Factors Influencing families' refusal for deceased organ and tissue donation in Malaysia

Aniza Ismail, K. S. Naren, L. Y. Mansor, S. Leny Suzana, Z. Hani Nadhirah, H. Hasdy

Research output: Contribution to journalArticle

Abstract

Background: Thousands of lives are saved or enhanced through organ and tissue transplantation each year. It has been widely discussed that families' refusal represents a barrier for a donation to take place. Knowledge of the factors that may influence families' decision-making could be helpful in reducing the shortage for organ and tissue transplantation. Objective: The purpose of this study was to measure the prevalence of families' refusals and associated factors for deceased organ and tissue donation in Malaysia. Methods: Retrospective cross sectional study was conducted among the potential donor referrals. Data was retrieved via National Transplant Procurement Management Database (NTPM) from January 2010 to May 2014. Results: Refusal rate was 57% (251/440). Multiple logistic regression analysis revealed that Malay was fourteen times more likely to refuse compared to non-Malay (aOR 14.14, CI 6.55-30.54, p < 0.001). As compared to family initiated donation, family was about thirteen times and eleven times more likely to refuse when approached by a Transplant Procurement Management Unit (TOP) team member (aOR 13.21, CI 6.85-25.47, p < 0.001) and by a non-TOP team member (aOR 10.93, CI 5.37-22.23, p < 0.001) respectively. Conclusion: Religious body or cultural leaders must strategically engage more Malays to participate in organ and tissue donation. Training and development must be continued to improve approach skills among the transplant coordinators and hospital staff with prospective donor families.

Original languageEnglish
Pages (from-to)290-294
Number of pages5
JournalInternational Medical Journal
Volume24
Issue number3
Publication statusPublished - 2017

Fingerprint

Tissue and Organ Procurement
Malaysia
Tissue Transplantation
Organ Transplantation
Transplants
Decision Making
Referral and Consultation
Cross-Sectional Studies
Logistic Models
Regression Analysis
Databases

Keywords

  • Brain death
  • Families' refusals
  • Organ donation
  • Organ transplant

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Ismail, A., Naren, K. S., Mansor, L. Y., Leny Suzana, S., Hani Nadhirah, Z., & Hasdy, H. (2017). Factors Influencing families' refusal for deceased organ and tissue donation in Malaysia. International Medical Journal, 24(3), 290-294.

Factors Influencing families' refusal for deceased organ and tissue donation in Malaysia. / Ismail, Aniza; Naren, K. S.; Mansor, L. Y.; Leny Suzana, S.; Hani Nadhirah, Z.; Hasdy, H.

In: International Medical Journal, Vol. 24, No. 3, 2017, p. 290-294.

Research output: Contribution to journalArticle

Ismail, A, Naren, KS, Mansor, LY, Leny Suzana, S, Hani Nadhirah, Z & Hasdy, H 2017, 'Factors Influencing families' refusal for deceased organ and tissue donation in Malaysia', International Medical Journal, vol. 24, no. 3, pp. 290-294.
Ismail A, Naren KS, Mansor LY, Leny Suzana S, Hani Nadhirah Z, Hasdy H. Factors Influencing families' refusal for deceased organ and tissue donation in Malaysia. International Medical Journal. 2017;24(3):290-294.
Ismail, Aniza ; Naren, K. S. ; Mansor, L. Y. ; Leny Suzana, S. ; Hani Nadhirah, Z. ; Hasdy, H. / Factors Influencing families' refusal for deceased organ and tissue donation in Malaysia. In: International Medical Journal. 2017 ; Vol. 24, No. 3. pp. 290-294.
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