). Receiving information through one of the following sources was associated with a more favorable attitude toward organ donation: the family (76% vs 45%; P < .001), friends (77% vs 48%; P = .01), and the press (62% vs 49%; P = .034). CONCLUSIONS Older people mainly receive information about ODT from the mass media. However, social and family circles have the greatest influence on their attitudes toward organ donation.
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Affiliation(s)
- J Almela-Baeza
- Faculty of Communication and Documentation, University of Murcia, Murcia, Spain
| | - B Febrero
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Murcian 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
| | - M B Pérez-Sánchez
- Department of Statistics, Mathematics and Informatics, University of Miguel Hernández, Elche, Spain
| | - A Pérez-Manzano
- Department of Evolutionary Psychology and Education, University of Murcia, Murcia, Spain
| | - J M Rodríguez
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Murcian 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, Murcian Institute of Biomedical Investigations, Murcia, Spain
| | - J J Ruiz-Manzanera
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Murcian 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
| | - M Royo-Villanova
- Faculty of Communication and Documentation, University of Murcia, Murcia, Spain
| | - L Martínez-Alarcón
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Murcian 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, Murcian 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, Murcian 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, Murcian 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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12
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Febrero B, Ros I, Almela-Baeza J, Pérez-Sánchez MB, Rodríguez JM, Ruiz-Manzanera JJ, Alconchel F, Martínez-Insfran LA, Fernández-Pérez JM, Martínez-Alarcón L, Ríos A, Parrilla P, Ramírez P. Knowledge of the Brain Death Concept Among Older People. Transplant Proc 2020; 52:506-508. [PMID: 32044079 DOI: 10.1016/j.transproceed.2019.09.019] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2019] [Accepted: 09/03/2019] [Indexed: 11/15/2022]
Abstract
BACKGROUND The concept of brain death (BD) is not well understood in the general population; this lack of knowledge is one of the main factors that generates an attitude against organ donation. Older people are a population group that has rarely been studied in relation to organ donation and transplantation (ODT), and it is important to investigate the most important aspects of ODT, such as people's concept of BD. OBJECTIVES To analyze the level of understanding of the concept of BD in people > 65 years of age and the factors that influence their mode of thinking. METHODS A multicenter study was carried out with a representative sample of people > 65 years of age, stratified by sex and geographic location in the southeast of Spain (n = 420). Knowledge of BD as well as the influence of other variables were analyzed through a validated questionnaire about ODT. SPSS version 21.0 (IBM Corp, Armonk, NY, United States) software was used for statistical analysis. Descriptive analysis included Student t test and the χ2 test. RESULTS The questionnaire had a completion rate of 84% (n = 351). In 36% (n = 127) of cases, people ˃ 65 years of age understood the concept of BD. In general, knowledge of this concept has not been associated with other variables including social-family interaction about ODT (P > .05). CONCLUSIONS Older people do not understand the concept of BD. It is, therefore, necessary to carry out informative campaigns on ODT explaining this concept. This would improve organ donation awareness in this particular group of people.
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Affiliation(s)
- B Febrero
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Murcian Institute of Biomedical Research, 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, Murcian Institute of Biomedical Research, Murcia, Spain; Department of Surgery, Pediatrics, Gynecology and Obstetrics, University of Murcia School of Medicine, Murcia, Spain
| | - J J Ruiz-Manzanera
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Murcian Institute of Biomedical Research, Murcia, Spain
| | - F Alconchel
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Murcian Institute of Biomedical Research, Murcia, Spain
| | - L A Martínez-Insfran
- Department of Surgery, Pediatrics, Gynecology and Obstetrics, University of Murcia School of Medicine, Murcia, Spain
| | - J M Fernández-Pérez
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Murcian Institute of Biomedical Research, Murcia, Spain
| | - L Martínez-Alarcón
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Murcian Institute of Biomedical Research, 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, Murcian Institute of Biomedical Research, 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, Murcian Institute of Biomedical Research, 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, Murcian Institute of Biomedical Research, Murcia, Spain; Department of Surgery, Pediatrics, Gynecology and Obstetrics, University of Murcia School of Medicine, Murcia, Spain
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13
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Alconchel F, Martínez-Alarcón L, Nicolás-López T, Khiri F, Febrero B, Cascales-Campos PA, Martínez-Insfran LA, Ríos A, Fernández-Hernández JA, Rodríguez JM, López-López V, Sánchez-Bueno F, Robles-Campos R, Parrilla P, Ramírez P. Psoas Muscle Index Does Not Predict Post-Transplant Outcomes: A Series of 57 Liver Transplant Recipients. Transplant Proc 2020; 52:549-552. [PMID: 32029312 DOI: 10.1016/j.transproceed.2019.12.032] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2019] [Revised: 12/15/2019] [Accepted: 12/15/2019] [Indexed: 02/03/2023]
Abstract
BACKGROUND Sarcopenia is defined as the loss of muscle mass and function. Our aim is to evaluate the degree of sarcopenia by measuring the patients on the waiting list for liver transplantation and its influence on the different post-liver transplant outcomes in our group. METHODS The psoas muscle index (PMI, cm2/m2) was calculated (right psoas muscle area [cm2]/the square of the body height [m2]) in 57 patients on the waiting list for liver transplantation in our center, and the post-transplant variables relevant to our study were collected. RESULTS The 57 recipients had a mean age of 57 years (range, 35-73) and had a mean of 7.4 months (range, 0-39) on the liver transplant waiting list. The mean psoas muscle index was 2.39 (range, 1-4), and the mean body mass index was 28.01kg/m2 (range, 22-36). After multivariate analysis we found a positive correlation between the PMI and the body mass index of the recipients (r = 0.320, P = .017), intensive care unit length of stay, and donor age (r = 0.319, P = .042), and between cold ischemia time and graft survival (r = 0.366, P = .009). We found no correlation in our sample between PMI and post-liver transplant complications either in terms of graft or patient survival. CONCLUSION PMI is not representative of total muscle mass and sarcopenia and is not effective in adequately predicting the survival of patients on the waiting list for liver transplantation.
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Affiliation(s)
- F Alconchel
- Department of Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain; Instituto Murciano de Investigación Biosanitaria (IMIB-Arrixaca), Murcia, Spain.
| | - L Martínez-Alarcón
- Department of Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain; Instituto Murciano de Investigación Biosanitaria (IMIB-Arrixaca), Murcia, Spain
| | - T Nicolás-López
- Department of Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain; Instituto Murciano de Investigación Biosanitaria (IMIB-Arrixaca), Murcia, Spain
| | - F Khiri
- University College of Nursing, University of Murcia, Murcia, Spain
| | - B Febrero
- Department of Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain; Instituto Murciano de Investigación Biosanitaria (IMIB-Arrixaca), Murcia, Spain
| | - P A Cascales-Campos
- Department of Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain; Instituto Murciano de Investigación Biosanitaria (IMIB-Arrixaca), Murcia, Spain
| | - L A Martínez-Insfran
- Department of Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain; Instituto Murciano de Investigación Biosanitaria (IMIB-Arrixaca), Murcia, Spain
| | - A Ríos
- Department of Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain; Instituto Murciano de Investigación Biosanitaria (IMIB-Arrixaca), Murcia, Spain
| | - J A Fernández-Hernández
- Department of Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain; Instituto Murciano de Investigación Biosanitaria (IMIB-Arrixaca), Murcia, Spain
| | - J M Rodríguez
- Department of Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain; Instituto Murciano de Investigación Biosanitaria (IMIB-Arrixaca), Murcia, Spain
| | - V López-López
- Department of Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain; Instituto Murciano de Investigación Biosanitaria (IMIB-Arrixaca), Murcia, Spain
| | - F Sánchez-Bueno
- Department of Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain; Instituto Murciano de Investigación Biosanitaria (IMIB-Arrixaca), Murcia, Spain
| | - R Robles-Campos
- Department of Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain; Instituto Murciano de Investigación Biosanitaria (IMIB-Arrixaca), Murcia, Spain
| | - P Parrilla
- Department of Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain; Instituto Murciano de Investigación Biosanitaria (IMIB-Arrixaca), Murcia, Spain
| | - P Ramírez
- Department of Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain; Instituto Murciano de Investigación Biosanitaria (IMIB-Arrixaca), Murcia, Spain
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14
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Alconchel F, Martínez-Insfran LA, Cascales-Campos PA, Febrero B, Martínez-Alarcón L, Ríos A, Fernández-Hernández JA, Rodríguez JM, Ruiz-Merino G, Royo-Villanova M, Pons JA, Robles-Campos R, Sánchez-Bueno F, Ramírez P, Parrilla P. Impact of Hepatic Artery Thrombosis on the Success of a Liver Transplant Because of Hepatocellular Carcinoma. Transplant Proc 2020; 52:559-561. [PMID: 32029319 DOI: 10.1016/j.transproceed.2019.11.037] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2019] [Accepted: 11/06/2019] [Indexed: 12/29/2022]
Abstract
BACKGROUND Hepatic artery thrombosis is one of the most serious complications after liver transplant. Our objective is to evaluate the impact of arterial thrombosis on the postoperative evolution of a series of patients who received transplants because of hepatocellular carcinoma. METHODS A retrospective study of 100 consecutive hepatocellular carcinoma liver transplants was performed from January 2011 to November 2017. RESULTS Of the 100 transplant recipients, we have observed hepatic artery thrombosis in 4 of them, 3 premature and 1 delayed. All of them received retransplants after diagnosis by hepatic artery ultrasonography and arteriography. The descriptive analysis showed a significant relationship between the appearance of hepatic artery thrombosis with variables of postoperative severity, such as arrhythmias, atelectasis, pleural effusion, hemodialysis requirement, acute kidney failure, and respiratory failure. Although patients with hepatic artery thrombosis had a longer mean hospital stay, this was not statistically significant. There was decreased graft survival and overall survival of patients who experienced hepatic artery thrombosis. CONCLUSION Although the incidence of hepatic artery thrombosis has been relatively low (4%), the early detection of risk factors, such as arterial anatomic anomalies that condition a complex anastomosis, should draw our attention, thus having at our disposal strict ultrasonography and arteriography surveillance protocols as well as prophylactic anticoagulation guidelines for receptors at risk.
