Reasons for family denial for cadaveric donation for transplantation purposes in a Third Level Hospital Center in Puebla

Mónica Peña-Sánchez; Martha Elena  Barrientos-Núñez; Marco Antonio Loera-Torres

2020, Number 3

<< Back Next >>

Rev Mex Traspl 2020; 9 (3)

Reasons for family denial for cadaveric donation for transplantation purposes in a Third Level Hospital Center in Puebla

Peña-Sánchez M, Barrientos-Núñez ME, Loera-Torres MA

Full text

How to cite this article

10.35366/97457

Language: Spanish
References: 15
Page: 93-100
PDF size: 276.75 Kb.

ABSTRACT

Introduction: Organ and tissue donation for transplantation purposes consists of a voluntary, selfless and altruistic act. One of the factors influencing the large difference between supply/demand is the shortage of organs secondary to family refusal. Objective: Analyzing family refusals, establishing the reasons why family refusal is given to the donation of organs and tissues for transplant purposes, in the North Zone General Hospital «Bicentennial of Independence». Material and methods: This study is qualitative, descriptive, observational and retrospective. Carried out at the North Zone General Hospital «Bicentennial of Independence», considering the family refusal to organ donation during the period from March 2019 to March 2020. Results: The sample consisted of 54 cases of potential donors in which family negative was obtained for donation. The reasons that prevailed in family refusals to the application for organ donation were: the belief that the body should be completely buried (21.29%), the family member did not express his wish in life (17.59%), the family member informed him in life that did not want to donate (14.81%), belief that it was not the desire of the family member to donate (9.25%), the desire not to make decisions at that time (7.4%), not to reach a family agreement (5.55%). Conclusion: The results obtained show the reasons why the relatives of potential donors refuse to access the donation. Despite efforts made by the staff in charge, denial of organ donation is a current problem. The challenge for the staff in charge of the application is to obtain the consent of people who are predisposed to donate, to reverse a substantial portion of those who are unsure, and to succeed in persuade some percentage of those who are not initially in favor.

REFERENCES

Transplantation IF. Newsletter transplant. EDQM. 2017, p. 22.
Matesanz R, Domínguez-Gil B, Coll E, Mahíllo B, Marazuela R. How spain reached 40 deceased organ donors per million population. Am J Transplant. 2017; 17: 1447-1454.
De Freitas CG, Bonella EA. Donación de órganos y tejidos humanos: el trasplante en España y en Brasil. Rev Bioét. 2019; 3: 419-429.
Trasplantes ON. Actividad de donación y trasplante 2019. España: Memoria actividad donación y trasplante. 2019.
Rocheleau CA. Increasing family consent for organ donation: findings and challenges. Prog Transplant. 2001; 11 (3): 194-200.
Domínguez-Gil, B. C. Plan estratégico en donación y trasplante de órganos 2018-2022 Sistema Español de Donación y Trasplante. España: Ministerio de Sanidad, Consumo y Bienestar Social. ONT. 2018.
Hulme W, Allen J, Manara AR, Murphy PG, Gardiner D, Poppitt E. Factors in?uencing the family consent rate for organ donation in the UK. Anaesthesia. 2016; 71 (9): 1053-1063.
González CF, Vera CF, Alcayaga DR, González FF. Análisis crítico de la baja tasa de donación de órganos en Chile. Rev Med Chile. 2020; 148: 242-251.
De Groot J, van Hoek M, Hoedemaekers C, Hoitsma A, Smeets W. Decision making on organ donation: the dilemmas of relatives of potential brain dead donors. BMC Medical Ethics. 2015; 16: 64.
López GE. Riesgo de negativa familiar a la donación de órganos y pautas para su manejo: una revisión sistemática de la literatura. Paraninfo Digital. 2020; 31: e3140-3140.
Ramírez TI. Aspectos médicos, éticos y jurídicos sobretrasplantes de órganos y tejidos. En: Muñoz AM. Temas selectos de salud y derecho, Ciudad de México: UNAM, Instituto de Investigaciones Jurídicas. 2002, pp. 109-118.
Centro Nacional de Trasplantes. Reporte anual 2019 de donación y trasplantes en México. Ciudad de México: Secretaría de Salud. (2020).
Arriagada AM, Maquilón S, Benítez B. Donación y trasplante de órganos en Chile. Rev Med Chile. 2018; 146: 675-676.
González CA. Manual de procedimientos para la operación del comité interno de coordinación para la donación de órganos y tejidos con fines terapéuticos. Hospital General Zona Norte. Puebla, Puebla, México. 2015.
Alcayaga DR, Sanhueza AO. Negativa familiar en donación de órganos: una metasíntesis. Revista Investigación Cualitativa. 2019; 4 (1): 49-60.