Cadaveric donor procurement units faced with living donation
Las unidades generadoras de donantes de órganos de cadáver ante la donación de vivo
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"apellidos" => "Ortega" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "X0211699510050774" "doi" => "10.3265/Nefrologia.pre2010.Jul.10372" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699510050774?idApp=UINPBA000064" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251410050771?idApp=UINPBA000064" "url" => "/20132514/0000003000000006/v0_201502091649/X2013251410050771/v0_201502091649/en/main.assets" ] "en" => array:10 [ "idiomaDefecto" => true "titulo" => "Cadaveric donor procurement units faced with living donation" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "698" "paginaFinal" => "699" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => " PROYECTO COLABORATIVO INTERNACIONAL DONANTE, A. Ríos, A.I. López-Navas, P. Ramírez, P. Parrilla" "autores" => array:5 [ 0 => array:1 [ "apellidos" => "PROYECTO COLABORATIVO INTERNACIONAL DONANTE" ] 1 => array:4 [ "Iniciales" => "A." "apellidos" => "Ríos" "email" => array:1 [ 0 => "arzrios@teleline.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "affb" ] ] ] 2 => array:3 [ "Iniciales" => "A.I." "apellidos" => "López-Navas" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "affb" ] ] ] 3 => array:3 [ "Iniciales" => "P." "apellidos" => "Ramírez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "affb" ] ] ] 4 => array:3 [ "Iniciales" => "P." "apellidos" => "Parrilla" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "affb" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Unidad de Cirugía General y del Aparato Digestivo, Hospital Universitario Virgen de la Arrixaca, El Palmar, Murcia " "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "affb" ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Las unidades generadoras de donantes de órganos de cadáver ante la donación de vivo" ] ] "textoCompleto" => "<p class="elsevierStylePara"><span class="elsevierStyleBold">To the Editor, </span></p><p class="elsevierStylePara">There are not enough organ donations to cover the needs of transplants. For this reason, it is important to promote living donation, to try to meet these needs.<span class="elsevierStyleSup">1,2</span> In Spanish-speaking countries, living donation is still in its infancy. In this respect, cadaveric donor procurement units have played a key part in promoting organ transplants, and could possibly do the same for developing living donation.<span class="elsevierStyleSup">3</span> The aim of this study is to analyse the attitude towards living kidney (LKD) and liver (LLD) donation among hospital professionals in the cadaveric donor procurement units of Spain and Latin America, and to analyse the variables that bring about this attitude.</p><p class="elsevierStylePara">From the International Donor Collaboration Project, seven hospitals with cadaveric donor procurement units (intensive care unit, surgical resuscitation unit, and neurosurgery unit) were selected: 2 in Spain, 3 in Mexico, and 2 in Cuba. Random sampling stratified by professional category was performed in these units. The field study was carried out in 2006. Attitude was assessed with a validated survey<span class="elsevierStyleSup">4-6</span> which was self-administered and completed anonymously. A descriptive analysis was performed, and the student T and the Chi-square tests were applied.</p><p class="elsevierStylePara">The survey was completed by 283 professionals from the procurement units. Of these, 90% (n=254) were in favour of related LKD, 6% (n=16) against, and 4% (n=13) undecided. By countries, 95% (n=71) of Cubans were in favour, 92% (n=44) of Spaniards, and 87% (n=139) of Mexicans (<span class="elsevierStyleItalic">P</span>>.05). No significant differences were observed with regard to sociopersonal or occupational variables, except for employment conditions. The medical professionals with a permanent post were more in favour of this kind of donation than those with a temporary post (95% vs 85%; <span class="elsevierStyleItalic">P</span>=.007) (Table 1). Among the rest of the variables, a more positive attitude is seen among: those who are in favour of cadaveric donation (<span class="elsevierStyleItalic">P</span><.001); those who would accept a kidney from a living donor if it were necessary (<span class="elsevierStyleItalic">P</span><.001); those in favour of LLD (<span class="elsevierStyleItalic">P</span><.001); those whose partner has a positive attitude toward donation and transplantation (<span class="elsevierStyleItalic">P</span>=.001); and those who perform or have performed prosocial activities (<span class="elsevierStyleItalic">P</span>=.013) (Table 1).