Public policies to strengthen the donation of organs and tissues. Perspective of a country in the way of development
DOI:
https://doi.org/10.59282/reincisol.V3(5)814-841Keywords:
Donation; transplants; recipient; public policies; promotion.Abstract
The purpose of organ transplantation is to preserve, improve and expand people's quality of life, it provides important social and economic benefits, it allows people to have a new opportunity for an active and productive life, the lack of donors causes a shortage in the availability of organs. that does not allow a solution to the global problem. 22.5% of the Ecuadorian population refuses to be donors. This problem is multifactorial; cultural, organizational, legal, economic, communicational, and training or educational aspects influence establishing the culture of donation. The objective of this article is to describe the current situation of donation and transplantation in Ecuador, with the policies and measures established so far and to establish the main challenges necessary to establish a culture of donation, in accordance with international recommendations and other major programs. success. A systematic review was carried out through a systematic electronic search of articles published from 2018 to July 2023 in the databases PubMed, Springer Scielo, ELSEVIER, Google Scholar, in addition to internationally verified information sources such as the World Health Organization. Health (WHO), Pan American Health Organization (PAHO), Ministry of Health of Ecuador (MSP).
Downloads
Metrics
References
Grinyó JM. Why Is Organ Transplantation Clinically Important? Cold Spring Harb Perspect Med [Internet]. 2013 Jun [cited 2023 Dec 3];3(6). Available from: /pmc/articles/PMC3662355/
Domínguez-Gil B, Fernández-Ruiz M, Hernández D, Crespo M, Colmenero J, Coll E, et al. Organ Donation and Transplantation During the COVID-19 Pandemic: A Summary of the Spanish Experience. Transplantation [Internet]. 2021 Jan 1 [cited 2023 Dec 3];105(1):29–36. Available from: https://journals.lww.com/transplantjournal/fulltext/2021/01000/organ_donation_and_transplantation_during_the.11.aspx
Yadla M. Ethics in organ transplantation. Journal of Renal Nutrition and Metabolism [Internet]. 2021 [cited 2024 Jan 30];7(1):5. Available from: https://journals.lww.com/jrnm/fulltext/2021/07010/ethics_in_organ_transplantation.2.aspx
Manduca KÁ, Jaramillo NP, López AG, Luque FG. Evaluación del conocimiento en donación de órganos y tejidos de los profesionales de salud asociados a servicios de cuidado crítico y urgencias. Revista Científica Salud Uninorte [Internet]. 2021 Jan 1 [cited 2024 Jan 31];37(1):22–37. Available from: https://rcientificas.uninorte.edu.co/index.php/salud/article/view/13198
Tonelli M, Wiebe N, Knoll G, Bello A, Browne S, Jadhav D, et al. Systematic Review: Kidney Transplantation Compared With Dialysis in Clinically Relevant Outcomes. American Journal of Transplantation. 2011 Oct 1;11(10):2093–109.
