Factors determining the rate of referral, transplantation, and survival on dialysis in women with ESRD

McCauley, Jerry; Irish, William; Thompson, L. J.; Stevenson, Judy; Lockett, R.; Bussard, Roy; Washington, Margaret

doi:10.1016/s0272-6386(97)90077-9

Cited by 46 publications

(24 citation statements)

References 6 publications

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“…Despite prior studies showing that women are less likely to receive live donor transplants, women in our study were more likely to seek a live donor through initiating a conversation than men were (7,8,37). This finding suggests that the obstacles faced by women are not the result of unwillingness to approach a donor but may instead be related to higher levels of sensitization, donor factors, or the relationships between female candidates and potential donors.…”

Section: Discussioncontrasting

confidence: 94%

Recruitment of Live Donors by Candidates for Kidney Transplantation

Reese

Shea²,

Berns³

et al. 2008

Clinical Journal of the American Society of Nephrology

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Background: Little is known about efforts that renal transplant candidates make to recruit live donors. It was hypothesized that preference for live donor kidney transplantation and greater knowledge about live donor transplantation are associated with candidates' initiating conversations about donation with potential donors.Design, setting, participants, & measurements: A cross-sectional study of renal transplant candidates was performed at initial transplant evaluation. Candidates completed a questionnaire that specified whether they had initiated conversations about donation with any potential donors. The questionnaire also measured preference for live donor transplantation, knowledge about transplantation, concern about donor harm, willingness to ask for help in coping with kidney disease, and social support.Results: Ninety-six candidates participated. Forty-nine (51%) reported initiating a conversation with at least one potential donor. In multivariable logistic regression, domains associated with initiating a conversation included: preference for live donor transplantation, willingness to ask for help, and female gender. Older age was associated with a lower odds of initiating a conversation. Knowledge, concern about donor harm, social support, and ethnicity were not associated with initiating a conversation with a donor.Conclusions: Attempts at donor recruitment by kidney transplant candidates are common. These findings suggest that interventions that influence preferences about transplantation and willingness to ask others for help are logical targets to enhance access to live donor transplantation.

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Section: Discussioncontrasting

confidence: 94%

Recruitment of Live Donors by Candidates for Kidney Transplantation

Reese

Shea²,

Berns³

et al. 2008

Clinical Journal of the American Society of Nephrology

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“…Women also donated more living-related and unrelated kidneys, but received fewer live kidneys than men [1,2,3,4,5,6,7]. …”

Section: Introductionmentioning

confidence: 99%

“…Men may be excluded as donors as they are more likely to exhibit symptoms of hypertension and ischemic heart disease than their female counterparts [1,2,3,4,5,6]. …”

Section: Introductionmentioning

confidence: 99%

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Kidney Transplantation and Gender Disparity

Jindal¹,

Ryan²,

Sajjad

et al. 2005

Am J Nephrol

152

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Gender inequity in access to hemodialysis and kidney transplantation has created a public health crisis in the US. Women have a lower chance of receiving hemodialysis and kidney transplant than men, but they constitute the majority of living kidney donors. Research has shown that economic factors such as greater income of men may encourage females to be donors; while gender-bias on part of physicians or institutions, lack of social support networks and differences in health-seeking behaviors compared to men are cited as reasons for this imbalance. We suggest various strategies to improve participation of women in the transplant process by education; raising awareness by publishing gender-specific data for dialysis and transplant centers; education and workshops to eliminate gender-bias within institutions and health-care providers and establishment of gender-specific support groups. Transplant teams that are more sensitive to the social complexities of women’s lives may lead to increased understanding of the effects of renal disease and indicate measures that need to be in place in order to address this gender disparity in the treatment of renal failure. Research needs to be done to elucidate the underlying medical, societal or psychological processes that lead to gender bias in the field of kidney transplantation.

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“…Among dialysis patients, females are less likely than males to be placed on a transplant waiting list (12)(13)(14)(15)(16) and to undergo transplantation once placed on a waiting list (13, 14, 16 -18). Barriers to referral for transplantation among females on dialysis are: age, comorbidity, less than a high school level of education, and unemployment or homemaker status (19). Wait list times are similar for females and males (1,2).…”

mentioning

confidence: 99%