Temporal Trends and Demographic Characteristics in Body Donation Applications: A Single University Experience

Authors

DOI:

https://doi.org/10.58600/eurjther3026

Keywords:

anatomy education, body donation, cadaver and ethics, cadaver donation trends

Abstract

Objective: Body donation remains essential for anatomy education and surgical skills training. Despite advances in simulation and virtual/augmented/mixed reality, donated human bodies provide unmatched tissue realism and anatomical variation. However, many institutions still face cadaver shortages. Understanding temporal fluctuations in donation applications and their demographic correlations may inform targeted outreach and support the sustainability of body donation programs. This study aims to evaluate the effectiveness and outcome of ongoing National Body Donation Programs at our institution.
Methods: Retrospective body donation forms submitted to Hacettepe University between 1990 and 2025 were reviewed, including both completed donations and registered applicants. Demographic variables, including application year and sex, were analyzed alongside temporal trends.
Results: Between 2003 and 2025, a total of 267 body donation applications were submitted, of which 20 donors were accepted by our institution. The annual number of applications ranged from 0 to 29. A modest upward trend in the annual number of applications was observed beginning in 2012, the year in which the National Body Donation Program was initiated (β=1.48, p=0.052). The applicant population comprised 61.8% males and 38.2% females, with female applicants submitting their applications at a significantly younger age than males (p=0.046). Applicants aged ≤30 years represented 13.5% of the population, while those aged ≥65 years comprised 31.5%.
Conclusion: These findings provide valuable mid-term institutional data that may inform the planning and sustainability of body donation programs in medical education. Continuous monitoring of program outcomes is essential, enabling a proactive management approach and the development of strategies to enhance program effectiveness.

References

[1] Arráez Aybar LA, Sánchez-Montesinos I, Mirapeix RM, Mompeo-Corredera B, Sañudo-Tejero JR (2010) Relevance of Human Anatomy in Daily Clinical Practice. Ann Anat. 192(6):341-348. https://doi.org/10.1016/j.aanat.2010.05.002

[2] Zdilla MJ, Balta JY (2023) Human Body Donation and Surgical Training: A Narrative Review with Global Perspectives. Anat Sci Int. 98(1):1-11. https://doi.org/10.1007/s12565-022-00689-0

[3] Leblanc F, Champagne BJ, Augestad KM, Neary PC, Senagore AJ, Ellis CN, Delaney CP, Group CST (2010) A Comparison of Human Cadaver and Augmented Reality Simulator Models for Straight Laparoscopic Colorectal Skills Acquisition Training. J Am Coll Surg. 211(2):250-255. https://doi.org/10.1016/j.jamcollsurg.2010.04.002

[4] Rosen JM, Long SA, McGrath DM, Greer SE (2009) Simulation in Plastic Surgery Training and Education: The Path Forward. Plast Reconstr Surg. 123(2):729-738. https://doi.org/10.1097/PRS.0b013e3181958ec4

[5] Reznick RK, MacRae H (2006) Teaching Surgical Skills - Changes in the Wind. N Engl J Med. 355(25):2664-2669. https://doi.org/10.1056/NEJMra054785

[6] Bahşi İ, Topal Z, Çetkin M, Orhan M, Kervancıoğlu P, Odabaşıoğlu ME, Cihan ÖF (2021) Evaluation of Attitudes and Opinions of Medical Faculty Students against the Use of Cadaver in Anatomy Education and Investigation of the Factors Affecting Their Emotional Responses Related Thereto. Surg Radiol Anat. 43(4):481-487. https://doi.org/10.1007/s00276-020-02567-8

[7] Gürses İA, Coşkun O, Öztürk A (2018) Current Status of Cadaver Sources in Turkey and a Wake-up Call for Turkish Anatomists. Anat Sci Educ. 11(2):155-165. https://doi.org/10.1002/ase.1713

