Why Blacks Do Not Successfully Donate Kidneys
"Obesity is a growing problem in the African-American community, particularly among women, and this reflects what we found in the study," said Amber Reeves-Daniel, D.O., an instructor in internal medicine-nephrology. "The other issue is the social reasons for non-donation, including failure to complete the donor evaluation process. This issue is just not well understood."
Reeves-Daniel reported the results at the 2007 American Transplant Congress in San Francisco.
Donor questionnaires and charts for 541 disqualified potential donors were reviewed. The disqualified donors were all identified by documented information - race, gender and cause of donor exclusion. In some cases, disqualified donors had more than one reason for exclusion.
About 30 percent of blacks were excluded because of obesity, compared to 16.6 percent of whites. Obesity was defined by body mass index (BMI) greater than or equal to 32 kg/m². Twelve percent of blacks were excluded because they didn't complete the evaluation process, compared to 1.8 percent of whites. For whites, the biggest reason for exclusion was kidney stones, at 7.3 percent, compared to 1.5 percent in blacks.
"Further study of these differences may improve our understanding of the causes of low rates of living kidney donation among African-Americans, particularly regarding the social reasons," said Reeves-Daniel. "Is it lack of trust in the medical community, financial inability to get to doctor's appointments for tests, concerns with work and child care, or perhaps some other issue?"
The researchers also examined reasons for non-donation between men and women. They found that more women than men did not donate because of reduced renal function, at 7.9 percent and 0.9 percent, respectively. Also, more women (6.4 percent) than men (1.8 percent) were excluded due to not completing the process.
"I did find this kind of surprising because more women successfully donate than men, at a rate of 58 percent versus 42 percent," said Reeves-Daniel.
"We hope all of these results will help with understanding so we can recruit successful donors in the future."
Erica Hartmann, M.D., assistant professor in internal medicine-nephrology, is the medical director of the Wake Forest University Baptist Medical Center Renal/Pancreas Transplant Program, and was the senior advisor on the study.
Wake Forest University Baptist Medical Center is an academic health system comprised of North Carolina Baptist Hospital and Wake Forest University Health Sciences, which operates the university's School of Medicine. The system comprises 1,238 acute care, psychiatric, rehabilitation and long-term care beds and is consistently ranked as one of "America's Best Hospitals" by U.S. News & World Report.
Contact: Shannon Koontz
Wake Forest University Baptist Medical Center
There are no references listed for this article.
Please use one of the following formats to cite this article in your essay, paper or report:
Koontz, Shannon. "Why Blacks Do Not Successfully Donate Kidneys." Medical News Today. MediLexicon, Intl., 10 May. 2007. Web.
28 Jun. 2017. <http://www.medicalnewstoday.com/releases/70187.php>
Koontz, S. (2007, May 10). "Why Blacks Do Not Successfully Donate Kidneys." Medical News Today. Retrieved from
Please note: If no author information is provided, the source is cited instead.
Contact our news editors
For any corrections of factual information, or to contact our editorial team, please see our contact page.
Copyright Medical News Today: Excluding email/sharing services explicitly offered on this website, material published on Medical News Today may not be reproduced, or distributed without the prior written permission of Medilexicon International Ltd. Please contact us for further details.