Level of Acceptance of a Clinical Solid Organ Xenotransplantation Program Among Personnel in Organ Transplant-Related Services in Spanish, Mexican, and Cuban Hospital Centers

Abstract Introduction Xenotransplantation is far from becoming a clinical reality. However, in vital organs it could be used as a bridge until a human organ becomes available, in an emergency situation. We analyzed the attitude toward xenotransplantation among personnel in transplant-related services in several hospitals in Spain and Latin America. Methods A random sample stratified by type of service and job category ( n = 738), in transplant-related services (procurement units, transplant units, and transplant patient follow-up units) was examined in eight hospital centers from three different countries: Spain ( n = 349), Mexico ( n = 269), and Cuba ( n = 120). A self-administered validated questionnaire was completed anonymously. Results Based on the assumption that all the results of xenotransplantation were similar to those achieved with human donors, most respondents [66% ( n = 484)] would be in favor. The employees from Cuban centers had the most favorable attitudes (72% in favor), followed by the Spanish (64%) and the Mexicans (61%; P = .013). However, the differences were mainly determined by job category: Physicians showed the most favorable attitudes and auxiliary staff the least (67% vs 40%; P = .010). Attitudes were significantly related to beliefs about different types of human donation [deceased ( P < .001) and living ( P < .001)], the possibility of needing a transplant for oneself ( P < .001), and a favorable attitude toward donating the organs of a deceased family member ( P = .004). Conclusions Currently, a third of health care employees working in transplant-related services are not in favor of xenotransplantation. More information should be provided about the subject, especially in centers with preclinical xenotransplantation programs.