1
|
Ríos A, Rigabert M, Balaguer-Román A, López-Navas AI. Utility of the information campaigns about organ donation and transplantation among the adolescent population. Nefrologia 2023; 43 Suppl 2:131-133. [PMID: 38238127 DOI: 10.1016/j.nefroe.2022.11.029] [Citation(s) in RCA: 0] [Impact Index Per Article: 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: 08/12/2022] [Accepted: 11/11/2022] [Indexed: 02/16/2024] Open
Affiliation(s)
- Antonio Ríos
- International Collaborative Donor Project («Proyecto Colaborativo Internacional Donante»), Murcia, Spain.
| | - Mariano Rigabert
- International Collaborative Donor Project («Proyecto Colaborativo Internacional Donante»), Murcia, Spain; Unidad de Trasplantes, Servicio de Cirugía, Instituto Murciano de Investigación Biosanitaria (IMIB), Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - Andrés Balaguer-Román
- International Collaborative Donor Project («Proyecto Colaborativo Internacional Donante»), Murcia, Spain; Departamento de Cirugía, Pediatría, Obstetricia y Ginecología, Universidad de Murcia, Murcia, Spain; Unidad de Trasplantes, Servicio de Cirugía, Instituto Murciano de Investigación Biosanitaria (IMIB), Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - Ana Isabel López-Navas
- International Collaborative Donor Project («Proyecto Colaborativo Internacional Donante»), Murcia, Spain; Departamento de Psicología, Universidad Católica San Antonio de Murcia (UCAM), Murcia, Spain
| |
Collapse
|
2
|
Ríos A, Rigabert M, Balaguer-Román A, López-Navas AI. UTILIDAD DE LAS CAMPAÑAS DE INFORMACIÓN SOBRE DONACIÓN Y TRASPLANTE DE ÓRGANOS EN LA POBLACIÓN ADOLESCENTE. Nefrologia 2022. [DOI: 10.1016/j.nefro.2022.11.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
|
3
|
Ríos A, López Navas AI, Rigabert M, Martínez-Alarcón L, Ayala-García MA, Ruiz-Merino G, de Moya M, Ramírez P. Usefulness of an organ donation opinion survey as a tool to promote organ donation among the adolescent population. Transpl Int 2021; 34:2138-2145. [PMID: 34486763 DOI: 10.1111/tri.14034] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [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: 03/12/2021] [Revised: 08/13/2021] [Accepted: 08/31/2021] [Indexed: 01/29/2023]
Abstract
Opinion surveys on health issues are considered health promotion tools. However, no studies have confirmed this in deceased organ donation for transplantation. This study aimed to analyse the impact of completing an opinion questionnaire about deceased organ donation on the attitude towards organ donation among the adolescent population. This longitudinal study with repeated measurements of attitude towards deceased organ donation was conducted with an adolescent population. The measurement instrument was a validated questionnaire of the attitude towards organ donation (PCID-DTO-Ríos). The study process involved the application of the questionnaire at an initial time, 1 month later, and 6 months later. A total of 1374 adolescents participated in this study. The favourable attitude towards donation was 43.1%, which fell to 41.4% at 1 month (P = 0.145), and to 39.7% at 6 months (P = 0.019). Changes in the attitude were observed in all groups, both 1 and 6 months after the questionnaire was completed. There was no objective relationship between the adolescent's socio-family environment and the effect of completing the questionnaire on their attitude towards deceased organ donation. In conclusion, the opinion questionnaire was not useful for promoting organ donation and did not have a positive effect on adolescents' attitudes towards organ donation in the medium or long term.
Collapse
Affiliation(s)
- Antonio 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 - Virgen de la Arrixaca University Clinical Hospital, Murcia, Spain
| | - Ana Isabel López Navas
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain.,Department of Psychology, UCAM, Catholic University of San Antonio, Murcia, Spain
| | - Mariano Rigabert
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain.,Transplant Unit, Surgery Service, IMIB - Virgen de la Arrixaca University Clinical Hospital, Murcia, Spain
| | - Laura Martínez-Alarcón
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain.,Transplant Unit, Surgery Service, IMIB - Virgen de la Arrixaca University Clinical Hospital, Murcia, Spain
| | - Marco Antonio Ayala-García
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain.,General Regional Hospital Number 58 of the IMSS (Mexican Institute of Social Security), Guanajuato Delegation, Mexico
| | - Guadalupe Ruiz-Merino
- Statistics Unit, Foundation for Health Training and Research of the Murcia Region (FFIS), Murcia, Spain
| | - María de Moya
- Department of Psychology, UCAM, Catholic University of San Antonio, Murcia, Spain
| | - Pablo 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 - Virgen de la Arrixaca University Clinical Hospital, Murcia, Spain
| |
Collapse
|
4
|
Ramón de Fata F, Pérez D, Resel-Folkersma L, Galán J, Serrano A, Servera A, Arrabal M, Álvarez-Ossorio J, Ballestero R, Cao E, Arzoz M, Navarro P, Rigabert M, Sánchez-Zalabardo J, Lista F, Angulo J, Amón-Sesmero J. Analysis of the factors affecting blood loss in percutaneous nephrolithotomy: a registry of the Spanish Association of Urology in the supine position. Actas Urol Esp 2013; 37:527-32. [PMID: 23850392 DOI: 10.1016/j.acuro.2013.05.001] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2013] [Accepted: 05/03/2013] [Indexed: 11/25/2022]
Abstract
