A Single-Center Retrospective Study to Identify Causes of Sex Differences in the Living Kidney Donor Evaluation Process
2024

Understanding Why More Women Donate Kidneys

Sample size: 1861 publication 10 minutes Evidence: high

Author Information

Author(s): Ritah R. Chumdermpadetsuk, Adriana Montalvan, Stalin Canizares, Bhavna Chopra, Martha Pavlakis, David D. Lee, Devin E. Eckhoff

Primary Institution: Beth Israel Deaconess Medical Center

Hypothesis

Both sexes are equally likely to become approved as living donors, but female volunteers are more likely to follow through with donation.

Conclusion

The overrepresentation of female volunteers among living kidney donors is due to a higher rate of self-referral for evaluation, not differences in approval or follow-through.

Supporting Evidence

  • Females were 1.9 times more likely to volunteer for living donor evaluation.
  • Both sexes had no significant differences in completing medical and psychosocial workups.
  • Female volunteers were more likely to be excluded due to ABO incompatibility.

Takeaway

More women than men want to donate kidneys, but once they start the process, both are equally likely to be approved and actually donate.

Methodology

This study involved a retrospective chart review of self-referrals for living donor evaluation over a 13-year period.

Potential Biases

Potential selection bias due to the availability of data and the retrospective nature of the study.

Limitations

The study is retrospective, which may introduce bias and misreporting, and it was conducted at a single center.

Participant Demographics

The cohort included 1214 female (65.2%) and 647 male (34.8%) volunteers.

Statistical Information

Confidence Interval

95% CI

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.34067/KID.0000000581

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