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Efforts needed to address disparities in kidney transplantation
Date:11/20/2010

1. Low Income Individuals Are Donating Fewer Kidneys Kidney Donations by the Poor Are on the Decline

Research shows that people with low incomes are more likely to develop kidney failure and less likely to receive a living donor kidney transplant than people of other socioeconomic classes. Because fewer individuals in the U.S. are donating kidneys, Jagbir Gill, MD (St. Paul's Hospital, University of British Columbia, in Vancouver, Canada) and colleagues examined trends in kidney donation based on income. Data from the Organ Procurement and Transplantation Network/United Network for Organ Sharing (2000-2007) and the US 2000 Census revealed that rates of living donation are inversely related to median household income. Rates of living kidney donation declined in all income groups over time, but the largest decline was seen in the lowest income group, where living donations decreased by 5 per million population between 2004 and 2007. (The rates decreased by 1 donor per million population in the two highest income groups, making the absolute decrease in living donor rates 5-fold greater in the lowest income group compared with the highest income groups.) "This is important as it helps us identify potential barriers to living kidney donation and minimize these barriers so that everyone who wishes to donate a kidney to a loved one has the opportunity to do so," said Dr. Gill.

Study co-authors include James Dong, Caren Rose, and John Gill, MD (St. Paul's Hospital, University of British Columbia, in Vancouver, Canada).

Disclosures: The authors reported no financial disclosures.

The study abstract, "The Retraction of Living Kidney Donation Is Most Marked among the Poor," [SA-FC451] will be presented as an oral presentation on Saturday, November 20 at 4:30 PM MT in Room 712 of the Colorado Convention Center in Denver, CO.

2. Certain Steps Get Black Kidney Disease Patients on Early Transplant Waiting Lists Im
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Contact: Shari Leventhal
sleventhal@asn-online.org
202-416-0658
American Society of Nephrology
Source:Eurekalert

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