Medicine and Dentistry are the only careers performing human body dissection and teaching-learning of Anatomy with cadaveric material in our university. Physicians and dentists’ knowledge and opinion on the topic are particularly important because they could be considered as potential procurators due to their contact and influence on patient’s decisions. We surveyed 528 professionals (429 physicians and 99 dentists) collecting some demographic data and questions about organ and whole body donation. Results showed that 94% should donate organs for transplantation, 66% knew about body donation, 66% was interested in further information and 48% should be willing to donate the own body for teaching and research. Main reasons to donate were to support teaching and research, contribute to the science and to be useful. In conclusion, we found that professionals had a very positive attitude in relation to body donation, independently of gender, age, religion, regional origin or specialities, but with significant differences between physicians and dentists. Compared with students, they had better attitude which could be related to a better information and experience. In comparison with the few published articles we found, our results were similar to Ireland and very different to India, improving our expectances about the success of developing a donation program. Organ and body donation are always an act of altruism and social solidarity.
En Argentina, la mayoría de las universidades tienen deficiencia de material cadavérico. Medicina y Odontología son las carreras que utilizan cuerpos en forma regular para la docencia-aprendizaje de la Anatomía. Este hecho ha motivado una consideración particular dentro de nuestro estudio para establecer la actitud de diferentes grupos de población respecto a la donación de cuerpos. Nuestro objetivo es evidenciar las diferencias que observamos entre los profesionales egresados de las dos carreras como participantes fundamentales para implementar un programa de donación. Estudio transversal cualitativo y relacional, basado en encuestas anónimas con respuestas de múltiples opciones y semi-estructuradas, receptadas al azar a médicos y odontólogos. El cuestionario incluyó datos demográficos y otros vinculados a la importancia de los cuerpos para docencia e investigación y la voluntad de donar. Hubo diferencias en la voluntad de donar entre los encuestados de ambas profesiones. No se evidenciaron diferencias entre los dos grupos por sexo, origen geográfico, religión o práctica quirúrgica en su profesión. Si se evidenciaron diferencias significativas dependiendo de la especialidad, la importancia que se le asigna al cadáver para la docencia-aprendizaje de la Anatomía, la actitud hacia la donación de órganos para trasplante y el conocimiento previo sobre la posibilidad de donar el cuerpo. Los médicos muestran mayor tendencia a donar independientemente de la especialidad, porque consideran que los cuerpos son fundamentales para la enseñanza-aprendizaje de la Anatomía y tienen mayor conocimiento sobre donación; lo que influye tanto en la donación de órganos como del cuerpo completo.
Corpses for teaching and research in Anatomy are fundamental, even having high developed technological resources. Although the National University of Cordoba is receiving bodies by donation, the quantity is very scarce and it barely allows the pre-graduate teaching activities, using prosected specimens for practical activities. It is essential to develop a donation program to increase body supply. The objective of the present study is to obtain data about the attitude of Medicine students in relation to body procurement and donation. We collected demographic data to provided a framework for analysis and specific data on organ and body donation. Samples from students of each and all years of the career were considered. For the 97% of the students cadavers were very important to study Anatomy. Most of the total students (94%) should be willing to donate their organs for transplantation, 84% were interested in getting more information on body donation, 42% should donate their own body and 75% could participate in procurement actions. Women were more willing to donate their organs than men, while men were more willing to donate their own bodies. Students who did not profess any religion had better attitude to donation. Medicine students from the National University of Cordoba have evidenced an important commitment to donation not only of organs but also of whole body because they recognize their importance, care future generations and have high values like altruism and solidarity. La utilización de cuerpos humanos para docencia e investigación en el pre y posgrado resultan imprescindibles en Anatomía, aún disponiendo de tecnología de avanzada. Si bien la Universidad Nacional de Córdoba está recibiendo cuerpos por donación, la cantidad es muy escasa y apenas permite desarrollar las actividades docentes de pre-grado, usando preparados disecados para las actividades prácticas. Resulta imprescindible desarrollar un programa de donación para incrementar la provisión de cuerpos. El presente estudio pretende obtener datos que permitan conocer la actitud de los estudiantes de Medicina en relación a la procuración y donación de cuerpos. Se recabaron datos demográficos que brindaron un marco para el análisis y datos específicos sobre donación de órganos para trasplante y de cuerpos. Se consideraron muestras de alumnos correspondientes a todos los años de la carrera. Para el 97% los cuerpos son importantes para aprender Anatomía. El 94% donaría sus órganos para trasplante, al 84% le interesaría disponer de más información, el 42% donaría su propio cuerpo y el 75% participaría en un programa de procuración. Las mujeres tuvieron mayor disposición a la donación de órganos para trasplante, mientras que los varones hacia la donación de cuerpos (BD) para docencia e investigación. Quienes no profesan ninguna religión fueron más positivos hacia la BD. Los estudiantes de Medicina evidenciaron un importante compromiso con la donación tanto para trasplante como de cuerpos completos, porque reconocen la importancia de ambos, se preocupan por las generaciones futuras y cuentan con valores como el altruismo y la solidaridad.
Corpses are an irreplaceable resource for teaching and research in Anatomy. Voluntary donation is the source of cadavers, but in the National University of Cordoba we are struggling with a critical shortage due to the lack of an organized donation program. The objective of this study was to know the attitude of general population of the city of Cordoba about this subject and the profile of potential donors to develop a program. A survey was randomly distributed among older than 18 years. The questionnaire included demographic, educational, laboral and religious aspects and specific ones related to the willingness to donate the own body and reasons to do it, knowledge about this possibility, interest in further information. Two thousand and thirty responses were obtained from a population so diverse that we considered it as representative of the city. Among the respondents, 80% should be willing to donate organs for transplantation and 41% the whole body; with 45% who said to know about donation and 54% interested in more information. Main motives to donate were related to support teaching, research and science; while the main reason not to donate was associated with insuficient information. The profile of potential donors was obtained from the analysis of all the variables and we compared with other studies demonstrating that not only cultural and religious aspects may determine the willingness to donate but also the level of public information and facilities to register as donors.
RESUMENLos autores son un grupo de profesores de Anatomía, que pensamos representativo de la realidad argentina y latinoamericana, que relatarán la situación de sus universidades en lo referente a la utilización de material cadavérico para la enseñanza de la Anatomía. La importancia que le adjudican a la disección o al material disecado para la enseñanza-aprendizaje, la disponibilidad de cuerpos, su origen y si cuentan con programas para la procuración y/o donación, son algunos de los aspectos abordados. Seguramente podrán comprobar que existen aspectos comunes y algunos notoriamente diferentes. El objetivo de este Debate es conocer la realidad de países con una idiosincrasia similar, aprender de las experiencias positivas y negativas, y propiciar el avance en un tema en que, Argentina en particular y Latinoamérica en general, está muy retrasada. Palabras clave: enseñanza de la Anatomía; aprendizaje de la Anatomía; disección de cuerpos; donación de cuerpos; procuración de cuerpos ABSTRACTAuthors are a group of professors of Anatomy we considered to be representative of argentine and latinamerican reality, who will expose their university situation in relation to the use of cadaveric material for teaching in Anatomy. Some of the treated topics are the importance of dissection and dissected material for teaching and learning, bodies availability, their origin and if their universities have programs for body procurement and donation. Readers will certainly identify some common aspects and some notorious differences. The Debate objective is to get information on the reality of countries with similar idiosyncracy, to learn on other's positive and negative experiences, and to propitiate the development in this topic in which Argentina and Latin-America are delayed.
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