This is an interesting study but to conclude that "80% of all young witnesses" would accept blood transfusions based on a sample of six youths at one hospital has no credibility at all.
Six (10.3%) of the 58 Jehovah's Witness patients in our study accepted blood transfusions or, for minors, their parents accepted transfusions for them.
Of the seven Jehovah's Witness patients who were 21 years of age or younger, five accepted blood transfusions, one did not require blood, and one refused blood (Table 2).
Table 2. All Jehovah's Witness Oncology Patients 21 Years of Age or Younger*
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Age | Sex | Diagnosis | Transfusion Accepted |
---|
1 | M | Acute lymphocytic leukemia | Yes |
19 | M | Sarcoma | Yes |
3 | M | Wilm's Tumor | Yes |
21 | M | Gastric cancer | ** |
17 | M | Acute lymphocytic leukemia | Yes |
21 | F | Sarcoma | Yes |
4 | F | Wilm's Tumor | No |
* Treated at H. Lee Moffitt Cancer Center & Research Institute
from October 1986 through February 1994.
** No transfusions required.
Discussion
Many of the treatment modalities used for oncology patients result in marrow suppression or in the loss of red blood cells. Without blood component support, patients may suffer adverse consequences. Of the 58 Jehovah's Witness oncology patients in this study, one suffered acute adverse effects, one patient died, and 10 may have had worsened prognoses due to abbreviated treatments.
While the median age of this total group of patients was 54 years, the median age of the group who received transfusions was 18 years. Of the six patients under age 22 who required transfusions, five (83%) received transfusions. Therefore, while most adult Jehovah's Witness patients were unwilling to accept blood for themselves, most Jehovah's Witness parents permitted transfusions for their minor children, and many of the young adult patients also were willing to accept transfusions forthemselves.