Ríos A, López-Navas A, López-López A, Gómez F J, Iriarte J, Herruzo R, Blanco G, Llorca F J, Asunsolo A, Sánchez P, Gutiérrez P R, Fernández A, de Jesús M T, Martínez-Alarcón L, Del Olivo M, Fuentes L, Hernández J R, Virseda J, Yelamos J, Bondía J A, Hernández A, Ayala M A, Ramírez P, Parrilla P
International Collaborative Donor Project ("Proyecto Colaborativo Internacional Donante"), Avenida de la Libertad no 208, Casillas, 30007, Murcia, Spain.
Department of Surgery, Paediatrics, Obstetrics and Gynaecology, University of Murcia, Murcia, Spain.
World J Urol. 2016 Dec;34(12):1673-1684. doi: 10.1007/s00345-016-1797-3. Epub 2016 Feb 27.
The attitude of medical students towards living kidney donation (LKD) is of great interest given that they will become promoters of this technique in the near future.
To analyse the attitude of Spanish medical students towards related and unrelated LKD and to determine the factors affecting this attitude.
Type of study: A sociological, interdisciplinary, multicentre, and observational study.
Medical students enrolled in Spain (n = 34.000).
A sample of 9598 students (99 % confidence and precision of ±1 %), stratified by geographical area and academic year. Measurement instrument: A validated questionnaire (PCID-DVR RIOS) was administered and completed anonymously.
There was a completion rate of 95.7 % (n = 9275); 93 % (n = 8630) were in favour of related LKD, and 30 % (n = 2784) were in favour of unrelated LKD. The following factors were associated with this attitude: (1) age (p = 0.008); (2) sex (p < 0.001); (3) year of university degree (p < 0.001); (4) a belief that a transplant might be necessary in the future (p < 0.001); (5) attitude towards deceased organ donation (p < 0.001); (6) a willingness to accept a kidney from a living donor (p < 0.001); (7) attitude towards living liver donation (p < 0.001); (8) a partner's attitude towards donation (p < 0.001); (9) having spoken about the subject with one's family (p < 0.001), or friends (p < 0.001); (10) pro-social behaviour (p < 0.001); (11) the respondent's religious attitude (p < 0.001); and (12) fear of possible mutilation of the body after donation (p < 0.001).
The attitude of medical students towards LKD is very favourable when it is the related kind of donation, and it is associated with factors of general knowledge about organ donation and transplantation and social interaction and religion.
鉴于医学生在不久的将来将成为活体肾捐赠（LKD）这项技术的推广者，他们对LKD的态度备受关注。
分析西班牙医学生对亲属活体肾捐赠和非亲属活体肾捐赠的态度，并确定影响这种态度的因素。
研究类型：一项社会学、跨学科、多中心观察性研究。
在西班牙注册的医学生（n = 34000）。
9598名学生的样本（99%置信度，精度±1%），按地理区域和学年分层。测量工具：采用一份经过验证的问卷（PCID - DVR RIOS），以匿名方式进行发放和填写。
问卷完成率为95.7%（n = 9275）；93%（n = 8630）的学生赞成亲属活体肾捐赠，30%（n = 2784）的学生赞成非亲属活体肾捐赠。以下因素与这种态度相关：（1）年龄（p = 0.008）；（2）性别（p < 0.001）；（3）大学学位所在年级（p < 0.001）；（4）认为未来可能需要进行移植的信念（p < 0.001）；（5）对尸体器官捐赠的态度（p < 0.001）；（6）接受活体捐赠者肾脏的意愿（p < 0.001）；（7）对活体肝捐赠的态度（p < 0.001）；（8）伴侣对捐赠的态度（p < 0.001）；（9）与家人（p < 0.001）或朋友（p < 0.001）谈论过该主题；（10）亲社会行为（p < 0.001）；（11）受访者的宗教态度（p < 0.001）；（12）对捐赠后身体可能致残的恐惧（p < 0.001）。
当涉及亲属活体肾捐赠时，医学生对LKD的态度非常积极，且这种态度与器官捐赠和移植的一般知识、社会互动以及宗教等因素相关。
