title: A multicenter study on attitude toward organ donation in Spain and Latin America between the surgical units of 12 hospitals.
abstract: BACKGROUND
  Medical advances and improvements in surgical techniques have transformed transplantation into an ever safer therapeutic option. However, its main limitation is the shortage of available organs. Therefore, it is necessary to join forces to achieve optimal deceased donation and prevent the loss of potential donors. We sought to analyze the acceptance of deceased organ donation (OD) among hospital personnel in surgical units in hospitals in Spain and Latin America.
  
  
  METHODS
  A random sample (n = 554) was taken was stratified according to surgical services and job category in 12 hospitals-4 in Spain (n = 294 participants), 5 in Mexico (n = 202), 2 in Cuba (n = 41), and 1 in Costa Rica (n = 17). Attitude was assessed using a questionnaire validated, which was completed anonymously and self-administered. The χ(2) test, Student t test, and a logistic regression analysis were used.
  
  
  RESULTS
  Overall, 75% of respondents (n = 417) were in favor of deceased OD and 25% were against it (n = 137). Regarding the respondent's country, there was a favorable attitude among 88% of Cubans, 85% of Mexicans, 82% of Costa Ricans, and 67% of Spaniards (P < .001). The physicians were most in favor of OD with 87% supporting it (n = 149), followed by nurses (n = 182) and ancillary personnel (n = 28) both at 74%, and the health care assistants at 59% (n = 58; P < .001). The following factors affect attitude toward OD: young age (37 ± 10 years; P = .001), being a male (P = .018), having an unstable job situation (P = .009), a belief that one might need a future transplant (P = .036), having a favorable attitude toward living donation (P < .001), being in favor of donating a family member's organs (P < .001), having had a family discussion about OD (P < .001), and a partner's favorable attitude (P < .001).
  
  
  CONCLUSIONS
  Attitude toward OD among surgeons in hospitals in Spain and Latin America was not as favorable as we might have expected.
authors: Proyecto Colaborativo Internacional Donante, "International Collaborative Donor Project", Murcia, Spain; Department of Surgery, University and Transplant Unit University Hospital Virgen de la Arrixaca, Murcia, Spain; Regional Transplant Center, Consejería de Sanidad y Consumo de la Región de Murcia, Murcia, Spain; Department of Surgery, University of Murcia, Murcia, Spain. Electronic address: arzrios@um.es.
authors: A
authors: A
authors: Ríos
authors: Proyecto Colaborativo Internacional Donante, "International Collaborative Donor Project", Murcia, Spain; Department of Surgery, University and Transplant Unit University Hospital Virgen de la Arrixaca, Murcia, Spain; Regional Transplant Center, Consejería de Sanidad y Consumo de la Región de Murcia, Murcia, Spain; Department of Surgery, University of Murcia, Murcia, Spain.
authors: L
authors: L
authors: Martínez-Alarcón
authors: Proyecto Colaborativo Internacional Donante, "International Collaborative Donor Project", Murcia, Spain; Regional Transplant Center, Consejería de Sanidad y Consumo de la Región de Murcia, Murcia, Spain; Department of Psychology, UCAM, Universidad Católica San Antonio, Murcia, Spain.
authors: A I
authors: AI
authors: López-Navas
authors: Hospital Regional de Alta Especialidad del Bajío y Universidad de Guanajuato, León, Guanajuato, Mexico; HGSZ No. 10 del Instituto Mexicano del Seguro Social, Delegación Guanajuato, Guanajuato, Mexico.
authors: M A
authors: MA
authors: Ayala-García
authors: Coordinación de Trasplantes, UMAE Hospital de Especialidades N° 25 IMSS, Monterrey, México.
authors: M J
authors: MJ
authors: Sebastián
authors: Centro de Investigaciones Médico, Quirúrgicas, Cuba.
authors: A
authors: A
authors: Abdo-Cuza
authors: Hospital Regional de Alta Especialidad del Bajío y Universidad de Guanajuato, León, Guanajuato, Mexico; Universidad de Guanajuato, Guanajuato, Mexico.
authors: B
authors: B
authors: González
authors: Proyecto Colaborativo Internacional Donante, "International Collaborative Donor Project", Murcia, Spain; Department of Surgery, University and Transplant Unit University Hospital Virgen de la Arrixaca, Murcia, Spain; Regional Transplant Center, Consejería de Sanidad y Consumo de la Región de Murcia, Murcia, Spain; Department of Surgery, University of Murcia, Murcia, Spain.
authors: P
authors: P
authors: Ramírez
authors: Department of Animal Production, Faculty of Veterinary, University of Murcia, Murcia, Spain.
authors: G
authors: G
authors: Ramis
authors: Department of Surgery, University and Transplant Unit University Hospital Virgen de la Arrixaca, Murcia, Spain; Regional Transplant Center, Consejería de Sanidad y Consumo de la Región de Murcia, Murcia, Spain; Department of Surgery, University of Murcia, Murcia, Spain.
authors: P
authors: P
authors: Parrilla
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D001291:Attitude of Health Personnel; D003364:Costa Rica; D003462:Cuba; D005260:Female; D006801:Humans; D008297:Male; D008505:Medical Staff, Hospital / Q000523:psychology*; D008800:Mexico; D008875:Middle Aged; D010564:Personnel, Hospital / Q000523:psychology; D012737:Sex Factors; D013030:Spain; D011795:Surveys and Questionnaires; D009927:Tissue and Organ Procurement