Attitude of Older People Toward Living Donation.

Aged Aged, 80 and over Female Health Knowledge, Attitudes, Practice Humans Living Donors Male Multivariate Analysis Odds Ratio Organ Transplantation / psychology Spain Surveys and Questionnaires Tissue and Organ Harvesting / methods Tissue and Organ Procurement

Journal

Transplantation proceedings
ISSN: 1873-2623
Titre abrégé: Transplant Proc
Pays: United States
ID NLM: 0243532

Informations de publication

Date de publication:
Mar 2020
Historique:
received: 04 08 2019
accepted: 03 09 2019
pubmed: 12 2 2020
medline: 25 8 2020
entrez: 12 2 2020
Statut: ppublish

Résumé

Living donation is a potential source of organs that could help to reduce the organ transplant deficit. Given that we have a worldwide aging population, it is important to assess the opinion of older people toward this type of donation. To analyze the attitude of people aged > 65 years toward living kidney donation (LKD) and living liver donation (LLD) and to investigate the variables affecting their attitudes. A multicentric study was carried out using a representative sample of people > 65 years stratified by sex and geographic location in southeastern Spain (n = 420). The measurement instrument was a validated questionnaire about LKD and LLD. Statistics were analyzed using SPSS version 21.0 (IBM Corp, Armonk, NY, United States) software. Descriptive analysis was carried out using Student t test, χ The questionnaire completion rate was 84% (n = 351) with 88% (n = 310) in favor of LKD, and 89% (n = 311) in favor of LLD. Favorable attitude decreased to 3% when the donation under consideration was unrelated. Attitudes toward LKD and LLD were associated with having received information from the television (P = .016 and P = .045) and from friends (P = .017 and P = .03); accepting an autopsy after death (P = .001 and P = .002); and not being worried about scars (P = .015 and P = .044). In the multivariate analysis, the following variables continued to be significant: having received information from the television (odds ratio [OR], 2) and from friends (OR, 10.3); and the acceptance of an autopsy (OR, 2). Older people are in favor of both LKD and LLD, assuming it is a related donation. In addition, the information the elderly population receives regarding organ donation and transplantation affects their attitudes.

Sections du résumé

BACKGROUND BACKGROUND
Living donation is a potential source of organs that could help to reduce the organ transplant deficit. Given that we have a worldwide aging population, it is important to assess the opinion of older people toward this type of donation.
OBJECTIVES OBJECTIVE
To analyze the attitude of people aged > 65 years toward living kidney donation (LKD) and living liver donation (LLD) and to investigate the variables affecting their attitudes.
METHODS METHODS
A multicentric study was carried out using a representative sample of people > 65 years stratified by sex and geographic location in southeastern Spain (n = 420). The measurement instrument was a validated questionnaire about LKD and LLD. Statistics were analyzed using SPSS version 21.0 (IBM Corp, Armonk, NY, United States) software. Descriptive analysis was carried out using Student t test, χ
RESULTS RESULTS
The questionnaire completion rate was 84% (n = 351) with 88% (n = 310) in favor of LKD, and 89% (n = 311) in favor of LLD. Favorable attitude decreased to 3% when the donation under consideration was unrelated. Attitudes toward LKD and LLD were associated with having received information from the television (P = .016 and P = .045) and from friends (P = .017 and P = .03); accepting an autopsy after death (P = .001 and P = .002); and not being worried about scars (P = .015 and P = .044). In the multivariate analysis, the following variables continued to be significant: having received information from the television (odds ratio [OR], 2) and from friends (OR, 10.3); and the acceptance of an autopsy (OR, 2).
CONCLUSIONS CONCLUSIONS
Older people are in favor of both LKD and LLD, assuming it is a related donation. In addition, the information the elderly population receives regarding organ donation and transplantation affects their attitudes.