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Affiliation(s)
- F Alconchel
- Department of Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain; Instituto Murciano de Investigación Biosanitaria (IMIB-Arrixaca), Murcia, Spain.
| | - L A Martínez-Insfran
- Department of Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain; Instituto Murciano de Investigación Biosanitaria (IMIB-Arrixaca), Murcia, Spain
| | - P A Cascales-Campos
- Department of Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain; Instituto Murciano de Investigación Biosanitaria (IMIB-Arrixaca), Murcia, Spain
| | - B Febrero
- Department of Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain; Instituto Murciano de Investigación Biosanitaria (IMIB-Arrixaca), Murcia, Spain
| | - L Martínez-Alarcón
- Department of Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain; Instituto Murciano de Investigación Biosanitaria (IMIB-Arrixaca), Murcia, Spain
| | - A Ríos
- Department of Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain; Instituto Murciano de Investigación Biosanitaria (IMIB-Arrixaca), Murcia, Spain
| | - J A Fernández-Hernández
- Department of Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain; Instituto Murciano de Investigación Biosanitaria (IMIB-Arrixaca), Murcia, Spain
| | - J M Rodríguez
- Department of Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain; Instituto Murciano de Investigación Biosanitaria (IMIB-Arrixaca), Murcia, Spain
| | - G Ruiz-Merino
- Instituto Murciano de Investigación Biosanitaria (IMIB-Arrixaca), Murcia, Spain
| | - M Royo-Villanova
- Instituto Murciano de Investigación Biosanitaria (IMIB-Arrixaca), Murcia, Spain; Intensive Care Unit, Virgen de la Arrixaca University Hospital, Murcia, Spain
| | - J A Pons
- Instituto Murciano de Investigación Biosanitaria (IMIB-Arrixaca), Murcia, Spain; Department of Hepatology, Virgen de la Arrixaca University Hospital, Murcia, Spain
| | - R Robles-Campos
- Department of Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain; Instituto Murciano de Investigación Biosanitaria (IMIB-Arrixaca), Murcia, Spain
| | - F Sánchez-Bueno
- Department of Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain; Instituto Murciano de Investigación Biosanitaria (IMIB-Arrixaca), Murcia, Spain
| | - P Ramírez
- Department of Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain; Instituto Murciano de Investigación Biosanitaria (IMIB-Arrixaca), Murcia, Spain
| | - P Parrilla
- Department of Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain; Instituto Murciano de Investigación Biosanitaria (IMIB-Arrixaca), Murcia, Spain
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15
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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 AM, Ayala MA, Ramírez P, Parrilla P. A Multicentre and stratified study of the attitude of medical students towards organ donation in Spain. Ethn Health 2019; 24:443-461. [PMID: 28665141 DOI: 10.1080/13557858.2017.1346183] [Citation(s) in RCA: 51] [Impact Index Per Article: 10.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/04/2016] [Accepted: 05/17/2017] [Indexed: 06/07/2023]
Abstract
INTRODUCTION Medical students represent a new generation of medical thought, and if they have a favourable attitude towards organ donation this will greatly encourage its promotion. OBJECTIVE To analyse the attitude of medical students in Spanish universities towards the donation of their own organs and to determine the factors affecting this attitude. MATERIAL AND METHODS Type of study: A sociological, interdisciplinary, multicentre, and observational study in Spain. STUDY POPULATION Students studying a degree in medicine enrolled in Spain (n = 34,000). SAMPLE SIZE A sample of 9598 students (confidence of 99% and precision of ±1%), stratified by geographical area and academic year. Instrument of measurement: A validated questionnaire of attitude towards organ donation and transplantation (PCID-DTO RIOS) was self-administered and completed anonymously. RESULTS The questionnaire completion rate was 95.7% (n = 9.275). 80% were in favour of donation, 2% against and 18% were undecided. The following main variables were related to a favourable attitude: being of the female sex (Odds Ratio = 1.739); being in the sixth year of the degree (OR = 2.506); knowing a donor (OR = 1.346); having spoken about the subject with one's family (OR = 2.132) and friends (OR = 1.333); having a family circle that is in favour, more specifically, having a father (OR = 1.841), mother (OR = 2.538) or partner in favour (OR = 2.192); being a blood donor (OR = 2.824); acceptance of the mutilation of the body if it were necessary (OR = 2.958); and being an atheist or an agnostic (OR = 1.766). CONCLUSIONS Spanish medical students generally have a favourable attitude towards organ donation, although 20% are not in favour.
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Affiliation(s)
- A Ríos
- a International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante") , Murcia , Spain
- b Department of Surgery, Paediatrics, Obstetrics and Gynaecology , University of Murcia , Murcia , Spain
- c Transplant Unit, Surgery Service , IMIB - Virgen de la Arrixaca University Hospital , Murcia , Spain
- d Regional Transplant Centre , Consejería de Sanidad y Consumo de la Región de Murcia , Murcia , Spain
| | - A López-Navas
- a International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante") , Murcia , Spain
- e Department of Psychology , Universidad Católica San Antonio (UCAM) , Murcia , Spain
| | - A López-López
- f Department of Urology , San Juan University Hospital of Alicante , Alicante , Spain
| | - F J Gómez
- g Facultad de Medicina, Universidad de Granada , Granada , Spain
| | - J Iriarte
- h Facultad de Medicina, Universidad de Navarra , Navarra , Spain
| | - R Herruzo
- i Facultad de Medicina, Universidad Autónoma de Madrid , Madrid , Spain
| | - G Blanco
- j Servicio de Cirugía HBP y Trasplante Hepático , Complejo Hospitalario Universitario de Badajoz, Hospital Infanta Cristina , Badajoz , Spain
| | - F J Llorca
- k Facultad de Medicina, Universidad de Cantabria , Santander , Spain
| | - A Asunsolo
- l Departamento de Cirugía, Ciencias Médicas y Sociales, Facultad de Medicina y Ciencias de la Salud , Universidad de Alcalá Campus Científico-Tecnológico , Alcala de Henares , Spain
| | - P Sánchez
- m Facultad de Medicina , Universidad de Málaga , Málaga , Spain
| | - P R Gutiérrez
- n 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
| | - A Fernández
- o Departamento de Ciencias Biomédicas Básicas, Facultad de Ciencias Biomédicas , Universidad Europea de Madrid , Madrid , Spain
| | - M T de Jesús
- p Facultad de Medicina, Universidad Rey Juan Carlos , Madrid , Spain
| | - L Martínez Alarcón
- a International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante") , Murcia , Spain
- c Transplant Unit, Surgery Service , IMIB - Virgen de la Arrixaca University Hospital , Murcia , Spain
| | - A Lana
- q Facultad de Medicina y Ciencias de la Salud, Área de Medicina Preventiva y Salud Pública , Universidad de Oviedo , Oviedo , Spain
| | - L Fuentes
- r Departamento de Farmacología y Fisiología Facultad de Ciencias de la Salud y del Deporte , Universidad de Zaragoza , Huesca , Spain
| | - J R Hernández
- s Facultad de Medicina, Universidad de las Palmas de Gran Canaria , Las Palmas de Gran Canaria , Spain
| | - J Virseda
- t Facultad de Medicina, Universidad de Castilla La Mancha , Albacete , Spain
| | - J Yelamos
- u Department of Immunology , Hospital del Mar , Barcelona , Spain
| | - J A Bondía
- m Facultad de Medicina , Universidad de Málaga , Málaga , Spain
| | - A M Hernández
- v Endocrinology and Nutrition Service , Hospital Clínico Universitario Virgen de la Arrixaca, El Palmar, Servicio Murciano de Salud , Murcia , Spain
| | - M A Ayala
- w Hospital Regional de Alta Especialidad del Bajío , León , Mexico
- x HGSZ No. 10 del Instituto Mexicano del Seguro Social Delegación Guanajuato , Guanajuato , Mexico
| | - P Ramírez
- a International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante") , Murcia , Spain
- b Department of Surgery, Paediatrics, Obstetrics and Gynaecology , University of Murcia , Murcia , Spain
- c Transplant Unit, Surgery Service , IMIB - Virgen de la Arrixaca University Hospital , Murcia , Spain
- d Regional Transplant Centre , Consejería de Sanidad y Consumo de la Región de Murcia , Murcia , Spain
| | - P Parrilla
- b Department of Surgery, Paediatrics, Obstetrics and Gynaecology , University of Murcia , Murcia , Spain
- c Transplant Unit, Surgery Service , IMIB - Virgen de la Arrixaca University Hospital , Murcia , Spain
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Febrero B, Ríos A, López-Navas A, Martínez-Alarcón L, Almela-Baeza J, Sánchez J, Parrilla JJ, Parrilla P, Ramírez P. Psychological profile of teenagers toward organ donation: a multicentric study in Spain. Eur J Public Health 2019; 29:1011-1018. [DOI: 10.1093/eurpub/ckz036] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2023] Open
Abstract
Abstract
Background
It is important for teenagers to have a favorable attitude toward organ donation and transplantation (ODT) in order to increase the number of future donors. To determine the attitude of teenagers in the South East of Spain toward ODT and to analyze the psychosocial variables related to this attitude.
Methods
The study population consisted of young teenagers in the South East of Spain. A stratified sample was selected by geographical location, sex and age (n = 4, 117). Attitude was assessed using a validated questionnaire about ODT (PCID-ODT Ríos). Statistical analysis: Student’s t-test, Chi-squared test and a multivariate analysis.
Results
The questionnaire completion rate was 87% (n = 3572). Attitude toward ODT was favorable in 46% of cases (n = 1633) and undecided in 43% (n = 1543). Several psychosocial variables had a favorable effect on donation: believing that one has good information about ODT (Odds Ratio [OR] 1.706); discussing the subject with the family (OR 1.543) and friends (OR 1.818); carrying out pro-social activities (OR 1.642); having a favorable attitude toward cremation (OR 1.466) and autopsy (OR 1.470); and, finally, not being afraid of scars (OR 4.184).
Conclusions
Teenagers in the South East of Spain are not currently inclined to support organ donation. This attitude is related to many psychosocial factors, mainly connected to not having good information about the subject, not discussing it in social circles and the fear of body mutilation. It would be appropriate to create educational interventional strategies in this group to prevent a negative impact on future donation rates.
