title: Medical students faced with related and unrelated living kidney donation: a stratified and multicentre study in Spain.
abstract: BACKGROUND
  The attitude of medical students towards living kidney donation (LKD) is of great interest given that they will become promoters of this technique in the near future.
  
  
  OBJECTIVE
  To analyse the attitude of Spanish medical students towards related and unrelated LKD and to determine the factors affecting this attitude.
  
  
  METHODS
  Type of study: A sociological, interdisciplinary, multicentre, and observational study.
  
  
  METHODS
  Medical students enrolled in Spain (n = 34.000).
  
  
  METHODS
  A sample of 9598 students (99 % confidence and precision of ±1 %), stratified by geographical area and academic year. Measurement instrument: A validated questionnaire (PCID-DVR RIOS) was administered and completed anonymously.
  
  
  RESULTS
  There was a completion rate of 95.7 % (n = 9275); 93 % (n = 8630) were in favour of related LKD, and 30 % (n = 2784) were in favour of unrelated LKD. The following factors were associated with this attitude: (1) age (p = 0.008); (2) sex (p < 0.001); (3) year of university degree (p < 0.001); (4) a belief that a transplant might be necessary in the future (p < 0.001); (5) attitude towards deceased organ donation (p < 0.001); (6) a willingness to accept a kidney from a living donor (p < 0.001); (7) attitude towards living liver donation (p < 0.001); (8) a partner's attitude towards donation (p < 0.001); (9) having spoken about the subject with one's family (p < 0.001), or friends (p < 0.001); (10) pro-social behaviour (p < 0.001); (11) the respondent's religious attitude (p < 0.001); and (12) fear of possible mutilation of the body after donation (p < 0.001).
  
