Racial Differences in Coping With the Need for Kidney Transplantation and Willingness to Ask for Live Organ Donation

Lunsford, Shayna L.; Simpson, Kit; Chavin, Kenneth D.; Hildebrand, Laura G.; Miles, Lucia G.; Shilling, Lilless M.; Smalls, Gilbert R.; Baliga, Prabhakar K.

doi:10.1053/j.ajkd.2005.10.018

Cited by 88 publications

(98 citation statements)

References 27 publications

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“…Whereas our overall percentage of black patients interested in either DDKT or LDKT (72.3%) was almost identical to an earlier study (2), our study diverges from previous studies (2,4,7,(13)(14)(15) in that significantly more black men (82.8%) wanted LDKT compared with women (58.6%). Although there is some evidence that age may affect attitudes toward transplantation (2), younger women were less likely to want LDKT compared with younger men.…”

Section: Discussionsupporting

confidence: 71%

“…However, LDKT is underused by several disadvantaged groups, including women and blacks. Although Ayanian et al (12) found that women (especially black women) were less likely to want LDKT, recent studies of patients presenting for transplant evaluation have found racial differences but not sex differences in wanting LDKT (2,4,7,(13)(14)(15). It is possible that sex differences in wanting LDKT might be underestimated when only patients presenting for transplant evaluation are studied.…”

Section: Introductionmentioning

confidence: 99%

“…For the majority of patients with ESRD, living donor kidney transplantation (LDKT) is the treatment of choice (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11). However, LDKT is underused by several disadvantaged groups, including women and blacks.…”

Section: Introductionmentioning

confidence: 99%

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Sex Differences and Attitudes toward Living Donor Kidney Transplantation among Urban Black Patients on Hemodialysis

Gillespie

Hammer

Kolenikov³

et al. 2014

Clinical Journal of the American Society of Nephrology

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Background and objectives Living donor kidney transplantation, the treatment of choice for ESRD, is underused by women and blacks. To better understand sex differences in the context of potential barriers to living donor kidney transplantation, the Dialysis Patient Transplant Questionnaire was administered in two urban, predominantly black hemodialysis units. Results Women were less likely to want living donor kidney transplantation compared with men (58.5% versus 87.5%, P=0.003), despite being nearly two times as likely as men to receive unsolicited offers for kidney transplant (73.2% versus 43.2%, P=0.02). They were also less likely to have been evaluated for a kidney transplant (28.3% versus 52.2%, P=0.01). The multiple logistic regression analysis showed that sex was a statistically significant predictor of wanting living donor kidney transplantation (women versus men odds ratio, 0.13; 95% confidence interval, 0.04 to 0.46), controlling for various factors known to influence transplant decisions. A sensitivity analysis indicated that mode of administration did not bias these results. ConclusionsIn contrast to previous studies, the study found that black women were less likely to want living donor kidney transplantation compared with black men. Black women were also less likely to be evaluated for a kidney transplant, although they were more likely to receive an unsolicited living donor kidney transplantation offer.

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Section: Discussionsupporting

confidence: 71%

Section: Introductionmentioning

confidence: 99%

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Sex Differences and Attitudes toward Living Donor Kidney Transplantation among Urban Black Patients on Hemodialysis

Gillespie

Hammer

Kolenikov³

et al. 2014

Clinical Journal of the American Society of Nephrology

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“…This need for a more active approach has been identified in the literature (27,28). This study is complementary to the earlier study on home-based education (15).…”

Section: Discussionmentioning

confidence: 61%

Home-Based Family Intervention Increases Knowledge, Communication and Living Donation Rates: A Randomized Controlled Trial

Ismail

Luchtenburg

Timman

et al. 2014

American Journal of Transplantation

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“…To date, the effect of race/ethnicity on LDKT access has not been adequately described by the kidney transplant community, particularly in capturing differences in barriers within widely diverse racial/ethnic groups or in identifying differences in point-of-access problems. However, broadly described and starting with influence of cultural identity, some minorities with kidney failure may cope with the need for transplantation and the possibility of LDKT differently than non-Hispanic whites, and they may be more likely to deny the need for kidney transplantation, have religious objections to transplantation, question the survival and quality of life benefits of transplantation, and mistrust the healthcare system because of their experience of discrimination in accessing healthcare in the past (14,(26)(27)(28)(29)(30). Even for blacks and Hispanics who have decided to pursue transplantation and are on the waiting list, many have not actively considered the LDKT option and some harbor distrust and equity concerns affecting willingness to participate in KPD (29,31,32).…”

Section: Race/ethnicitymentioning

confidence: 99%

Living Donor Kidney Transplantation

Rodrigue

Kazley

Mandelbrot

et al. 2015

Clinical Journal of the American Society of Nephrology

111

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Despite its superior outcomes relative to chronic dialysis and deceased donor kidney transplantation, live donor kidney transplantation (LDKT) is less likely to occur in minorities, older adults, and poor patients than in those who are white, younger, and have higher household income. In addition, there is considerable geographic variability in LDKT rates. Concomitantly, in recent years, the rate of living kidney donation (LKD) has stopped increasing and is declining, after decades of consistent growth. Particularly noteworthy is the decline in LKD among black, younger, male, and lower-income adults. The Live Donor Community of Practice within the American Society of Transplantation, with financial support from 10 other organizations, held a Consensus Conference on Best Practices in Live Kidney Donation in June 2014. The purpose of this meeting was to identify LKD best practices and knowledge gaps that might influence LDKT, with a focus on patient and donor education, evaluation efficiencies, disparities, and systemic barriers to LKD. In this article, we discuss trends in LDKT/LKD and emerging novel strategies for attenuating disparities, and we offer specific recommendations for future clinical practice, education, research, and policy from the Consensus Conference Workgroup focused on disparities.

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Racial Differences in Coping With the Need for Kidney Transplantation and Willingness to Ask for Live Organ Donation

Cited by 88 publications

References 27 publications

Sex Differences and Attitudes toward Living Donor Kidney Transplantation among Urban Black Patients on Hemodialysis

Sex Differences and Attitudes toward Living Donor Kidney Transplantation among Urban Black Patients on Hemodialysis

Home-Based Family Intervention Increases Knowledge, Communication and Living Donation Rates: A Randomized Controlled Trial

Living Donor Kidney Transplantation

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