Analyse des raisons motivant le refus du don d’organes par les familles de patients en état de mort encéphalique dans un centre régional de prélèvement

Challenges of Organ Donation: Potential Donors for Transplantation in an Area of Brazil's Northeast

“…In Spain, India, and Puerto Rico, there is also a predominance of potential donors in the male population [9e11]. One study from France evaluated data between 2012 and 2013 and identified a male:female ratio of 1.4:1 for potential donors, which was supported by our findings [12].…”

“…In São Paulo, the most common age range of potential donors was 41 to 60 years [14]. Another study carried out between 2012 and 2013 in France, the average age was 50 years [12]. Our data may be the result of the aging of the Brazilian population, which has undergone an increase in life expectancy in recent years, and also the modification of selection criteria for donors, which were previously more restrictive with regard to age [7,8].…”

“…In Hong Kong, in a recent large study involving 1740 patients, the family authorization rate for organ donation was only 36.8% [21]. In a French study, 34% of the causes of non-donation were due to family refusal [12]. The UK has a refusal rate for organ donation considered to be among the highest in Europe, with 42% refusals before organ donation request [22].…”

“…Regarding reason for refusal, 39% of family members indicated written refusal or that this issue had been spoken about in life. Twenty-eight percent of refusals were to keep the integrity of the body and 11% were related to religious belief [12].…”

Caracterização do processo de doação de órgãos em uma região do nordeste brasileiro

“…Estudo realizado na Toscana (Itália), com objetivo de conhecer fatores envolvidos na recusa familiar para doação de órgãos, encontrou que a idade tem influência na decisão, onde familiares de pacientes com idades mais avançadas recusam mais o processo. 38 Em outro estudo realizado na França, com 148 prontuários de pacientes não doadores, foi percebido que, só em 4,7% dos casos a idade jovem do doador foi motivo de recusa. 40 No Brasil, esses dados corroboram com estudo realizado em São Paulo, onde os pacientes não doadores possuíam idade mais elevada.…”