[8] Park HJ, Ahn H, Ki E, Lee JS, Choi Y, Hu K-S, Chun Y-M, Kim H-J (2021) Body Donation Trends in Yonsei University: A Statistical Analysis of Donor Records. Anat Cell Biol. 54(1):59-64. https://doi.org/10.5115/acb.20.261

[9] Gürses İA, Ertaş A, Gürtekin B, Coşkun O, Üzel M, Gayretli Ö, Demirci MS (2019) Profile and Motivations of Registered Whole‐Body Donors in Turkey: Istanbul University Experience. Anat Sci Educ. 12(4):370-385. https://doi.org/10.1002/ase.1849

[10] Akkin SM, Dinc G (2014) A Glimpse into the Process of Gaining Permission for the Educational Dissection of Human Cadavers in the Ottoman Empire. Clin Anat. 27(7):964-971. https://doi.org/10.1002/ca.22421

[11] Gürses İA (2026) Body Procurement for Medical Education and Research in Türkiye: Confronting Legal, Institutional, and Cultural Challenges toward a Sustainable National Framework. Anatomy. 19(3):122-130. https://doi.org/10.2399/ana.25.1825730

[12] T.C. Resmî Gazete (1982) İnsan cesedi üzerinde bilimsel araştırma yapılmasına ilişkin yönetmelik. Ankara, Türkiye: Türk Hükümeti, Sağlık ve Sosyal Yardım Bakanlığı. Avaliable from https://www.resmigazete.gov.tr/arsiv/17727.pdf Last Accessed January 19, 2025

[13] T.C. Resmî Gazete (1979) Organ ve doku alınması, saklanması, aşılanması ve nakli hakkında kanun. Avaliable from https://www.mevzuat.gov.tr/MevzuatMetin/1.5.2238.pdf Last Accessed January 19, 2025.

[14] T.C Resmî Gazete (2014) Saglık Bakanlıgı ve baglı kurulusların teskilat ve görevleri hakkında kanun hükmünde karaname ile bazı kanunlarda degisiklik yapılmasına dair kanun. Avaliable from http://www.resmigazete.gov.tr/eskiler/2014/01/20140118.pdf Last Accessed January 19, 2025.

[15] T.C. Adalet Bakanlığı (2015) Ölü muayene ve otopsi işlemleri. Avaliable from https://cigm.adalet.gov.tr/Resimler/SayfaDokuman/1822020142553156nolu.pdf Last Accessed January 19, 2025.

[16] Turkish Society of Anatomy and Clinical Anatomy (2013) Türkiye’de kadavra sorunu ve çözüm önerileri. Avaliable from https://anatomidernegi.org.tr/wp-content/uploads/2024/07/c361d50b5fef901a9dce1455fbb44766.pdf Last Accessed January 19, 2025.

[17] da Rocha AO, de Campos D, Farina MA, Pacini GS, Girotto MC, Hilbig A (2017) Using Body Donor Demographics to Assist the Implementation of Donation Programs in Brazil. Anat Sci Educ. 10(5):475-486. https://doi.org/10.1002/ase.1687

[18] Boulware LE, Ratner LE, Cooper LA, Laveist TA, Powe NR (2004) Whole Body Donation for Medical Science: A Population‐Based Study. Clin Anat. 17(7):570-577. https://doi.org/10.1002/ca.10225

[19] Bernal JL, Cummins S, Gasparrini A (2016) Interrupted Time Series Regression for the Evaluation of Public Health Interventions: A Tutorial. Int J Epidemiol. 46(1):348-355. https://doi.org/10.1093/ije/dyw098

[20] Penfold RB, Zhang F (2013) Use of Interrupted Time Series Analysis in Evaluating Health Care Quality Improvements. Acad Pediatr. 13(6 Suppl):S38-44. https://doi.org/10.1016/j.acap.2013.08.002

[21] Ertaş A, Coşkun O, Doğancı ÖI, Gürses İA (2023) Annual Distribution of Body Donation Application Rates in Istanbul, Türkiye. Anatomy. 17(2):82-87. https://doi.org/10.2399/ana.23.1390575

