Organ transplantation and donation from the point of view of medical students in Iran: Ethical aspects and knowledge

Abbasi, Morteza; Kiani, Mohammad Ali; Ahmadi, Mehdi; Salehi, Bahare

doi:10.14715/cmb/2018.64.1.16

Cited by 9 publications

(15 citation statements)

References 20 publications

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“…Table 1 shows that willingness to donate organs is related to knowledge about organ donation (Abbasi et al 2018 ; Sayedalamin et al 2017 ; Agrawal et al 2017 ; Merdad et al 2017 ; Elsafi et al 2017 ; Al Habeeb et al 2017 ; Flayou et al 2016 ; Al Bshabshe et al 2016 ; Almohsen et al 2016 ; Afzal Aghaee et al 2015 ; Alsaied et al 2012 ; Alam 2007 ; Shahbazian et al 2006 ; El-Shoubaki and Bener 2005 ). Among the 14 included studies, knowledge was measured by administering a questionnaire which included the questions addressing various aspects of organ donation.…”

Section: Resultsmentioning

confidence: 99%

“…Most of these questions were true or false type. Generally knowledge on organ donation were addressed in the questionnaires as following: (1) general knowledge about the organ donation, (2) awareness on procurement and distribution of donated organs, (3) religious and cultural understanding on organ donation, and (4) awareness among ethnic minority population regarding the relevance of organ donation (Abbasi et al 2018 ; Sayedalamin et al 2017 ; Merdad et al 2017 ; Elsafi et al 2017 ; Al Habeeb et al 2017 ; Flayou et al 2016 ; Al Bshabshe et al 2016 ; Almohsen et al 2016 ; Afzal Aghaee et al 2015 ; Alsaied et al 2012 ). Three studies were conducted in general population (Alam 2007 ; Shahbazian et al 2006 ; El-Shoubaki and Bener 2005 ).…”

Section: Resultsmentioning

confidence: 99%

“…Studies had demonstrated that willingness to donate organs is related to knowledge about organ donation. Knowledge was measured by administering questionnaires which address general knowledge on organ donation, awareness on procurement and distribution of donated organs, religious and cultural understanding on organ donation (Abbasi et al 2018 ; Sayedalamin et al 2017 ; Merdad et al 2017 ; Elsafi et al 2017 ; Al Habeeb et al 2017 ; Flayou et al 2016 ; Al Bshabshe et al 2016 ; Almohsen et al 2016 ; Afzal Aghaee et al 2015 ; Alsaied et al 2012 ).…”

Section: Discussionmentioning

confidence: 99%

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Knowledge and Willingness for Organ Donation in the Middle Eastern Region: A Meta-analysis

et al. 2019

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Medical advancements over the past decades brought organ transplantation as a definitive therapy for different end-stage organ failure. However, non-availability of organs required for transplantation is a major challenge worldwide. We aimed to determine the knowledge and willingness to donate organs in various populations and settings in the Middle Eastern region. Literature searches were conducted on PubMed, MEDLINE, Cochrane, and Google scholar electronic databases. Different combinations of search terms such as "organ donation"; "knowledge", "awareness"; "beliefs", "willingness"; and "attitude" along with the country names were used. Additional searches using reference lists of studies and review articles were conducted. Data were extracted using standardized excel form and pilot tested. Three authors independently abstracted the data using a data collection form. Results from different studies were pooled for the analysis when appropriate. The search yielded 1806 articles; 1000 duplicates and review articles were excluded, and a further 792 articles not relevant were excluded. Finally, 14 original studies met the inclusion criteria. Total pooled sample size for assessing knowledge was 6697 and for willingness was 8714. Pooled overall knowledge regarding organ donation was 69% with a 95% CI [64.5, 73.5]. Pooled overall willingness to donate organ was 49.8% with a 95% CI [41.3, 58.4]. Knowledge about organ donation and willingness to donate organs varies in different population and settings in the Middle East. These in fact are linked to multiple social factors ultimately leads to 'consent' for donating organs by a potential donor. Family's influence; religious, traditional and spiritual beliefs; and status of ethnic, minority, and immigrant populace are the important determinants of the decision for organ donation. Understandings on social determinants in organ donation remain crucial and should be addressed while developing policies and organizational developments.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Knowledge and Willingness for Organ Donation in the Middle Eastern Region: A Meta-analysis

et al. 2019

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“…Transplant surgery is the ultimate and the only treatment for end-stage organ failure patients [1–3]. The number of patients waiting for transplants shows an increasing tendency worldwide.…”

