Opinion toward living liver donation of hospital personnel from units related to organ donation and transplantation: a multicenter study from Spain and latin-america.
BACKGROUND
Hospital personnel of services related to donation and transplantation process play a fundamental role in the development of transplantation.


OBJECTIVE
The aim of this study was to investigate the attitude toward living liver donation (LLD) among hospital personnel from services related to donation and transplantation in hospital centers in Spain and Latin America.


METHODS
Eight hospitals within the "International Donor Collaborative Project" were selected, three in Spain, three in Mexico and two in Cuba. The study was performed in transplant-related services, using a randomized sample, which was stratified by the type of service and job category.


RESULTS
In total, 878 workers were surveyed of which 82% (n = 720) were in favor of related LLD, 10% (n = 90) were against and 8% (n = 68) undecided. Attitudes toward related LLD were more favorable in the following groups: the Latin Americans (86% in favor vs. 77% among the Spanish; P = 0.007); younger people (37 vs. 40 years, P = 0.002); those in favor of either deceased donation (P < 0.001) or living kidney donation (P < 0.001); those who believed that they might need a transplant in the future (P < 0.001); those who would accept a liver from a living donor (P < 0.001); those who discussed the subject of donation and transplantation with their families (P = 0.040); and those whose partner was in favor of donation and transplantation (P = 0.044).


CONCLUSIONS
Personnel from donation and transplantation-related units had a favorable attitude toward LLD. This attitude was not affected by psychosocial factors, although it was influenced by factors directly and indirectly related to the donation and transplantation process.
International Collaborative Donor Proyect, Murcia, Spain ; Regional Transplant Center, Ministry of Health, Murcia, Spain ; Transplant Unit, Surgery Service, Virgin of Arrixaca University Hospital, Murcia, Spain ; Department of Surgery, University of Murcia, Murcia, Spain.
Antonio
A
Rios
International Collaborative Donor Proyect, Murcia, Spain ; Regional Transplant Center, Ministry of Health, Murcia, Spain ; Department of Psychology, San Antonio Catholic University, UCAM, Murcia, Spain.
Ana
A
Lopez Navas
Regional Hospital of High Specialty Bajio, Leon, Mexico ; Mexican Social Security Institute Delegation, Guanajuato, Mexico.
Marco Antonio
MA
Ayala Garcia
Transplant Coordination Center, UMAE Specialist Hospital, Monterrey, Mexico.
Jose
J
Sebastian
Surgical Medical Research Center, Havana, Cuba.
Anselmo
A
Abdo Cuza
International Collaborative Donor Proyect, Murcia, Spain ; Regional Transplant Center, Ministry of Health, Murcia, Spain ; Transplant Unit, Surgery Service, Virgin of Arrixaca University Hospital, Murcia, Spain.
Laura
L
Martinez Alarcon
University of Guanajuato, Guanajuato, Mexico.
Ector Jaime
EJ
Ramirez
The 21st Century National Medical Center of the Mexican Institute of Social Security, Mexico City, Mexico.
Gerardo
G
Munoz
Transplant Coordination Center, UMAE Specialist Hospital, Monterrey, Mexico.
Gerardo
G
Palacios
Hermanos Ameijeiras Hospital, Havana, Cuba.
Juliette
J
Suarez Lopez
Surgical Medical Research Center, Havana, Cuba.
Ricardo
R
Castellanos
Regional Hospital of High Specialty Bajio, Leon, Mexico ; The 21st Century National Medical Center of the Mexican Institute of Social Security, Mexico City, Mexico.
Beatriz
B
Gonzalez
State Public Health Institute of Guanajuato, Leon, Mexico.
Miguel Angel
MA
Martinez
Regional Hospital of High Specialty Bajio, Leon, Mexico ; Mexican Social Security Institute Delegation, Guanajuato, Mexico.
Ernesto
E
Diaz
International Collaborative Donor Proyect, Murcia, Spain ; Regional Transplant Center, Ministry of Health, Murcia, Spain ; Transplant Unit, Surgery Service, Virgin of Arrixaca University Hospital, Murcia, Spain ; Department of Surgery, University of Murcia, Murcia, Spain.
Pablo
P
Ramirez
Transplant Unit, Surgery Service, Virgin of Arrixaca University Hospital, Murcia, Spain ; Department of Surgery, University of Murcia, Murcia, Spain.
Pascual
P
Parrilla
Attitude; Hospital personnel; Liver; Transplant