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Affiliation(s)
- B Febrero
- General Surgery Unit, Transplant Unit, Instituto Murciano de Investigación Biomédica (IMIB), Virgen de la Arrixaca University Hospital, Murcia, Spain
- Department of Surgery, University of Murcia, Murcia, Spain
| | - A Ríos
- General Surgery Unit, Transplant Unit, Instituto Murciano de Investigación Biomédica (IMIB), Virgen de la Arrixaca University Hospital, Murcia, Spain
- Department of Surgery, University of Murcia, Murcia, Spain
| | - A López-Navas
- Department of Psychology, Universidad Católica San Antonio (UCAM), Murcia, Spain
| | - L Martínez-Alarcón
- General Surgery Unit, Transplant Unit, Instituto Murciano de Investigación Biomédica (IMIB), Virgen de la Arrixaca University Hospital, Murcia, Spain
- Department of Surgery, University of Murcia, Murcia, Spain
| | - J Almela-Baeza
- Audiovisual Communication, Faculty of Communication and Documentation, University of Murcia, Murcia, Spain
| | - J Sánchez
- Transplant Unit, Virgen de la Arrixaca University Hospital, Murcia, Spain
| | - J J Parrilla
- Transplant Unit, Virgen de la Arrixaca University Hospital, Murcia, Spain
| | - P Parrilla
- General Surgery Unit, Transplant Unit, Instituto Murciano de Investigación Biomédica (IMIB), Virgen de la Arrixaca University Hospital, Murcia, Spain
- Department of Surgery, University of Murcia, Murcia, Spain
| | - P Ramírez
- General Surgery Unit, Transplant Unit, Instituto Murciano de Investigación Biomédica (IMIB), Virgen de la Arrixaca University Hospital, Murcia, Spain
- Department of Surgery, University of Murcia, Murcia, Spain
- Regional Transplantation Center, Consejería de Sanidad y Consumo de la Región de Murcia, Murcia, Spain
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17
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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] [What about the content of this article? (0)] [Affiliation(s)] [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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Ríos A, Sánchez A, López-Navas A, Martínez L, Ayala MA, Carillo J, Ruiz-Manzanera JJ, Hernández AM, Ramírez P, Parrilla P. There Is Great Ignorance About the Brain Death Concept Among the Population in Santiago de Cuba (Cuba). Transplant Proc 2019; 51:290-292. [PMID: 30879524 DOI: 10.1016/j.transproceed.2018.10.017] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2018] [Accepted: 10/23/2018] [Indexed: 12/31/2022]
Abstract
INTRODUCTION The knowledge of the brain death (BD) concept is important when determining the attitude toward organ donation. OBJECTIVE To analyze the level of knowledge of the BD concept among the population in Santiago de Cuba and determine the factors that condition it. METHODS From the Collaborative International Donor Project, we obtained a sample of Cubans living in the area of Santiago de Cuba (n = 455). The attitude was assessed using a validated questionnaire (PCID-DTO-RIOS). The survey was self-administered and completed anonymously. Student t test, χ2, Fisher, and logistic regression analysis were used. RESULTS Forty percent (n = 180) of the respondents know the BD concept and consider it as the death of an individual. Of the rest, 43% (n = 199) do not know about it, and the remaining 17% (n = 76) consider that it does not mean the death of a patient. The variables significantly related to the correct knowledge of BD in the multivariate analysis and considered as independent are: level of studies; the opinion of the couple toward organ donation; the religion of the respondent; having offspring; and a favorable attitude toward organ donation. CONCLUSION There is ignorance about the brain death concept among the population of Santiago de Cuba. This lack of knowledge has a direct relationship with various 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, 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, México
| | - J Carillo
- 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, 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] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2018] [Accepted: 10/23/2018] [Indexed: 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] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2018] [Accepted: 10/23/2018] [Indexed: 10/28/2022]
Abstract
INTRODUCTION Negative organ donation rates among the Gypsies is much higher than that of any other social group in Spain. However, living donation rates have not been raised much in this social group, despite the existence of several Gypsy patients on the waiting list for transplantation. OBJECTIVE To analyze the attitude toward related living donation among the Gypsy population who reside in Spain. METHODS This type of study is an observational sociological study. The study consisted of the adult Gypsy population residing in Spain, and a random sampling of 230 adult gypsies was conducted. Attitude questionnaires for live donation, both hepatic PCID-DVH-Ríos and renal PCID-DVR-Ríos, were used, and random selection was based on stratification. Questionnaires were self-administered and completed anonymously. Student t test, χ2, Fisher, and a logistic regression analysis were used. RESULTS A sample of 206 Gypsies (52% women) with a mean age of 34 years is obtained. Seventy-two percent (n = 150) would donate an organ to a relative in life, 8% (n = 16) would not donate it, and 20% (n = 41) have doubts. Respondents with a favorable attitude toward living donation presented a more favorable attitude toward cadaveric organ donation (55% vs 0%, P < .001). The attitude toward living kidney donation was more favorable (81% in favor) than toward living liver donation (P < .001). CONCLUSIONS The Gypsy ethnic group is sensitized to live donor transplantation. The family and cultural roots of Gypsy people could condition this favorable attitude, a fact to be taken into account to sensitize this social group and promote donation campaigns with the aim of increasing donation rates.
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Affiliation(s)
- A Ríos
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Surgery, Pediatrics, Obstetrics y Gynecology, University of Murcia; Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.
| | - S López-Gómez
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain
| | - J Belmonte
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Servicio de Anestesia y Reanimación, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - A López-Navas
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Psychology, UCAM, San Antonio Catholic University, Murcia, Spain
| | - A Sánchez
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain
| | - J Carrillo
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Surgery, Pediatrics, Obstetrics y Gynecology, University of Murcia; Spain
| | - J J Ruiz-Manzanera
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Surgery, Pediatrics, Obstetrics y Gynecology, University of Murcia; Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - A M Hernández
- Endocrinology and Nutrition Service, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Ramírez
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Surgery, Pediatrics, Obstetrics y Gynecology, University of Murcia; Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Parrilla
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Surgery, Pediatrics, Obstetrics y Gynecology, University of Murcia; Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
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Ríos A, Carrillo J, López-Navas A, Ayala-García M, Sánchez Á, Hernández A, Ramírez P, Parrilla P. Knowledge of Brain Death Among the Nigerian Residents in Spain. Transplant Proc 2019; 51:277-279. [DOI: 10.1016/j.transproceed.2018.10.010] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2018] [Accepted: 10/23/2018] [Indexed: 11/28/2022]
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Ríos A, Carrillo J, López-Navas A, Ayala-García M, Sánchez Á, Hernández A, Ramírez P, Parrilla P. Multivariate Analysis of Factors That Condition the Attitude Toward Organ Donation Among the Population of Mali Residents in Spain. Transplant Proc 2019; 51:269-272. [DOI: 10.1016/j.transproceed.2018.10.008] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2018] [Accepted: 10/23/2018] [Indexed: 11/24/2022]
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Ríos A, López-Gómez S, Belmonte J, López-Navas A, Sánchez A, Carrillo J, Ruiz-Manzanera J, Hernández A, Ramírez P, Parrilla P. Acceptance of the Xenotransplantation of Organs Among the Population of the Spanish Gypsy Ethnic Group. Transplant Proc 2019; 51:293-295. [DOI: 10.1016/j.transproceed.2018.10.013] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2018] [Accepted: 10/23/2018] [Indexed: 01/06/2023]
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Ríos A, López-Navas A, Gutiérrez P, Gómez F, Iriarte J, Herruzo R, Blanco G, Llorca F, Asunsolo A, Sánchez P, Fernández A, de Jesús M, Martínez Alarcón L, Lana A, Fuentes L, Hernández J, Virseda J, Yelamos J, Bondía J, Hernández A, Ayala M, Flores-Medina J, Carrillo J, Sánchez Á, Ramírez P, Parrilla P. Do Religious Factors Influence the Attitude Toward Organ Donation Among Medical Students? A Spanish Multicenter Study. Transplant Proc 2019; 51:250-252. [DOI: 10.1016/j.transproceed.2018.11.003] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2018] [Revised: 11/24/2018] [Accepted: 11/26/2018] [Indexed: 11/30/2022]
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Ríos A, Carrillo J, López-Navas AI, Ayala-García MA, Sánchez Á, Hernández AM, Ramírez P, Parrilla P. What Is the Attitude Toward Cadaveric Organ Donation of the Ghanian Residents in Spain? Transplant Proc 2018; 51:273-276. [PMID: 30879519 DOI: 10.1016/j.transproceed.2018.10.009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2018] [Accepted: 10/23/2018] [Indexed: 11/29/2022]
Abstract
INTRODUCTION The Ghanaian population is migrating toward the European economic community, especially toward the southern countries. OBJECTIVE To analyze the attitude toward organ donation among the population born in Ghana but currently residing in Spain. METHOD The study included the population born in Ghana who are ≥ 15 years of age and residents of Spain, stratified by age and sex. The assessment instrument used is the donation and transplant attitude questionnaire of Proyecto Colaborativo Internacional Donante (PCID-DTO Ríos), which was self-administered and anonymously completed with verbal consent. The statistics used were descriptive, χ2, Student t test, and a logistic regression analysis. RESULTS The questionnaire was completed by 237 Ghanaians. Forty-three percent (n = 102) are in favor of cadaveric organ donation, 35% (n = 83) are against donating their own organs, and 20% (n = 48) are undecided. In the multivariate analysis, the association was maintained at the level of the primary studies (P < .001, OR = 25), not being afraid of possible mutilation after donating (P < .001, OR = 76.923), religion (P < .001; OR = 27.777), performing prosocial activities (P = .016, OR = 12.048), and having previously commented on the issue of organ donation and transplantation in the family setting (P = .012, OR = 4.878). CONCLUSIONS The Ghanaian immigrant population in Spain has an unfavorable attitude toward the donation of their own organs at death, which is conditioned by multiple psychosocial factors.
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Affiliation(s)
- A Ríos
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Surgery, Pediatrics, Obstetrics and Gynecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.
| | - J Carrillo
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Surgery, Pediatrics, Obstetrics and Gynecology, University of Murcia, Murcia, Spain
| | - A I López-Navas
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Surgery, Pediatrics, Obstetrics and Gynecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain; Department of Psychology, Universidad Católica San Antonio, UCAM, Murcia, Spain
| | - M A Ayala-García
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Hospital Regional de Alta Especialidad del Bajío, León, Guanajuato, Mexico; Regional General Hospital No. 58 of the IMSS, Delegación Guanajuato, México; Escuela de Medicina de la Universidad de Quetzalcoatl en Irapuato, Irapuato, México
| | - Á Sánchez
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain
| | - A M Hernández
- Endocrinology and Nutrition Service, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Ramírez
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Surgery, Pediatrics, Obstetrics and Gynecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain; Regional Transplant Centre, Consejería de Sanidad y Consumo de la Región de Murcia, Murcia, Spain
| | - P Parrilla
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Surgery, Pediatrics, Obstetrics and Gynecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
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Ríos A, López-Navas AI, De-Francisco C, Sánchez Á, Hernández AM, Ramírez P, Parrilla P. Validation of the Attitude Toward Living Liver Donation Questionnaire (PCID-DVH-Ríos) in Spanish-Speaking Populations: Characteristics and Psychometric Properties. Transplant Proc 2018; 50:2287-2290. [PMID: 30316343 DOI: 10.1016/j.transproceed.2018.02.172] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2018] [Accepted: 02/26/2018] [Indexed: 02/07/2023]
Abstract
INTRODUCTION Given the lack of a sufficient number of livers available for transplantation, living liver donation (LLD) is being developed in the Spanish-speaking world. Knowing the population's attitude toward this donation will help in designing more effective campaigns to increase the number of such donations. However, there are few validated questionnaires. OBJECTIVE To analyze the psychometric characteristics of questionnaire PCID-DVH-Ríos [questionnaire of the International Collaborative Donor Project about Living Liver Donation ("Proyecto Colaborativo Internacional Donante sobre Donación de Vivo Hepático" in Spanish) developed by Dr. Ríos, in order to validate the questionnaire for the Spanish-speaking population. METHODS The study population comprised native Spanish citizens. A sample of the population was obtained randomly and stratified by age and sex (N = 600) according to the following: 1. being older than 18 years; 2. being Spanish; and 3. living in Spain. Attitude was assessed using a validated questionnaire of attitude toward liver donation (PCID-DVH-Ríos). This questionnaire included items distributed into subscales or factors, an initial description of the data, an exploratory factor analysis, and an internal consistency analysis. RESULTS The questionnaire consists of a total of 11 items, distributed into 3 subscales: 1. factor 1 (6 items); 2. factor 2 (3 items); and 3. factor 3 (2 items), presenting a total explained variance of 63.995%. The factors have an explained variance of F1: 38.461%; F2: 14.228%; and F3: 11.306%, respectively. The analysis of items and internal consistency supported the 3 factors' composition. The internal consistency of each factor is as follows: α1 = 0.80; α2 = 0.70; and α3 = 0.55, respectively. CONCLUSIONS The dimensions analyzed in the PCID-DVH-Ríos questionnaire on attitudes toward living liver donation show a good fit in relation to their factorial validity and internal consistency values.
