Avrum Gillespie|Heather Hammer|Stanislav Kolenikov|Athanasia Polychronopoulou|Vladimir Ouzienko|Zoran Obradovi?|Megan Urbanski|Teri Browne|Patricio Silva
Sex Differences and Attitudes toward Living Donor Kidney Transplantation among Urban Black Patients on Hemodialysis
Temple University|Group Health Cooperative|Schulman, Ronca & Bucuvalas|Temple University|Temple University|Temple University|Temple University Hospital|University of South Carolina|Temple University
living donor kidney transplantation treatment choice esrd underused women blacks better understand sex differences context potential barriers living donor kidney transplantation dialysis patient transplant questionnaire administered two urban predominantly black hemodialysis unitsthe dialysis patient transplant questionnaire designed study barriers kidney transplantation previously validated questions july 2008 january 2009 dialysis patient transplant questionnaire administered 116 patients hemodialysis including potentially eligible ineligible living donor kidney transplantation candidates 101 patients selfidentified black african american 50 495 patients questionnaire entirely administered researcher assistant 25 248 patients required assistance 26 257 patients completed dialysis patient transplant questionnaire entirely multiple logistic regression methods used determine observed bivariate associations differences persisted controlled potential confounderswomen less likely want living donor kidney transplantation compared men 585 versus 875 p0003 despite nearly two times likely men receive unsolicited offers kidney transplant 732 versus 432 p002 also less likely evaluated kidney transplant 283 versus 522 p001 multiple logistic regression analysis showed sex statistically significant predictor wanting living donor kidney transplantation women versus men odds ratio 013 95 confidence interval 004 046 controlling various factors known influence transplant decisions sensitivity analysis indicated mode administration bias resultsin contrast previous studies study found black women less likely want living donor kidney transplantation compared black men black women also less likely evaluated kidney transplant although likely receive unsolicited living donor kidney transplantation offer