Registros - Actividad de Donación y Trasplante de órganos, tejidos y células - NEWSLETTER DE LA RCIDT - Sociedad de Trasplante de America Latina y el Caribe [Internet]. [cited 2023 Dec 3]. Available from: https://www.stalyc.net/registros/file/72-actividad-de-donaci%C3%B3n-y-trasplante-de-%C3%B3rganos,-tejidos-y-c%C3%A9lulas-newsletter-de-la-rcidt.html
De Freitas Coelho GH, Bonella AE. Donación de órganos y tejidos humanos: el trasplante en España y en Brasil. Revista Bioética [Internet]. 2019 Sep 26 [cited 2023 Dec 3];27(3):419–29. Available from: https://www.scielo.br/j/bioet/a/Y85LHYRFXvFLsYzT4qDXQkK/?lang=es&format=html
Garner M, Jay CL, Sharda B, Webb C, Farney AC, Orlando G, et al. Long-term outcomes of kidney transplantation from deceased donors with terminal acute kidney injury: Single center experience and literature review. Clin Transplant [Internet]. 2023 Mar 1 [cited 2023 Dec 3];37(3):e14886. Available from: https://onlinelibrary.wiley.com/doi/full/10.1111/ctr.14886
Bezinover D, Saner F. Organ transplantation in the modern era Prof. Dmitri Bezinover, Prof. Fuat Saner. BMC Anesthesiol [Internet]. 2019 Mar 4 [cited 2023 Dec 3];19(1):1–4. Available from: https://link.springer.com/articles/10.1186/s12871-019-0704-z
Black CK, Termanini KM, Aguirre O, Hawksworth JS, Sosin M. Solid organ transplantation in the 21st century. Ann Transl Med [Internet]. 2018 Oct [cited 2024 Jan 30];6(20):409–409. Available from: /pmc/articles/PMC6230860/
Puerta CV, García-Rivera E, Bello SF. Historia de los trasplantes. ANALES DE LA REAL ACADEMIA DE MEDICINA Y CIRUGÍA DE VALLADOLID [Internet]. 2020 Sep 11 [cited 2024 Jan 30];(56):39–51. Available from: https://revistas.uva.es/index.php/anamedi/article/view/7819
Orús MG. La donación de órganos y tejidos en Ecuador Organ and tissue donation in Ecuador. Revista Ecuatoriana de Neurología [Internet]. [cited 2023 Dec 3];32(1):2023. Available from: http://www.donaciontrasplante.gob.
Argüero-Sánchez R, Sánchez-Ramírez O, Olivares-Durán EM, Argüero-Sánchez R, Sánchez-Ramírez O, Olivares-Durán EM. Donación de órganos y trasplantes en México, ¿todo está resuelto? Gac Med Mex [Internet]. 2020 Jun 1 [cited 2023 Dec 3];156(3):181–3. Available from: http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0016-38132020000300181&lng=es&nrm=iso&tlng=es
Danziger-Isakov L, Blumberg EA, Manuel O, Sester M. Impact of COVID-19 in solid organ transplant recipients. American Journal of Transplantation. 2021 Mar 1;21(3):925–37.
Informe Registro Mundial de Donación y Trasplante. Septiembre 2022 – Organización Nacional de Trasplantes [Internet]. [cited 2023 Dec 3]. Available from: https://www.ont.es/2023/02/10/20220911-sanidad_ont/
Estadísticas INDOT – Instituto Nacional de Donación y Trasplante de Órganos, Tejidos y Células [Internet]. [cited 2024 Jan 30]. Available from: http://www.donaciontrasplante.gob.ec/indot/estadisticas-indot/
Gobierno Nacional de La República del Ecuador.
Órganos DE, Células TY, Litardo J, León DN, Ejecutiva D, Vicente J, et al. PLANIFICACIÓN ESTRATÉGICA INSTITUCIONAL INSTITUTO NACIONAL DE DONACIÓN Y TRASPLANTE Firmado electrónicamente por: PLANIFICACIÓN ESTRATÉGICA INSTITUCIONAL Contenido.
Mauricio E, Lalama E, Castillo Muñoz ME, Sofía E, Vaca E. Estado actual de la actividad trasplantológica en el Ecuador. Metro Ciencia [Internet]. 2023 Mar 31 [cited 2024 Jan 30];31(1):36–50. Available from: https://revistametrociencia.com.ec/index.php/revista/article/view/544/549
Delgado RC. REGLAMENTO A LEY ORGANICA DE DONACION Y TRANSPLANTE DE ORGANOS. [cited 2024 Jan 30]; Available from: www.lexis.com.ec
Gilbert Orús MD, Gilbert Orús MD. La donación de órganos y tejidos en Ecuador. Revista Ecuatoriana de Neurología [Internet]. 2023 [cited 2023 Dec 3];32(1):10–1. Available from: http://scielo.senescyt.gob.ec/scielo.php?script=sci_arttext&pid=S2631-25812023000100010&lng=es&nrm=iso&tlng=es
Martínez-Urionabarrenetxea K. Bioética y trasplante de órganos. Diálisis y Trasplante [Internet]. 2008 Jul 1 [cited 2023 Dec 3];29(3):116–24. Available from: https://www.elsevier.es/es-revista-dialisis-trasplante-275-articulo-bioetica-trasplante-organos-13125962
Kiani M, Abbasi M, Ahmadi M, Salehi B. Organ Transplantation in Iran; Current State and Challenges with a View on Ethical Consideration. Journal of Clinical Medicine 2018, Vol 7, Page 45 [Internet]. 2018 Mar 5 [cited 2023 Dec 3];7(3):45. Available from: https://www.mdpi.com/2077-0383/7/3/45/htm
Suhre W, Van Norman GA. Ethical Issues in Organ Transplantation at End of Life: Defining Death. Anesthesiol Clin [Internet]. 2020 Mar 1 [cited 2024 Jan 30];38(1):231–46. Available from: http://www.anesthesiology.theclinics.com/article/S1932227519300916/fulltext
Modra L, Hilton A. Ethical issues in organ transplantation. Anaesthesia & Intensive Care Medicine. 2021 Aug 1;22(8):467–70.