  
  CONCLUSIONS
  The attitude of medical students towards LKD is very favourable when it is the related kind of donation, and it is associated with factors of general knowledge about organ donation and transplantation and social interaction and religion.
authors.affiliation: International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Avenida de la Libertad no 208, Casillas, 30007, Murcia, Spain. arzrios@um.es.|Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain. arzrios@um.es.|Transplant Unit, Surgery Service, IMIB - Virgen de la Arrixaca University Hospital, Murcia, Spain. arzrios@um.es.|Regional Transplant Centre, Consejería de Sanidad y Consumo de la Región de Murcia, Murcia, Spain. arzrios@um.es.
authors.forename: A
authors.initials: A
authors.lastname: Ríos
authors.affiliation: International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Avenida de la Libertad no 208, Casillas, 30007, Murcia, Spain.|Department of Psychology, Universidad Católica San Antonio (UCAM), Murcia, Spain.
authors.forename: A
authors.initials: A
authors.lastname: López-Navas
authors.affiliation: Department of Urology, San Juan University Hospital of Alicante, Alicante, Spain.
authors.forename: A
authors.initials: A
authors.lastname: López-López
authors.affiliation: Universidad de Granada, Granada, Spain.
authors.forename: F J
authors.initials: FJ
authors.lastname: Gómez
authors.affiliation: Universidad de Navarra, Navarra, Spain.
authors.forename: J
authors.initials: J
authors.lastname: Iriarte
authors.affiliation: Universidad Autónoma de Madrid, Madrid, Spain.
authors.forename: R
authors.initials: R
authors.lastname: Herruzo
authors.affiliation: Servicio de Cirugía HBP y Trasplante Hepático, Complejo Hospitalario Universitario de Badajoz, Hospital Infanta Cristina, Badajoz, Spain.
authors.forename: G
authors.initials: G
authors.lastname: Blanco
authors.affiliation: Universidad de Cantabria, Santander, Spain.
authors.forename: F J
authors.initials: FJ
authors.lastname: Llorca
authors.affiliation: Departamento de Cirugía, Ciencias Médicas y Sociales, Facultad de Medicina y Ciencias de la Salud, Universidad de Alcalá Campus Científico-Tecnológico, Alcala de Henares, Madrid, Spain.
authors.forename: A
authors.initials: A
authors.lastname: Asunsolo
authors.affiliation: Facultad de Medicina, Universidad de Málaga, Málaga, Spain.
authors.forename: P
authors.initials: P
authors.lastname: Sánchez
authors.affiliation: Servicio de Urología (Complejo Hospitalario Universitario de Canarias, CHUC) y Departamento de Cirugía (Universidad de La Laguna, ULL) San Cristóbal de La Laguna, Tenerife, Spain.
authors.forename: P R
authors.initials: PR
authors.lastname: Gutiérrez
authors.affiliation: Departamento de Ciencias Biomédicas Básicas, Facultad de Ciencias Biomédicas, Universidad Europea de Madrid, Madrid, Spain.
authors.forename: A
authors.initials: A
authors.lastname: Fernández
authors.affiliation: Universidad Rey Juan Carlos, Madrid, Spain.
authors.forename: M T
authors.initials: MT
authors.lastname: de Jesús
authors.affiliation: International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Avenida de la Libertad no 208, Casillas, 30007, Murcia, Spain.|Transplant Unit, Surgery Service, IMIB - Virgen de la Arrixaca University Hospital, Murcia, Spain.
authors.forename: L
authors.initials: L
authors.lastname: Martínez-Alarcón
authors.affiliation: Facultad de Medicina y Ciencias de la Salud, Área de Medicina Preventiva y Salud Pública, Universidad de Oviedo, Oviedo, Spain.
authors.forename: M
authors.initials: M
authors.lastname: Del Olivo
authors.affiliation: Departamento de Farmacología y Fisiología Facultad de Ciencias de la Salud y del Deporte, Universidad de Zaragoza, Huesca, Spain.
authors.forename: L
authors.initials: L
authors.lastname: Fuentes
authors.affiliation: Universidad de las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain.
authors.forename: J R
authors.initials: JR
authors.lastname: Hernández
authors.affiliation: Universidad de Castilla La Mancha, Albacete, Spain.
authors.forename: J
authors.initials: J
authors.lastname: Virseda
authors.affiliation: Department of Immunology, Hospital del Mar, Barcelona, Spain.
authors.forename: J
authors.initials: J
authors.lastname: Yelamos
authors.affiliation: Facultad de Medicina, Universidad de Málaga, Málaga, Spain.
authors.forename: J A
authors.initials: JA
authors.lastname: Bondía
authors.affiliation: Endocrinology and Nutrition Service, Unidad de Docencia y Formación Continuada, El Palmar, Servicio Murciano de Salud, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.
authors.forename: A
authors.initials: A
authors.lastname: Hernández
authors.affiliation: Hospital Regional de Alta Especialidad del Bajío, León, Guanajuato, Mexico.|HGSZ No. 10 del Instituto Mexicano del Seguro Social Delegación Guanajuato, Guanajuato, Mexico.
authors.forename: M A
authors.initials: MA
authors.lastname: Ayala
authors.affiliation: International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Avenida de la Libertad no 208, Casillas, 30007, Murcia, Spain.|Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain.|Transplant Unit, Surgery Service, IMIB - Virgen de la Arrixaca University Hospital, Murcia, Spain.|Regional Transplant Centre, Consejería de Sanidad y Consumo de la Región de Murcia, Murcia, Spain.
authors.forename: P
authors.initials: P
authors.lastname: Ramírez
authors.affiliation: Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain.|Transplant Unit, Surgery Service, IMIB - Virgen de la Arrixaca University Hospital, Murcia, Spain.
authors.forename: P
authors.initials: P
authors.lastname: Parrilla
mesh_terms: D001291:Attitude of Health Personnel; D005260:Female; D006801:Humans; D016030:Kidney Transplantation; D019520:Living Donors / Q000523:psychology*; D008297:Male; D009392:Nephrectomy; D013030:Spain; D013337:Students, Medical / Q000523:psychology*; D011795:Surveys and Questionnaires; D009927:Tissue and Organ Procurement; D055815:Young Adult
keywords: Attitude; Living kidney donation; Medical students; Organ donation; Transplant