Causes of Organ Donation Refusal in Southern Iran

Abstract Background Family refusal is an important factor that limits the number of organ donations. Some studies from different centers have reported various reasons for family decisions of organ donation refusal. This study evaluated the reasons for organ donation refusal by family members covered...

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Bibliographic Details
Published in:Transplantation proceedings 2011-03, Vol.43 (2), p.410-411
Main Authors: Dehghani, S.M, Gholami, S, Bahador, A, Nikeghbalian, S, Eshraghian, A, Salahi, H, Kazemi, K, Shamsaei, A, Malek-Hosseini, S.A
Format: Article
Language:English
Subjects:
Adult
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Attitude to Death
Biological and medical sciences
Brain Death
Clinical death. Palliative care. Organ gift and preservation
Family - psychology
Female
Fundamental and applied biological sciences. Psychology
Fundamental immunology
Humans
Iran
Male
Medical sciences
Refusal to Participate
Surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Tissue and Organ Procurement - methods
Tissue and Organ Procurement - statistics & numerical data
Tissue Donors - psychology
Tissue, organ and graft immunology
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Summary:Abstract Background Family refusal is an important factor that limits the number of organ donations. Some studies from different centers have reported various reasons for family decisions of organ donation refusal. This study evaluated the reasons for organ donation refusal by family members covered in our organ procurement organization. Methods This cross-sectional study was performed among families of potential organ donors who satisfied brain death criteria as identified between March 2009 and March 2010. Results Among 125 potential donors 73 (58.4%) families refused donation. Their main reasons were as follows: lack of acceptance of brain death n = 26 (35.6%), belief in miracle and patient recovery ( n = 22; 30.1), fear of gossip regarding sale rather than autonomous organ donation ( n = 11; 15.1%), and fear about deformation of the donor's body ( n = 9; 12.3%). Conclusion Family members play an important role in the final decision for organ donation. The general public should be encouraged to register their donation preferences in the case of brain death.
ISSN:0041-1345
1873-2623
DOI:10.1016/j.transproceed.2011.01.022