Volume 21, Issue 2 e12852

ORIGINAL ARTICLE

Barriers to live donor kidney transplants in the pediatric population: A single-center experience

Shibany P. Taormina,

Shibany P. Taormina

Department of Psychiatry and Behavioral Neurosciences, Wayne State University School of Medicine, Detroit, MI, USA

Children's Hospital of Michigan, Detroit, MI, USA

Search for more papers by this author

Matthew P. Galloway,

Matthew P. Galloway

Department of Psychiatry and Behavioral Neurosciences, Wayne State University School of Medicine, Detroit, MI, USA

Department of Anesthesiology, Wayne State University School of Medicine, Detroit, MI, USA

Search for more papers by this author

Amrish Jain,

Corresponding Author

Amrish Jain

[email protected]

Division of Pediatric Nephrology, Department of Pediatrics, Wayne State University School of Medicine, Detroit, MI, USA

Children's Hospital of Michigan, Detroit, MI, USA

Correspondence

Amrish Jain, Division of Pediatric Nephrology and Hypertension, Wayne State University School of Medicine, Detroit, MI, USA.

Email: [email protected]

Search for more papers by this author

Shibany P. Taormina,

Shibany P. Taormina

Department of Psychiatry and Behavioral Neurosciences, Wayne State University School of Medicine, Detroit, MI, USA

Children's Hospital of Michigan, Detroit, MI, USA

Search for more papers by this author

Matthew P. Galloway,

Matthew P. Galloway

Department of Psychiatry and Behavioral Neurosciences, Wayne State University School of Medicine, Detroit, MI, USA

Department of Anesthesiology, Wayne State University School of Medicine, Detroit, MI, USA

Search for more papers by this author

Amrish Jain,

Corresponding Author

Amrish Jain

[email protected]

Division of Pediatric Nephrology, Department of Pediatrics, Wayne State University School of Medicine, Detroit, MI, USA

Children's Hospital of Michigan, Detroit, MI, USA

Correspondence

Amrish Jain, Division of Pediatric Nephrology and Hypertension, Wayne State University School of Medicine, Detroit, MI, USA.

Email: [email protected]

Search for more papers by this author

First published: 25 November 2016

https://doi.org/10.1111/petr.12852

Citations: 11

Share a link

Email
Wechat
Bluesky

Abstract

A decrease in live donor pediatric kidney transplants has occurred in the United States. This study investigates barriers that may influence access to live donor kidney transplants in children. Retrospective chart review was conducted for 91 children (69% male, mean age 11.9 years) who underwent pretransplant workup from 2005 to 2015 at an urban pediatric hospital. Fifty-four percent were African American, 32% Caucasian, 8% Arabic, 3% Hispanic, and 3% Others. Government-sponsored insurance (Medicaid/Medicare) was utilized by 73%, and 54% had dual caregivers. Only nine of 68 kidney transplants were live donor transplants. Live donor transplants (11%) were significantly (P=.008) lower than deceased donor transplants (59%) in African Americans. Private insurance was reported by 56% of live donor recipients and 25% of deceased donor recipients. Among live donor recipients, 78% were from dual caregiver families. Caregiver, health-related, financial, and religious/cultural barriers to live donor transplants were reported, several of which may be amenable to positive intervention.