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Affiliation(s)
- A Ríos
- International Collaborative Donor Project, Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.
| | - A I López-Navas
- International Collaborative Donor Project, Murcia, Spain; Department of Psychology, Catholic University of Murcia, Murcia, Spain
| | - C De-Francisco
- Department of Psychology, Catholic University of Murcia, Murcia, Spain
| | - Á Sánchez
- International Collaborative Donor Project, Murcia, Spain
| | - A M Hernández
- Endocrinology and Nutrition Service, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Ramírez
- International Collaborative Donor Project, Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Parrilla
- International Collaborative Donor Project, Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
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Ríos A, Carrillo J, López-Navas AI, Sánchez A, Flores-Medina J, Ayala MA, Hernández AM, Ramírez P, Parrilla P. Are Senegalese Immigrants Residing in Spain in Favor of Organ Donation? Transplant Proc 2018; 50:2249-2252. [PMID: 30316333 DOI: 10.1016/j.transproceed.2018.02.176] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2018] [Accepted: 02/26/2018] [Indexed: 11/25/2022]
Abstract
The Senegalese population is an emerging group in Europe. The number of foreign residents in Spain, France, and Italy has increased significantly. However, there are no studies that analyze their awareness of organ donation and transplantation. OBJECTIVE To analyze the attitude toward organ donation among the population born in Senegal residing in Spain. METHODS The study population was born in Senegal and resides in Spain. A sample of the population older than 15 years was obtained randomly and stratified by age and sex according to census data and immigrant support associations. Attitude was assessed using a validated questionnaire on psychosocial aspects toward organ donation (PCID-DTO Rios). A random selection of people to be surveyed was carried out. Assistance from African immigration support associations in Spain was needed to advise on the location of potential respondents. The survey was self-administered and completed anonymously. RESULTS A sample of 295 respondents was included in the study. Attitude toward deceased donation was favorable in 37% (n = 109) of respondents; 35% (n = 104) were against and 28% (n = 82) were undecided. Several variables were associated with having a more favorable attitude (P < .05): sex, having discussed donation with the family, not being concerned about the possible mutilation of the body after donation, the respondent's religion, and knowledge of one's partner's attitude in favor of organ donation. CONCLUSIONS The attitude toward organ donation among the population born in Senegal and residing in Spain is unfavorable, and it is associated with psychosocial factors.
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Affiliation(s)
- A Ríos
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.
| | - J Carrillo
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain
| | - A I López-Navas
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Psychology, Catholic University of Murcia, Murcia, Spain
| | - A Sánchez
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain
| | - J Flores-Medina
- Department of Psychology, Catholic University of Murcia, Murcia, Spain
| | - M A Ayala
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Bajio Regional High Specialty Hospital, León, Guanajuato, Mexico
| | - A M Hernández
- Endocrinology and Nutrition Service, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Ramírez
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Parrilla
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
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Ríos A, López-Navas AI, Sánchez A, Flores-Medina J, Ayala MA, Garrido G, Sebastián MJ, Martínez-Alarcón L, Ramis G, Hernández AM, Ramírez P, Parrilla P. Multivariate Analysis of the Factors Affecting Attitude Toward Organ Donation Among the Ecuadorian Population Residing in Spain. Transplant Proc 2018; 50:2253-2256. [PMID: 30316334 DOI: 10.1016/j.transproceed.2018.04.011] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2018] [Revised: 03/02/2018] [Accepted: 04/06/2018] [Indexed: 12/23/2022]
Abstract
INTRODUCTION Immigrants from Ecuador represent the largest group of Latin Americans in Spain and are, therefore, a subgroup of interest to understand their attitudes and influences in respect to organ donation and transplantation. OBJECTIVE To analyze the attitude of nationals of Ecuador residing in Spain regarding deceased organ donation. METHODS The study population included the Ecuadorian population residing in Spain. A sample of population older than 15 years was obtained randomly and stratified by age and sex (n=461). Attitude was assessed using a validated questionnaire on psychosocial aspects toward organ donation (PCID-DTO-Ríos). Assistance from immigration support associations in Spain was needed to advice on the location of potential respondents. RESULTS Attitude toward cadaveric donation was favorable in 59% (n=271) of respondents, 12% (n=57) were against cadaveric donation, and 29% (n=133) were undecided. Several variables were associated with having a more favorable attitude. In the multivariate analysis, the following variables were independently associated with a more positive attitude toward organ donation: 1. level of formal education (odds ratio [OR]=6.849 [25.641-1.818]; P = .004); 2. being in favor of donating a family member's organs (OR=8.849 [20.833-3.717]; P < .001); 3. having commented at a family level about transplant (OR=3.717 [6.578-2.109]; P < .001); 4. not being concerned about the possible mutilation of the body after donation (OR=4.608 [8.547-2.487]; P < .001) and 5. knowing the attitude of one's religion toward donation (OR=7.462 [34.482-1.623]; P = .010). CONCLUSIONS The attitude toward cadaveric organ donation among the Ecuadorian population residing in Spain is less favorable than that of the Spanish population and is determined by many different psychosocial variables.
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Affiliation(s)
- A Ríos
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain; Department of Surgery, Pediatrics, Obstetrics and Gynecology, University of Murcia, Spain; Transplant Unit, Surgery Service, IMIB - Virgen de la Arrixaca University Hospital, Murcia, Spain.
| | - A I López-Navas
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain; Department of Psychology, Catholic University of Murcia, Murcia, Spain
| | - A Sánchez
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain
| | - J Flores-Medina
- Department of Psychology, Catholic University of Murcia, Murcia, Spain
| | - M A Ayala
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain; Regional de Alta Especialidad del Bajío Hospital, León, Guanajuato, México
| | - G Garrido
- National Organization of Transplants (Organización Nacional de Trasplantes - ONT), Madrid, Spain
| | - M J Sebastián
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain; Transplant Coordinatión, UMAE, de Specialty Hospital Nº 25 IMSS, Monterrey, México
| | - L Martínez-Alarcón
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain; Transplant Unit, Surgery Service, IMIB - Virgen de la Arrixaca University Hospital, Murcia, Spain
| | - G Ramis
- Department of Animal Production, the Faculty of Veterinary Medicine, University of Murcia, Murcia, Spain
| | - A M Hernández
- Endocrinology and Nutrition Service, Virgen de la Arrixaca University Hospital, Murcia, Spain
| | - P Ramírez
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain; Department of Surgery, Pediatrics, Obstetrics and Gynecology, University of Murcia, Spain; Transplant Unit, Surgery Service, IMIB - Virgen de la Arrixaca University Hospital, Murcia, Spain
| | - P Parrilla
- International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Murcia, Spain; Department of Surgery, Pediatrics, Obstetrics and Gynecology, University of Murcia, Spain; Transplant Unit, Surgery Service, IMIB - Virgen de la Arrixaca University Hospital, Murcia, Spain
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Ríos A, López-Navas A, Flores-Medina J, Sánchez A, Ayala M, Garrido G, Sebastián M, Martinez-Alarcón L, Ramis G, Hernández A, Ramírez P, Parrilla P. Knowledge of the Concept of Brain Death: Is This an Obstacle in the Acceptance of Donation and Transplantation of Organs Among the Bolivian Population Residing in Spain? Transplant Proc 2018; 50:2257-2259. [DOI: 10.1016/j.transproceed.2018.03.086] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2018] [Accepted: 03/02/2018] [Indexed: 12/18/2022]
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Ríos A, Carrillo J, López-Navas A, Sánchez A, Flores-Medina J, Ayala M, Hernández A, Ramírez P, Parrilla P. Guinean Residents in Spain Have Low Awareness of Living Kidney Related Donation. Transplant Proc 2018; 50:2284-2286. [DOI: 10.1016/j.transproceed.2018.03.098] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2018] [Accepted: 03/02/2018] [Indexed: 01/12/2023]
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Martínez-Alarcón L, Ríos A, Ramis G, Quereda J, Herrero J, Mendonça L, Muñoz A, Hernández A, Ramírez P, Parrilla P. Impact of 2009 Pandemic H1N1 Influenza A Virus on Veterinary Students' Perception of Xenotransplantation. Transplant Proc 2018; 50:2291-2295. [DOI: 10.1016/j.transproceed.2018.02.178] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2018] [Accepted: 02/26/2018] [Indexed: 12/24/2022]
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Ríos A, Carrillo J, López-Navas A, Sánchez Á, Flores-Medina J, Ayala M, Hernández A, Ramírez P, Parrilla P. Attitude Toward Living Kidney Donation in the Emigrant Algerine Population in Spain. Transplant Proc 2018; 50:2276-2279. [DOI: 10.1016/j.transproceed.2018.03.099] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2018] [Accepted: 03/02/2018] [Indexed: 10/17/2022]
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Ríos A, López-Navas A, Flores-Medina J, Ayala M, Garrido G, José Sebastián M, Sánchez Á, Martínez L, Ramis G, Hernández A, Ramírez P, Parrilla P. Level of Acceptance of Solid Organ and Tissue Xenotransplantation Among the Bolivian Population Residing in Spain. Transplant Proc 2018; 50:2300-2302. [DOI: 10.1016/j.transproceed.2018.03.103] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2018] [Accepted: 03/02/2018] [Indexed: 10/17/2022]
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Martínez-Alarcón L, Ríos A, Ramis G, Gómez-Laguna J, Moll X, Falceto V, San Román-Acaso F, San Román-Llorens F, Quereda JJ, Herrero-Medrano JM, Mendonça L, Martin-Barrasa JL, Fernández OM, López-Navas AI, Hernández AM, Muñoz A, Ramírez P, Parrilla P. Attitude Toward Organ Donation and Transplantation in Veterinary Students: A Multicenter and Stratified Study in Spain. Transplant Proc 2018; 50:362-365. [PMID: 29579804 DOI: 10.1016/j.transproceed.2017.11.068] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2017] [Accepted: 11/11/2017] [Indexed: 11/16/2022]
Abstract
BACKGROUND Veterinarians often hold decision-making positions in the public health care system and can therefore influence public opinion about organ donation and transplantation (ODT). The aim of this work was to analyze the attitude of Spanish veterinary students toward ODT, because they may influence public opinion in the future, and to determine the factors that condition it. METHODS This was a sociologic, interdisciplinary, multicenter, observational study in Spain. The study population was students studying for a veterinary degree in Spain (n = 9000), and a sample of 2815 students (confidence of 99% and precision of ±1%) was stratified by geographic area and academic year. A validated questionnaire of attitude toward ODT (PCID-DTO-Ríos) was self-administered and anonymous. RESULTS Of the 2815 selected students (2790 plus the 0.9% per type of sample), 2650 completed the questionnaire (response rate, 94.14%): 83% (n = 2207) of the respondents were in favor of donation and 17% against. The following main variables were related to a favorable attitude: being female (odds ratio [OR], 0.752; P = .034); knowing a donor (OR, 1.834; P = .003); having discussed the matter with one's family (OR, 1.587; P = .002); having spoken about the subject in social circles with friends (OR, 1.633; P < .001), and being in favor of donating a deceased family member's organs (OR, 2.403; P < .001). CONCLUSIONS Seventeen percent of Spanish veterinary students were not in favor of ODT. It is important to know the factors that determine their attitude, because this will make it possible to optimize the resources invested in campaigns to promote ODT and to take more specific action.