[22] Kurtoğlu Olgunus Z, Yeşil Ç (2021) Evaluation of Knowledge and Attitudes of Physicians in Turkey About Body Donation Processes. Anatomy. 15(2):152-162. https://doi.org/10.2399/ana.21.938977

[23] Ok F, Gürses İA (2021) Evaluation of Information on Body Donation Promotion at Official Websites of Turkish Anatomy Departments. Anat Sci Educ. 14(6):816-827. https://doi.org/10.1002/ase.2021

[24] Oktem H, Pelin C, Kurkcuoglu A, Yildirim RV, Yazici Guvercin AC (2020) Attitudes of Turkish University Employees and Their Relatives Towards Whole Body and Organ Donation. Ann Anat. 229:151426. https://doi.org/10.1016/j.aanat.2019.151426

[25] Adıgüzel Şahin Z, Üzel M, Marur T, Eren F, Güler Yıldırım F (2023) Knowledge Levels and Attitudes of Medical Faculty Students Related to Whole Body Donation in Türkiye. Ann Anat. 247:152047. https://doi.org/10.1016/j.aanat.2023.152047

[26] Şehi̇rli̇ ÜS, Saka E, Sarikaya Ö (2004) Attitudes of Turkish Anatomists toward Cadaver Donation. Clin Anat. 17(8):677-681. https://doi.org/10.1002/ca.20056

[27] Turhan B, Akcaalan M, Karahan M (2024) Turkish Anatomists’ Preferences to Continue Teaching after Death and How It Is Impacted by Their Religious Beliefs. Anat Sci Educ. 17(8):1579-1585. https://doi.org/10.1002/ase.2339

[28] Çavdar Lokumcu P, Gürses İA (2026) Click to Consent? Ethical and Legal Reflections on the Use of Electronic Informed Consent for Whole-Body Donation, with Türkiye as a Case Study. Anat Sci Educ. 19(1):144-153. https://doi.org/10.1002/ase.70135

[29] Yükseköğretim Kurulu (2025) Yükseköğretim Program Atlası. Avaliable from https://yokatlas.yok.gov.tr/lisans-bolum.php?b=15370 Last Accessed January 19, 2025.

[30] Jones DG (2016) Searching for Good Practice Recommendations on Body Donation across Diverse Cultures. Clin Anat. 29(1):55-59. https://doi.org/10.1002/ca.22648

[31] Riederer BM (2016) Body Donations Today and Tomorrow: What Is Best Practice and Why?. Clin Anat. 29(1):11-18. https://doi.org/10.1002/ca.22641

[32] Caplan I, DeCamp M (2019) Of Discomfort and Disagreement: Unclaimed Bodies in Anatomy Laboratories at United States Medical Schools. Anat Sci Educ. 12(4):360-369. https://doi.org/10.1002/ase.1853

[33] Shupe E (2025) Grave Injustice: The Continuing Use of Unclaimed Bodies in American Medicine. J Med Ethics. https://doi.org/10.1136/jme-2024-110653

[34] Lin SC, Hsu J, Fan VY (2009) Silent Virtuous Taiwanese Teachers. Brit Med J. 339:1438-1439. https://doi.org/10.1136/bmj.b5001

[35] Likus W, Wilk R (2024) Women Who Will Live Forever. Transl Res Anat. 37:100343. https://doi.org/10.1016/j.tria.2024.100343

[36] Agrawal NL, Setiya M, Gour KK (2020) Trends and Applications of Body Donation Program in Mahakaushal Region. National Journal of Clinical Anatomy 9(4):169-172. https://doi.org/10.4103/njca.njca_56_20

[37] Panunto W (2018) The Analytical Trend of Body Donation for Study and Research at Faculty of Medicine, Thammasat University. Asian Medical Journal and Alternative Medicine. 18:619-625.

