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Understanding the Decision-Making of 2576 Potential Living Kidney Donors of Different Racial/Ethnic Backgrounds

A. Waterman1, G. H. Kim1, Y. Cui2, O. N. Ranasinghe1, J. L. Beaumont2, D. Adey3, U. Reddy4, B. Campbell5, F. L. Weng6

1Division of Nephrology, David Geffen School of Medicine, Los Angeles, CA, 2Terasaki Research Institute, Los Angeles, CA, 3UCSF Health, San Francisco, CA, 4UC Irvine, Irvine, CA, 5Cedars Sinai Medical Center, Los Angeles, CA, 6St. Barnabas Medical Center, Livingston, NJ

Meeting: 2020 American Transplant Congress

Abstract number: A-076

Keywords: Kidney transplantation, Living donor, Psychosocial, Public policy

Session Information

Date: Saturday, May 30, 2020

Session Name: Poster Session A: Kidney Living Donor: Selection

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

 Presentation Time: 3:30pm-4:00pm

Location: Virtual

Related Abstracts
  • The Influence of Spirituality and Other Motivations on Potential Kidney Living Donors’ Decisions to Donate by Race/Ethnicity
  • How Prepared are Potential Donors to Donate?: Racial/Ethnic Differences in Potential Kidney Donors’ Knowledge and Education Before Starting Evaluation

*Purpose: To better understand racial/ethnic disparities associated with kidney living donation, this study examined differences in potential living kidney donors’ decision-making, resistance to donation, and differences by relationship to recipient at the start of evaluation.

*Methods: 2576 potential donors from five transplant centers, with no clear medical contraindications, were surveyed.

*Results: Potential donors were 16% Black, 21% Hispanic, 9% Asian, 60% female, and mean of 44 years old (SD, 13), 23% with a high school education or less. Most planned to donate to a friend/acquaintance (20%), parent (19%), spouse/partner (19%), or sibling (16%), though White donors were most likely to be donating to a friend, Black donors to a parent, and Asian donors to their spouse (Figure). The decision to donate was instantaneous for the majority (64%) with more potential donors deciding instantaneously if the recipient was their child (80%), spouse (75%), sibling (69%) or parent (70%). Compared to Whites (62%), Black potential donors were significantly more likely (70%) and Asians were less likely to decide instantaneously (55%) (P = 0.001). When exploring resistance to becoming a donor, 10% of potential donors agreed with the statement “I sometimes wish the recipient would get a transplant from someone else instead of me,” with Asians reporting greater concern (16% vs. 5-10%; P < 0.001). A minority of Asian (17%), Hispanic (14%), White (12%) and Black donors (8%) had someone important in their life who did not want them to donate (p=0.008).

*Conclusions: Clinical sensitivity is necessary for potential donors of different races/ethnicities, due to differences in their decision-making, family support for donation, and willingness to donate to different potential recipients.

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To cite this abstract in AMA style:

Waterman A, Kim GH, Cui Y, Ranasinghe ON, Beaumont JL, Adey D, Reddy U, Campbell B, Weng FL. Understanding the Decision-Making of 2576 Potential Living Kidney Donors of Different Racial/Ethnic Backgrounds [abstract]. Am J Transplant. 2020; 20 (suppl 3). https://atcmeetingabstracts.com/abstract/understanding-the-decision-making-of-2576-potential-living-kidney-donors-of-different-racial-ethnic-backgrounds/. Accessed March 8, 2021.

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