Identifiants

DOI: 10.1016/j.transproceed.2019.09.022 PMID: 32044085
pubmed: 32044085
pii: S0041-1345(19)31086-3
doi: 10.1016/j.transproceed.2019.09.022
pii:
doi:

Types de publication

Journal Article Multicenter Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

500-502

Informations de copyright

Copyright © 2020 Elsevier Inc. All rights reserved.

Auteurs

B Febrero (B)

Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Mucian Institute of Biomedical Investigations, Murcia, Spain; Department of Surgery, Pediatrics, Gynecology and Obstetrics, University of Murcia School of Medicine, Murcia, Spain.

I Ros (I)

Department of Surgery, Pediatrics, Gynecology and Obstetrics, University of Murcia School of Medicine, Murcia, Spain.

J Almela-Baeza (J)

Faculty of Communication and Documentation, University of Murcia, Murcia, Spain. Electronic address: javier.almela@um.es.

M B Pérez-Sánchez (MB)

Department of Statistics, Mathematics and Informatics, University of Miguel Hernández, Elche, Spain.

J M Rodríguez (JM)

Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Mucian Institute of Biomedical Investigations, Murcia, Spain; Department of Surgery, Pediatrics, Gynecology and Obstetrics, University of Murcia School of Medicine, Murcia, Spain.

F Alconchel (F)

Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Mucian Institute of Biomedical Investigations, Murcia, Spain.

J J Ruiz-Manzanera (JJ)

Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Mucian Institute of Biomedical Investigations, Murcia, Spain.

L A Martínez-Insfran (LA)

Department of Surgery, Pediatrics, Gynecology and Obstetrics, University of Murcia School of Medicine, Murcia, Spain.

J Domingo (J)

Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Mucian Institute of Biomedical Investigations, Murcia, Spain.

L Martínez-Alarcón (L)

Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Mucian Institute of Biomedical Investigations, Murcia, Spain; Department of Surgery, Pediatrics, Gynecology and Obstetrics, University of Murcia School of Medicine, Murcia, Spain.

A Ríos (A)

Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Mucian Institute of Biomedical Investigations, Murcia, Spain; Department of Surgery, Pediatrics, Gynecology and Obstetrics, University of Murcia School of Medicine, Murcia, Spain.

P Parrilla (P)

Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Mucian Institute of Biomedical Investigations, Murcia, Spain; Department of Surgery, Pediatrics, Gynecology and Obstetrics, University of Murcia School of Medicine, Murcia, Spain.

P Ramírez (P)

Transplant Unit, General Surgery, Virgen de la Arrixaca University Hospital, Mucian Institute of Biomedical Investigations, Murcia, Spain; Department of Surgery, Pediatrics, Gynecology and Obstetrics, University of Murcia School of Medicine, Murcia, Spain.

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Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Sujet âgé › Attitude of Older People Toward Living Donation.
questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Sujet âgé › Sujet âgé de 80 ans ou plus › Attitude of Older People Toward Living Donation.
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Prestations des soins de santé › Attitude envers la santé › Connaissances, attitudes et pratiques en santé › Attitude of Older People Toward Living Donation.
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Attitude of Older People Toward Living Donation.
questionsmedicales.fr › Personnes › Donneurs de tissus › Donneur vivant › Attitude of Older People Toward Living Donation.
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Statistiques comme sujet › Analyse de variance › Analyse multifactorielle › Attitude of Older People Toward Living Donation.
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Statistiques comme sujet › Probabilité › Odds ratio › Attitude of Older People Toward Living Donation.
questionsmedicales.fr › Procédures de chirurgie opératoire › Transplantation › Transplantation d'organe › Attitude of Older People Toward Living Donation.
questionsmedicales.fr › Régions géographiques › Europe › Espagne › Attitude of Older People Toward Living Donation.
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Collecte de données › Enquêtes et questionnaires › Attitude of Older People Toward Living Donation.
questionsmedicales.fr › Procédures de chirurgie opératoire › Transplantation › Prélèvement d'organes et de tissus › Attitude of Older People Toward Living Donation.
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Acquisition d'organes et de tissus › Attitude of Older People Toward Living Donation.