1
|
Ríos A, López-Gómez S, Belmonte J, Balaguer A, Gutiérrez PR, Ruiz-Merino G, Ayala-García MA, Ramírez P, López-Navas AI. The Roma population's fear of donating their own organs for transplantation. Cir Esp 2023; 101:350-358. [PMID: 35777627 DOI: 10.1016/j.cireng.2022.06.043] [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: 05/09/2022] [Accepted: 05/09/2022] [Indexed: 05/16/2023]
Abstract
BACKGROUND The refusal rate for donating organs among the Roma people is much higher than that of any other social group. OBJECTIVE To analyze the attitude towards the donation of one's own organs among the Roma population living in Spain. METHOD . TYPE OF STUDY Spanish national observational sociological study stratified by gender and age. STUDY POPULATION Roma population aged ≥15 years living in Spain. SAMPLE SIZE 1,253 respondents. Assessment instrument: Validated questionnaire on attitude towards organ donation for transplantation "PCID - DTO Ríos". Field work: Random selection based on stratification. Anonymous and self-administered completion. The collaboration of people of Roma ethnicity was required. STATISTICS Student's t test, χ2, Fisher's exact test and a logistic regression analysis. RESULTS The degree of completion was 18.2% (n = 228). Of those who completed the questionnaire, 42.1% (n = 96) were in favor of donation, 30.3% (n = 69) were undecided and the remaining 27.6% (n = 63) were against it. Of the 1,025 (81.8%) who declined to complete the questionnaire, 1,004 (98%) indicated that it was for fear of speaking about and filling in a questionnaire that raises the issue of death and organ donation after death. If those who did not complete the questionnaire due to fear of death and donating organs after death are considered not in favor, the results would be as follows: 7.8% (n = 96) in favor of donating their organs compared to 92.2% (n = 1166) not in favor (against or undecided). CONCLUSIONS A majority of the Roma population prefer not speak of death nor organ donation after death. These findings show that current campaigns to promote organ donation are not effective in this population group.
Collapse
Affiliation(s)
- Antonio Ríos
- Proyecto Colaborativo Internacional Donante, Murcia, Spain.
| | | | - Javier Belmonte
- Proyecto Colaborativo Internacional Donante, Murcia, Spain; Unidad de Trasplante. Servicio de Cirugía, Instituto Murciano de Investigación Biosanitaria (IMIB), Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - Andrés Balaguer
- Unidad de Trasplante. Servicio de Cirugía, Instituto Murciano de Investigación Biosanitaria (IMIB), Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - Pedro R Gutiérrez
- Proyecto Colaborativo Internacional Donante, Murcia, Spain; Servicio de Urología, Complejo Hospitalario Universitario de Canarias (CHUC), Departamento de Cirugía, Universidad de La Laguna (ULL), San Cristóbal de La Laguna, Santa Cruz de Tenerife, Spain
| | - Guadalupe Ruiz-Merino
- Fundación para la Formación e Investigación Sanitarias de la Región de Murcia (FFIS), Murcia, Spain
| | - Marco Antonio Ayala-García
- Proyecto Colaborativo Internacional Donante, Murcia, Spain; Hospital Regional General Número 58 del Instituto Mexicano del Seguro Social (IMSS), Delegación de Guanajuato, Guanajuato. México
| | - Pablo Ramírez
- Proyecto Colaborativo Internacional Donante, Murcia, Spain; Departamento de Cirugía, Pediatría, Obstetricia y Ginecología, Universidad de Murcia, Murcia, Spain; Unidad de Trasplante. Servicio de Cirugía, Instituto Murciano de Investigación Biosanitaria (IMIB), Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - Ana Isabel López-Navas
- Proyecto Colaborativo Internacional Donante, Murcia, Spain; Departamento de Psicología, Universidad Católica San Antonio de Murcia (UCAM), Murcia, Spain
| |
Collapse
|
2
|
Iniesta-Sepúlveda M, López-Navas AI, Gutiérrez PR, Ramírez P, Ríos A. The Willingness to Donate Organs in Medical Students From an International Perspective: A Meta-Analysis. Transpl Int 2022; 35:10446. [PMID: 35837470 PMCID: PMC9273723 DOI: 10.3389/ti.2022.10446] [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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2022] [Accepted: 05/17/2022] [Indexed: 11/30/2022]
Abstract
