INTRODUCTION: Ancillary hospital personnel represent an important body of opinion because as they work in a hospital their opinion has more credibility for the general public as a result of their activity in hospitals.
However, in most cases they do not have any health care training which means that their attitude could be based on a lack of knowledge or unfounded fears.
OBJECTIVE: To analyze the attitude toward living kidney donation (LKD) among ancillary personnel in Spanish and Latin-American hospitals and to analyze the variables that might influence such attitude.
PATIENTS AND METHOD: From «International Collaborative Donor Project» a random sample was taken among ancillary personnel in Spain, Mexico and Cuba hospitals. Attitude towards LKD was evaluated using a validated, anonymously filled and self-administered survey.
RESULTS: 951 professionals were surveyed (Spain: 277, Mexico: 632, Cuba: 42). 89% (n=850) are in favor of related kidney donation, lowering to 31% (n=289) in non-related donation. Of the rest, 8% (n=78) are not in favor and the 3% (n=23) are unsure. By country, Cubans (98%) and Mexicans (91%) are more in favour than Spanish (84%) (P=.001). The following variables are related to favourable attitude towards LKD: female sex (P=.017), university degree (P=.010), work in health services (P=.035), labour stability (P=.016), personal experience in donation and transplantation (P=.001), positive attitude toward cadaveric donation (P< .001), belief that he or she might need a transplant in the future (P< .001), positive attitude towards living liver donation (P< .001), a willingness to receive a donated living liver if needed (P< .001), having discussed the subject of organ donation and transplantation within the family (P< .001), partner's positive attitude towards the subject (P< .001), participation in voluntary type pro-social activities (P=.002) and not being concerned about possible mutilation after donation (P< .001).
CONCLUSIONS: The attitude toward living related kidney donation is favourable among ancillary personnel in Spanish and Latin-Americans hospitals. Because living donation is a better source of organs than cadaveric ones, this favourable predisposition can be used as promoting agent of living donation in order to develop it in Spanish-speaking countries.
Written by:
Ríos A, López-Navas A, Ayala-García MA, Sebastián MJ, Abdo-Cuza A, Martínez-Alarcón L, Ramírez EJ, Muñoz G, Suárez-López J, Castellanos R, Ramírez R, González B, Martínez MA, Díaz E, Ramírez P, Parrilla P. Are you the author?
Proyecto Colaborativo Internacional Donante (International collaborative Donor Projet), Murcia, España; Coordinación Regional de Trasplantes, Consejería de Sanidad y Consumo de la Región de Murcia, Murcia, España; Unidad de Trasplantes, Servicio de Cirugía, Hospital Universitario Virgen de la Arrixaca, Murcia, España; Departamento de Cirugía, Universidad de Murcia, Murcia, España; Departamento de Psicología, Universidad Católica San Antonio, UCAM, Murcia, España; Hospital Regional de Alta Especialidad del Bajío, León, Guanajuato, México; HGSZ No, 10 del Instituto Mexicano del Seguro Social Delegación Guanajuato, Guanajuato, León, México; Centro de Coordinación de Trasplantes, UMAE Hospital de Especialidades n.° 25 IMSS, Monterrey, México; Centro de Investigación Médico-Quirúrgica, La Habana, Cuba; Facultad de Medicina, Universidad de Guanajuato, Guanajuato, León, México; CMN Siglo XXI del Instituto Mexicano del Seguro Social, México DF, México; Unidad de Intensivos, Coordinación de Trasplantes, Hospital Hermanos Ameijeiras, La Habana, Cuba; Facultad de Medicina, Universidad de Guanajuato, Guanajuato, León, México; Instituto de Salud Pública del Estado de Guanajuato, Guanajuato, León, México. 1
Reference: Actas Urol Esp. 2014 Mar 1. pii: S0210-4806(14)00002-3.
doi: 10.1016/j.acuro.2013.12.003
PubMed Abstract
PMID: 24594399
Article in English, Spanish.
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