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Affiliation(s)
- L Martínez-Alarcón
- Servicio de Cirugía, Unidad de Trasplantes, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain; Instituto Murciano de Investigación Biosanitaria (IMIB), Murcia, Spain; International Collaborative Donor Project, Murcia, Spain
| | - A Ríos
- Servicio de Cirugía, Unidad de Trasplantes, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain; Instituto Murciano de Investigación Biosanitaria (IMIB), Murcia, Spain; International Collaborative Donor Project, Murcia, Spain.
| | - G Ramis
- Instituto Murciano de Investigación Biosanitaria (IMIB), Murcia, Spain; International Collaborative Donor Project, Murcia, Spain; Departamento de Producción Animal, Facultad de Veterinaria, Universidad de Murcia, Murcia, Spain
| | - J Gómez-Laguna
- Departament of Anatomy and Comparative Pathology, University of Córdoba, Córdoba, Spain
| | - X Moll
- Departamento de Medicina y Cirugía Animal, Facultad Veterinaria, Universitat Autonoma Barcelona, Barcelona, Spain
| | - V Falceto
- Departamento de Patología Animal, Facultad de Veterinaria, Universidad de Zaragoza, Zaragoza, Spain
| | | | | | - J J Quereda
- Grupo Fisiopatología de la Reproducción, Departamento Producción y Sanidad Animal, Salud Pública Veterinaria y Ciencia y Tecnología de los Alimentos, Facultad de Veterinaria, Universidad Cardenal Herrera-CEU, Valencia, Spain
| | - J M Herrero-Medrano
- Departamento de Producción Animal, Facultad de Veterinaria, Universidad de Murcia, Murcia, Spain
| | - L Mendonça
- Escola de Veterinária e Zootecnia, Universidade Federal de Goiás, Goiania, Brazil
| | - J L Martin-Barrasa
- Experimental Animal Facility, Research Unit, Hospital Universitario de Gran Canaria, Dr Negrín, Las Palmas de Gran Canaria, Spain; Animal Infectious Diseases and Ictiopatology, University Institute of Animal Health, University of Las Palmas de Gran Canaria, Arucas, Spain
| | - O M Fernández
- Instituto Murciano de Investigación Biosanitaria (IMIB), Murcia, Spain; Animalario Libre de Patógenos Arrixaca-IMIB, Murcia, Spain
| | - A I López-Navas
- Servicio de Cirugía, Unidad de Trasplantes, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain; Department of Psychology, Catholic University of Murcia, Murcia, Spain
| | - A M Hernández
- Endocrinology and Nutrition Service, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - A Muñoz
- Departamento de Producción Animal, Facultad de Veterinaria, Universidad de Murcia, Murcia, Spain
| | - P Ramírez
- Servicio de Cirugía, Unidad de Trasplantes, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain; Instituto Murciano de Investigación Biosanitaria (IMIB), Murcia, Spain; International Collaborative Donor Project, Murcia, Spain
| | - P Parrilla
- Servicio de Cirugía, Unidad de Trasplantes, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain; Instituto Murciano de Investigación Biosanitaria (IMIB), Murcia, Spain
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Martínez-Alarcón L, Ríos A, López-Navas AI, Sáez-Acosta A, Ramis G, Hernández AM, Ramírez P, Parrilla P. Attitude Toward Organ Donation Related to Personal Preferences for the Final Disposition of the Dead Body in Nursing Students in Southeast Spain. Transplant Proc 2018; 50:358-361. [PMID: 29579803 DOI: 10.1016/j.transproceed.2017.11.065] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2017] [Accepted: 11/11/2017] [Indexed: 10/17/2022]
Abstract
INTRODUCTION In organ donation and transplantation (ODT) and in nursing students, it is important to know the preferences about the final destination of the body once deceased. Whether these future professionals are afraid of this issue could influence their attitude toward ODT and future donation rates. OBJECTIVE To analyze the attitude of nursing students toward cremation, burial, and autopsy and to determine the factors affecting this attitude. METHODS A sociologic, interdisciplinary, multicenter, and observational study included nursing diploma students (n = 750) from 2010 to 2011 at 3 universities in the southeast of Spain. A validated questionnaire (PCID-DTO RIOS) was self-administered and completed anonymously. RESULTS Questionnaire completion rate was 92% (n = 687), with 71% (n = 486) of students accepting cremation as a body treatment after death. Those who were not worried about the possible mutilation of the body after donation (P < .05) and those who were in favor of deceased donation (P < .001) had a greater degree of acceptance. Of the students, 43% (n = 278) would accept burial of their body, which was related with being in the second year (P < .05) of study. Finally, 86% (n = 586) of students would accept an autopsy being carried out, if necessary, and this was related with the attitude toward ODT (P = .004). CONCLUSIONS A high percentage of nursing students would accept an autopsy being carried out. This degree of acceptance was related with a favorable attitude toward organ donation. The appropriate training of future nurses in ODT process will optimize their promotion.
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Affiliation(s)
- L Martínez-Alarcón
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - A Ríos
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.
| | - A I López-Navas
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Psychology, Catholic University of Murcia, UCAM, Murcia, Spain
| | - A Sáez-Acosta
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Animal Production, Veterinary School, University of Murcia, Murcia, Spain
| | - G Ramis
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Animal Production, Veterinary School, University of Murcia, Murcia, Spain
| | - A M Hernández
- Endocrinology and Nutrition Service, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Ramírez
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Parrilla
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
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Ríos A, Carrillo J, López-Navas AI, Martínez-Alarcón L, Ayala MA, Garrido G, Ramis G, Hernández AM, Ramírez P, Parrilla P. Guinean Population Emigrant to Spain Has Very Little Awareness of the Donation and Transplantation of Organs. Transplant Proc 2018; 50:350-353. [PMID: 29579801 DOI: 10.1016/j.transproceed.2017.11.064] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2017] [Accepted: 11/11/2017] [Indexed: 01/22/2023]
Abstract
INTRODUCTION The Guinean population is an emerging group in Europe, but the group's awareness of organ donation and transplantation has not been studied. OBJECTIVE To analyze the attitude toward organ donation among the population born in Guinea living in Spain. METHODS The population older than 15 years, born in Guinea, and resident in Spain was studied, stratified by age and sex, according to census data and immigrant assistance associations. The valuation tool used was the attitude questionnaire toward organ donation PCID-DTO RIOS (questionnaire on "Donor International Collaborative Project" on organ donation and transplantation developed by Dr Ríos). A random selection of people to survey was based on stratification. Support from African immigration support associations was needed to advise on the location of potential respondents. The completion was anonymous and self-administered. A descriptive statistic was performed, and Student t, χ2, and Fisher tests and a logistic regression analysis were applied. RESULTS In all, 181 Guineans were surveyed, of whom 32% (n = 58) were in favor of the donation of their own organs after death, 32% (n = 57) were against, and 36% (n = 66) were undecided. The variables that are associated with attitude toward donation are separated mainly into 4 large groups (P < .001): (1) knowledge about the process of donation and organ transplantation; (2) attitude toward the manipulation of the body; (3) religious variables; and (4) sociofamily variables, especially in relation to the couple. CONCLUSIONS The Guinean population emigrant to Spain has an unfriendly attitude toward organ donation.
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Affiliation(s)
- A Ríos
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.
| | - J Carrillo
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain
| | - A I López-Navas
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Psychology, Catholic University of Murcia, UCAM, Murcia, Spain
| | - L Martínez-Alarcón
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - M A Ayala
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Bajio Regional High Specialty Hospital, León, Guanajuato, Mexico
| | - G Garrido
- National Transplant Organization, Madrid, Spain
| | - G Ramis
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Animal Production, Veterinary School, University of Murcia, Murcia, Spain
| | - A M Hernández
- Endocrinology and Nutrition Service, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Ramírez
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Parrilla
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
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Ríos A, López-Navas AI, Sánchez Á, Martínez-Alarcón L, Ayala MA, Garrido G, Sebastián MJ, Ramis G, Hernández AM, Ramírez P, Parrilla P. Emigration From Puerto Rico to Florida: Multivariate Analysis of Factors That Condition Attitudes of the Puerto Rican Population Toward Organ Donation for Transplant. Transplant Proc 2018; 50:312-315. [PMID: 29579791 DOI: 10.1016/j.transproceed.2017.11.042] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2017] [Accepted: 11/11/2017] [Indexed: 12/28/2022]
Abstract
BACKGROUND The Puerto Rican population represents one of the largest immigration groups in Florida, and this has an impact on the organ transplant donation process. Our aim was to analyze attitudes toward organ donation among Puerto Ricans who currently reside in the state of Florida (USA). METHODS The population screened consisted of individuals >15 years old, who were born in Puerto Rico, living in Florida, and awaiting organs for transplant. All participants completed the "PCID-DTO Rios" questionnaire. Random selection was done according to stratification. Support from immigration associations in Spain was needed for advice on the locations of potential respondents. Study participation was anonymized and self-administered. RESULTS There were 259 respondents, 37% (n = 95) were in favor of donation, 36% (n = 93) were against donation, and 27% (n = 71) were undecided. The variables associated with these attitudes were: age (P = .017); civil status (P = .021); level of education (P < .001); previous experience with donation and transplant (P < .001); attitude toward organ donation of a relative (P < .001); carrying out pro-social activities (P < .001); discussing the issue of transplant with the family (P < .001) or couple (P < .001); attitude toward incineration (P < .001), burial (P < .001), and autopsy (P < .001); fear of mutilation after donation (P < .001); and religious beliefs (P < .001). In the multivariate study, it remained an independent variable to have discussed the issue at the family level (odds ratio = 11.627; P = .009). CONCLUSION The Puerto Rican study population residing in Florida has an unfavorable attitude toward organ donation.
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Affiliation(s)
- A Ríos
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.
| | - A I López-Navas
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Psychology, Catholic University of Murcia, UCAM, Murcia, Spain
| | - Á Sánchez
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain
| | - L Martínez-Alarcón
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - M A Ayala
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Hospital Regional de Alta Especialidad del Bajío, León, Guanajuato, Mexico
| | - G Garrido
- Organización Nacional de Trasplantes, Spain
| | - M J Sebastián
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Coordinación de Trasplantes, UMAE Hospital de Especialidades No. 25 IMSS, Monterrey, Mexico
| | - G Ramis
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - A M Hernández
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Endocrinology and Nutrition Service, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Ramírez
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Parrilla
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
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Febrero B, Ramírez P, Martínez-Alarcón L, Abete C, Galera M, Ríos A, Robles-Martínez R, Ramírez-Pino PM, Almela J, Ramis G, Pons JA, Parrilla P. Group Psychotherapy Could Improve Depression in Cirrhotic Patients on the Liver Transplant Waiting List. Transplant Proc 2018; 51:28-32. [PMID: 30685106 DOI: 10.1016/j.transproceed.2018.02.206] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2017] [Revised: 01/28/2018] [Accepted: 02/02/2018] [Indexed: 12/28/2022]
Abstract
BACKGROUND It is well-known that there is a high incidence of depression in patients on the liver transplant (LT) waiting list. However, there have been few studies of psychological intervention on these patients. OBJECTIVES To determine symptoms of depression in patients on the LT waiting list and the impact of group psychotherapy. METHODS Study population: patients on the LT waiting list who received group psychotherapy (n = 15). CONTROL GROUP patients who did not receive psychotherapy (n = 10). Measurement instrument: Beck's depression test, which was provided before psychotherapy was initiated and after it was completed (after 6 months). The control group was given the questionnaire at the same 2 points in time as the study group. The psychotherapeutic method consisted of discussing patients' feelings, which dealt with several matters related to transplantation. Different coping strategies were considered. RESULTS More than half of those surveyed initially had depressive symptoms. When the second survey was administered to the study population, all the patients improved in their psychopathological assessment. When the survey was administered to the control group, a worse psychopathological assessment was obtained in all cases. CONCLUSIONS Our data suggest an improvement in depressive symptoms in patients on the LT waiting list after receiving group psychotherapy.
