The change in living kidney donation in women and men in the United States (2005-2015): a population based analysis

Journal of the American Society of Nephrology

Jagbir Gill, Yayuk Joffres, Caren Rose, Julie Lesage, David Landsberg, Matthew Kadatz, and John Gill

Summary by Aiza Waheed, UBC Nephrology Fellow

There has been a decline in living kidney donation in the United States in the last 10 years. To investigate this decline, Dr. Jagbir Gill and colleagues performed a population level analysis of living kidney donation to characterize differences in sex and income on living donation. Historically, women have had a higher prevalence of organ donation than men, but this disparity has increased in recent years. The study found that women have a 44% higher incidence than men on donation, even after adjustment for sex specific progression of ESRD, and that living donation rates have decreased in men, especially those from lower income populations.  The authors suggest that this discrepancy may be a result of the financial implications of organ donation between sexes, attitudes toward organ donation and societal expectations. They recommend that strategies to remove financial barriers to living donation be implemented to support and maintain living donation in the United States.

Change in Kidney Donation JASN (PDF)