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Attitude towards organ donation in German medical students

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Abstract

Purpose

It is well known that personal decision making in respect to organ donation is highly dependent on the balance of knowledge, trust, and fear. We wanted to explore the attitude of German medical students towards organ donation and investigate the relationship between knowledge, trust, and fear in this special subgroup.

Methods

We conducted an online survey utilizing (1) the snowball effect of using Facebook groups and advertisement as well as (2) mailing lists of medical faculties in Germany for distribution.

Results

We surveyed 1370 medical students. 75.8 % (N = 988) of the participants stated to carry an organ donor card and allowed their organs to be donated. 1.8 % (N = 23) refused donation. 22.5 % (N = 293) did not carry an organ donor card. Analysis of the “decided” versus the “undecided” group revealed substantial differences regarding transplantation knowledge (mean knowledge score of 4.23 vs. 3.81; P < 0.001), trust in (mean trust score 4.11 vs. 3.39; P < 0.001), and fear of (mean fear score 1.63 vs. 2.22; P < 0.001) organ donation. 45.9 % of the undecided group (N = 134) opted for accessing additional information material. After reading the info material, 22.7 % (N = 29) stated their willingness to sign a donor card, whereas 76.6 % (N = 98) still could not reach a decision.

Conclusions

The willingness to potentially act as organ donor was related to the pre-existent knowledge, trust, and fear. Access to information material did promote the decision towards organ donation in a group of previously undecided medical students. This advocates initiating information campaigns even in population groups with strong medical background.

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References

  1. Eurotransplant (2015) Waiting list registrations in All ET, by year, by organ, by sequence. http://statistics.eurotransplant.org/reportloader.php?report=57292-6141&format=html&download=0 . Archived at: http://www.webcitation.org/6Xyv9Ha2b. Accessed 28 Jun 2016

  2. Heuer M, Radunz S, Hugo F v, et al. (2014) Online intervention study—willingness to donate organs among the employees of a German University. Eur J Med Res 19(1):43. doi:10.1186/s40001-014-0043-y

    Article  PubMed  PubMed Central  Google Scholar 

  3. Wesslau C, Grosse K, Krüger R, Kücük O, Mauer D, Nitschke FP, Manecke A, Polster F, Gabel D (2006) Transplantationsmedizin: Organspender-Potenzial ist nicht ausgeschöpft. Dtsch Arztebl 103(9):517

    Google Scholar 

  4. Evanisko MJ, Beasley CL, Brigham LE, et al. (1998) Readiness of critical care physicians and nurses to handle requests for organ donation. Am J Crit Care 7(1):4–12

    CAS  PubMed  Google Scholar 

  5. Bilgel H, Sadikoglu G, Bilgel N (2006) Knowledge and attitudes about organ donation among medical students. Transplantationsmedizin 18:91–96

    Google Scholar 

  6. Trompeta JA, Cooper BA, Ascher NL, et al. (2012) Asian American adolescents’ willingness to donate organs and engage in family discussion about organ donation and transplantation. Prog Transplant 22(1):33. doi:10.7182/pit2012328

    Article  PubMed  Google Scholar 

  7. Wong LP (2011) Knowledge, attitudes, practices and behaviors regarding deceased organ donation and transplantation in Malaysia’s multi-ethnic society: a baseline study. Clin Transpl 25(1):E22–E31. doi:10.1111/j.1399-0012.2010.01312.x

    Article  Google Scholar 

  8. Saleem T, Ishaque S, Habib N et al. (2009) Knowledge, attitudes and practices survey on organ donation among a selected adult population of Pakistan. BMC Med Ethics 10. doi: 10.1186/1472-6939-10-5

  9. Saub EJ, Shapiro J, Radecki S (1998) Do patients want to talk to their physicians about organ donation? Attitudes and knowledge about organ donation: a study of Orange County, California residents. J Community Health 23(6):407–417

    Article  CAS  PubMed  Google Scholar 

  10. Cucchetti A, Zanello M, Bigonzi E, et al. (2012) The use of social networking to explore knowledge and attitudes toward organ donation in Italy. Minerva Anestesiol 78(10):1109–1116

    CAS  PubMed  Google Scholar 

  11. Rios A, Lopez-Navas A, Ayala-Garcia MA et al. (2012) Multivariate analysis to determine the factors affecting the attitudes toward organ donation of healthcare assistants in Spanish and Mexican healthcare centers. Transpl P 44(6): 1479–1481. doi: 10.1016/j.transproceed.2012.05.028

  12. Rios A, Lopez-Navas A, Ayala-Garcia MA et al. (2011) Donation and transplantation among personnel in the hospital emergency department: a multicenter study conducted in Spain and Mexico. Transpl P 43(1): 48–51. doi: 10.1016/j.transproceed.2010.11.008

  13. Al-Ghanim SA (2009) The willingness toward deceased organ donation among university students implications for health education in Saudi Arabia. Saudi Med J 30(10):1340–1345