References

1 Organ procurement and transplantation network: transplant by donor type. 2015. http://optn.transplant.hrsa.gov/converge/latestData/rptData.asp. Accessed December 22, 2015.
Google Scholar
2Matas AJ, Smith JM, Skeans MA, et al. OPTN/SRTR 2013 annual data report: kidney. Am J Transplant. 2015; 15: 1–34.
10.1111/ajt.13195
PubMed Web of Science® Google Scholar
3 NAPRTCS 2014 annual report. 2015. https://web.emmes.com/study/ped/annlrept/annlrept.html. Accessed December 18, 2015.
Google Scholar
4Saran R, Li Y, Robinson B, et al. US Renal Data System 2014 annual data report: epidemiology of kidney disease in the United States. Am J Kidney Dis. 2015; 66:Svii, S1-305.
10.1053/j.ajkd.2015.05.001
PubMed Web of Science® Google Scholar
5Saran R, Li Y, Robinson B, et al. US Renal Data System 2014 annual data report: epidemiology of kidney disease in the United States—Chapter 6: transplantation. Am J Kidney Dis. 2015; 66: S153–S162.
10.1053/j.ajkd.2015.05.001
Web of Science® Google Scholar
6Saran R, Li Y, Robinson B, et al. US Renal Data System 2014 annual data report: epidemiology of kidney disease in the United States—Chapter 7: pediatric ESRD. Am J Kidney Dis. 2015; 66: S163–S174.
10.1053/j.ajkd.2015.05.001
Web of Science® Google Scholar
7Saran R, Li Y, Robinson B, et al. US Renal Data System 2015 annual data report: epidemiology of kidney disease in the United States. Am J Kidney Dis. 2016; 67:Svii, S1-305.
10.1053/j.ajkd.2015.12.014
Web of Science® Google Scholar
8Patzer RE, Sayed BA, Kutner N, McClellan WM, Amaral S. Racial and ethnic differences in pediatric access to preemptive kidney transplantation in the United States. Am J Transplant. 2013; 13: 1769–1781.
10.1111/ajt.12299
CAS PubMed Web of Science® Google Scholar
9Amaral S, Patzer R. Disparities, race/ethnicity and access to pediatric kidney transplantation. Curr Opin Nephrol Hypertens. 2013; 22: 336–343.
10.1097/MNH.0b013e32835fe55b
CAS PubMed Web of Science® Google Scholar
10Grace BS, Clayton PA, Cass A, McDonald SP. Transplantation rates for living- but not deceased-donor kidneys vary with socioeconomic status in Australia. Kidney Int. 2013; 83: 138–145.
10.1038/ki.2012.304
PubMed Web of Science® Google Scholar
11 Organ procurement and transplantation network: all Kaplan-Meier median waiting times for registrations listed: 1999-2004. 2015. http://optn.transplant.hrsa.gov/converge/latestData/rptStrat.asp. Accessed October 21, 2015.
Google Scholar
12Grace BS, Kara T, Kennedy SE, McDonald SP. Racial disparities in pediatric kidney transplantation in New Zealand. Pediatr Transplant. 2014; 18: 689–697.
10.1111/petr.12322
PubMed Web of Science® Google Scholar
13Freeman MA, Myaskovsky L. An overview of disparities and interventions in pediatric kidney transplantation worldwide. Pediatric Nephrol. 2015; 30: 1077–1086.
10.1007/s00467-014-2879-3
PubMed Web of Science® Google Scholar
14Moseley KL, Kershaw DB. African American and white disparities in pediatric kidney transplantation in the United States—unfortunate or unjust? Camb Q Healthc Ethics. 2012; 21: 353–365.
10.1017/S0963180112000072
PubMed Web of Science® Google Scholar
15Purnell TS, Xu P, Leca N, Hall YN. Racial differences in determinants of live donor kidney transplantation in the United States. Am J Transplant. 2013; 13: 1557–1565.
10.1111/ajt.12258
CAS PubMed Web of Science® Google Scholar
16Martin P. Finding a living kidney donor: experiences of New Zealand renal patients. Aust Health Rev. 2013; 37: 48–53.
10.1071/AH12159
PubMed Web of Science® Google Scholar
17Lunsford SL, Shilling LM, Chavin KD, et al. Racial differences in the living kidney donation experience and implications for education. Prog Transplant. 2007; 17: 234–240.
