An Asian perspective on organ transplantation

Tai, Michael Cheng-tek

doi:10.1007/s10354-009-0703-7

Cited by 19 publications

(8 citation statements)

References 3 publications

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“…The differing views on replantation between the Japanese general population and Japanese surgeons may be caused by stronger cultural beliefs held by the general population. The teachings of Confucius say that one’s body must be safeguarded so if one is born with a whole body they must die with a whole body 16 . This belief may differ among surgeons who, after going through medical training and witnessing injuries and disease, may have developed a more pragmatic view.…”

Section: Discussionmentioning

confidence: 99%

“…Increased use could be due to higher reimbursement in Japan compared to the US 12 , but also may be attributed to broader indications for replantation, possibly owing to cultural differences 13–15 . The Japanese may be more concerned over the appearance of their hand and have stronger body integrity beliefs compared to Americans 16 . Shared cultural influences in Japan may align patient and physician preferences, resulting in a higher rate of replantation.…”

Section: Introductionmentioning

confidence: 99%

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Cross-cultural variation in preference for replantation or revision amputation: Societal and surgeon views

Maroukis

Shauver

Nishizuka

et al. 2016

Injury

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Treatment decisions after an injury like finger amputation are made based on injury and patient factors. However, decisions can also be influenced by provider and patient preferences. We compared hand surgeon and societal preferences and attitudes regarding finger amputation treatment in Japan and the US. We performed a cross-sectional survey with subjects derived from large tertiary care academic institutions in the US and Japan. We secured 100% participation of American hand surgeon members of the Finger Replantation and Amputation Multicenter Study and presenting hand surgeons at the 32nd Annual meeting of the Central Japanese Society for Surgery of the Hand. Societal preferences were gathered from volunteers at the 2 universities in the US and Japan. There were no significant differences in estimations of function, sensation, or appearance after replantation; American and Japanese societal participants preferred replantation compared to surgeons, although this was more pronounced in Japan. The Japanese society displayed more negative attitudes toward finger amputees than did Japanese surgeons. American respondents anticipated more public stigmatization of amputees than did American surgeons. Societal preference for replantation was not caused by inflated expectations of outcomes after replantation. Japanese societal preference was likely driven by negative views of finger amputees. American society noted no decrease in physical health after amputation, but did note a quality of life decrease attributed to public stigmatization. Japanese society and surgeons had a stronger preference for replantation than American society and surgeons, possibly attributed to cultural differences.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Cross-cultural variation in preference for replantation or revision amputation: Societal and surgeon views

Maroukis

Shauver

Nishizuka

et al. 2016

Injury

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“…The national Fatwa Committee of 1970, assisted by a panel of medical experts, made the decision to allow organ transplantation based on acceptable juridical principles. Based on Confucian philosophy, those who are born with a complete body should end the same way when they pass away because it is considered disrespectful to parents and ancestors if any organ is missing (Chung et al, 2008;Cheng-tek, 2009 Concern about the suffering of the corpse was the third most-cited reason that respondents decided not to pledge. Taoism states that in the world after death, there is another type of life that has the same needs as before, including food, clothing and also money.…”

Section: Discussionmentioning

confidence: 99%

Organ Donation by Sociodemographic Characteristics in Malaysia

Riyanti¹,

Hatta²,

Norhafizah³

et al. 2014

ASS

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Willingness to pledge as an organ donor after death in Malaysia increased from 26 donors to 39 donors in 2009 compared with the previous year. However, this is still a relatively low number, translating to a donation rate of 1.38 per one million people. The aim of this study was to determine the proportion of receiving information about organ donation, willingness to donate, refusal factors for organ donation and reasons for refusal. We used data from organ donation module from the National Health and Morbidity Survey (NHMS) 2006, a nationwide cross-sectional study by the Institute for Public Health. Data were analyzed using SPSS ver. 19 and Stata Ver. 11 for descriptive and inferential statistics. They were 34,208 respondents in this study. About 69.6% (95%CI: 68.65-70.15 respondents who ever received information on organ donation and the proportion of those who pledged as organ donors was 1.5% (95%CI: 1.40-1.70). Pledge for organ donor was less likely among Malays (aOR=3.45, p<0.001), those with no formal education (aOR=3.93, p=0.001) and those with monthly incomes less than RM1000 (aOR=1.87, p=0.001). Main reasons for not pledging were fear (39.4%), against their religion (10.5%) and uncertainty because of religion (10.9%). Study revealed receiving information alone won't encourage organ donation. Therefore, awareness and in-depth knowledge is necessity to create positive perception on pledging for organ donation.

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“…Confucianism emphasizes protecting body integrity. (9,10) For instance, in this belief, one should end with a complete body at death if one is born with a complete body. This may lead many Asians (including Japanese) to prefer finger replantation.…”

Section: Introductionmentioning

confidence: 99%

A Comparative Study of Attitudes Regarding Digit Replantation in the United States and Japan

Nishizuka

Shauver

Zhong

et al. 2015

The Journal of Hand Surgery

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Purpose To compare the societal preferences for finger replantation between US and Japan and to investigate factors influencing the preferences. Methods A sample of the general population without current hand disease or condition was recruited via flyers posted in public areas of 2 major academic centers in the US and Japan. The recruited subjects completed a survey presenting finger amputation scenarios and various factors that may affect treatment decisions. We performed univariate analysis using treatment preference as the outcome and all other factors as possible predictors using the chi-square test. Results The majority of respondents in both countries preferred replantation, and there was no significant difference between the US and Japan. Treatment preference was significantly associated with the importance of appearance, recovery time, and the chance of survival of the replanted digit. There was no association between treatment preference and attitudes on body integrity or estimate of stigma towards finger amputees. Japanese participants agreed more with statements of body integrity, and Japanese respondents rated appearance, sensation, and chance of survival of the replant as more important than American participants. Conclusions Patient preference is not driving the decrease in finger replantations in the US. The general public in both countries prefer replantation over wound closure for digit amputations. Level of Evidence Economic/Decision Analysis Level III

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An Asian perspective on organ transplantation

Cited by 19 publications

References 3 publications

Cross-cultural variation in preference for replantation or revision amputation: Societal and surgeon views

Cross-cultural variation in preference for replantation or revision amputation: Societal and surgeon views

Organ Donation by Sociodemographic Characteristics in Malaysia

A Comparative Study of Attitudes Regarding Digit Replantation in the United States and Japan

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