Attitude toward organ donation mobilizes donation behavior and makes transplant surgery possible. As future health professionals, medical students will be a relevant generating opinion group and will have an important role in the organ requesting process. The goals of this meta-analysis were to obtain polled rates of medical students who are in favor, against, or indecisive toward cadaveric organ donation in the studies conducted around the world, and to explore sociocultural variables influencing the willingness to donate. Electronic search and revision of references from previous literature allowed us to locate 57 studies fulfilling the inclusion criteria. Data extraction and risk of bias assessment were performed by two independent investigators. Pooled estimations were computed assuming a random-effects model. Despite the fact that willingness to donate was elevated in medical students, estimated rates in studies from different geographical areas and sociocultural backgrounds exhibited significant differences. The age and the grade of the students also influenced the rate of students in favor. Donation campaigns should take into account cultural factors, especially in countries where certain beliefs and values could hamper organ donation. Also, knowledge and skills related to organ donation and transplant should be acquired early in the medical curriculum when a negative attitude is less resistant to change.
Collapse
Affiliation(s)
| | - Ana I. López-Navas
- Department of Psychology, Catholic University of Murcia, UCAM, Murcia, Spain
| | - Pedro R. Gutiérrez
- Department of Surgery, University of La Laguna (ULL), San Cristóbal de La Laguna, Spain
| | - Pablo Ramírez
- Department of Surgery, Pediatrics, Obstetrics y Gynecology, University of Murcia, Murcia, Spain
- Transplant Unit, Surgery Service, IMIB – University Clinical Hospital Virgen de la Arrixaca, Murcia, Spain
| | - Antonio Ríos
- Department of Surgery, Pediatrics, Obstetrics y Gynecology, University of Murcia, Murcia, Spain
- Transplant Unit, Surgery Service, IMIB – University Clinical Hospital Virgen de la Arrixaca, Murcia, Spain
- *Correspondence: Antonio Ríos,
| |
Collapse
|
3
|
Ríos A, López-Gómez S, Belmonte J, Balaguer A, Gutiérrez PR, Ruiz-Merino G, Ayala-García MA, Ramírez P, López-Navas AI. La población gitana tiene miedos sobre la donación de órganos propios para trasplante. Cir Esp 2022. [DOI: 10.1016/j.ciresp.2022.05.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
|
4
|
Ríos A, Sánchez-Martínez A, Ayala-García MA, Gutiérrez PR, Palacios G, Iniesta-Sepúlveda M, Ramírez P, López-Navas AI. International Population Study in Spain, Cuba, and the United States of Attitudes Toward Organ Donation Among the Cuban Population. Liver Transpl 2022; 28:581-592. [PMID: 34664347 DOI: 10.1002/lt.26338] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/12/2021] [Revised: 10/11/2021] [Accepted: 10/12/2021] [Indexed: 12/07/2022]
Abstract
Cuban immigrants constitute an important group in both the United States and Spain, with different behaviors toward organ donation having been described among the different Latin American nationalities. We analyzed the attitude toward organ donation among the Cuban populations in Cuba, Spain, and Florida. The study population was Cuban immigrants over 15 years of age residing in Cuba, Spain, and Florida, with samples randomly stratified by age and sex. A validated questionnaire on psychosocial aspects of organ donation (PCID-DTO Rios) was used. Census was used as the sampling base in all 3 countries; however, additionally, in Spain and the United States (Florida), we sought the support of immigration support associations to determine the Cuban population without legal documentation. The questionnaire was completed anonymously and self-administered. The completion rate of the study was 74% (4123/5574) among 424 surveyed in Spain, 1224 in Florida, and 2475 in Cuba. The attitude in favor of donating their own organs upon death was 60.6% of those surveyed in Spain, 37.6% in Florida, and 68.9% in Cuba, or 58% of the global sample. Multivariate analysis showed that country of residence was an independent factor associated with attitude toward organ donation (odds ratio, 1.929). Other factors associated with attitude were sex, educational level, performance of prosocial activities, knowledge of the brain death concept, religion, the couple's opinion toward donation, fear of mutilation after donation, and attitude toward manipulation of the body after death. The attitude toward organ donation among Cubans in their country of origin and immigrants in Spain was similar, being significantly different from those who emigrate to Florida, where the attitude is much less favorable.
