Date: Tuesday, June 5, 2018
Session Time: 6:00pm-7:00pm
Presentation Time: 6:00pm-7:00pm
Location: Hall 4EF
While financial barriers to living kidney donation have been recognized, and the associated costs have been characterized limited data exist on the costs incurred by living liver donors (LLDs).
Methods: We surveyed 15 LLDs at our institution (03/2015-07/2017) regarding non-reimbursed costs incurred during evaluation, hospitalization for donation, and post-donation recovery.
Results: The majority of participants were male (67%), Caucasian (93%), college-educated (73%), and employed (93%). The greatest source of donation-related cost was from missed work (reported by 73% of participants) with a median (IQR) loss of $3,000 ($1,600-$7,300). Two donors (13%) reported that time missed from work for donation threatened their job security. The next greatest cost was the lost pay and/or travel costs incurred by participants' companions (67%; median (IQR) $525 ($100-$2,000)); notably, every participant had at least one companion accompany them to an appointment and/or donation surgery. Median (IQR) total donation-related cost reported by participants was $3,261 ($2,183-$7,630), and 80% of participants had costs exceeding $1,000. Among participants, 13% perceived that living liver donation was financially burdensome, and 20% reported considering donation-related costs during their donation decision process.
Conclusions: Living liver donation associated out-of-pocket costs are substantial, with many LLDs spending thousands of dollars out of pocket during the evaluation, donation, and recovery period. Consequently, cost is a consideration for potential donors, and donation is financially burdensome for some LLDs. Mitigating costs to LLDs might improve access to living-donor liver transplantation.
CITATION INFORMATION: Ruck J., Massie A., Garonzik-Wang J., Ottman S., Cameron A., Philosophe B., Segev D. Living Liver Donors Face Substantial Out-of-Pocket Donation-Related Costs Am J Transplant. 2017;17 (suppl 3).
To cite this abstract in AMA style:Ruck J, Massie A, Garonzik-Wang J, Ottman S, Cameron A, Philosophe B, Segev D. Living Liver Donors Face Substantial Out-of-Pocket Donation-Related Costs [abstract]. https://atcmeetingabstracts.com/abstract/living-liver-donors-face-substantial-out-of-pocket-donation-related-costs/. Accessed November 27, 2020.
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