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Affiliation(s)
- B Febrero
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain, Instituto Murciano de Investigaciones Biomédicas (IMIB); Department of Surgery, University of Murcia, Murcia, Spain.
| | - P Ramírez
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain, Instituto Murciano de Investigaciones Biomédicas (IMIB); Department of Surgery, University of Murcia, Murcia, Spain; Regional Transplant Center, Consejería de Sanidad y Consumo de la Región de Murcia, Spain
| | - L Martínez-Alarcón
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain, Instituto Murciano de Investigaciones Biomédicas (IMIB); Department of Surgery, University of Murcia, Murcia, Spain
| | - C Abete
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain, Instituto Murciano de Investigaciones Biomédicas (IMIB)
| | - M Galera
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain, Instituto Murciano de Investigaciones Biomédicas (IMIB)
| | - A Ríos
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain, Instituto Murciano de Investigaciones Biomédicas (IMIB); Department of Surgery, University of Murcia, Murcia, Spain
| | - R Robles-Martínez
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain, Instituto Murciano de Investigaciones Biomédicas (IMIB)
| | - P M Ramírez-Pino
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain, Instituto Murciano de Investigaciones Biomédicas (IMIB)
| | - J Almela
- Department of Surgery, University of Murcia, Murcia, Spain
| | - G Ramis
- Department of Surgery, University of Murcia, Murcia, Spain
| | - J A Pons
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain, Instituto Murciano de Investigaciones Biomédicas (IMIB)
| | - P Parrilla
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain, Instituto Murciano de Investigaciones Biomédicas (IMIB); Department of Surgery, University of Murcia, Murcia, Spain
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Febrero B, Ramírez P, Martínez-Alarcón L, Abete C, Galera M, Ríos A, Robles-Martínez R, Ramírez-Pino PM, Almela J, Ramis G, Pons JA, Parrilla P. Quality of Life and Group Psychological Intervention in Patients With Cirrhosis on Liver Transplant Waiting List. Transplant Proc 2018; 50:2626-2629. [PMID: 30401363 DOI: 10.1016/j.transproceed.2018.04.013] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2017] [Revised: 03/11/2018] [Accepted: 04/06/2018] [Indexed: 01/29/2023]
Abstract
BACKGROUND The patients on the liver transplant (LT) waiting list usually present with deterioration in their quality of life. Previous studies on psychological intervention have shown how the quality of life can be improved. OBJECTIVE To analyze preliminary results of the influence of group psychotherapy on the quality of life of patients on the LT waiting list. METHOD Fifteen patients on the LT waiting list who accepted receiving group psychotherapy were selected. The development of each 1 of these sessions was carried out at fortnightly periods for 6 months (12 sessions). Those patients who received a transplant and those patients who did not attend more than 6 group psychotherapy sessions were excluded. The Nottingham Health Profile was used to assess the quality of life. It consists of 38 items belonging to 6 health dimensions: energy, pain, physical mobility, emotional reaction, sleep, and social isolation. The study population was given a questionnaire before starting group psychotherapy and after it was finished. RESULTS Of the 15 patients selected from the study population, 3 patients were given a transplant before the psychotherapy had finished, and 5 patients were excluded for not having attended more than 50% of the sessions. Therefore, the study was completed on 7 patients (n = 7). Overall, a better assessment can be seen in the second questionnaire. CONCLUSIONS Group psychotherapy might favorably influence the quality of life of patients on the LT waiting list; therefore, it might be interesting to carry out studies on a larger scale in order to confirm these results.
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Affiliation(s)
- B Febrero
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain, Instituto Murciano de Investigaciones Biomédicas (IMIB); Department of Surgery, University of Murcia, Murcia, Spain.
| | - P Ramírez
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain, Instituto Murciano de Investigaciones Biomédicas (IMIB); Department of Surgery, University of Murcia, Murcia, Spain; Regional Transplant Center, Consejería de Sanidad y Consumo de la Región de Murcia, Spain
| | - L Martínez-Alarcón
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain, Instituto Murciano de Investigaciones Biomédicas (IMIB); Department of Surgery, University of Murcia, Murcia, Spain
| | - C Abete
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain, Instituto Murciano de Investigaciones Biomédicas (IMIB)
| | - M Galera
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain, Instituto Murciano de Investigaciones Biomédicas (IMIB)
| | - A Ríos
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain, Instituto Murciano de Investigaciones Biomédicas (IMIB); Department of Surgery, University of Murcia, Murcia, Spain
| | - R Robles-Martínez
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain, Instituto Murciano de Investigaciones Biomédicas (IMIB)
| | - P M Ramírez-Pino
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain, Instituto Murciano de Investigaciones Biomédicas (IMIB)
| | - J Almela
- Department of Surgery, University of Murcia, Murcia, Spain
| | - G Ramis
- Department of Surgery, University of Murcia, Murcia, Spain
| | - J A Pons
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain, Instituto Murciano de Investigaciones Biomédicas (IMIB)
| | - P Parrilla
- Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain, Instituto Murciano de Investigaciones Biomédicas (IMIB); Department of Surgery, University of Murcia, Murcia, Spain
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Ríos A, López-Navas AI, Flores-Medina J, Sánchez A, Ayala MA, Garrido G, Martínez-Alarcón L, Ramis G, Hernández AM, Ramírez P, Parrilla P. Psychosocial Factors Affecting Attitude Toward Organ Donation in Santiago, Cuba. Transplant Proc 2018; 50:2268-2271. [PMID: 30316338 DOI: 10.1016/j.transproceed.2018.04.012] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2018] [Revised: 03/02/2018] [Accepted: 04/06/2018] [Indexed: 12/23/2022]
Abstract
INTRODUCTION Awareness about organ donation among the general population is fundamental to organ donation programs. It is important to determine the factors that influence attitudes toward organ donation within the general population in order to carry out cost-effective campaigns. OBJECTIVE To analyze the attitude toward organ donation among Santiago, Cuba, citizens. METHODS The study population encompassed residents in Santiago, Cuba. A sample population of residents older than 15 years was obtained randomly and stratified by age and sex. Attitude was assessed using a validated questionnaire on psychosocial aspects toward organ donation and transplant (PCID-DTO Ríos). Available census data were used. The survey was self-administered and completed anonymously. RESULTS Of the 455 respondents, 70% of respondents are in favour of cadaveric donation, 16% are against, and 14% were undecided. Several variables were associated with having a more favorable attitude. And in the multivariate analysis, the following variables continue to feature as independent variables: 1. knowledge of the concept of brain death [OR = 2.386 (4.761-1.194); P = .014]; 2. being in favor of donating a family member's organs [OR = 3.067 (5.952-1.584); P = .001]; 3. a partner's favorable attitude [OR = 5.795 (1.477-22.731); P = .012]; 4. being an atheist/agnostic as the religious beliefs [OR = 1.845 (3.289-1.038); P = .037]; 5. not being concerned about the possible mutilation of the body after donation [OR = 7.437 (2.918-18.955); P < .001]; 6. not accepting other treatment options after death, such as inhumation [OR = 3.048 (5.714-1.626); P = .001]. CONCLUSIONS The attitude toward cadaveric organ donation among the Santiago, Cuba population is favorable and it is associated with several psychosocial factors.
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Affiliation(s)
- A Ríos
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.
| | - A I López-Navas
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Psychology, Catholic University of Murcia, Murcia, Spain
| | - J Flores-Medina
- Department of Psychology, Catholic University of Murcia, Murcia, Spain
| | - A Sánchez
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain
| | - M A Ayala
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Bajio Regional High Specialty Hospital, León, Guanajuato, Mexico
| | - G Garrido
- National Transplant Organization, Madrid, Spain
| | - L Martínez-Alarcón
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - G Ramis
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Animal Production Veterinary School, University of Murcia, Murcia, Spain
| | - A M Hernández
- Endocrinology and Nutrition Service, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Ramírez
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Parrilla
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
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Febrero B, Almela J, Febrero R, Ríos A, González MR, Gil PJ, Ferreras D, Ros I, Ramírez P, Parrilla P. Importance for the Elderly of Discussion in the Family and Society About Attitude Toward Organ Donation. Transplant Proc 2018; 50:523-525. [PMID: 29579841 DOI: 10.1016/j.transproceed.2017.09.056] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2017] [Accepted: 09/21/2017] [Indexed: 10/17/2022]
Abstract
BACKGROUND The aging of the population has changed some of the approaches to the organ donation and transplant (ODT) process, such as considering elderly people as potential donors. We aimed to assess social and family discussions among the elderly about ODT and its effect on their attitude toward organ donation. METHODS A study was carried out at 2 publicly-funded social centers for the elderly. Contact was made with individuals >65 years of age (n = 120) to seek their participation in the study. A questionnaire was distributed to them with questions about ODT. A descriptive assessment was performed with the Student t test and χ2 test used for statistical analysis. RESULTS The completion rate was 87% (n = 104). Of the respondents with a partner and children, 48% had discussed the topic of ODT. It was found that talking about the subject with one's partner, children, or friends had a favorable influence on attitude compared with when this was not done (93%, 86%, and 83% vs 19%, 30%, and 31%, respectively; P < .001). In addition, the opinion of one's partner and children toward ODT also had an influence; if favorable, the respondent's attitude was more favorable, compared with when they did not know their opinion (92% to 88% vs 58% to 37%, respectively; P < .001). Other ODT-related variables did not affect their attitude (P > .05). CONCLUSIONS Almost half of the elderly people had discussed ODT socially or with their family. This discourse has a favorable influence on their attitude toward organ donation and, therefore, it is important to encourage social and family dialog among this group.
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Affiliation(s)
- B Febrero
- Department of Surgery, University of Murcia, Murcia, Spain; Virgen de la Arrixaca University Hospital and Instituto Murciano de Investigaciones Biomédicas, Murcia, Spain.
| | - J Almela
- Department of Surgery, University of Murcia, Murcia, Spain
| | - R Febrero
- Department of Surgery, University of Murcia, Murcia, Spain
| | - A Ríos
- Department of Surgery, University of Murcia, Murcia, Spain; Virgen de la Arrixaca University Hospital and Instituto Murciano de Investigaciones Biomédicas, Murcia, Spain
| | - M R González
- Virgen de la Arrixaca University Hospital and Instituto Murciano de Investigaciones Biomédicas, Murcia, Spain
| | - P J Gil
- Virgen de la Arrixaca University Hospital and Instituto Murciano de Investigaciones Biomédicas, Murcia, Spain
| | - D Ferreras
- Virgen de la Arrixaca University Hospital and Instituto Murciano de Investigaciones Biomédicas, Murcia, Spain
| | - I Ros
- Department of Surgery, University of Murcia, Murcia, Spain
| | - P Ramírez
- Department of Surgery, University of Murcia, Murcia, Spain; Virgen de la Arrixaca University Hospital and Instituto Murciano de Investigaciones Biomédicas, Murcia, Spain; Regional Transplant Center, Consejería de Sanidad y Consumo de la Región de Murcia, Spain
| | - P Parrilla
- Department of Surgery, University of Murcia, Murcia, Spain; Virgen de la Arrixaca University Hospital and Instituto Murciano de Investigaciones Biomédicas, Murcia, Spain
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Ríos A, López-Navas AI, Sánchez Á, Ayala MA, Garrido G, Sebastián MJ, Martínez-Alarcó L, Ramis G, Hernández AM, Ramírez P, Parrilla P. Factors That Affect the Attitudes of the Bolivian Population in Spain With Regard to Organ Donation for Transplant. Transplant Proc 2018; 50:319-322. [PMID: 29579793 DOI: 10.1016/j.transproceed.2017.11.044] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2017] [Accepted: 11/11/2017] [Indexed: 10/17/2022]
Abstract
BACKGROUND The Bolivian population is an emerging Latin American immigrant group in Spain, several of whom have been transplanted or are awaiting transplant. We aimed to assess attitudes toward organ donation among Bolivians currently residing in Spain. METHOD The population screened was born in Bolivia but living in Spain, stratified by gender and age. The appraisal tool used was a questionnaire that assesses attitudes toward organ donation for transplant ("PCID-DTO Ríos"). Support from immigration associations in Spain was needed for advice on locations of potential respondents. Survey participation was anonymized and the questionnaire was self-administered. Verbal consent was obtained before participation. RESULTS There were 206 respondents: 49% (n = 101) in favor of donating their organs after death; 21% (n = 44) against donation; and 30% (n = 61) undecided. Their attitudes were found to be associated with level of education (P = .008), previous experience with donation and transplant (P = .011), concern regarding mutilation after donation (P = .002), knowing the attitude of their religion toward transplant (P = .001), the opinion of their partner (P < .001), and the possibility of needing a future transplant (P = .050). In the multivariate study, the main factor was having a partner in favor of organ donation (odds ratio = 16.129; P = .003). CONCLUSION Attitudes toward organ donation among Bolivians residing in Spain are far more negative compared with rest of the Spanish population, due to various factors.
