Family refusal of skin donation for transplantation: trends and associated factors.
Karoline de Oliveira Lins Souto, Rafael Rodrigo da Silva Pimentel, Ágata Nunes Brito and 2 others
PMID 39082536WHAT IT FOUND
Skin donation was refused for 55.37% of donors.
Male donors were less likely to have their skin refused than female donors. Older donors were less likely to have their skin refused than children, but refusal rates varied by time period.
Key findings
01Among 2,447 donors, 1,355 (55.37%) had their skin donation refused by family.
02Male donors had a lower likelihood of skin donation refusal compared to female donors.
03Refusal rates decreased significantly in 2014 and 2020 compared to earlier years.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
The study only looked at one Organ Procurement Organization in São Paulo, so results may not apply to other regions. The variables analyzed (age, gender, etc.) were insufficient to fully explain why families refused, suggesting other factors like specific family beliefs or interviewer techniques were not captured. Data was derived from authorization terms, so the specific reasons given by families for refusal were not recorded or analyzed.
Declared interests
Funding was provided by CAPES and CNPq, Brazilian government agencies for higher education and scientific development. No commercial conflicts of interest were declared.
The easy way to misread this
Do not assume that because most refused donors were male, men are harder to get consent from. The statistical analysis showed the opposite: female donors were significantly more likely to have their skin donation refused than male donors.