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Medical students faced with related and unrelated living kidney donation: a stratified and multicentre study in Spain
Authors:A. Ríos  A. López-López  F. J. Gómez  J. Iriarte  R. Herruzo  G. Blanco  F. J. Llorca  A. Asunsolo  P. Sánchez  P. R. Gutiérrez  A. Fernández  M. T. de Jesús  L. Martínez-Alarcón  M. del Olivo  L. Fuentes  J. R. Hernández  J. Virseda  J. Yelamos  J. A. Bondía  A. Hernández  M. A. Ayala  P. Ramírez
Affiliation:1.International Collaborative Donor Project (“Proyecto Colaborativo Internacional Donante”),Murcia,Spain;2.Department of Surgery, Paediatrics, Obstetrics and Gynaecology,University of Murcia,Murcia,Spain;3.Transplant Unit, Surgery Service,IMIB - Virgen de la Arrixaca University Hospital,Murcia,Spain;4.Regional Transplant Centre,Consejería de Sanidad y Consumo de la Región de Murcia,Murcia,Spain;5.Department of Psychology,Universidad Católica San Antonio (UCAM),Murcia,Spain;6.Department of Urology,San Juan University Hospital of Alicante,Alicante,Spain;7.Universidad de Granada,Granada,Spain;8.Universidad de Navarra,Navarra,Spain;9.Universidad Autónoma de Madrid,Madrid,Spain;10.Servicio de Cirugía HBP y Trasplante Hepático,Complejo Hospitalario Universitario de Badajoz, Hospital Infanta Cristina,Badajoz,Spain;11.Universidad de Cantabria,Santander,Spain;12.Departamento de Cirugía, Ciencias Médicas y Sociales, Facultad de Medicina y Ciencias de la Salud,Universidad de Alcalá Campus Científico-Tecnológico,Alcala de Henares,Spain;13.Facultad de Medicina,Universidad de Málaga,Málaga,Spain;14.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;15.Departamento de Ciencias Biomédicas Básicas, Facultad de Ciencias Biomédicas,Universidad Europea de Madrid,Madrid,Spain;16.Universidad Rey Juan Carlos,Madrid,Spain;17.Facultad de Medicina y Ciencias de la Salud, área de Medicina Preventiva y Salud Pública,Universidad de Oviedo,Oviedo,Spain;18.Departamento de Farmacología y Fisiología Facultad de Ciencias de la Salud y del Deporte,Universidad de Zaragoza,Huesca,Spain;19.Universidad de las Palmas de Gran Canaria,Las Palmas de Gran Canaria,Spain;20.Universidad de Castilla La Mancha,Albacete,Spain;21.Department of Immunology,Hospital del Mar,Barcelona,Spain;22.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;23.Hospital Regional de Alta Especialidad del Bajío,León,Mexico;24.HGSZ No. 10 del Instituto Mexicano del Seguro Social Delegación Guanajuato,Guanajuato,Mexico
Abstract:

Introduction

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.

Materials and methods

Type of study: A sociological, interdisciplinary, multicentre, and observational study. Study population: Medical students enrolled in Spain (n = 34.000). Sample size: 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.
Keywords:
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