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Affiliation(s)
- A Ríos
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.
| | - A I López-Navas
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Psychology, Catholic University of Murcia, UCAM, Murcia, Spain
| | - Á Sánchez
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain
| | - M A Ayala
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Hospital Regional de Alta Especialidad del Bajío, León, Guanajuato, Mexico
| | - G Garrido
- Organización Nacional de Trasplantes, Madrid, Spain
| | - M J Sebastián
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Coordinación de Trasplantes, UMAE Hospital de Especialidades No. 25 IMSS, Monterrey, Mexico
| | - L Martínez-Alarcó
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - G Ramis
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - A M Hernández
- Endocrinology and Nutrition Service, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Ramírez
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Parrilla
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
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Ríos A, López-Navas AI, Sánchez Á, Ayala MA, Garrido G, Sebastián MJ, Flores-Medina J, Martinez-Alarcon L, Ramis G, Hernández AM, Ramírez P, Parrilla P. Multivariate Analysis of Factors That Influence the Attitude of the Ecuadorian Population Resident in Spain Toward Living-Related Kidney Donation. Transplant Proc 2018; 50:366-369. [PMID: 29579805 DOI: 10.1016/j.transproceed.2017.11.067] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2017] [Accepted: 11/11/2017] [Indexed: 11/19/2022]
Abstract
BACKGROUND The Ecuadorian population is the largest Latin-American immigrant group in Spain. Currently, several Ecuadorians have received transplants or are awaiting transplants in Spain. The aim of this work was to analyze the attitude toward living kidney donation among the Ecuadorian population residing in Spain. METHODS The population screened were born in Ecuador, residing in Spain, and >15 years old, stratified by gender and age, and appraised with the use of the questionnaire on attitude toward organ donation for transplantation "PCID-DVR-Ríos." Support from immigration associations in Spain was used to advise on the location of potential respondents. The completion was anonymous and self-administered. Verbal consent was obtained. Statistics included Student t test, χ2, Fisher exact test, and logistic regression analysis. RESULTS A total of 461 respondents were included: 80% (n = 367) were in favor of living-related kidney donation (for a relative or close friend). This attitude was associated with psychosocial variables that persisted in the multivariate study: 1) female gender (odds ratio [OR], 3.086; P = .001); 2) considering oneself a potential kidney receptor in the future (OR, 16.949; P = .002); 3) economic incentive in the donation (OR, 100; P = .004); and 4) knowing the attitude of their religion toward transplantation (OR, 32.258; P < .001). CONCLUSIONS Living-related donation is accepted among the Ecuadorian population residing in Spain and is associated with sociopersonal and religious factors.
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Affiliation(s)
- A Ríos
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Surgery, Pediatrics, Obstetrics, and Gynecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.
| | - A I López-Navas
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Psychology, Catholic University of Murcia, Murcia, Spain
| | - Á Sánchez
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain
| | - M A Ayala
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Hospital Regional de Alta Especialidad del Bajío, León, Guanajuato, Mexico
| | - G Garrido
- Organización Nacional de Trasplantes, Madrid, Spain
| | - M J Sebastián
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Coordinación de Trasplantes, UMAE Hospital de Especialidades No. 25 IMSS, Monterrey, Mexico
| | - J Flores-Medina
- Department of Psychology, Catholic University of Murcia, Murcia, Spain
| | - L Martinez-Alarcon
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - G Ramis
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Animal Production, Faculty of Veterinary Medicine, University of Murcia, Murcia, Spain
| | - A M Hernández
- Endocrinology and Nutrition Service, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Ramírez
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Surgery, Pediatrics, Obstetrics, and Gynecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Parrilla
- Proyecto Colaborativo Internacional Donante (International Collaborative Donor Project), Murcia, Spain; Department of Surgery, Pediatrics, Obstetrics, and Gynecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
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Martínez-Alarcón L, Ríos A, Ramis G, Gómez-Laguna J, Moll X, Falceto V, San Román-Acaso F, San Román-Llorens F, Quereda JJ, Herrero-Medrano JM, Mendonça L, Martin-Barrasa JL, Fernández OM, Hernández AM, Muñoz A, Ramírez P, Parrilla P. Veterinary Students' Attitude Toward Living Kidney Donation: A Multicenter Stratified Study From Spain. Transplant Proc 2018; 50:2280-2283. [PMID: 30316341 DOI: 10.1016/j.transproceed.2018.02.177] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2018] [Accepted: 02/26/2018] [Indexed: 02/07/2023]
Abstract
Living kidney related donations (LKRD) should be promoted because of the current deficit of organs for transplantation. The objective of the study was to analyze the attitude of Spanish veterinary students toward LKRD, because they may influence public opinion in the future, and to determine the factors that condition it. METHODS A sociological, interdisciplinary, multicenter, and observational study was carried out in the veterinary students enrolled in Spain (n = 9000) in the university academic year 2010-2011. A sample of 2815 students was stratified by geographical area and academic year. The students' attitude toward LKRD was assessed using a psychosocial validated questionnaire (PCID-DVR Rios), was self-administered, and was completed anonymously. Veterinary schools were randomly selected. The questionnaire was applied to each academic year at compulsory sessions. Statistical analysis was preformed using t test, χ2 test, and logistic regression analysis. RESULTS The completion rate was 95% (n = 2683); 93% (n = 2504) were in favor of LKRD and 36% (n = 945) supported unrelated living kidney donation. The following variables were associated with having a more favorable attitude: (1) sex (P < .001), (2) being a student of southern universities (P = .03), (3) attitude toward deceased donation (P < .001), (4) having a father (P < .001) or a mother (P < .001) in favor of organ donation, and (5) having discussed the subject with friends (P = .03) or family (P = .02). However, only 60% would accept a kidney from a relative. CONCLUSION Spanish veterinary students have a favorable attitude toward LKRD. However, only 60% would accept a kidney from a relative.
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Affiliation(s)
- L Martínez-Alarcón
- International Collaborative Donor Project, Murcia, Spain; Instituto Murciano de Investigación Biosanitaria (IMIB), Murcia, Spain; Servicio de Cirugía, Unidad de Trasplantes, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - A Ríos
- International Collaborative Donor Project, Murcia, Spain; Instituto Murciano de Investigación Biosanitaria (IMIB), Murcia, Spain; Servicio de Cirugía, Unidad de Trasplantes, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.
| | - G Ramis
- Instituto Murciano de Investigación Biosanitaria (IMIB), Murcia, Spain; Servicio de Cirugía, Unidad de Trasplantes, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain; Departamento de Producción Animal, Facultad de Veterinaria, Universidad de Murcia, Murcia, Spain
| | - J Gómez-Laguna
- Departament of Anatomy and Comparative Pathology, University of Córdoba, Córdoba, Spain
| | - X Moll
- Departamento de Medicina y Cirugía Animal, Facultad Veterinaria, Universitat Autonoma Barcelona (UAB), Barcelona, Spain
| | - V Falceto
- Universidad Zaragoza, Zaragoza, Spain
| | | | | | - J J Quereda
- Grupo Fisiopatología de la Reproducción, Departamento Producción y Sanidad Animal, Salud Pública Veterinaria y Ciencia y Tecnología de los Alimentos, Facultad de Veterinaria, Universidad Cardenal Herrera-CEU, CEU Universities Valencia, Valencia, Spain
| | - J M Herrero-Medrano
- Departamento de Producción Animal, Facultad de Veterinaria, Universidad de Murcia, Murcia, Spain
| | - L Mendonça
- Escola de Veterinária e Zootecnia, Universidade Federal de Goiás, Goiania, Brazil
| | - J L Martin-Barrasa
- Experimental Animal Facility, Research Unit, Hospital Universitario de Gran Canaria, Dr. Negrín, Las Palmas de Gran Canaria, Spain; Animal Infectious Diseases and Ictiopatology, University Institute of Animal Health (IUSA), University of Las Palmas de Gran Canaria, Arucas, Spain
| | - O M Fernández
- Instituto Murciano de Investigación Biosanitaria (IMIB), Murcia, Spain; Animalario libre de Patógenos Arrixaca-IMIB, Murcia, Spain
| | - A M Hernández
- Endocrinology and Nutrition Service, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - A Muñoz
- Departamento de Producción Animal, Facultad de Veterinaria, Universidad de Murcia, Murcia, Spain
| | - P Ramírez
- International Collaborative Donor Project, Murcia, Spain; Instituto Murciano de Investigación Biosanitaria (IMIB), Murcia, Spain; Servicio de Cirugía, Unidad de Trasplantes, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Parrilla
- International Collaborative Donor Project, Murcia, Spain; Instituto Murciano de Investigación Biosanitaria (IMIB), Murcia, Spain; Servicio de Cirugía, Unidad de Trasplantes, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
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Martínez-Alarcón L, Ríos A, Ramis G, Gómez-Laguna J, Moll X, Falceto V, San Román-Acaso F, San Román-Llorens F, José Quereda J, Herrero-Medrano JM, Mendonça L, Martin-Barrasa JL, Fernández OM, López-Navas AI, Hernández AM, Muñoz A, Ramírez P, Parrilla P. Multicenter Stratified Study From Spain About Acceptance of Living Liver Donation Among Veterinarian Students. Transplant Proc 2018; 50:2272-2275. [PMID: 30316339 DOI: 10.1016/j.transproceed.2018.02.175] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2018] [Accepted: 02/26/2018] [Indexed: 02/07/2023]
Abstract
Veterinarians often hold decision-making positions in the public health care system, and therefore can influence public opinion about organ donation. The objective is to analyze the attitude of Spanish veterinarian students toward living liver donation (LLD) and to establish which factors have an influence on this attitude. METHODS A sociological, interdisciplinary, multicenter, and observational study was carried out in the veterinarian students enrolled in Spain (n = 9000) (university academic year 2010-2011). A sample of 2854 students was stratified by geographic area and academic year. A validated questionnaire (PCID-DVH RIOS) was self-administered and completed anonymously. The questionnaire was applied to each academic year at compulsory sessions at randomly selected veterinary schools. Statistical analysis included t test, χ2 test, and logistic regression analysis. RESULTS Completion rate was 94% (n = 2683); 89% (n = 2345) were in favor of related LLD, and 40% (n = 1053) supported unrelated LLD. The following variables were associated with a more favorable attitude: (1) age (P < .001), (2) sex (P < .001), (3) academic year (P < .001), (4) believing in the possibility of needing a transplant oneself in the future (P < .001), (5) attitude toward deceased donation (P < .001), (6) attitude toward living kidney donation (P < .001), (7) acceptance of a donated liver segment from a family member if one were needed (P < .001), (8) having discussed the subject with one's family (P = .009) and friends (P < .001), (9) a partner's opinion about the subject (P = .002), and (10) fear of the possible mutilation of the body after donation (P < .001). CONCLUSION Spanish veterinary students have a favorable attitude toward LLD.
