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January 2, 2018

Disparities in Live Donor Kidney Transplantation: Related to Poverty, Race, or Ethnicity?

Author Affiliations
  • 1University of Texas Health Science Center, San Antonio
JAMA. 2018;319(1):24-26. doi:10.1001/jama.2017.19617

Over the past 2 decades, increasing national and local attention has been placed on promoting increases in live donor kidney transplantation in the United States and in addressing existing racial/ethnic disparities in the rates of live donor transplantation. Still, a large gap exists between current realities and proposed goals.

In this issue of JAMA, Purnell and colleagues1 reviewed national trends from 1995 to 2014 in the rates of live donor kidney transplantation according to racial/ethnic differences. The authors observed decreases in the cumulative incidence of live donor kidney transplantation for black and Hispanic patients, resulting in increasing disparities compared with white patients. These disparities are a topic of great importance. To accurately target solutions for the persistent disparities involving racial/ethnic minorities, it is incumbent to fully understand the multifaceted underlying issues related to live donor kidney transplantation.