[38] Hildebrandt S (2016) Thoughts on Practical Core Elements of an Ethical Anatomical Education. Clin Anat. 29(1):37-45. https://doi.org/10.1002/ca.22645

[39] Crow SM, O’Donoghue D, Vannatta JB, Thompson BM (2012) Meeting the Family: Promoting Humanism in Gross Anatomy. Teach Learn Med. 24(1):49-54. https://doi.org/10.1080/10401334.2012.641487

[40] Anadolu Ajansı (2019) Bedenini Kadavra Olarak Bağışlayarak Bilime Katkı Sağladı. Avaliable from https://www.haberler.com/saglik/bedenini-kadavra-olarak-bagislayarak-bilime-katki-11932074-haberi/ Last Accessed January 19, 2025.

[41] Sevinç Çetin F (2022) Hacettepe Üniversitesi Tıp Fakültesi Dekanı Demiryürek’ten “kadavra bağışı” çağrısı. Avaliable from https://www.aa.com.tr/tr/saglik/hacettepe-universitesi-tip-fakultesi-dekani-demiryurekten-kadavra-bagisi-cagrisi/2730313 Last Accessed January 19, 2025.

[42] Akinola OB (2011) Formal Body Bequest Program in Nigerian Medical Schools: When Do We Start?. Anat Sci Educ. 4(4):239-242. https://doi.org/10.1002/ase.226

[43] Zhang L, Wang Y, Xiao M, Han Q, Ding J (2008) An Ethical Solution to the Challenges in Teaching Anatomy with Dissection in the Chinese Culture. Anat Sci Educ. 1(2):56-59. https://doi.org/10.1002/ase.15

[44] EwonuBari EB, Watson JT, Amaza DS, Madueke NM, Donatus AA, Effiong OE (2012) Problems and Prospects of Acquisition of Human Cadaver for Medical Education in Nigeria. J Pak Med Assoc. 62(11):1134-1136.

[45] Güden E, Çetinkaya F, Naçar M (2013) Attitudes and Behaviors Regarding Organ Donation: A Study on Officials of Religion in Turkey. J Relig Healthç 52(2):439-449. https://doi.org/10.1007/s10943-011-9490-8

[46] Rokade SA, Gaikawad AP (2012) Body Donation in India: Social Awareness, Willingness, and Associated Factors. Anat Sci Educ. 5(2):83-89. https://doi.org/10.1002/ase.1263

[47] Halou H, Chalkias A, Mystrioti D, Iacovidou N, Vasileiou PVS, Xanthos T (2013) Evaluation of the Willingness for Cadaveric Donation in Greece: A Population‐Based Study. Anat Sci Educ. 6(1):48-55. https://doi.org/10.1002/ase.1304

[48] Erdogan K, Özen KE, Yildiz H, Malas MA (2020) Assessment of Awareness, Knowledge and Attitudes About the Importance of Cadaver and Cadaver Donation: Report of Izmir, Turkey. Int J Morphol. 38(4):831-837. https://doi.org/10.4067/S0717-95022020000400831

[49] Pabst R, Schmiedl A, Schrieber S, Tschernig T, Pabst VC (2017) Ceremonies of Gratitude Following the Dissection Course: A Report on Procedures in Departments of Anatomy in German Speaking Countries. Ann Anat. 210:18-24.

[50] Sevinç Çetin F (2022) “Kadavra’nın Manifestosu” heykel yarışması ödülleri sahiplerini buldu. Avaliable from https://www.aa.com.tr/tr/saglik/kadavranin-manifestosu-heykel-yarismasi-odulleri-sahiplerini-buldu/2729875 Last Accessed January 19, 2025.

Figure 3. Population pyramid illustrating the age-specific sex distribution of body donors.

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Published

2026-04-02

How to Cite

Paslı, B., Ülkir, M., Yücedağ Gündoğdu, H., & Demiryürek, M. D. (2026). Temporal Trends and Demographic Characteristics in Body Donation Applications: A Single University Experience. European Journal of Therapeutics. https://doi.org/10.58600/eurjther3026

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