Collapse
Affiliation(s)
- Antonio 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
| | - Alvaro Sánchez-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
| | - Marco Antonio Ayala-García
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain
- Hospital Regional General Número 58 del IMSS (Instituto Mexicano del Seguro Social), Delegación de Guanajuato, Mexico
| | - Pedro R Gutiérrez
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain
- Servicio de Urología, Complejo Hospitalario Universitario de Canarias (CHUC), Tenerife, Spain
- Departamento de Cirugía, Universidad de La Laguna (ULL), San Cristóbal de La Laguna, Tenerife, Spain
| | - Gerardo Palacios
- Transplant Coordination Center, UMAE Hospital de Especialidades Nº 25 IMSS, Monterrey, Mexico
| | | | - Pablo 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
| | - Ana Isabel López-Navas
- Proyecto Colaborativo Internacional Donante ("International Collaborative Donor Project"), Murcia, Spain
- Department of Psychology, Universidad Católica de Murcia (UCAM), Murcia, Spain
| |
Collapse
|
5
|
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.
Collapse
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
| |
Collapse
|
6
|
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.
Collapse
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
| |
Collapse
|
7
|
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.
Collapse
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
| |
Collapse
|
8
|
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.
Collapse
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
| |
Collapse
|
9
|
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.
Collapse
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
| |
Collapse
|
10
|
Martínez-Jabaloyas JM, Moncada I, Rodríguez-Vela L, Gutiérrez PR, Chaves J. [Evaluation of self-esteem in males with erectile dysfunction treated with viagra. Analysis of a Spanish patients group selected from a multicenter, international study]. Actas Urol Esp 2010; 34:699-707. [PMID: 20800034] [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: 05/29/2023]
Abstract
INTRODUCTION AND OBJECTIVES Erectile dysfunction (ED) leads to psychological disturbances, especially anxiety and loss of self-esteem. We try to understand the emotional changes, based on self-esteem and relationships in a group of Spanish men with ED after sildenafil treatment, with the use of the the SEAR questionnaire (Self-Esteem And Relationship). MATERIALS AND METHODS The patients recruited in Spain, where selected from an international, multicenter, randomized, parallel-group, double-blind, placebo-controlled, sildenafil study designed to assess self-esteem and relationships in men with ED. We compared the changes in the different domains of the SEAR questionnaire (Self-steem, sexual activity, self-confidence and general relationships) that was administered before and after treatment; the different domains of the IIEF was evaluated as well. We also calculated the correlation between changes in self-esteem domain of the SEAR questionnaire. The statistical study was based on an analysis of covariance of change in scores and a correlation analysis. RESULTS The Spanish group of researchers included 119 patients. The erectile function domain score showed significantly greater improvement for the group of sildenafil. The difference in change in total mean score of the SEAR after treatment was 16.9 (95% CI 8.9, 24.8) for sildenafil over placebo (p=0.0001), with a significantly higher score improvement in all the domains of the SEAR for Sildenafil. There was a significant correlation between the changes in the domain of self-esteem of the SEAR and the IIEF erectile function domain for both treatment groups. CONCLUSIONS Emotional improvement was confirmed in patients treated with sildenafil based on improved self-esteem, self-confidence and relationships. Changes in the IIEF erectile function domain correlate with the SEAR self-esteem domain.
