Guerrero-Morales PH, Mendiola-Gómez T, García-Hernández I, Villarreal-Ríos E

Language: Spanish
References: 13
Page: 116-121
PDF size: 300.89 Kb.

ABSTRACT

Introduction: the need of organs for transplantation represents a great challenge, the demand exceeds by far the availability. Mexico has a donation rate of 3.1 per million inhabitants, being of utmost importance to consider those potential donor's cases that do not materialize due to family refusal. In spite of Queretaro being the first place nationally in cadaveric donation, there is no statistical information on the current social perception of organ donation. Objective: identify the prevalence of family refusal reasons for organ and tissue donation in potential deceased candidates. Material and methods: cross-sectional, observational, retrospective and descriptive design in census of deaths and donor files between January 2020 and March 2023, with a total of 194 family refusals for donation. Results: the main disponers were children and spouses. The reasons for refusal were grouped into 8 categories. The main reason for families to refuse donation of organs or tissues is respect for the will to not donate in life 24.7%, followed by family disagreement, 13.9%, as well as the importance of maintaining bodily integrity with 11.3%, and 9.3% for ignorance of the will of the deceased. Conclusion: the study reveals the main family reasons for refusing cadaveric donation for transplantation purposes, serving as a tool to implement awareness strategies and promote the culture of donation in Mexican society.

REFERENCES

1. Centro Nacional De Trasplantes. Boletín Estadístico - Informativo Del Centro Nacional De Trasplantes Bei-Cenatra. Enero-diciembre 2021; 6 (1). Disponible en: https://www.gob.mx/cms/uploads/attachment/file/740748/FINAL-BEI-CENATRA_2022_30jun22.pdf

2. Pérez-Pacheco AI, Pérez-Pacheco VNP. (2022). Dilemas bioéticos en trasplante de córnea: su importancia en México y alrededor del mundo en 2021. Oftalmología Clínica y Experimental, 15 (2). (Jun. 2022).

3. Querevalú-Murillo W, Orozco-Guzmán R, Díaz-Tostado S, Herrera-Morales KY, López-Teliz T, Martínez-Esparza AC et al. Iniciativa para aumentar la donación de órganos y tejidos en México. Rev Fac Med (Méx). 2012; 55 (1): 12-17.

4. Zepeda-Romero LC, García-García G, Aguirre-Jaúregui O. Resultados de una encuesta sobre donación y trasplante de órganos en la zona metropolitana de Guadalajara, México. Salud pública Méx. 2003; 45 (1): 54-57.

5. Rivera-Durón E, Portillo-García F, Tenango-Soriano V, González-Moreno F, Vázquez-Salinas C. Negativa familiar en un proceso de donación. Arch Neurocien (Mex) INNN. 2014; 19 (2): 83-87.

6. Moraes ELD, Massarollo MCKB. (2008). El rechazo familiar al pedido de donación de órganos y tejidos para transplante. Revista Latino-Americana de Enfermagem, 16, 458-464.

7. Irving MJ, Tong A, Jan S, Cass A, Rose J, Chadban S et al. Factors that influence the decision to be an organ donor: a systematic review of the qualitative literature. Nephrol Dial Transplant. 2012; 27 (6): 2526-2533. doi: 10.1093/ndt/gfr683.

8. Vélez-Vélez E. Donación de órganos, una perspectiva antropológica. Rev Soc Esp Enferm Nefrol. 2007; 10 (3): 19-25.

9. Pérez-San GM, "Factores sociales y psicológicos que influyen en la donación de órganos", Psicothema, vol. 5, núm. 2.

10. Dueñas C. La cultura de la donación de órganos y tejidos en el Hospital General de Pachuca, México, Universidad Autónoma del Estado de Hidalgo, 2005.

11. Tla-Melaua, revista de Ciencias Sociales. Facultad de Derecho y Ciencias Sociales. Benemérita Universidad Autónoma de Puebla, México / issn: 1870-6916 / Nueva Época, año 12, núm. 44, abril-septiembre 2018, 98-119.

12. Simmons RG, Bruce J, Bienvenue R, Fulton J. Who signs an organ donor-card: traditionalism versus transplantation. J Chronic Dis. 1974; 27 (9-10): 491-502. doi: 10.1016/0021-9681(74)90042-3.

13. González, A., Martínez, J. y Manrique, S., Donación de órganos para trasplantes, aspectos psicosociales. Madrid: Universidad Autónoma de Madrid, 2011.