Evaluation of knowledge and attitudes of physicians in Turkey about body donation processes

Year 2021, Volume: 15 Issue: 2, 152 - 162, 31.08.2021

Zeliha Kurtoğlu Olgunus , Çisem Yeşil

Abstract

Objectives: Individuals who want to get information about body donation sometimes apply to physicians instead of Anatomy Departments in Turkey. The aim of the study was to evaluate the knowledge and attitudes of physicians who are frequently consulted by body donors.
Methods: In this descriptive study, questionnaire form which consisted of three parts and 20 questions was prepared. In the first part, demographic informations; in the second part; the physicians’ answers to frequently asked body donation questions and physician responsibilities in the process; in the third part, the physicians’ request for information was questioned. The survey was conducted online.
Results: Of the 238 physicians from 33 different provinces (aged between 25–68 years, 58.8% female, 41.2% male), 62.6% were specialist, 37.4% were non-specialized. 12.6% of them stated that at least one person applied to them for body donation. While only 52.5% of the physicians chose the Anatomy Departments to direct the donor, 35.3% chose the Organ Donation Units. 80.3% did not know that the body of an individual who did not fill out the donation form could be donated by their relatives and 29.4% did not know that body donation does not prevent organ donation. 90.8% of the physicians stated that they needed to be informed about the laws and procedures related to cadaver donation.
Conclusion: The study reveals that physicians do not have enough information about body donation and they demand to be informed about it. The findings should be carefully evaluated as a factor that may adversely affect the decision of the body donor who cannot be properly guided by the physicians.