Collapse
|
11
|
Moncada I, Martínez-Jabaloyas JM, Rodriguez-Vela L, Gutiérrez PR, Giuliano F, Koskimaki J, Farmer IS, Renedo VP, Schnetzler G. Emotional changes in men treated with sildenafil citrate for erectile dysfunction: a double-blind, placebo-controlled clinical trial. J Sex Med 2009; 6:3469-77. [PMID: 19796051 DOI: 10.1111/j.1743-6109.2009.01514.x] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
INTRODUCTION Erectile dysfunction (ED) has been associated with several comorbidities and can cause significant loss of quality of life and self-esteem. AIM In men with ED, to use the validated Self-Esteem and Relationship (SEAR) questionnaire to evaluate changes in self-esteem associated with sildenafil treatment of ED and to assess changes dependent on concomitant comorbid conditions. METHODS This was a 14-week, international, randomized, parallel-group, double-blind, flexible-dose (25, 50, or 100 mg), placebo-controlled study of sildenafil in men aged >or=18 years with a clinical diagnosis of ED (score <or= 21 on the Sexual Health Inventory for Men). MAIN OUTCOME MEASURES The primary outcome was the change in the SEAR Self-Esteem subscale score from baseline to the end of treatment. Secondary outcomes were the change in SEAR component scores stratified by ED comorbidity, the change in the International Index of Erectile Function (IIEF) domain scores and in the intercourse success rate, and the response to the global efficacy assessment and to the global satisfaction assessment. RESULTS A total of 841 patients were included in the intent-to-treat efficacy analysis (559 sildenafil, 282 placebo). Patients randomized to sildenafil had significantly greater change scores from baseline to the end of treatment on all components of the SEAR and all domains of the IIEF (P < 0.0001) compared with placebo. This finding was also consistent for all SEAR components when stratified by each ED comorbidity. In the sildenafil group, the improvement in the mean Self-Esteem subscale score correlated with improvements in the mean Erectile Function domain score (r = 0.6338, P < 0.0001). CONCLUSIONS The physiologic and emotional benefits of sildenafil in the treatment of ED were confirmed, overall and in men with comorbid hypertension, hyperlipidemia, benign prostatic hypertrophy, and/or depression. Using both the IIEF and the SEAR questionnaires provides a more complete assessment of ED.
Collapse
|
12
|
Abstract
BACKGROUND To determine the clinical and radiographic results of arthroereisis using the Giannini endo-orthotic implant for the treatment of pediatric flatfoot deformity, we retrospectively evaluated 37 patients (65 feet). METHODS Twenty-two boys and 15 girls were followed for an average of 26.5 months. Their overall average age was 9.4 (range 5 to 14) years. Pain, function, participation in sports activity, and the changes in radiographic measurements taken at 3, 6, and 12 months and then at 1-year intervals were evaluated. RESULTS Pain or discomfort decreased from 60% (22 patients) preoperatively to 6% (2 patients) postoperatively. The percentage of normal postoperative footprints was 59% (38 feet) with first-degree flatfoot present in 27 feet (41%). Sports activities were taken up by 19 patients (51%) after surgery. An 8-mm endo-orthotic implant was used in 43 (66%) feet and an Achilles tenotomy was done in 38 feet (59%). The radiographic angles with the greatest degree of correction when compared to preoperative angles were the talar-first metatarsal angle (99%) and the calcaneal-pitch (36%). After placement of the endo-orthotic implant, the talar angle influenced the rest of the radiographic measurements. There was no postoperative deterioration in any of the radiographic angles measured during the monitoring period. Complications occurred in 10.7% of the patients, with postoperative pain being the most frequently reported (6% of patients). There was no infection or local reaction to a foreign body. Removal of the endo-orthotic implant was not done on a routine basis. CONCLUSION This operative technique respects the anatomical structure of the foot and produces good clinical and radiographic results.
Collapse
Affiliation(s)
- Pedro R Gutiérrez
- Paediatric Orthopaedic Department, Department of Orthopaedic Surgery and Traumatology of the Hospital General Universitario de Alicante, Spain. Gutierrez
| | | |
Collapse
|