    PubMed  Google Scholar 

  14. Febrero B, Ríos A, López-Navas A, et al. (2014) A multicenter study of the attitude of secondary school teachers toward solid organ donation and transplantation in the southeast of Spain. Clin Transpl 28(2):259–266. doi:10.1111/ctr.12308

    Article  Google Scholar 

  15. Gross T, Martinoli S, Spagnoli G, et al. (2001) Attitudes and behavior of young European adults towards the donation of organs—a call for better information. Am J Transplant 1(1):74–81

    Article  CAS  PubMed  Google Scholar 

  16. Ali NF, Qureshi A, Jilani BN, et al. (2013) Knowledge and ethical perception regarding organ donation among medical students. BMC Med Ethics 14(1):38. doi:10.1186/1472-6939-14-38

    Article  PubMed  PubMed Central  Google Scholar 

  17. Schaeffner ES, Windisch W, Freidel K, et al. (2004) Knowledge and attitude regarding organ donation among medical students and physicians. Transplantation 77(11):1714–1718. doi:10.1097/00007890-200406150-00015

    Article  PubMed  Google Scholar 

  18. Nowak E, Pfitzner R, Koźlik P et al. (2014) Current state of knowledge, beliefs, and attitudes toward organ transplantation among academic students in Poland and the potential means for altering them. Transpl P 46(8): 2509–2518. doi: 10.1016/j.transproceed.2014.09.031

  19. Zhang L, Liu W, Xie S, et al. (2014) Factors behind negative attitudes toward cadaveric organ donation: a comparison between medical and non-medical students in China. Transplantation. doi:10.1097/TP.0000000000000163

    Google Scholar 

  20. Gul A, Ustundag H, Purisa S, et al. (2012) Organ donation: knowledge and attitudes of Health College and other departments’ students in a Turkish University. Healthmed 6(4):1449–1454

    Google Scholar 

  21. Anker AE, Feeley TH, Friedman E, et al. (2009) Teaching organ and tissue donation in medical and nursing education: a needs assessment. Prog Transplant 19(4):343–348

    Article  PubMed  Google Scholar 

  22. Symvoulakis EK, Rachiotis G, Papagiannis D, et al. (2014) Organ donation knowledge and attitudes among health science students in Greece: emerging interprofessional needs. Int J Med Sci 11(6):634–640. doi:10.7150/ijms.8686

    Article  PubMed  PubMed Central  Google Scholar 

  23. Kuckartz U (2009) Evaluation online: Internetgestützte Befragung in der Praxis, 1st edn. Verl. für Sozialwiss, Wiesbaden

    Google Scholar 

  24. Porst R (2011) Fragebogen: Ein Arbeitsbuch, 3rd edn. Verl. für Sozialwiss, Wiesbaden

    Book  Google Scholar 

  25. Raab-Steiner E, Benesch M (2012) Der Fragebogen: Von der Forschungsidee zur SPSS/PASW Auswertung, 3rd edn. UTB GmbH, Stuttgart

    Google Scholar 

  26. Baltar F, Brunet I (2012) Social research 2.0: virtual snowball sampling method using Facebook. INTR 22(1):57–74. doi:10.1108/10662241211199960

    Google Scholar 

  27. Terbonssen T, Settmacher U, Wurst C et al. (2015) Effectiveness of organ donation information campaigns in Germany—a Facebook based online survey. Interact J Med Res. doi: 10.2196/ijmr.4287

  28. Bundeszentrale für gesundheitliche Aufklärung Häufig gestellte Fragen zur Organspende. https://www.organspende-info.de/infothek/faq/organspende. Accessed 28 Jun 2016

  29. Destatis (2014) Zahlen & Fakten - Studierende. https://www.destatis.de/DE/ZahlenFakten/Indikatoren/LangeReihen/Bildung/lrbil05.html. Accessed 28 Jun 2016

  30. Schwettmann L (2015) Decision solution, data manipulation and trust: the (un-)willingness to donate organs in Germany in critical times. Health Policy 119(7):980–989. doi:10.1016/j.healthpol.2015.01.017

    Article  PubMed  Google Scholar 

  31. Hoisl A, Barbey R, Graf BM, et al. (2015) Assessment of the transplantation scandal by the media. Scientific discourse analysis of selected German newspapers. Anaesthesist 64(1):16–25. doi:10.1007/s00101-014-2406-8

    Article  CAS  PubMed  Google Scholar 

  32. Haverich A, Haller H (2016) Organ transplantation in Germany. Critical examination in times of scarce resources. Internist 57(1):7–14. doi:10.1007/s00108-015-3803-z

    Article  CAS  PubMed  Google Scholar 

  33. Inthorn J, Wöhlke S, Schmidt F, et al. (2014) Impact of gender and professional education on attitudes towards financial incentives for organ donation: results of a survey among 755 students of medicine and economics in Germany. BMC Med Ethics 15:56. doi:10.1186/1472-6939-15-56