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Affiliation(s)
- L Martínez-Alarcón
- Servicio de Cirugía, Unidad de Trasplantes, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain; Instituto Murciano de Investigación Biosanitaria (IMIB), Murcia, Spain; International Collaborative Donor Project, Murcia, Spain
| | - A Ríos
- Servicio de Cirugía, Unidad de Trasplantes, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain; Instituto Murciano de Investigación Biosanitaria (IMIB), Murcia, Spain; International Collaborative Donor Project, Murcia, Spain.
| | - G Ramis
- Instituto Murciano de Investigación Biosanitaria (IMIB), Murcia, Spain; International Collaborative Donor Project, Murcia, Spain; Departamento de Producción Animal, Facultad de Veterinaria, Universidad de Murcia, Murcia, Spain
| | - J Gómez-Laguna
- Department of Anatomy and Comparative Pathology, University of Córdoba, Córdoba, Spain
| | - X Moll
- Departamento de Medicina y Cirugía Animal, Facultad Veterinaria, Universitat Autonoma Barcelona (UAB), Barcelona, Spain
| | - V Falceto
- Universidad Zaragoza, Zaragoza, Spain
| | | | | | - J José Quereda
- Grupo Fisiopatología de la Reproducción, Departamento Producción y Sanidad Animal, Salud Pública Veterinaria y Ciencia y Tecnología de los Alimentos, Facultad de Veterinaria, Universidad Cardenal Herrera-CEU, CEU Universities Valencia, Valencia, Spain
| | - J M Herrero-Medrano
- Departamento de Producción Animal, Facultad de Veterinaria, Universidad de Murcia, Murcia, Spain
| | - L Mendonça
- Escola de Veterinária e Zootecnia, Universidade Federal de Goiás, Goiania, Brazil
| | - J L Martin-Barrasa
- Experimental Animal Facility, Research Unit, Hospital Universitario de Gran Canaria, Dr. Negrín, Las Palmas de Gran Canaria, Arucas, Spain; Animal Infectious Diseases and Ictiopatology, University Institute of Animal Health (IUSA), University of Las Palmas de Gran Canaria, Arucas, Spain
| | - O M Fernández
- Instituto Murciano de Investigación Biosanitaria (IMIB), Murcia, Spain; Animalario libre de Patógenos Arrixaca-IMIB, Murcia, Spain
| | - A I López-Navas
- International Collaborative Donor Project, Murcia, Spain; Department of Psychology, Catholic University of Murcia, Murcia, Spain
| | - A M Hernández
- Endocrinology and Nutrition Service, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - A Muñoz
- Departamento de Producción Animal, Facultad de Veterinaria, Universidad de Murcia, Murcia, Spain
| | - P Ramírez
- Servicio de Cirugía, Unidad de Trasplantes, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain; Instituto Murciano de Investigación Biosanitaria (IMIB), Murcia, Spain; International Collaborative Donor Project, Murcia, Spain
| | - P Parrilla
- Servicio de Cirugía, Unidad de Trasplantes, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain; Instituto Murciano de Investigación Biosanitaria (IMIB), Murcia, Spain
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Ríos A, López-Navas AI, De-Francisco C, Sánchez Á, Hernández AM, Ramírez P, Parrilla P. Attitude Toward Organ and Tissue Xenotransplantation Questionnaire (PCID-XENOTx-Ríos): Characteristics and Psychometric Properties of the Validation in Spanish-Speaking Populations. Transplant Proc 2018; 50:2303-2307. [PMID: 30316347 DOI: 10.1016/j.transproceed.2018.02.173] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2018] [Accepted: 02/26/2018] [Indexed: 12/18/2022]
Abstract
INTRODUCTION Making xenotransplantation socially acceptable is the first step in working toward the promotion of this potential therapy option for providing transplant organs. However, most of the questionnaires used for this task are not validated. OBJECTIVE To analyze the psychometric characteristics of the questionnaire of attitud toward xenotransplantation PCID-XENOTx-Ríos (Questionnaire of Proyecto Colaborativo Internacional Donante about Xenotransplantation developed by Dr. Ríos) to validate the questionnaire in the Spanish speaking population. METHODS The study population was the native Spanish population living in southeast Spain. A sample of the population was obtained randomly and stratified by age and sex (N = 600), using the following inclusion criteria: 1. being older than 18 years; 2. being Spanish; and 3. living in Spain. Instrument valuation. Attitude was assessed using the validated PCID-XENOTx-Ríos questionnaire to gauge attitudes toward organ and tissue xenotransplantation. The statistical analysis included an initial description of the data, an exploratory factor analysis, an items analysis, and an internal consistency analysis. RESULTS The questionnaire consists of a total of 30 items, distributed in 4 subscales: 1. Factor 1: consequences (11 items); 2. Factor 2: associated risks (7 items); 3. Factor 3: transmission of infections (6 items); and 4. Factor 4: origins of transplantation (6 items). This structure presents a total explained variance of 61.18%. The internal consistency of each factor was as follows: α1 = 0.91; α2 = 0.92; α3 = 0.89; and α4 = 0.72. The analysis of items and internal consistency supported the 4 factors' composition. CONCLUSIONS Dimensions analyzed in the PCID-XENOTx-Ríos questionnaire of attitudes toward organ and tissue xenotransplantation show a good fit in relation to their factorial validity and internal consistency values.
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Affiliation(s)
- A Ríos
- International Collaborative Donor Project, Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.
| | - A I López-Navas
- International Collaborative Donor Project, Murcia, Spain; Department of Psychology, Catholic University of Murcia, Murcia, Spain
| | - C De-Francisco
- Department of Psychology, Catholic University of Murcia, Murcia, Spain
| | - Á Sánchez
- International Collaborative Donor Project, Murcia, Spain
| | - A M Hernández
- Endocrinology and Nutrition Service, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Ramírez
- International Collaborative Donor Project, Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Parrilla
- International Collaborative Donor Project, Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
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Ríos A, López-Navas AI, Flores-Medina J, Sánchez Á, Ayala MA, Garrido G, Martínez-Alarcón L, Ramis G, Hernández AM, Ramírez P, Parrilla P. Attitude of the Citizens of Havana, Cuba, Toward Organ Donation: A Multivariate Analysis of the Psychosocial Factors Affecting Attitude. Transplant Proc 2018; 50:2260-2263. [PMID: 30316336 DOI: 10.1016/j.transproceed.2018.03.069] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2018] [Accepted: 03/02/2018] [Indexed: 01/09/2023]
Abstract
INTRODUCTION Because personal decisions affect the availability of organs for transplants, awareness about organ donations among the general population is fundamental. OBJECTIVE To analyze attitudes toward organ donation among the citizens of Havana, Cuba. METHODS The sample population was the residents of the city of Havana, Cuba. The inclusion criterion was being older than 15 years; the sample was obtained randomly and stratified by age and sex. Attitude was assessed using a validated questionnaire on psychosocial aspects of organ donation and transplant (PCID-DTO-Ríos). A random selection of people to be surveyed was carried out. RESULTS A sample of 920 respondents was included in the study. Attitude toward cadaveric donation was favorable in 68% of respondents, while 14% were against and 18% were undecided. Several variables were associated with having a more favorable attitude. In the multivariate analysis, the following variables continue to feature as independent variables (P < .05): 1. level of studies; 2. knowledge of the concept of brain death; 3. attitude toward organ donation of a relative; 4. having discussed the issue of organ donation and transplantation with one's family; 5. the attitude of the couple toward organ donation and transplantation; 6. the religion of the respondent; 7. knowing the opinion of one's religion toward organ transplantation; 8. fear of manipulation of the body after death; and 9. acceptance of burial as a treatment of the body after the death. CONCLUSIONS The attitude toward cadaveric organ donation among the residents of Havana is favorable and similar to that of the citizens of Spain. Improving the organ procurement system will increase donation rates given the population's awareness of the issue.
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Affiliation(s)
- A Ríos
- International Collaborative Donor Project, Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics, and Gynaecology, University of Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.
| | - A I López-Navas
- International Collaborative Donor Project, Murcia, Spain; Department of Psychology, Catholic University of Murcia, Murcia, Spain
| | - J Flores-Medina
- Department of Psychology, Catholic University of Murcia, Murcia, Spain
| | - Á Sánchez
- International Collaborative Donor Project, Murcia, Spain
| | - M A Ayala
- International Collaborative Donor Project, Murcia, Spain; Bajio Regional High Specialty Hospital, León, Guanajuato, Mexico
| | - G Garrido
- National Transplant Organization, Spain
| | - L Martínez-Alarcón
- International Collaborative Donor Project, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - G Ramis
- International Collaborative Donor Project, Murcia, Spain; Department of Animal Production, Veterinary School, University of Murcia, Spain
| | - A M Hernández
- Endocrinology and Nutrition Service, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Ramírez
- International Collaborative Donor Project, Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics, and Gynaecology, University of Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Parrilla
- International Collaborative Donor Project, Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics, and Gynaecology, University of Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
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Ríos A, López-Navas A, Sánchez Á, Martinez-Alarcon L, Ayala M, Garrido G, Sebastián M, Ramis G, Abdo-Cuza A, Hernández A, Ramírez P, Parrilla P. Knowledge of the Brain Death Concept Among the Population of Havana, Cuba. Transplant Proc 2018; 50:323-325. [DOI: 10.1016/j.transproceed.2017.11.043] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2017] [Accepted: 11/11/2017] [Indexed: 12/20/2022]
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Ríos A, López-Gómez S, López-Navas AI, Belmonte J, Sánchez Á, Martínez-Alarcón L, Hernández AM, Ramírez P, Parrilla P. Approach of Social Groups With Little Sensitization to Organ Donation: Pilot Study in the Gypsy Population to Assess the Best Approach to Determine the Attitude Toward Organ Donation for Transplantation. Transplant Proc 2018; 50:338-340. [PMID: 29579798 DOI: 10.1016/j.transproceed.2017.12.051] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2017] [Revised: 11/19/2017] [Accepted: 12/05/2017] [Indexed: 11/27/2022]
Affiliation(s)
- A Ríos
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics y Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.
| | - S López-Gómez
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain
| | - A I López-Navas
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Psychology, Catholic University of Murcia, UCAM, Murcia, Spain
| | - J Belmonte
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Servicio de Anestesia y Reanimación, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - Á Sánchez
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain
| | - L Martínez-Alarcón
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - A M Hernández
- Endocrinology and Nutrition Service, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Ramírez
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics y Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - P Parrilla
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain; Department of Surgery, Paediatrics, Obstetrics y Gynaecology, University of Murcia, Murcia, Spain; Transplant Unit, Surgery Service, IMIB-Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
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Ríos A, Carrillo J, López-Navas A, Martínez-Alarcón L, Ayala M, Garrido G, Ramis G, Hernández A, Ramírez P, Parrilla P. Is the Incipient Community of Senegalese Emigrants to Spain in Favor of the Donation of Related Renal Live? Transplant Proc 2018; 50:341-344. [DOI: 10.1016/j.transproceed.2017.11.073] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2017] [Accepted: 11/11/2017] [Indexed: 01/10/2023]
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