Understanding of patients over 60 years of age about organ donation and transplantation in Isère and Haute Savoie ; Connaissance des patients de plus de 60 ans au sujet du don d’organes et de la greffe en Isère et Haute-Savoie

Introduction: Organ transplantation is a major public health issue. It increases the life expectancy and the quality of life for patients with organ failure. Currently in France, transplants are only possible if there are enough donors. Even if the average ages of donors and transplanted are similar (respectively 53 years old and 52.4 years old), the proportion of donors over 60 years old is increasing. Non removal is mainly explained by the opposition rate to the procedure ( 33,6%) . Those one has been remaining stagnant in France for several years. The causes of refusal are preconceived ideas about the age limit and the family’s ignorance of the deceased’s choice. It seems necessary to groom new actors who would promote discussion around organ donation earlier in the patient reflection process. There general practitioner could truly be a key actor. Objectives: the main objective of our work is to evaluate if patients over the age of 60 in Isère and Haute Savoie are advised of organ donation, if they talk about it with their family and doctors. The second objective is to evaluate the practitioner’s place on this subject and his will to form on it. Materials and methods: This is a quantitative study conducted in Isère and Haute Savoie on a four month period (from may to august 2022). Two surveys were sent to practitioners and their patients over 60 years old, consulting at the beginning of every half-day. The sample includes 26 practitioners and 201 patients. Result-patient’s side: The study shows that the majority of patients over the age of 60 (92.6%) have already heard about organ donation through television (60.8%) and/or in the press (40.8%). Most of them don’t communicate their choice (64.7%), almost a third communicate their close relatives (31.3%) and a little to their practitioners (4.0%). Among the 58 individuals who communicated their choice, 9 of them think it may not be respected. 53.2% of patients over 60 years old believe there is an age limit to donation ( 66.4 years). Result - general ...