Keywords

attitude, body donation, cadaver supply, physician, survey

References

• Gunderman RB, Wilson PK. Viewpoint: exploring the human interior: the roles of cadaver dissection and radiologic imaging in teaching anatomy. Acad Med 2005;80:745–9.
• McHanwell S, Brenner E, Chirculescu ARM, Drukker J, van Mameren H, Mazzotti G, Paulsen F, Plaisant O, Caillaud MM, Laforet E, Riederer BM, Sanudo JR, Bueno-Lopez JL, Do nate-Oliver F, Sprumont P, Teofilovski-Parapid G, Moxham BJ. The legal and ethical framework governing body donation in Europe–A review of current practice and recommendations for good practice. European Journal of Anatomy 2008;12:1–24.
• Sato T. Process of development of body donation in Japan. Kaibogaku Zasshi 2007;82:33–6.
• Taylor SJ, Wilson DJ. The Human Tissue Act (2004), anatomical examination and the importance of body donation in Northern Ireland. Ulster Med J 2007;76:124–6.
• Cornwall J, Stringer MD. The wider importance of cadavers: Educational and research diversity from a body bequest program. Anat Sci Educ 2009;2:234–7.
• Arraez-Aybar LA, Sanchez-Montesinos I, Mirapeix RM, Monpeo-Corredera B, Sanudo-Tejero JR. Relevance of human anatomy in daily clinical practice. Ann Anat 2010;192:341–8.
• Gangata H, Ntaba P, Akol P, Louw G. The reliance on unclaimed cadavers for anatomical teaching by medical schools in Africa. Anat Sci Educ 2010;3:174–83.
• McClea K, Stringer MD. The profile of body donors at the Otago School of Medical Sciences – has it changed? N Z Med J 2010;123:9– 17.
• Hulkower R. From sacrilege to privilege: the tale of body procurement for anatomical dissection in the United States. The Einstein Journal of Biology and Medicine 2011;27:23–6.
• Anyanwu EG, Obikili EN. Dissecting the dissectors: knowledge, attitude, and practice of body bequests by Nigerian anatomists. Anat Sci Educ 2012;5:347–53.
• Halou H, Chalkias A, Mystrioti D, Iacovidou N, Vasileiou PV, Xanthos T. Evaluation of the willingness for cadaveric donation in Greece: a population-based study. Anat Sci Educ 2013;6:48–55.
• Rokade SA, Gaikawad AP. Body donation in India: social awareness, willingness, and associated factors. Anat Sci Educ 2012;5:83–9.
• Green C, Bowden D, Molony D, Burke N. Felle P, Dudeney S. Attitudes of the medical profession to whole body and organ donation. Surgeon 2013;12:73–7.
• Biasutto SN, Sharma N, Weiglein AH, Benia FM, McBride J, Bueno-Lopez JL, Kramer B, Blyth P, Barros MD, Ashiru O, Ballesteros LE, Moxham BJ, Krishnan S. Human bodies to teach anatomy: importance and procurement - experience with cadaver donation. Revistata Argentina de Anatomia Clinica 2014;6:72–86.
• Mazyala EJ, Revocatus M, Manyama M, Msuya S, Rambau P, Kingawa E, Magelle N, Machimu Y, Joshua M, Magori CC. Human bodies bequest program: a wake-up call to Tanzanian medical schools. Advances in Anatomy 2014:940472.
• Kramer B, Hutchinson EF. Transformation of a cadaver population: analysis of a South African cadaver program, 1921–2013. Anat Sci Educ 2015;8:445–51.
• Zhang L, Xiao M, Gu M, Zhang Y, Jin J, Ding J. An overview of the roles and responsibilities of Chinese medical colleges in body donation programs. Anat Sci Educ 2014;7:312–20.
• Riederer B.M. Body donations today and tomorrow: what is best practice and why? Clin Anat 2016;29:11–8.
• Winkelmann A. Consent and consensus – ethical perspectives on obtaining bodies for anatomical dissection. Clin Anat 2016;29:70–7.
• Gürses AI, Coşkun O, Öztürk A. Current status of cadaver sources in Turkey and a wake-up call for Turkish anatomists. Anat Sci Educ 2017;11:155–65.
• Galic BS, DrvendÏija Z, ·trkalj G. Attitudes of medical and allied medical students from Serbia toward whole body donation. Bioscience Jornal 2016;32:1388–402.
• Cahill DR, Leonard RJ, Weiglein AH, von Ludinghausen M. Viewpoint: unrecognized values of dissection considered. Surg Radiol Anat 2002;24:137–9.
• Ciliberti R, Gulino M, Gazzaniga V, Gallo F, Vellone VG, De Stefano F, Santi P, Baldelli I. A survey on the knowledge and attitudes of Italian medical students toward body donation: ethical and scientific considerations. J Clin Med 2018;7:168.
• Parthasarathy P, Thenmozhi MS. Body donation and its relevance in anatomy learning. Drug Invention Today 2018;10:2877–80.
• Zhang L, Wang Y, Xiao M, Han Q, Ding J. An ethical solution to the challenges in teaching anatomy with dissection in the Chinese culture. Anat Sci Educ 2008;1:56–9.
• Chakraborty SK, Khan H, Islam S, Yousuf BMA. Body donation and its significance in anatomy learning in Bangladesh – a review. Bangladesh Journal of Anatomy 2010;8:85–8.
• Anyanwu GE, Udemezue OO, Obikili EN. Dark age of sourcing cadavers in developing countries: a Nigerian survey. Clin Anat 2011; 24:831–6.
• Jones DG, Whitaker MI. Anatomy’s use of unclaimed bodies: reasons against continued dependence on an ethically dubious practice. Clin Anat 2012;25:246–54.
• Riederer BM, Bolt S, Brenner E, Bueno-Lopez JL, Circulescu ARM, Davies DC, De Caro R, Gerrits PO, McHanwell S, Pais D, Paulsen F, Plaisant O, Sendemir E, Stabile I, Moxham BJ. The legal and ethical framework governing body donation in Europe - 1st update on current practice. European Journal of Anatomy 2012;16:1–21.
