Lafreniere Ann-Sophie, Al-Halabi Becher, Thibaudeau Stephanie, Temple-Oberle Claire
Division of Plastic and Reconstructive Surgery, University of Calgary, Alberta, Canada.
Division of Plastic and Reconstructive Surgery, McGill University, Quebec, Canada.
Plast Reconstr Surg Glob Open. 2021 Nov 29;9(11):e3958. doi: 10.1097/GOX.0000000000003958. eCollection 2021 Nov.
Despite the success of composite tissue allograft (CTA) such as face and hand transplant at improving recipients' quality of life, organ donors' hesitation needs to be better understood. The aim of the study was to assess Canadian organ donors' willingness to donate their face and hands, and the efficacy of an educational intervention.
Canadians registered for organ donation were invited to complete an online survey about CTA. An interactive vignette was introduced part way through to clarify transplant-related concepts, with repeat of questions post-vignette exposure to assess attitudes pliability.
A total of 942 participants completed the survey. Fifty-two percent of donors were willing to donate their face after passing, whereas 80% were willing to donate their hands. Reasons to refuse CTA donation included the risk of upsetting their family, having someone look like them, and wanting their body to remain intact. Donors' willingness to donate their face (38%, < 0.001) and hands (79%, = 0.67) decreased following vignette exposure. Comparative analysis of our interventional vignette with a similar study where donors' donation readiness increased after an educational intervention revealed that our vignette lacked a strong enough emotional component to positively impact donors' attitude to CTA, and may have exposed participants to alternatives to transplant they were not previously aware of.
Canadian organ donors surveyed were willing to donate their face and hands following death, a willingness reduced after watching our informative vignette. Further qualitative work is required to better understand the educational needs and areas to address to increase donors' acceptance of CTA.
尽管复合组织同种异体移植（CTA）如面部和手部移植在改善受者生活质量方面取得了成功，但器官捐献者的犹豫态度仍需得到更好的理解。本研究的目的是评估加拿大器官捐献者捐献面部和手部的意愿，以及教育干预的效果。
邀请登记为器官捐献者的加拿大人完成一项关于CTA的在线调查。在调查过程中引入了一个交互式小插曲，以澄清与移植相关的概念，并在小插曲展示后重复提问，以评估态度的可塑性。
共有942名参与者完成了调查。52%的捐献者愿意在去世后捐献面部，而80%的捐献者愿意捐献手部。拒绝CTA捐献的原因包括担心让家人难过、担心有人长得像自己以及希望身体保持完整。在小插曲展示后，捐献者捐献面部的意愿（38%，<0.001）和捐献手部的意愿（79%，=0.67）有所下降。将我们的干预性小插曲与另一项类似研究进行比较分析，在该研究中，教育干预后捐献者的捐献意愿有所增加，结果显示我们的小插曲缺乏足够强烈的情感成分来积极影响捐献者对CTA的态度，并且可能让参与者接触到了他们以前不知道的移植替代方案。
接受调查的加拿大器官捐献者愿意在死后捐献面部和手部，但在观看我们的信息性小插曲后，这种意愿有所降低。需要进一步开展定性研究，以更好地了解教育需求和需要解决的领域，以提高捐献者对CTA的接受度。