    Article  PubMed  PubMed Central  Google Scholar 

  34. Radunz S, Juntermanns B, Heuer M, et al. (2012) The effect of education on the attitude of medical students towards organ donation. Ann Transplant 17(1):140–144. doi:10.12659/AOT.882648

    Article  PubMed  Google Scholar 

  35. Figueroa CA, Mesfum ET, Acton NT et al. (2013) Medical students’ knowledge and attitudes toward organ donation: results of a Dutch survey. Transpl P 45(6): 2093–2097. doi: 10.1016/j.transproceed.2013.02.135

  36. Gauher ST, Khehar R, Rajput G, et al. (2013) The factors that influence attitudes toward organ donation for transplantation among UK university students of Indian and Pakistani descent. Clin Transpl 27(3):359–367. doi:10.1111/ctr.12096

    Article  Google Scholar 

  37. Hobeika MJ, Simon R, Malik R, et al. (2009) US surgeon and medical student attitudes toward organ donation. J Trauma 67(2):372–375. doi:10.1097/TA.0b013e3181986ae6

    Article  PubMed  Google Scholar 

  38. Katsari V, Domeyer PJ, Sarafis P, et al. (2015) Giving your last gift: a study of the knowledge, attitude and information of Greek students regarding organ donation. Ann Transplant 20:373–380. doi:10.12659/AOT.894510

    Article  PubMed  Google Scholar 

  39. Uhlig CE, Boehringer D, Hirschfeld G, et al. (2015) Attitudes concerning postmortem organ donation: a multicenter survey in various German cohorts. Ann Transplant 20:614–621. doi:10.12659/AOT.894385

    Article  PubMed  Google Scholar 

  40. Rey JW, Grass V, Galle PR, et al. (2013) Education in organ donation among students in Germany - results of an intervention study. Ann Transplant 18:23–30. doi:10.12659/AOT.883794

    Article  PubMed  Google Scholar 

  41. Yilmaz TU (2011) Importance of education in organ donation. Exp Clin Transplant 9(6):370–375

    PubMed  Google Scholar 

  42. Smits M, van den Borne B, Dijker AJ, et al. (2006) Increasing Dutch adolescents’ willingness to register their organ donation preference: the effectiveness of an education programme delivered by kidney transplantation patients. Eur J Pub Health 16(1):106–110. doi:10.1093/eurpub/cki055

    Article  Google Scholar 

  43. Tokalak I, Kut A, Moray G, et al. (2006) Knowledge and attitudes of high school students related to organ donation and transplantation: a cross-sectional survey in Turkey. Saudi J Kidney Dis Transpl 17(4):491–496

    PubMed  Google Scholar 

  44. Reubsaet A, Brug J, Nijkamp MD, et al. (2005) The impact of an organ donation registration information program for high school students in the Netherlands. Soc Sci Med 60(7):1479–1486. doi:10.1016/j.socscimed.2004.07.014

    Article  CAS  PubMed  Google Scholar 

  45. Rachmani R (2000) The organ donation process-workshop. Transpl P 32(4):759–760

    Article  CAS  Google Scholar 

  46. Radunz S, Benko T, Stern S, et al. (2015) Medical students’ education on organ donation and its evaluation during six consecutive years: results of a voluntary, anonymous educational intervention study. Eur J Med Res 20:23. doi:10.1186/s40001-015-0116-6

    Article  PubMed  PubMed Central  Google Scholar 

  47. Kulow T (2013) Facebook veröffentlicht zum ersten Mal tägliche und (tägliche) mobile Nutzerzahlen für Deutschland. https://www.facebook.com/notes/tina-kulow/facebook-ver%C3%B6ffentlicht-zum-ersten-mal-t%C3%A4gliche-und-t%C3%A4gliche-mobile-nutzerzahlen/724769520882236. Accessed 28 Jun 2016

  48. Fenner Y, Garland SM, Moore EE, et al. (2012) Web-based recruiting for health research using a social networking site: an exploratory study. J Med Internet Res 14(1). doi:10.2196/jmir.1978

  49. Nelson EJ, Hughes J, Oakes JM, et al. (2014) Estimation of geographic variation in human papillomavirus vaccine uptake in men and women: an online survey using Facebook recruitment. J Med Internet Res 16(9):e198. doi:10.2196/jmir.3506

    Article  PubMed  PubMed Central  Google Scholar 

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Correspondence to Uta Dahmen.

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Author contributions

- Study conception and design: Terbonssen T, Settmacher U, Wurst C, Dirsch O, Dahmen U

- Acquisition of data: Terbonssen T

- Analysis and interpretation of data: Terbonssen T

- Drafting of manuscript: Terbonssen T, Dahmen U

- Critical revision of manuscript: Settmacher U, Wurst C, Dirsch O, Dahmen U

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Terbonssen, T., Settmacher, U., Wurst, C. et al. Attitude towards organ donation in German medical students. Langenbecks Arch Surg 401, 1231–1239 (2016). https://doi.org/10.1007/s00423-016-1482-4

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  • DOI: https://doi.org/10.1007/s00423-016-1482-4

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