Ancillary personnel in Spanish and Latin-American hospitals faced with living related kidney donation

Abstract

IntroductionAncillary 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. ObjectiveTo 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 methodfrom “International Collaborative Donor Project” a random sample was taken among ancillary personnel in Spain, Mexico and Cuba hospitals. Attitude toward LKD was evaluated using a validated, anonymously filled and self-administered survey. Results951 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 favor than Spanish (84%) (P=0.001). The following variables are related to favorable attitude toward LKD: female sex (P=0.017), university degree (P=0.010), work in health services (P=0.035), labor stability (P=0.016), personal experience in donation and transplantation (P=0.001), positive attitude toward cadaveric donation (P<0.001), belief that he or she might need a transplant in the future (P<0.001), positive attitude toward living liver donation (P<0.001), a willingness to receive a donated living liver if needed (P<0.001), having discussed the subject of organ donation and transplantation within the family (P<0.001), partner's positive attitude toward the subject (P<0.001), participation in voluntary type pro-social activities (P=0.002) and not being concerned about possible mutilation after donation (P<0.001) ConclusionsThe attitude toward living related kidney donation is favorable among ancillary personnel in Spanish and Latin-American hospitals. Because living donation is a better source of organs than cadaveric ones, this favorable predisposition can be used as promoting agent of living donation in order to develop it in Spanish-speaking countries.