• Akkin SM, Dinç G. A glimpse into the process of gaining permission for the educational dissection of human cadavers in the Ottoman Empire. Clin Anat 2014;27:964–71.
• Ghosh SK. Human cadaveric dissection: a historical account from ancient Greece to the modern era. Anat Cell Biol 2015;48:153–69.
• Asl JA, Nikzad H, Taherian A, Atlasi MA, Naderian H, Mousavi G, Kashani MM, Omidi A. Cultural acceptability and personal willingness of Iranian students toward cadaveric donation. Anat Sci Educ 2016;10:120–6.
• Anteby M, Hyman M. Entrepreneurial ventures and whole-body donations: a regional perspective from the United States. Soc Sci Med 2008;66:963–9.
• Champney TH. The business of bodies: Ethical perspectives on forprofit body donation companies. Clin Anat 2016;29:25–9.
• T.C. Organ ve Doku Alınması, Saklanması, Aşılanması ve Nakli Hakkındaki 2238 sayılı Kanun. [Internet]. [Retrieved on April 10, 2021] Avaiable from: https://www.mevzuat.gov.tr/MevzuatMetin/1.5.2238.pdf.
• T.C. Sağlık Bakanlığı, İnsan Cesedi üzerinde Bilimsel Araştırma Yapılmasına İlişkin 17727 Sayılı Yönetmelik. [Internet]. [Retrieved on April 10, 2021] Avaiable from: https://www.resmigazete.gov.tr/arsiv/17727.pdf
• Demirci M, Şahinoğlu S. Anatomiye adanmı? bir beden: Cavit Cav, Ankara Üniversitesi Tıp Fakültesi Anatomi Anabilim Dalında bir ilk. Ankara Üniversitesi Tıp Fakültesi Mecmuası 2017;70:143–50.
• Şehirli US, Saka E, Sarikaya Ö. Attitudes of Turkish Anatomists toward cadaver donation. Clin Anat 2004;17:677–81.
• Biasutto SN, Sharma NA, McBride J, Krishnan S, Vatsalaswamy P, Garud RS, Kharat VS, du Toit DF, Redwood C, Fisk W, Townsent G, Piplani ML, Romero-Reveron R, Rae G, Kachlik D, Barut C, Khayrullin RM. Part II: Human bodies to teach anatomy: importance and procurement-experience with cadaver donation. Revistata Argentina de Anatomia Clinica 2014;6:162–75.
• Boulware LE, Ratner LE, Cooper LA, LaVeist TA, Powe NR. Whole body donation for medical science: a population-based study. Clin Anat 2004;17:570–7.
• da Rocha AO, Tormes DA, Lehmann N, Schwab RS, Canto RT. The body donation program at the Federal University of Health Sciences of Porto Alegre: a successful experience in Brazil. Anat Sci Educ 2013;6:199–204.
• da Rocha AO, de Campos D, Farina MA, Pacini GS, Girotto MC, Hilbig A. Using body donor demographics to assist the implementation of donation programs in Brazil. Anat Sci Educ 2017;10:475– 86.
• Cornwall J, Perry GF, Louw G, Stringer MD. Who donates their body to science? an international, multicenter, prospective study. Anat Sci Educ 2012;5:208–16.
• Turkish Society of Anatomy and Clinical Anatomy (TSACA)-Report of the Board of Directors 2021. [Internet]. [Retrieved on April 10, 2021] Avaiable from: www.anatomidernegi.org.tr.
• Lagwinski M, Bernard JC, Keyser ML, Dluzen DE. Survey of cadaveric donor application files: 1978–1993. Clin Anat 1998;11:253–62.
• Bolt S, Eisinga R, Venbrux E, Kuks JB, Gerrits PO. Personality and motivation for body donation. Ann Anat 2011;193:112–7.
• Asad AL, Anteby M, Garip F. Who donates their bodies to science? The combined role of gender and migration status among California whole-body donors. Soc Sci Med 2014;106:53–8.
• Conesa C, Zambudio AR, Ramirez P, Canteras M, Rodriguez MM, Parrilla P. Influence of different sources of information on attitude toward organ donation: a factor analysis. Transplant Proc 2004;36: 1245–8.
• Bolt S, Venbrux E, Eisinga R, Kuks JBM, Veening JG, Gerrits PO. Motivation for body donation to science: more than an altruistic act. Ann Anat 2010;192:70–4.
• Cornwall J. Annual variation of body donor registrations in New Zealand. European Journal of Anatomy 2014;18:55–9.
• Ballala K, Shetty A, Malpe SB. Knowledge, attitude, and practices regarding whole body donation among medical professionals in a hospital in India. Anat Sci Educ 2011;4:142–50.
• Bolt S, Venbrux E, Eisinga R, Gerrits PO. Anatomists on the dissecting table? Dutch anatomical professionals’ views on body donation. Clin Anat 2012;25:168–75.
• Gürses AI, Korkmaz E, Öztürk A. Reporting detailed information and acknowledging donor-cadavers: good practice recommendation for anatomists. Anatomy 2016;10:177–81.
• Fennel S, Jones DG. The bequest of human bodies for dissection: a case study in the Otago Medical School. N Z Med J 1992;105:472– 4.
• T.C. Sağlık Bakanlığı, Sağlık Hizmetleri Genel Müdürlüğünün, 54567092-610 sayılı Yazılı Soru Önergesi Cevabı. [Internet]. [Retrieved on September 25, 2021] Avaiable from: https://www2.tbmm.gov.tr/d27/7/7-22769sgc.pdf.
• T.C. Mersin Valiliği resmi web sitesi. [Internet]. [Retrieved on April 10, 2021] Avaiable from: http://www.mersin.gov.tr/saglik.
• Bolt S. Bodies does matter: gift giving and the unveiling of body donor monuments in the Netherlands. Med Anthropol Q 2012;26: 613–34.
• Turkish Society of Anatomy and Clinical Anatomy (TSACA), Body Donation Form. [Internet]. [Retrieved on September 25, 2021] Avaiable from: http://www.anatomidernegi.org.tr/belgeler.