10.7182/prtr.17.3.np2316450n345u67
PubMed Google Scholar
18Sieverdes JC, Nemeth LS, Magwood GS, et al. African American kidney transplant patients' perspectives on challenges in the living donation process. Prog Transplant. 2015; 25: 164–175.
10.7182/pit2015852
PubMed Web of Science® Google Scholar
19Siegel JT, O'Brien EK, Alvaro EM, Poulsen JA. Barriers to living donation among low-resource Hispanics. Qual Health Res. 2014; 24: 1360–1367.
10.1177/1049732314546869
PubMed Web of Science® Google Scholar
20Gillespie A, Hammer H, Bass SB, et al. Attitudes towards living donor kidney transplantation among urban African American hemodialysis patients: a qualitative and quantitative analysis. J Health Care Poor Underserved. 2015; 26: 852–872.
10.1353/hpu.2015.0087
PubMed Web of Science® Google Scholar
21Breitkopf CR. Attitudes, beliefs and behaviors surrounding organ donation among Hispanic women. Curr Opin Organ Transplant. 2009; 14: 191–195.
10.1097/MOT.0b013e328329255c
PubMed Web of Science® Google Scholar
22Barnieh L, McLaughlin K, Manns BJ, et al. Barriers to living kidney donation identified by eligible candidates with end-stage renal disease. Nephrol Dial Transplant. 2011; 26: 732–738.
10.1093/ndt/gfq388
PubMed Web of Science® Google Scholar
23Pradel FG, Mullins CD, Bartlett ST. Exploring donors' and recipients' attitudes about living donor kidney transplantation. Prog Transplant. 2003; 13: 203–210.
PubMed Google Scholar
24Boulware LE, Hill-Briggs F, Kraus ES, et al. Identifying and addressing barriers to African American and non-African American families' discussions about preemptive living related kidney transplantation. Prog Transplant. 2011; 21: 97–104; quiz 105.
10.1177/152692481102100203
PubMed Web of Science® Google Scholar
25Coorey GM, Paykin C, Singleton-Driscoll LC, Gaston RS. Barriers to preemptive kidney transplantation. Am J Nurs. 2009; 109: 28–37; quiz 38.
10.1097/01.NAJ.0000363348.29227.a9
PubMed Web of Science® Google Scholar
26Dageforde LA, Petersen AW, Feurer ID, et al. Health literacy of living kidney donors and kidney transplant recipients. Transplantation. 2014; 98: 88–93.
10.1097/TP.0000000000000027
PubMed Web of Science® Google Scholar
27Ismail SY, Massey EK, Luchtenburg AE, et al. Religious attitudes towards living kidney donation among Dutch renal patients. Med Health Care Philos. 2012; 15: 221–227.
10.1007/s11019-011-9326-z
PubMed Web of Science® Google Scholar
28Jacob Arriola KR, Robinson DHZ, Perryman JP, Thompson N. Understanding the relationship between knowledge and African Americans' donation decision-making. Patient Educ Couns. 2008; 70: 242–250.
10.1016/j.pec.2007.09.017
PubMed Web of Science® Google Scholar
29Rodrigue JR, Cornell DL, Kaplan B, Howard RJ. A randomized trial of a home-based educational approach to increase live donor kidney transplantation: effects in blacks and whites. Am J Kidney Dis. 2008; 51: 663–670.
10.1053/j.ajkd.2007.11.027
PubMed Web of Science® Google Scholar
30Hays R, Rodrigue JR, Cohen D, et al. Financial neutrality for living organ donors: reasoning, rationale, definitions, and implementation strategies. Am J Transplant. 2016; 16: 1973–1981.
10.1111/ajt.13813
CAS PubMed Web of Science® Google Scholar

Citing Literature

Volume21, Issue2

March 2017

e12852

Barriers to live donor kidney transplants in the pediatric population: A single-center experience

Abstract

References

Citing Literature

References

Information

About Wiley Online Library

Help & Support

Opportunities

Connect with Wiley

Barriers to live donor kidney transplants in the pediatric population: A single-center experience

Abstract

References

Citing Literature

References

Related

Information