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Impact of Novel Social Factors on Living Kidney Donation

L. Cholin, E. Ramos, J. Yahr, J. Schold, E. Poggio, A. Huml

Cleveland Clinic Foundation, Cleveland, OH

Meeting: 2022 American Transplant Congress

Abstract number: 1047

Keywords: Donation, Kidney transplantation, Living donor, Psychosocial

Topic: Clinical Science » Kidney » 40 - Kidney Living Donor: Other

Session Information

Session Name: Kidney Living Donor: Other

Session Type: Poster Abstract

Date: Sunday, June 5, 2022

Session Time: 7:00pm-8:00pm

 Presentation Time: 7:00pm-8:00pm

Location: Hynes Halls C & D

*Purpose: General demographic information including age, gender, race, and socioeconomic status are often used to describe living kidney donors (LKDs). Little is known about more novel psychosocial factors and their effect on the donation process. Our study aimed to collect non-codified characteristics of LKD candidates to better understand differences between donors and non-donors.

*Methods: A retrospective chart review was performed on LKD candidates that initiated the evaluation process between 2016 and 2019 and had a social work (SW) visit. SW notes were reviewed for the frequency of novel characteristics that may impact the success of donation between donor and non-donor groups.

*Results: Compared to non-donors, donors were more often female (64.7% v. 60.0, p=0.62), white (96.1% v. 80.0%, p=0.01), and younger (median 41 v. 46 yr, p=0.45). Both groups demonstrated a high rate of prior altruistic behavior (73.6% overall). However, donors reported previous blood donation more often than non-donors (72.6% v. 60.0%). The non-donor group was more likely to be single (23.6% v. 7.8%) and require social support outside the home (65.5% v. 49.0%) than donor group. Remainder of factors examined appear in tables 1 and 2.

*Conclusions: Social factors persist as barriers to donation even after LKD candidates make it to an in-person SW evaluation. Developing resources to support potential LKDs may increase rates of actual donation.

Novel Social Factors Between Non-Donors and Donors
Overall, N (%) Non-Donors, N (%) Donors, N (%) P-Value
Total 106 (100) 55 (51.9) 51 (48.1)
Marital status: married, in a partnership, widowed/divorced, single 62 (58.5), 20 (18.9), 7 (6.6), 17 (16.0) 25 (45.5), 11 (20.0), 6 (10.9), 13 (23.6) 37 (72.6), 9 (17.7), 1 (2.0), 4 (7.8) 0.01
Owns home 86 (81.1) 43 (78.2) 43 (84.3) 0.34
Owns car 103 (97.2) 52 (94.6) 51 (100.0) 0.24
Has access to computer 101 (95.3) 52 (94.6) 49 (96.1) 0.87
Living with dependent 56 (52.8) 26 (47.3) 30 (58.8) 0.24
Owns pet 65 (61.3) 30 (54.6) 35 (68.6) 0.11
Novel Social Factors Between Non-Donors and Donors, Continued
Overall, N (%) Non-Donors, N (%) Donors, N (%) P-Value
Share of household income: minimal, split, majority 14 (13.2), 63 (59.4), 29 (27.4) 8 (14.6), 31 (56.4), 16 (29.1) 6 (11.8), 32 (62.8), 13 (25.5) 0.79
Share of household tasks: minimal, split, majority 10 (9.4), 68 (64.2), 28 (26.4) 8 (14.6), 30 (54.6), 17 (30.9) 2 (3.9), 38 (74.5), 11 (21.6) 0.06
Currently employed  87 (82.1) 44 (80.0) 43 (84.3) 0.84
Has health insurance 98 (92.5) 52 (94.6) 46 (90.2) 0.40
Has paid leave 64 (60.4) 36 (65.5) 28 (54.9) 0.36
Requires social support from outside the home 61 (57.6) 36 (65.5) 25 (49.0) 0.09
Social support requires time off from work 30 (28.3) 16 (29.1) 14 (27.5) 0.32

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To cite this abstract in AMA style:

Cholin L, Ramos E, Yahr J, Schold J, Poggio E, Huml A. Impact of Novel Social Factors on Living Kidney Donation [abstract]. Am J Transplant. 2022; 22 (suppl 3). https://atcmeetingabstracts.com/abstract/impact-of-novel-social-factors-on-living-kidney-donation/. Accessed May 28, 2025.

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