A Ríos1, L Martínez-Alarcón2, A I López-Navas3, M A Ayala-García4, M J Sebastián5, A Abdo-Cuza6, B González7, P Ramírez2, G Ramis8, P Parrilla9. 1. Proyecto Colaborativo Internacional Donante, "International Collaborative Donor Project", Murcia, Spain; Department of Surgery, University and Transplant Unit University Hospital Virgen de la Arrixaca, Murcia, Spain; Regional Transplant Center, Consejería de Sanidad y Consumo de la Región de Murcia, Murcia, Spain; Department of Surgery, University of Murcia, Murcia, Spain. Electronic address: arzrios@um.es. 2. Proyecto Colaborativo Internacional Donante, "International Collaborative Donor Project", Murcia, Spain; Department of Surgery, University and Transplant Unit University Hospital Virgen de la Arrixaca, Murcia, Spain; Regional Transplant Center, Consejería de Sanidad y Consumo de la Región de Murcia, Murcia, Spain; Department of Surgery, University of Murcia, Murcia, Spain. 3. Proyecto Colaborativo Internacional Donante, "International Collaborative Donor Project", Murcia, Spain; Regional Transplant Center, Consejería de Sanidad y Consumo de la Región de Murcia, Murcia, Spain; Department of Psychology, UCAM, Universidad Católica San Antonio, Murcia, Spain. 4. Hospital Regional de Alta Especialidad del Bajío y Universidad de Guanajuato, León, Guanajuato, Mexico; HGSZ No. 10 del Instituto Mexicano del Seguro Social, Delegación Guanajuato, Guanajuato, Mexico. 5. Coordinación de Trasplantes, UMAE Hospital de Especialidades N° 25 IMSS, Monterrey, México. 6. Centro de Investigaciones Médico, Quirúrgicas, Cuba. 7. Hospital Regional de Alta Especialidad del Bajío y Universidad de Guanajuato, León, Guanajuato, Mexico; Universidad de Guanajuato, Guanajuato, Mexico. 8. Department of Animal Production, Faculty of Veterinary, University of Murcia, Murcia, Spain. 9. Department of Surgery, University and Transplant Unit University Hospital Virgen de la Arrixaca, Murcia, Spain; Regional Transplant Center, Consejería de Sanidad y Consumo de la Región de Murcia, Murcia, Spain; Department of Surgery, University of Murcia, Murcia, Spain.
Abstract
INTRODUCTION: Medical advances and improvements in surgical techniques have transformed transplantation into an ever safer therapeutic option. However, its main limitation is the shortage of available organs. Therefore, it is necessary to join forces to achieve optimal deceased donation and prevent the loss of potential donors. We sought to analyze the acceptance of deceased organ donation (OD) among hospital personnel in surgical units in hospitals in Spain and Latin America. METHOD: A random sample (n = 554) was taken was stratified according to surgical services and job category in 12 hospitals-4 in Spain (n = 294 participants), 5 in Mexico (n = 202), 2 in Cuba (n = 41), and 1 in Costa Rica (n = 17). Attitude was assessed using a questionnaire validated, which was completed anonymously and self-administered. The χ(2) test, Student t test, and a logistic regression analysis were used. RESULTS: Overall, 75% of respondents (n = 417) were in favor of deceased OD and 25% were against it (n = 137). Regarding the respondent's country, there was a favorable attitude among 88% of Cubans, 85% of Mexicans, 82% of Costa Ricans, and 67% of Spaniards (P < .001). The physicians were most in favor of OD with 87% supporting it (n = 149), followed by nurses (n = 182) and ancillary personnel (n = 28) both at 74%, and the health care assistants at 59% (n = 58; P < .001). The following factors affect attitude toward OD: young age (37 ± 10 years; P = .001), being a male (P = .018), having an unstable job situation (P = .009), a belief that one might need a future transplant (P = .036), having a favorable attitude toward living donation (P < .001), being in favor of donating a family member's organs (P < .001), having had a family discussion about OD (P < .001), and a partner's favorable attitude (P < .001). CONCLUSIONS: Attitude toward OD among surgeons in hospitals in Spain and Latin America was not as favorable as we might have expected.
INTRODUCTION: Medical advances and improvements in surgical techniques have transformed transplantation into an ever safer therapeutic option. However, its main limitation is the shortage of available organs. Therefore, it is necessary to join forces to achieve optimal deceased donation and prevent the loss of potential donors. We sought to analyze the acceptance of deceased organ donation (OD) among hospital personnel in surgical units in hospitals in Spain and Latin America. METHOD: A random sample (n = 554) was taken was stratified according to surgical services and job category in 12 hospitals-4 in Spain (n = 294 participants), 5 in Mexico (n = 202), 2 in Cuba (n = 41), and 1 in Costa Rica (n = 17). Attitude was assessed using a questionnaire validated, which was completed anonymously and self-administered. The χ(2) test, Student t test, and a logistic regression analysis were used. RESULTS: Overall, 75% of respondents (n = 417) were in favor of deceased OD and 25% were against it (n = 137). Regarding the respondent's country, there was a favorable attitude among 88% of Cubans, 85% of Mexicans, 82% of Costa Ricans, and 67% of Spaniards (P < .001). The physicians were most in favor of OD with 87% supporting it (n = 149), followed by nurses (n = 182) and ancillary personnel (n = 28) both at 74%, and the health care assistants at 59% (n = 58; P < .001). The following factors affect attitude toward OD: young age (37 ± 10 years; P = .001), being a male (P = .018), having an unstable job situation (P = .009), a belief that one might need a future transplant (P = .036), having a favorable attitude toward living donation (P < .001), being in favor of donating a family member's organs (P < .001), having had a family discussion about OD (P < .001), and a partner's favorable attitude (P < .001). CONCLUSIONS: Attitude toward OD among surgeons in hospitals in Spain and Latin America was not as favorable as we might have expected.