</p><p class="elsevierStylePara">As for related LLD, 84% (n=237) were in favour, 11% (n=32) against, and 5% (n=14) undecided. By countries, 87% (n=65) of Cubans were in favour, 85% (n=41) of Spaniards, and 82% (n=131) of the Mexicans (<span class="elsevierStyleItalic">P</span>>.05). No significant correlations were observed between sociopersonal and occupational variables. Among the rest of the variables, a more positive attitude is seen among: those with personal experience with donation and transplants (<span class="elsevierStyleItalic">P</span>=.032); those in favour of cadaveric organ donation (<span class="elsevierStyleItalic">P</span>=.001); those in favour of LKD (<span class="elsevierStyleItalic">P</span><.001); those whose would accept a liver from a living donor if necessary (<span class="elsevierStyleItalic">P</span>=.001); and those who perform or have performed prosocial activities (<span class="elsevierStyleItalic">P</span><.001) (Table 1).</p><p class="elsevierStylePara">Hospital staff from cadaveric donor procurement units in Spain and Latin America have a very positive attitude towards both living kidney and liver donation. Their attitude is more favourable than that observed in other studies using the same questionnaire.<span class="elsevierStyleSup">4</span> The data obtained by our group<span class="elsevierStyleSup">3</span> in 2003 showed that 86% had a favourable attitude towards LKD and 68% towards LLD. Therefore, expectations for this kind of donation are becoming more and more positive and optimistic. LKD is generally more accepted than LLD, possibly due to the lower risk<span class="elsevierStyleSup">6,8</span> for the donor.</p><p class="elsevierStylePara">Attitudes towards living donation have been shown not to be influenced by sociopersonal or religious factors, or attitudes towards the body.<span class="elsevierStyleSup">7,9</span> However, there is a significant association between attitudes towards LKD and LLD. Therefore, it seems clear that the main problem of living donation is accepting it. It is worth noting that no differences exist with regard to occupational category, nor between healthcare professionals and those working in other settings.<span class="elsevierStyleSup">6,9</span></p><p class="elsevierStylePara">In conclusion, we can declare that the attitude of the staff of cadaveric donor procurement units in Spain and Latin America towards living donation is very favourable. Thus, they could play an important role in its promotion in these times of a desire to develop living donation, provided the socio-political and economic conditions are right for it.</p><p class="elsevierStylePara"><a href="10590_108_11423_en_10590_t1_en.doc" class="elsevierStyleCrossRefs">10590_108_11423_en_10590_t1_en.doc</a></p><p class="elsevierStylePara">Table 1. Livng donation in donor procurement units in Spain and Latin America</p>" "tienePdf" => false "multimedia" => array:1 [ 0 => array:8 [ "identificador" => "mmc1" "etiqueta" => "Tab. 1" "tipo" => "MULTIMEDIAECOMPONENTE" "mostrarFloat" => true "mostrarDisplay" => false "copyright" => "Elsevier España" "Ecomponente" => array:2 [ "fichero" => "10590_108_11423_en_10590_t1_en.doc" "ficheroTamanyo" => 67072 ] "descripcion" => array:1 [ "en" => "Livng donation in donor procurement units in Spain and Latin America" ] ] ] "bibliografia" => array:2 [ "titulo" => "Bibliography" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:10 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "\u{A0}" "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "Organización Nacional de Trasplantes. Memoria de actividades ONT 2009. Rev Esp Traspl 2009;14(1). (Monográfico)." "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 2 => array:3 [ "identificador" => "bib3" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "Ríos A, López-Navas A, Ayala-García MA, Sebastián MJ, Abdo-Cuza A, et al. Attitudes toward living kidney donation in transplant hospitals: a Spanish, Mexican, and Cuban multicenter study. Transplant Proc 2010;42:228-32. <a href="http://www.ncbi.nlm.nih.gov/pubmed/20172317" target="_blank">[Pubmed]</a>" "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 3 => array:3 [ "identificador" => "bib4" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "Ríos