OBJECTIVE Percutaneous nephrolithotomy (PCNL) is the minimally invasive procedure of choice for removing renal stones larger than 2 cm. This study has aimed to identify the different variables that might influence decrease of hemoglobin during the surgery performed in supine position. MATERIAL AND METHODS A prospective, multicenter, observational study of supine PCNL, based on the Spanish Association of Urology database, was analyzed. The different preoperative and postoperative factors that might affect the decrease of hemoglobin were assessed: demographics and anthropometric data, comorbidities, size and location of the stones, anatomical variants and technical aspects of the procedure. RESULTS From September 2008 to December 2012, 397 supine PCNL procedures performed in 15 Spanish centers were registered. Mean hemoglobin decrease was 2.3±1.5 g/dl and overall blood transfusion rate was 5.5%. No statistically significant differences were found between genders, body mass index (BMI) and age in terms of blood loss. There were also no differences between patients with cardiovascular, hypertensive, diabetic and anticoagulant treatment background. Blood loss was not significantly influenced by stone size and location. Technical aspects of the procedure as operative time (> 120 min ≤), access to the pelvi-caliceal system (ultrasound, fluoroscopy), percutaneous tract dilation technique (Alken, balloon or Amplatz) or placement of nephrostomy (tube versus tubeless) were not associated with differences in pre-op/post-op hemoglobin. Only multiple percutaneous tracts (≥2) and middle calix access were statistically significantly (P=.03 and P=.01) related with less blood loss. CONCLUSIONS PCNL in supine position is a minimally invasive procedure for removal of large (≥2 cm) and multiple renal stones, with a low incidence of blood loss and minimal transfusion rate. Multiple percutaneous tracts and middle calix puncture were the only statistically significant variables associated with decrease in hemoglobin levels.
Collapse
|
5
|
Amón J, Pérez Fentes D, Resel L, Galán J, Serrano A, Servera A, Alvarez-Osorio J, Ballestero R, Cao E, Arzoz M, Navarro P, Rigabert M, Sánchez M. [Learning of percutaneous nephrolithotomy in supine position. An observational multicenter study]. Actas Urol Esp 2013; 37:214-20. [PMID: 23313288 DOI: 10.1016/j.acuro.2012.11.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2012] [Accepted: 11/23/2012] [Indexed: 11/24/2022]
Abstract
OBJECTIVE To prospectively study the post-operative results and complications of percutaneous nephrolithotomy (PNL) in supine position to assess difficulty of learning it and how experience affects the results. To establish a relative comparison with the data published in the literature on the prone position. MATERIAL AND METHODS A prospective observational multicenter study on PNL in Valdivia position or in its Galdakao variant was performed. Demographic variables and specific variables related to the lithiasis were collected. Technical aspects, surgery time, success rate and complications according to the Clavien-Dindo classifications were assessed. RESULTS A total of 335 PNL in supine position conducted in 13 Spanish centers were registered from September 2008 to June 2011. The man:woman ratio was 1:1.28 and mean age 51.3+14.5 years. 211 (63%) cases were performed by urologists with experience in >50 cases and 124 (37%) by urologists with less experience. Mean operation time was 113.3 ± 46.4 min, 106.6 ± 38.2 for the experienced ones vs. 124.9 ± 56.2 in the novice ones (P<.002). No difference was detected in the mean size of the lithiasis. However, in the experienced group, there was a greater proportion of coraliform cases and multiple lithiasis than in the novice group (P<.001). Success rate evaluated as total absence of lithiasic residuals was 69.6%, without differences between groups (68.2 vs. 71.8%). In 102 (30.6%) patient had residual lithiasis and 60 (17,9%) required complementary treatment. Relative global success rate was 82.1% and complications rate 25.4%, without detecting differences between groups. However, the novel group had more major complications (P>.001). CONCLUSION The PNL in supine position is obtaining rapid and consolidated diffusion in our setting and its effectiveness and safety seems to be equivalent to that described in the literature for PNL in prone position. It is possible to obtain good results with a modest learning curve. The rate of greater complications associated to the procedure decreases with experience.
Collapse
|
6
|
Hita Villaplana G, Hita Rosino E, López Cubillana P, Asensio Egea L, Rigabert M, Pérez Albacete M. Primary retroperitoneal tumors. Comments on 22 cases. Actas Urol Esp 1996; 20:806-11. [PMID: 9065091] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
Primary retroperitoneal tumours represent a very uncommon group of neoplasias that account for 0.1%-0.6% of all tumours. Interest in these tumorations arises from the therapeutical and diagnostic concerns they rise. These tumorations are of late diagnosis due to the high insidiousness of their symptoms and, generally, are quite large in size. Widespread use of echography and CAT, however, have increased the possibilities of an occasional asymptomatic diagnosis. Treatment is basically surgical, very much depending on the prognosis of the surgery aggressiveness and the degree of radicality achieved. This paper presents our series of primary retroperitoneal tumours diagnosed between 1978 and 1994.
Collapse
Affiliation(s)
- G Hita Villaplana
- Servicio de Urología, Hospital Universitario Virgen de la Arrixaca, El Palmar Murcia
| | | | | | | | | | | |
Collapse
|