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Title: Medical students faced with related and unrelated living kidney donation: a stratified and multicentre study in Spain
Authors: Ríos, A.
López-Navas, A.
López-López, A.
Gómez, F. J.
Iriarte, J.
Herruzo, R.
Blanco, G.
Llorca, F. J.
Asunsolo, A.
Sánchez, P.
Gutiérrez, P. R.
Fernández, A. 
Jesús, M. T.
Martínez-Alarcón, L.
Olivo, M. del
Fuentes, L.
Hernández Hernández, Juan Ramón 
Virseda, J.
Yelamos, J.
Bondía, J. A.
Hernández, A. 
Ayala, M. A.
Ramírez, P.
Parrilla, P.
UNESCO Clasification: 32 Ciencias médicas
710304 Ética de la ciencia
Keywords: Attitude
Living kidney donation
Medical students
Organ donation
Issue Date: 2016
Journal: World Journal of Urology 
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.
ISSN: 0724-4983
DOI: 10.1007/s00345-016-1797-3
Source: World Journal of Urology [ISSN 0724-4983], v. 34 (12), p. 1673-1684
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