title: A multicenter study in Spanish, Mexican, and Cuban hospitals of attitude toward living kidney donation.
abstract: BACKGROUND
  Living kidney donation (LKD) is a treatment with good results, although it is not very widely used in Spanish-speaking countries.
  
  
  OBJECTIVE
  To analyze the attitude toward LKD among hospital personnel in healthcare centers in Spain and Latin America.
  
  
  METHODS
  Ten hospitals within the "International Collaborative Donor Project" were selected, from Spain, Mexico, and Cuba. A random sample was taken, which was stratified according to type of service and job category.
  
  
  RESULTS
  Of the 2618 workers surveyed, 90% were in favor of related LKD, 6% were against it, and the remaining 4% were undecided. If the LKD was not related, then 32% were in favor. Other factors associated with a favorable attitude toward related LKD were: Working in Latin American hospitals (p<0.001); Working in clinical services (p=0.030); Having job stability (p=0.013); Having had personal experience of donation and transplantation (p=0.002); Being in favor of deceased donation (p<0.001); Considering the possibility of needing a transplant (p<0.001); Being in favor of living liver donation (p<0.001); Accepting a kidney from a living donor (p<0.001); Having spoken about donation and transplantation within family and partner (p<0.001); Having carried out pro-social activities (p<0.001); and Having no concern about the possible mutilation of the body after donation (p<0.001).
  
  
  CONCLUSIONS
  Hospital personnel had a favorable attitude toward LKD donation, both in Spain and Latin America. This attitude was related with factors of knowledge about and general attitude toward organ donation and transplantation, family factors, religious factors, and fear about mutilation remaining after the donation.
authors.affiliation: , "Proyecto Colaborativo Internacional Donante" International Collaborative Donor Project, Murcia, Spain.
authors.forename: Antonio
authors.initials: A
authors.lastname: Ríos
authors.affiliation: , "Proyecto Colaborativo Internacional Donante" International Collaborative Donor Project, Murcia, Spain.
authors.forename: Ana
authors.initials: A
authors.lastname: López-Navas
authors.affiliation: , Regional Hospital of "Alta Especialidad del Bajío", Guanajuato, Mexico.
authors.forename: Marco Antonio
authors.initials: MA
authors.lastname: Ayala-García
authors.affiliation: Transplant Coordination Center, UMAE Specialty Hospital No. 25 IMSS, Monterrey, Mexico.
authors.forename: María José
authors.initials: MJ
authors.lastname: Sebastian
authors.affiliation: , Surgical Medical Research Center, Havana City, Cuba.
authors.forename: Anselmo
authors.initials: A
authors.lastname: Abdo-Cuza
authors.affiliation: , "Proyecto Colaborativo Internacional Donante" International Collaborative Donor Project, Murcia, Spain.
authors.forename: Laura
authors.initials: L
authors.lastname: Martínez-Alarcón
authors.affiliation: , University of Guanajuato, Guanajuato, Mexico.
authors.forename: Ector Jaime
authors.initials: EJ
authors.lastname: Ramírez
authors.affiliation: , The 21st Century National Medical Center of the Mexican Institute of Social Security, Mexico City, Mexico.
authors.forename: Gerardo
authors.initials: G
authors.lastname: Muñoz
authors.affiliation: , Regional Hospital of "Alta Especialidad del Bajío", Guanajuato, Mexico.
authors.forename: Beatriz
authors.initials: B
authors.lastname: González
authors.affiliation: , "Proyecto Colaborativo Internacional Donante" International Collaborative Donor Project, Murcia, Spain.
authors.forename: Pablo
authors.initials: P
authors.lastname: Ramírez
authors.affiliation: , "Proyecto Colaborativo Internacional Donante" International Collaborative Donor Project, Mucia, Spain.
authors.forename: Pascual
authors.initials: P
authors.lastname: Parrilla
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D001293:Attitude to Death; D002102:Cadaver; D003462:Cuba; D003625:Data Collection; D005239:Fear; D005260:Female; D006801:Humans; D016030:Kidney Transplantation / Q000523:psychology*; D019520:Living Donors / Q000523:psychology*; D008297:Male; D008800:Mexico; D008875:Middle Aged; D015999:Multivariate Analysis; D010564:Personnel, Hospital / Q000523:psychology*; D011584:Psychology; D012068:Religion and Medicine; D013030:Spain; D009927:Tissue and Organ Procurement