2015, Number 3
Low mobility of the deceased donor rate in Mexico during the last 10 years: a myth or a reality?
Cantú-Quintanilla G, Alberú-Gómez J, Reyes-Acevedo R, Gracida-Juárez C, Medeiros-Domingo M, Namba-Bando MY, Mendoza-Sánchez F, Ruelas-Villavicencio AL
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Language: Spanish
References: 9
Page: 90-96
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ABSTRACT
Background: Organ transplantations are medical-surgical procedures that are validated and incorporated in the therapeutic arsenal of modern medicine. If they are not more frequently performed, this is mainly because of the insufficient number of donors and because they require a structured organizational level and a great availability of sanitary systems that are not affordable for all countries. In reports of the Sociedad de Trasplantes de América Latina y el Caribe (STALYC, Latin American and Caribbean Transplantation Society) and the Red/Consejo Iberoamericano de Trasplantes (Iberian-American Transplantation Network/Council), Mexico has a current deceased donor rate of 3.6 donors pmp, a figure that has changed very little in the last 10 years. Objective: The objective is to analyze the perception of the scientific community involved in transplantations about the low mobility of decease donor rate in Mexico and its possible causes. Also, to analyze the importance of discussing these bioethical subjects. Material and methods: A survey was made by a group of experts in transplantations to find out possible causes for the lack of growth of the deceased donor rate in the country. The consent of those questioned was requested to participate in an anonymous and confidential poll. A hundred and twenty questionnaires were handed out, of which 76 were answered. Results: 91% of respondents are doctors; 53% work in the clinical area, 46% work in both the public and private sectors; 39% only in the public sector and 12% only in the private, with 10 years average experience in transplants; 39% is part of an internal committee of the hospital transplant. 46% of respondents agree that the deceased donor rate in the country is a real thing, but there is another 36% who think the information is incorrect. However, 89% of respondents think that the data is relevant in the field of public health. Of those surveyed, 91% say that this low rate of donation can be modified and 74% believe that the proper authority should do it. 71% perceive that the authority has not taken the decision to improve the situation because it is not among its priorities. 84% expressed that transplant gives more benefit to the patient and economy than to remain on dialysis; 85% of respondents think that it makes sense to discuss these issues in bioethics and 92% think it is not pointless to address this issue. Conclusions: The relevance of this subject demands the creation of discussion and study forums such as the Congress of the IMIN (Instituto Mexicano de Investigaciones Nefrológicas = Mexican Institute for Nephrological Research) to take advantage of the intellectual assets available, with the purpose of generating feasible alternatives for improving the deceased donor rate in the short term.REFERENCES