African Americans Least Likely to Receive a Living Kidney Donation New York, NY (May 30, 2012) - At every transplant center in the nation, African Americans are the least likely to receive a kidney from a living organ donor, according to findings published in the June issue of the American Journal of Kidney Diseases, the official journal of the National Kidney Foundation. The study, based on data gathered from all 275 transplant centers in the U.S., also showed that those facilities serving predominantly African American populations had even higher rates of living donor transplant disparities. "We were quite disappointed to find that not a single center in this country had equal attainment of live donor kidney transplants in African Americans and non-African Americans," said the study's lead author, Dorry Segev, MD, of Johns Hopkins University School of Medicine. "We were hoping to find at least a few centers where there as racial parity, so we could learn best practices. We were surprised to find that those centers that treated the highest percentage of African Americans actually had the highest racial disparities." At transplant centers with the highest disparities pertaining to living organ donation, African Americans had 76 percent lower odds of obtaining a kidney from a living donor. Even at the facilities that came closest to equality, African Americans were still 35 percent less likely to obtain a transplant from a living donor. There are more than 92,000 people waiting for a kidney in the United States, and over a third of those are African Americans. In 2011, there were 5,771 living donor transplants performed --the lowest rate in ten years -- but only 813 of those kidneys were received by African Americans. Dr. Segev stated that the disparities could be explained, at least in part, by the epidemics of obesity, hypertension, and diabetes, which are likely ruling out many potential African Americans organ donors from giving to a friend or family member. Differences in culture, education, and social attitudes as well as barriers to medical care in general may also be factors. "We need to figure out the keys to successfully reducing disparities," Dr. Segev said. "What is it that centers do to help their patients identify living donors? How do they get live donors evaluated efficiently? And how do their patients address the many barriers to successful live donor transplantation, particularly those faced by African Americans?" The study offers some ways in which transplant center and patients can reduce the disparities through better education programs, more procedures and follow-up to increase potential donor evaluations, and advancements in transplantation techniques that allow for more medically complex, non-matching kidney donations. "The National Kidney Foundation's END THE WAIT initiative is focused on reducing the wait for transplant for everyone on the waiting list. Studies like this one provide a status update as to where we are as a transplant system in the U.S. today," said Joseph Vassalotti, MD, the National Kidney Foundation's Chief Medical Officer. "There are several takeaway messages from this study. First, we must make an effort to increase living donation for everyone who is eligible for kidney transplantation. Second, we have to explore different ways to reduce racial disparities in access to living donor kidney transplantation. Third, we need to find ways that amplify collaborative interactions between patients and transplant centers to find potential living donors. And finally, we have to address why there is such variation between transplant centers in the U.S." "This study showed that transplant centers with the highest rates of living organ donor transplants also had the lowest racial disparity which indicates that increasing the living donor pool will benefit all transplant candidates, especially African Americans, and potentially reduce racial disparities," continued Vassalotti. The National Kidney Foundation, a major voluntary nonprofit health organization, is dedicated to preventing kidney disease, improving the health and well-being of individuals and families affected by kidney disease and increasing the availability of kidneys for transplantation. For more information, visit www.kidney.org
Organ Donation and African Americans Office of Minority Health Resource Center
African Americans make up the largest group of minorities in need of an organ transplant. In 2019, blacks made up 12.8 percent of the national population.
The number of organ transplants performed on blacks in 2020 was 27.7 percent of the number of blacks currently waiting for a transplant. The number of transplants performed on whites was 47.6 percent of the number currently waiting.
While 28.5 percent of the total candidates currently waiting for transplants are blacks, they comprised 12.9 percent of organ donors in 2020.
In 2020, 83.6 percent of donor organs from blacks were from deceased donors.
In 2020, 16.4 percent of blacks were living donors as compared to 33.4 percent of white living donors.
Although the total number of whites on organ transplant waiting lists is about 1.4 times greater than that of blacks, the number of candidates waiting for a kidney transplant is almost the same between blacks and whites.
Blacks have higher rates of diabetes and high blood pressure than the white population.
These conditions are known to put patients at risk for organ failures.
African-Americans the largest group of minorities in need of organ transplants
Yes! You’ve come back for another blog from The Providers’ Group! Thank you so much for reading! This is our 8th post from this series, and we hope you’re enjoying what you’ve read so far. Of course, we hope you’re reading this post from a place of peace, happiness, and good health. With that being said, we’re going to jump into this week’s topic, how to become a living organ donor! A few posts ago, we discussed the process of becoming a deceased donor. A deceased donor is someone who chooses to donate their organs after death to people in need. The individual is declared brain dead by doctors, and the process begins. The individual gives consent by labeling him or herself as an organ donor on their driver’s license or registering with their local DMV. If the individual is not registered, their next of kin can consent. Afterward, the individual’s organs are transported to people in need. Remember, one person can save up to eight lives!
Suppose you’d like to make a difference in people’s lives while you’re alive and well, becoming a living organ donor may be a better option for you! The process goes a little something like this … first, you have to be in good health, physically and mentally. If you know someone, in particular, you’d like to donate an organ too, you’d begin the process by speaking to the individual you’d like to donate to and his or her transplant program where he or she is listed. If you’d like to be a non-directed living donor, you can contact a transplant center, of your choosing, and speak with someone there. Afterward, you’ll give consent to take a basic medical screening, which will screen your medical history to determine if you have any medical conditions that would prevent you from becoming a donor. The next step is typically a blood test, and if you aren’t a match to that person, other options to donate can be considered.
If you’re a match, on the other hand, here’s where the blessings really begin! You will be assigned an Independent Donor Advocate (IDA) or an IDA team, this is required from transplant programs. This individual, or team, is your guardian angel throughout the entire donation process. They provide you with all of the information necessary to donate, they keep your best interest at heart, and their job is to protect you and advocate for you throughout the donation process. From there you will go through the Consent Process, Evaluation Process, Surgical Procedure, Medical and Psychosocial Risk, and the Post-Donation Follow-Up.
Although the kidney is the most common organ donated from living organ donors, parts of the liver, lung, intestine, and pancreas can also be donated.
There are so many positives that come from being a living organ donor, with the primary being saving someone’s life! Many donors report “positive emotional experiences” from providing a gift to a person in need. The quicker someone chooses to donate, the quicker the recipient’s name comes off the transplant waiting list and they can return to a better quality of life. By removing their name from the transplant waiting list, another person in need moves up and the waiting time for an organ is cut down. Quality of life is restored, and the waiting list shortens. It’s an all-around win, even for individuals waiting on organs.
Now that you’ve been presented with options, we hope that you can make an informed decision on whether you’d like to become a living or deceased organ donor. Remember to make your decision soundly and informed, and do not make your decision due to guilt or pressure. Welp, that concludes the topic for this week, y’all. Have an amazing week and don’t forget to come back next week for our next post! Be Blessed!
Information presented in this blog comes from https://unos.org/wp- content/uploads/unos/Living_Donation.pdf
Hey, y’all hey! Welcome to another post from The Providers’ Group! As always, we hope this post reaches you and your family in good spirits. We’ve decided to switch it up a bit and dedicate the first Sunday of the month to our organization. As you know, our goal is to spread knowledge about organ donations and becoming organ donors. However, we have plans in store and we would like to keep you updated with what’s going on with us as well!