A, Ramírez P, Rodríguez MM, Parrilla P. Las unidades generadoras de donantes de órganos de cadáver ante la donación de vivo. Nefrologia 2007;27:230-1. <a href="http://www.ncbi.nlm.nih.gov/pubmed/17564575" target="_blank">[Pubmed]</a>" "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 4 => array:3 [ "identificador" => "bib5" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "Conesa C, Ríos A, Ramírez P, Rodríguez MM, Parrilla P. Socio-personal factors influencing public attitude towards living donation in south-eastern Spain. Nephrol Dial Transplant 2004;19:2874-82. <a href="http://www.ncbi.nlm.nih.gov/pubmed/15316100" target="_blank">[Pubmed]</a>" "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 5 => array:3 [ "identificador" => "bib6" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "Ríos A, Ramírez P, Rodríguez MM, Martínez L, Rodríguez JM, et al. Attitude of hospital personnel faced with living liver donation in a Spanish center with a living donor liver transplant program. Liver Transpl 2007;13:1049-56. <a href="http://www.ncbi.nlm.nih.gov/pubmed/17600353" target="_blank">[Pubmed]</a>" "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 6 => array:3 [ "identificador" => "bib7" "etiqueta" => "7" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "Ríos A, Ramírez P, Rodríguez MM, Martínez L, Montoya MJ, et al. Attitude of ancillary personnel faced with living kidney donation in a hospital with a living donor kidney transplant program. Transplantation 2007;83:336-40. <a href="http://www.ncbi.nlm.nih.gov/pubmed/17297409" target="_blank">[Pubmed]</a>" "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 7 => array:3 [ "identificador" => "bib8" "etiqueta" => "8" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "Ríos A, Cascales P, Martínez L, Sánchez J, Jarvis N, et al. Emigration from the British Isles to south-eastern Spain: a study of attitudes toward organ donation. 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| 2022 February | 36 | 13 | 49 |
| 2022 January | 58 | 12 | 70 |
| 2021 December | 70 | 12 | 82 |
| 2021 November | 37 | 11 | 48 |
| 2021 October | 44 | 12 | 56 |
| 2021 September | 34 | 11 | 45 |
| 2021 August | 39 | 10 | 49 |
| 2021 July | 45 | 13 | 58 |
| 2021 June | 54 | 0 | 54 |
| 2021 May | 40 | 7 | 47 |
| 2021 April | 91 | 7 | 98 |
| 2021 March | 73 | 12 | 85 |
| 2021 February | 42 | 12 | 54 |
| 2021 January | 31 | 7 | 38 |
| 2020 December | 22 | 5 | 27 |
| 2020 November | 29 | 6 | 35 |
| 2020 October | 21 | 3 | 24 |
| 2020 September | 11 | 6 | 17 |
| 2020 August | 34 | 5 | 39 |
| 2020 July | 41 | 4 | 45 |
| 2020 June | 22 | 3 | 25 |
| 2020 May | 34 | 8 | 42 |
| 2020 April | 29 | 10 | 39 |
| 2020 March | 31 | 9 | 40 |
| 2020 February | 35 | 12 | 47 |
| 2020 January | 41 | 7 | 48 |
| 2019 December | 35 | 10 | 45 |
| 2019 November | 28 | 5 | 33 |
| 2019 October | 10 | 3 | 13 |
| 2019 September | 26 | 11 | 37 |
| 2019 August | 12 | 3 | 15 |
| 2019 July | 21 | 16 | 37 |
| 2019 June | 21 | 7 | 28 |
| 2019 May | 19 | 7 | 26 |
| 2019 April | 30 | 18 | 48 |
| 2019 March | 20 | 15 | 35 |
| 2019 February | 18 | 10 | 28 |
| 2019 January | 25 | 8 | 33 |
| 2018 December | 57 | 30 | 87 |
| 2018 November | 109 | 11 | 120 |
| 2018 October | 75 | 24 | 99 |
| 2018 September | 49 | 12 | 61 |
| 2018 August | 32 | 12 | 44 |
| 2018 July | 31 | 9 | 40 |
| 2018 June | 45 | 9 | 54 |
| 2018 May | 37 | 18 | 55 |
| 2018 April | 45 | 6 | 51 |
| 2018 March | 18 | 8 | 26 |
| 2018 February | 25 | 3 | 28 |
| 2018 January | 25 | 8 | 33 |
| 2017 December | 33 | 9 | 42 |
| 2017 November | 15 | 4 | 19 |
| 2017 October | 27 | 9 | 36 |
| 2017 September | 26 | 6 | 32 |
| 2017 August | 18 | 5 | 23 |
| 2017 July | 24 | 6 | 30 |
| 2017 June | 18 | 4 | 22 |
| 2017 May | 26 | 9 | 35 |
| 2017 April | 24 | 3 | 27 |
| 2017 March | 12 | 0 | 12 |
| 2017 February | 22 | 6 | 28 |
| 2017 January | 17 | 7 | 24 |
| 2016 December | 47 | 3 | 50 |
| 2016 November | 71 | 5 | 76 |
| 2016 October | 102 | 8 | 110 |
| 2016 September | 138 | 3 | 141 |
| 2016 August | 177 | 0 | 177 |
| 2016 July | 213 | 0 | 213 |
| 2016 June | 133 | 0 | 133 |
| 2016 May | 121 | 0 | 121 |
| 2016 April | 83 | 0 | 83 |
| 2016 March | 82 | 0 | 82 |
| 2016 February | 74 | 0 | 74 |
| 2016 January | 85 | 0 | 85 |
| 2015 December | 120 | 0 | 120 |
| 2015 November | 77 | 0 | 77 |
| 2015 October | 71 | 0 | 71 |
| 2015 September | 38 | 0 | 38 |
| 2015 August | 78 | 0 | 78 |
| 2015 July | 61 | 0 | 61 |
| 2015 June | 27 | 0 | 27 |
| 2015 May | 67 | 0 | 67 |
| 2015 April | 20 | 0 | 20 |
Show all
