Evaluation of junior doctors' knowledge of corneal donation and the new opt-out system in England.
Evaluation of junior doctors' knowledge of corneal donation and the new opt-out system in England.
复制标题
英国初级医生角膜捐赠知识和新选择退出制度的评估。
DOI：
10.1136/postgradmedj-2021-140108
复制
发表时间：
2022
影响因子：
5.1
通讯作者：
Gopal BP
中科院分区：
文献类型：
--
作者：
Gopal BP
角膜混浊是全球失明和视力障碍的第五大原因，影响约600万人。1角膜移植是角膜混浊患者恢复视力的主要治疗方法。这是世界上最常见的移植手术，尽管成功与否一直受到全球供体角膜短缺的挑战。2到目前为止，已经实施了广泛的举措和进步，包括提高认识的公众运动，引入电话同意，改进捐赠-移植途径和改进手术技术3-6，以改善角膜捐赠和供体角膜组织的效用。2020年5月20日，英国实施了一项选择退出制度，也被称为马克斯和凯拉定律，旨在提高器官/组织捐赠率，加入西班牙、法国和意大利等许多国家的行列。在新的软选择退出制度下，英国所有的成年人都被认为是自愿的器官/组织捐赠者，除非他们已经登记了他们的其他意图。然而，眼部捐赠的程序基本上没有改变，因为在进行手术之前仍然需要获得家属的同意。前线服务的初级医生，特别是在重症监护室、肿瘤科和姑息治疗科工作的初级医生，可以成为多学科团队的宝贵成员，为器官/组织捐赠的过程做出贡献。尽管如此，英国的初级医生对角膜捐赠和新的选择退出系统的了解还没有被探索。本研究旨在评估英国东米德兰兹郡初级医生对角膜捐赠的认知和选择退出制度。这是一项在2020年6月28日至2020年9月29日期间进行的横断面研究。对在英国东米德兰兹工作的初级医生/住院医生（行医时间< 3年）进行了一项26项的在线问卷调查。问卷由26个问题组成，主要评估参与者的背景和眼科培训情况(6)
Corneal opacity represents the fifth leading cause of blindness and visual impairment globally, affecting around 6 million of the population. 1 Corneal transplantation serves as the mainstay of treatment in restoring vision in patients affected by corneal opacity. 2 It is the most commonly performed transplantation worldwide, though the success has been persistently challenged by the global shortage of donor cornea. 2 To date, a wide range of initiatives and advancement, including public campaigns to increase awareness, introduction of telephone consent, refinement in the donation–transplantation pathway and improvement in surgical techniques, 3–6 have been implemented to improve corneal donation and utility of donor corneal tissues. On 20 May 2020, England has implemented an opt-out system, also known as the Max and Keira’s Law, with an aim to improve the rate of organ/tissue donation, joining countries such as Spain, France and Italy and many others. Under the new, soft opt-out system, all adults in England are assumed to be willing organ/tissue donors unless they have registered their intent otherwise. However, the process of eye donation remains largely unchanged as consent from the family members is still required before retrieval can proceed.Junior doctors at frontline services, particularly those who work in intensive care, oncology and palliative care units may serve as valuable members to the multidisciplinary team in contributing to the process of organ/tissue donations. Nonetheless, the knowledge of corneal donation and the new opt-out system among junior doctors in the UK has not been explored. Our study aimed to evaluate the knowledge of corneal donation and the opt-out system among the junior doctors in East Midlands, UK. This was a cross-sectional study performed between 28 June 2020 and 29 September 2020. A 26-item questionnairebased online survey was distributed to the junior doctors/house officers (< 3 years of medical practice) who were working in the East Midlands, UK. The questionnaire was composed of 26 questions, which evaluated the background and ophthalmology training of participants (6