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Medical students faced with related and unrelated living kidney donation: a stratified and multicentre study in Spain

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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.

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Author contribution

Ríos A was involved in conception and design; Ríos A, López-Navas A, López-López A, Gómez FJ, Iriarte J, Herruzo R, Blanco G, Llorca FJ, Asunsolo A, Sánchez P, Gutiérrez PR, Fernández A, de Jesús MT, Martínez Alarcón L, del Olivo M, Fuentes L, Hernández JR, Virseda J, Yelamos J, Bondía JA, Hernández A, Ayala MA, Ramírez P, and Parrilla P were involved in the acquisition of a substantial portion of data; Ríos A, López-Navas A, López-López A, Ayala MA, Ramírez P, and Parrilla P analysed and interpreted the data; Ríos A and López Navas A drafted the manuscript; Ríos A, López-Navas A, Ayala MA, Ramírez P, and Parrilla P critically revised the manuscript for important intellectual content; Ríos A and López-Navas A were involved in statistical expertise; Ríos A, López-Navas A, López-López A, Gómez FJ, Iriarte J, Herruzo R, Blanco G, Llorca FJ, Asunsolo A, Sánchez P, Gutiérrez PR, Fernández A, de Jesús MT, Martínez Alarcón L, del Olivo M, Fuentes L, Hernández JR, Virseda J, Yelamos J, Bondía JA, Hernández A, Ayala MA, Ramírez P, and Parrilla P obtained funding for this project or study; Ríos A and López-Navas A supervised this study; Ríos A, López-Navas A, López-López A, Gómez FJ, Iriarte J, Herruzo R, Blanco G, Llorca FJ, Asunsolo A, Sánchez P, Gutiérrez PR, Fernández A, de Jesús MT, Martínez Alarcón L, del Olivo M, Fuentes L, Hernández JR, Virseda J, Yelamos J, Bondía JA, Hernández A, Ayala MA, Ramírez P, and Parrilla P were involved in the final approval of the version to be published.

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Authors and Affiliations

  1. International Collaborative Donor Project (“Proyecto Colaborativo Internacional Donante”), Avenida de la Libertad no 208, Casillas, 30007, Murcia, Spain

    A. Ríos, A. López-Navas, L. Martínez-Alarcón & P. Ramírez

  2. Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain

    A. Ríos, P. Ramírez & P. Parrilla

  3. Transplant Unit, Surgery Service, IMIB - Virgen de la Arrixaca University Hospital, Murcia, Spain

    A. Ríos, L. Martínez-Alarcón, P. Ramírez & P. Parrilla

  4. Regional Transplant Centre, Consejería de Sanidad y Consumo de la Región de Murcia, Murcia, Spain

    A. Ríos & P. Ramírez

  5. Department of Psychology, Universidad Católica San Antonio (UCAM), Murcia, Spain

    A. López-Navas

  6. Department of Urology, San Juan University Hospital of Alicante, Alicante, Spain

    A. López-López

  7. Universidad de Granada, Granada, Spain

    F. J. Gómez

  8. Universidad de Navarra, Navarra, Spain

    J. Iriarte

  9. Universidad Autónoma de Madrid, Madrid, Spain

    R. Herruzo

  10. Servicio de Cirugía HBP y Trasplante Hepático, Complejo Hospitalario Universitario de Badajoz, Hospital Infanta Cristina, Badajoz, Spain

    G. Blanco

  11. Universidad de Cantabria, Santander, Spain

    F. J. Llorca

  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, Madrid, Spain

    A. Asunsolo

  13. Facultad de Medicina, Universidad de Málaga, Málaga, Spain

    P. Sánchez & J. A. Bondía

  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

    P. R. Gutiérrez

  15. Departamento de Ciencias Biomédicas Básicas, Facultad de Ciencias Biomédicas, Universidad Europea de Madrid, Madrid, Spain

    A. Fernández

  16. Universidad Rey Juan Carlos, Madrid, Spain

    M. T. de Jesús

  17. Facultad de Medicina y Ciencias de la Salud, Área de Medicina Preventiva y Salud Pública, Universidad de Oviedo, Oviedo, Spain

    M. del Olivo

  18. Departamento de Farmacología y Fisiología Facultad de Ciencias de la Salud y del Deporte, Universidad de Zaragoza, Huesca, Spain

    L. Fuentes

  19. Universidad de las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain

    J. R. Hernández

  20. Universidad de Castilla La Mancha, Albacete, Spain

    J. Virseda

  21. Department of Immunology, Hospital del Mar, Barcelona, Spain

    J. Yelamos

  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

    A. Hernández

  23. Hospital Regional de Alta Especialidad del Bajío, León, Guanajuato, Mexico

    M. A. Ayala

  24. HGSZ No. 10 del Instituto Mexicano del Seguro Social Delegación Guanajuato, Guanajuato, Mexico

    M. A. Ayala

Authors
  1. A. Ríos
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  2. A. López-Navas
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  3. A. López-López
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  4. F. J. Gómez
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  5. J. Iriarte
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  6. R. Herruzo
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  7. G. Blanco
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  8. F. J. Llorca
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  9. A. Asunsolo
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  10. P. Sánchez
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  11. P. R. Gutiérrez
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  12. A. Fernández
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  13. M. T. de Jesús
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  14. L. Martínez-Alarcón
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  15. M. del Olivo
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  16. L. Fuentes
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  17. J. R. Hernández
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  18. J. Virseda
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  19. J. Yelamos
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  20. J. A. Bondía
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  21. A. Hernández
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  22. M. A. Ayala
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  23. P. Ramírez
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  24. P. Parrilla
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Corresponding author

Correspondence to A. Ríos.

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The study has been approved by the ethic committee.

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No conflict of interest.

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Ríos, A., López-Navas, A., López-López, A. et al. Medical students faced with related and unrelated living kidney donation: a stratified and multicentre study in Spain. World J Urol 34, 1673–1684 (2016). https://doi.org/10.1007/s00345-016-1797-3

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  • DOI: https://doi.org/10.1007/s00345-016-1797-3

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