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[Hospital-based multicenter study in Spain, Mexico and Cuba on attitudes to living liver donation].

Authors :
Ríos A
López-Navas AI
Ayala-García MA
Sebastián MJ
Abdo-Cuza A
Martínez-Alarcón L
Ramírez EJ
Muñoz G
Palacios G
Suárez-López J
Castellanos R
González B
Martínez MA
Díaz E
Ramírez P
Parrilla P
Source :
Gastroenterologia y hepatologia [Gastroenterol Hepatol] 2015 Jun-Jul; Vol. 38 (6), pp. 364-72. Date of Electronic Publication: 2015 Jan 23.
Publication Year :
2015

Abstract

Introduction: Given the lack of a sufficient number of livers available for transplantation, living liver donation (LLD) is being developed in the Spanish-speaking world. To do this, it is essential that health workers in hospitals are in favor of such donation, given that they are a key component in this treatment and that their attitudes influence public opinion.<br />Objective: To analyze attitude toward LLD among hospital personnel from healthcare centers in Spain and Latin America.<br />Material and Method: Ten hospitals were selected from the «International Donor Collaborative Project»: 3 from Spain, 5 from Mexico and 2 from Cuba. Random sampling stratified by type of service and job category was used. Attitudes to LLD were evaluated through a validated questionnaire on psychosocial aspects. The questionnaire was anonymous and self-administered. Statistical tests consisted of Student's T test, the chi-square test and logistic regression analysis.<br />Results: Of the 2,618 employees surveyed, 85% (n=2,231) were in favor of related LLD; of these, 31% (n=804) were in favor of unrelated LLD. No association was found between the country of the interviewed, personal-social variables or work-related variables. The following factors were associated with a favorable attitude toward related LLD donation: having had personal experience of donation and transplantation (P<.001); being in favor of deceased donation (P<.001); believing that one might need a possible transplant (P<.001); being in favor of living kidney donation (P<.001); being willing to accept a liver from a living donor (P<.001); having discussed the matter of donation and transplantation within the family (P<.001) and with one's partner (P<.001); carrying out pro-social type activities (P<.001); being Catholic (P=.040); believing that one's religion is in favor of donation and transplantation (P<.001); and not being concerned about the possible mutilation of the body after donation (P<.001).<br />Conclusions: Hospital personnel from Spain and Latin America had a favorable attitude toward LLD, which was associated with factors directly and indirectly related to donation and transplantation, family and religious factors, and attitudes toward the body.<br /> (Copyright © 2015 Elsevier España, S.L.U. and AEEH y AEG. All rights reserved.)

Details

Language :
Spanish; Castilian
ISSN :
0210-5705
Volume :
38
Issue :
6
Database :
MEDLINE
Journal :
Gastroenterologia y hepatologia
Publication Type :
Academic Journal
Accession number :
25623418
Full Text :
https://doi.org/10.1016/j.gastrohep.2014.12.004