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Socioeconomic Status in Non-directed and Voucher-based Living Kidney Donation.
Nassiri, Nima; Baskin, Avi S; Herbert, Lorna K; Connor, Sarah; Pham, Thomas; Melcher, Marc L; Sinacore, Joseph; Veale, Jeffrey L.
Afiliación
  • Nassiri N; Institute of Urology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA. Electronic address: ima.nassiri@med.usc.edu.
  • Baskin AS; Department of Urology, University of California San Francisco, San Francisco, CA, USA.
  • Herbert LK; Department of Urology, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, USA.
  • Connor S; Department of Urology, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, USA.
  • Pham T; Department of Surgery, University of Southern California, Los Angeles, CA, USA.
  • Melcher ML; Department of Surgery, Stanford University, Palo Alto, CA, USA.
  • Sinacore J; National Kidney Registry, Babylon, NY, USA.
  • Veale JL; Department of Urology, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, USA.
Eur Urol Focus ; 4(2): 185-189, 2018 03.
Article en En | MEDLINE | ID: mdl-30122635
BACKGROUND: Little has been reported about the socioeconomic status (SES) and demographics of non-directed (altruistic) and voucher-based donation. OBJECTIVE: To analyze common characteristics amongst altruistic donors in order to promote non-directed and voucher-based donation. DESIGN, SETTING, AND PARTICIPANTS: Information regarding altruistic donations from 2008 to 2015 and voucher-based donors was obtained from the National Kidney Registry. OUTCOME MEASUREMENTS AND STATISTICAL ANALYSIS: An SES index, created and validated by the Agency for Healthcare Research and Quality (AHRQ), was created by geocoding the donor's zip code and linking it to seven publicly available SES variables found in the 2010 United States Census data. RESULTS AND LIMITATIONS: In total, 267 non-directed and 3 voucher-based donations were identified. Non-directed donors were predominantly female (58%), with an average age of 45.6 yr (range, 21-72). The mean SES index score was 55.6 (SD=3.2), which corresponds to the 77th percentile of 1.5 million MediCare beneficiaries as reported by the AHRQ in 2008. Voucher-based donors were Caucasian males of high SES. The study was limited by the number of voucher-based donations. CONCLUSIONS: Non-directed and voucher-based donors are in the upper end of the economic spectrum. The voucher-based program has built within it the inherent capacity to remove disincentives to donation, which currently limit altruistic donation. PATIENT SUMMARY: We wanted to determine what types of people donated their kidneys altruistically, so that we could understand how to motivate more people to donate their kidneys. The voucher-based program was recently started and is a promising tool to motivate many people to donate kidneys by removing major disincentives to donation.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Clase Social / Obtención de Tejidos y Órganos / Donadores Vivos / Recolección de Tejidos y Órganos Tipo de estudio: Prognostic_studies Aspecto: Determinantes_sociais_saude Límite: Adult / Aged / Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: Eur Urol Focus Año: 2018 Tipo del documento: Article Pais de publicación: Países Bajos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Clase Social / Obtención de Tejidos y Órganos / Donadores Vivos / Recolección de Tejidos y Órganos Tipo de estudio: Prognostic_studies Aspecto: Determinantes_sociais_saude Límite: Adult / Aged / Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: Eur Urol Focus Año: 2018 Tipo del documento: Article Pais de publicación: Países Bajos