AUTHOR: Antonio Ríos, Laura Martínez-Alarcón, Ana López, Pedro José Galindo, Pascual Parrilla, Pablo Ramírez
KEYWORDS: Attitude, hospital personnel, living kidney donation
ABSTRACT: In Spain, living kidney donation (LKD) is still uncommon and even within the healthcare system a considerable percentage of personnel are not in favor of this technique. This study analysed the attitude toward living donation among personnel in a hospital with a living kidney transplant program.
A random sample was taken and stratified according to type of service and job category (n=1262). Attitude toward LKD was evaluated using a validated psychosocial questionnaire. The questionnaire was completed anonymously and was
self-administered.
The questionnaire completion rate was 93% (n=1168). A small percentage of respondents were in favor of LKD (19% (n=216)) whether the organ is for relatives or not. The percentage in favor increased to 87% (n=1014) if donation is only for relatives. Four variables were related to attitude toward LKD: 1) attitude toward cadaveric organ donation (O.R.=1.7); 2) a respondent’s concern about possible mutilation due to donation (O.R.=2.34); 3) a respondent’s belief that he or she may need a transplant in the future (O.R.=0.15 among those who believe that they will not need one) and 4) acceptance of a living kidney transplant organ if it were necessary (O.R.=5.1). A close relationship was also found between attitude toward living kidney and liver donation (p=0.000).
The attitude of hospital personnel related to LKD is favorable and it is very much related to attitude toward cadaveric donation and to living liver donation and to factors related to the concepts of reciprocity.
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