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Implicit Bias in Recipient Selection

Y. Sweidan1, C. Mayuga1, B. Daly1, K. Chavin2, T. Srinivas1, A. Padiyar1

1Medicine, University Hospitals Cleveland Medical Center, Cleveland, OH, 2Surgery, University Hospitals Cleveland Medical Center, Cleveland, OH

Meeting: 2020 American Transplant Congress

Abstract number: C-216

Keywords: Kidney, Kidney transplantation

Session Information

Session Name: Poster Session C: Non-Organ Specific: Economics & Ethics

Session Type: Poster Session

Date: Saturday, May 30, 2020

Session Time: 3:15pm-4:00pm

 Presentation Time: 3:30pm-4:00pm

Location: Virtual

*Purpose: The decision to place or exclude a candidate from the waitlist is not exclusively based on medical criteria. Scant literature exists regarding the intergroup dynamics within selection committees that influence decision making. This study attempts to clarify how the composition of selection committee meetings may affect listing outcome of kidney transplant candidates.

*Methods: We performed a single-center retrospective study of kidney transplant selection committee attendance sheets and minutes from January 2014 to December 2014. We sought to determine if candidates who were evaluated by the same providers in attendance at selection committee are more likely to be listed for kidney transplant.

*Results: 292 (39%) of 750 candidates presented during 22 selection meetings in 2014 were listed. 8 nephrologists, 5 surgeons and 2 social workers comprised the clinicians that both evaluated potential candidates and attended recipient selection meetings. Table 1 describes the frequency with which clinicians who were in attendance at selection meetings had previously evaluated the candidates being discussed.Using binary logistic regression, the presence of the nephrologist or the surgeon who had evaluated the patient was significantly associated with a greater likelihood of the candidate being listed (OR 3.219 and 3.265 respectively, p=0.000, see Table 2). To a lesser degree, the presence of the social worker who evaluated the patient was also associated with a greater likelihood of listing (OR 1.765, p=0.021). Interestingly, the presence of both the nephrologist and surgeon who evaluated the patient, or the presence of both physicians and the social worker, were not associated with greater likelihood of listing.

*Conclusions: The composition of attendees at recipient selection meetings may influence listing outcomes of potential kidney transplant candidates.

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To cite this abstract in AMA style:

Sweidan Y, Mayuga C, Daly B, Chavin K, Srinivas T, Padiyar A. Implicit Bias in Recipient Selection [abstract]. Am J Transplant. 2020; 20 (suppl 3). https://atcmeetingabstracts.com/abstract/implicit-bias-in-recipient-selection/. Accessed May 11, 2025.

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