Organ Donation-Related Perspectives of Physicians Working in the Commission for the Determination of Brain Death

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IntroductionIt was aimed to investigate organ donation-related opinions of neurosurgeons, neurologists and anesthesiologists assignedto the commission for the determination of brain death participating in Brain Death and Donor Care trainings organized for specialist doctors in city centers affiliated to the Bursa Regional Organ and Tissue Transplantation Coordination Center.MethodThe results obtained using the questionnaires including previously prepared questions responded by 222 specialists who participated in the training organized for the specialist physicians by the Bursa Regional Organ and Tissue Transplantation Coordination Center in Bursa and Balikesir provinces were statistically analyzed. Results: The results obtained through the questionnaires and structured tests were analyzed are as follows: While 82% of the participants considered that brain death was the same as death,12% of the specialist physicians who were to diagnose brain death did not consider brain death as death. While41% of the participating specialist physicians considered themselves competent enough to diagnose brain death, 33.8% said they had reservations in terms of legal and ethical aspects. The results of the analysis of the responses obtained revealed that only 37% of specialist physicians correctly defined the concept of potential donor. On the other hand, 44% of them did not need additional tests to make the decision of brain death in case the clinical diagnosis was clear. In cases where brain death occurred but family clearance was not available, 70% of the physicians did not hesitate to terminate the supportive care, 15% considered the termination of the supportive care ethically inappropriate and 10% thought that it was a criminal offense. Finally, whereas only 26% of the participating specialist physicians stated that they donated their organs, 65% said that they did not but would do in the future, and 9% stated that they and their relatives did not approve organ donation. Conclusion: The data obtained from the study revealed that continuous education programs should be held for specialist physicians in the commission for the determination of brain death in order to reach higher rates in determining brain death and organ donation. Especially in the medical education, the concept of brain death must be thoroughly taught to all health personnel, particularly to specialist physicians, from the very first years of the education until the end of the specialization training.References1. Dr. Yavuz Selim Çinar.2. Dr. Eyüp Kahveci.

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