Alhawari Y, Verhoff MA, Ackermann H, Parzeller M. Religious denomination influencing attitudes towards brain death, organ transplantation and autopsy—a survey among people of different religions. Int J Legal Med. 2020 May 1;134(3):1203–12.
Doerry K, Oh J, Vincent D, Fischer L, Schulz-Jürgensen S. Religious and cultural aspects of organ donation: Narrowing the gap through understanding different religious beliefs. Pediatr Transplant [Internet]. 2022 Nov 1 [cited 2024 Jan 30];26(7):e14339. Available from: https://onlinelibrary.wiley.com/doi/full/10.1111/petr.14339
Smith HJ. The ethical implications and religious significance of organ transplantation payment systems. Med Health Care Philos [Internet]. 2016 Mar 1 [cited 2024 Jan 30];19(1):33–44. Available from: https://pubmed.ncbi.nlm.nih.gov/25772853/
Kobashigawa J, Dadhania D, Bhorade S, Adey D, Berger J, Bhat G, et al. Report from the American Society of Transplantation on frailty in solid organ transplantation. American Journal of Transplantation. 2019 Apr 1;19(4):984–94.
Real Decreto 1723/2012, de 28/12/2012, por el que se regulan las actividades de obtención, utilización clínica y coordinación territorial de los órganos humanos destinados al trasplante y se establecen requisitos de calidad y seguridad. [Internet]. [cited 2023 Dec 3]. Available from: https://www.sehh.es/servicios-para-los-socios/472-documentos/normativa-legal/1764-real-decreto-1723-2012-de-28-12-2012-por-el-que-se-regulan-las-actividades-de-obtencion-utilizacion-clinica-y-coordinacion-territorial-de-los-organos-humanos-destinados-al-trasplante-y-se-establecen-requisitos-de-calidad-y-seguridad
Hamoda RE, McPherson LJ, Lipford K, Jacob Arriola K, Plantinga L, Gander JC, et al. Association of sociocultural factors with initiation of the kidney transplant evaluation process. American Journal of Transplantation. 2020 Jan 1;20(1):190–203.
Lewis A, Koukoura A, Tsianos GI, Gargavanis AA, Nielsen AA, Vassiliadis E. Organ donation in the US and Europe: The supply vs demand imbalance. Transplant Rev. 2021 Apr 1;35(2):100585.
Kobashigawa J, Dadhania D, Bhorade S, Adey D, Berger J, Bhat G, et al. Report from the American Society of Transplantation on frailty in solid organ transplantation. American Journal of Transplantation. 2019 Apr 1;19(4):984–94.
Hepp J, Beca JP, Moran S, Roessler E, Uribe M, Palacios JM, et al. Donación y trasplante de órganos: propuesta desde la Academia Chilena de Medicina. Rev Med Chil [Internet]. 2020 Mar [cited 2024 Jan 31];148(3):381–6. Available from: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000300381&lng=es&nrm=iso&tlng=es
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Álvaro Bryan Rodas Ramos, Cinthia Katherine Galarza Galarza
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.