Section: Introductionmentioning

confidence: 99%

A Single-Center Experience with an Intensivist-Led Brain-Dead Donor Management Program

et al. 2018

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BackgroundThe aim of this study is to report our experience of brain-dead donor management by a dedicated intensivist who had wide experience in treatment of hemodynamically unstable patient and to suggest a role for intensivists in organ donation.Material/MethodsThe management of brain-dead donors was performed by experienced intensivists. The hospital medical records and data from the Korean Network of Organ Sharing from August 2013 to December 2016 were reviewed retrospectively.ResultsFifty-four brain death patients (3.2% of KONOS nationwide data) donated organs in our institution during 41 months. Dedicated intensivists managed deceased patients for the whole duration (2.81±1.21 days) of management, not only with conservative therapies like fluid resuscitation, vasopressor, or hormonal replacement, but also with pulmonary artery catheter insertion for cardiac output monitoring (n=47, 87.0%) and continuous renal replacement therapy (n=22, 40.7%). The number of donors increased each year. The mean number of retrieved organs in each deceased donor was 3.98±1.55, more than the national average (3.26) and comparable to the higher level among the recent worldwide data. The number of donations by organ was: 23 hearts (4.9% of nationwide data), 17 lungs (7.5% of nationwide data), 102 kidneys (3.3% of nationwide data), 47 livers (3.1% of nationwide data), 6 pancreases (2.9% of nationwide data), 1 pancreatic duct (11.1% of nationwide data), and 1 small intestine (12.5% of nationwide data).ConclusionsManagement by dedicated intensivists will improve not only the number of actual organ donors, but also the number of harvested organs.

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“…However, for the heart, lung, and liver, and for corneal tissue, it is necessary to transplant the organ/tissue from the cadaver. Considering that, today, the advancement of knowledge and technology in the field of organ and tissue transplantation is very significant [ 9 ], and that the ethical issues on organ transplants have also changed remarkably [ 10 , 11 , 12 ], new topics concerning transplantation have attracted the attention of lawyers, religious leaders and moral philosophers; different cultures and religions in societies also have a great influence on ethical decision making and the transplantation of organs [ 13 , 14 ].…”

Section: Introductionmentioning

confidence: 99%

Organ Transplantation in Iran; Current State and Challenges with a View on Ethical Consideration

Kiani

Abbasi

Ahmadi

et al. 2018

JCM

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Organ transplantation is a new issue in medical science. It is an important achievement and a sign of the progression and ability of medical centers around the world. Governments, populations, the medical community and people involved in culture, art, and media all have a decisive role in the culture of organ donation, which is the only way to guarantee that the healthy organs of a brain-dead person can continue to work and save the lives of people in need of organ transplantation. The brain death phenomenon and its possible application in organ transplantation, while offering new hope for the salvation of a number of patients, has led to many ethical, cultural, and legal issues. Ethical issues in organ transplantation are very complicated due to many social factors such as religion, culture, and traditions of the affected communities. The ethical and legal points of removing organs from the body of a living or cadaveric source, the definition of brain death, the moral and legal conditions of the donor and the recipient, and the financial relationship between them and many others, are all critical issues in organ transplantation. While there may be no available explicit solution to these issues, they should be rigorously considered by the experts. Efforts to systematically eliminate barriers and solve problems in organ transplantation, can not only reduce the costs of maintaining brain-dead patients and encourage patients that need organ transplantation but can also prevent immoral and illegal activities. In this paper, we have reviewed the most important and current challenges in organ transplantation with a view to the ethical considerations, and we have suggested some strategies to extend it in Iran.

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Organ transplantation and donation from the point of view of medical students in Iran: Ethical aspects and knowledge

Cited by 9 publications

References 20 publications

Knowledge and Willingness for Organ Donation in the Middle Eastern Region: A Meta-analysis

Knowledge and Willingness for Organ Donation in the Middle Eastern Region: A Meta-analysis

A Single-Center Experience with an Intensivist-Led Brain-Dead Donor Management Program

Organ Transplantation in Iran; Current State and Challenges with a View on Ethical Consideration

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