Factors associated with perceived donation‐related financial burden among living kidney donors
The perception of living kidney donation–related financial burden affects willingness to donate and the experience of donation, yet no existing tools identify donors who are at higher risk of perceived financial burden. We sought to identify characteristics that predicted higher risk of perceived fi...
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| Veröffentlicht in: | American journal of transplantation 2018-03, Vol.18 (3), p.715-719 |
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| container_title | American journal of transplantation |
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| creator | Ruck, Jessica M. Holscher, Courtenay M. Purnell, Tanjala S. Massie, Allan B. Henderson, Macey L. Segev, Dorry L. |
| description | The perception of living kidney donation–related financial burden affects willingness to donate and the experience of donation, yet no existing tools identify donors who are at higher risk of perceived financial burden. We sought to identify characteristics that predicted higher risk of perceived financial burden. We surveyed 51 living kidney donors (LKDs) who donated from 01/2015 to 3/2016 about socioeconomic characteristics, predonation cost concerns, and perceived financial burden. We tested associations between both self‐reported and ZIP code–level characteristics and perceived burden using Fisher's exact test and bivariate modified Poisson regression. Donors who perceived donation‐related financial burden were less likely to have an income above their ZIP code median (14% vs. 72%, P = .006); however, they were more likely than donors who did not perceive burden to rent their home (57% vs. 16%, P = .03), have an income |
| doi_str_mv | 10.1111/ajt.14548 |
| format | Article |
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In this single‐center study of perceived donation‐related financial burden among living kidney donors, the authors observe that key socioeconomic factors, including home ownership and household income, are associated with perceived burden, potentially allowing centers to identify and support donors at higher risk of perceived financial burden early in the evaluation process.</description><identifier>ISSN: 1600-6135</identifier><identifier>EISSN: 1600-6143</identifier><identifier>DOI: 10.1111/ajt.14548</identifier><identifier>PMID: 29068176</identifier><language>eng</language><publisher>United States: Elsevier Limited</publisher><subject>Adult ; clinical research/practice ; Donations ; donor nephrectomy ; donors and donation ; donors and donation: donor evaluation ; donors and donation: living ; Female ; Follow-Up Studies ; Humans ; Kidney Transplantation - economics ; Kidney Transplantation - psychology ; Kidney Transplantation - trends ; kidney transplantation/nephrology ; kidney transplantation: living donor ; Kidney transplants ; Kidneys ; Living Donors - psychology ; Male ; Nephrectomy - economics ; Nephrectomy - psychology ; Organ donors ; Tissue and Organ Harvesting - economics ; Tissue and Organ Harvesting - psychology</subject><ispartof>American journal of transplantation, 2018-03, Vol.18 (3), p.715-719</ispartof><rights>2017 The American Society of Transplantation and the American Society of Transplant Surgeons</rights><rights>2017 The American Society of Transplantation and the American Society of Transplant Surgeons.</rights><rights>2018 The American Society of Transplantation and the American Society of Transplant Surgeons</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3888-80bb581bb89c8dae9ab474218756c779b368ddd6e9aca43aec1a4e315ed850df3</citedby><cites>FETCH-LOGICAL-c3888-80bb581bb89c8dae9ab474218756c779b368ddd6e9aca43aec1a4e315ed850df3</cites><orcidid>0000-0002-5749-5505 ; 0000-0002-5808-5954 ; 0000-0002-4239-1252</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fajt.14548$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fajt.14548$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,778,782,1414,27907,27908,45557,45558</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29068176$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ruck, Jessica M.</creatorcontrib><creatorcontrib>Holscher, Courtenay M.</creatorcontrib><creatorcontrib>Purnell, Tanjala S.</creatorcontrib><creatorcontrib>Massie, Allan B.</creatorcontrib><creatorcontrib>Henderson, Macey L.</creatorcontrib><creatorcontrib>Segev, Dorry L.</creatorcontrib><title>Factors associated with perceived donation‐related financial burden among living kidney donors</title><title>American journal of transplantation</title><addtitle>Am J Transplant</addtitle><description>The perception of living kidney donation–related financial burden affects willingness to donate and the experience of donation, yet no existing tools identify donors who are at higher risk of perceived financial burden. We sought to identify characteristics that predicted higher risk of perceived financial burden. We surveyed 51 living kidney donors (LKDs) who donated from 01/2015 to 3/2016 about socioeconomic characteristics, predonation cost concerns, and perceived financial burden. We tested associations between both self‐reported and ZIP code–level characteristics and perceived burden using Fisher's exact test and bivariate modified Poisson regression. Donors who perceived donation‐related financial burden were less likely to have an income above their ZIP code median (14% vs. 72%, P = .006); however, they were more likely than donors who did not perceive burden to rent their home (57% vs. 16%, P = .03), have an income <$60 000 (86% vs. 20%, P = .002), or have had predonation cost concerns (43% vs. 7%, P = .03). Perceived financial burden was 3.6‐fold as likely among those with predonation cost concerns and 10.6‐fold as likely for those with incomes <$60 000. Collecting socioeconomic characteristics and asking about donation‐related cost concerns prior to donation might allow transplant centers to target financial support interventions toward potential donors at higher risk of perceiving donation‐related financial burden.
In this single‐center study of perceived donation‐related financial burden among living kidney donors, the authors observe that key socioeconomic factors, including home ownership and household income, are associated with perceived burden, potentially allowing centers to identify and support donors at higher risk of perceived financial burden early in the evaluation process.</description><subject>Adult</subject><subject>clinical research/practice</subject><subject>Donations</subject><subject>donor nephrectomy</subject><subject>donors and donation</subject><subject>donors and donation: donor evaluation</subject><subject>donors and donation: living</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Kidney Transplantation - economics</subject><subject>Kidney Transplantation - psychology</subject><subject>Kidney Transplantation - trends</subject><subject>kidney transplantation/nephrology</subject><subject>kidney transplantation: living donor</subject><subject>Kidney transplants</subject><subject>Kidneys</subject><subject>Living Donors - psychology</subject><subject>Male</subject><subject>Nephrectomy - economics</subject><subject>Nephrectomy - psychology</subject><subject>Organ donors</subject><subject>Tissue and Organ Harvesting - economics</subject><subject>Tissue and Organ Harvesting - psychology</subject><issn>1600-6135</issn><issn>1600-6143</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10M1OAyEUBWBiNFqrC1_ATOJGF60wAwyzbBp_Y-JG18jArVKnUGGmTXc-gs_ok4hWXZjI5kL4OCEHoQOChyStUzVth4QyKjZQj3CMB5zQYvN3X7AdtBvjFGNS5iLfRjt5hbkgJe-hh3OlWx9ipmL02qoWTLa07VM2h6DBLtLReKda693761uA5ktMrFMu6Saru2DAZWrm3WPW2IVN49kaB6vPdyl4D21NVBNh_3v20f352d34cnBze3E1Ht0MdCGEGAhc10yQuhaVFkZBpWpa0pyIknFdllVdcGGM4elCK1oo0ERRKAgDIxg2k6KPjte58-BfOoitnNmooWmUA99FSSrGOBF5SRM9-kOnvgsu_U7mGDPOK0bzpE7WSgcfY4CJnAc7U2ElCZaftctUu_yqPdnD78SunoH5lT89J3C6BkvbwOr_JDm6vltHfgDhB44w</recordid><startdate>201803</startdate><enddate>201803</enddate><creator>Ruck, Jessica M.</creator><creator>Holscher, Courtenay M.</creator><creator>Purnell, Tanjala S.</creator><creator>Massie, Allan B.</creator><creator>Henderson, Macey L.</creator><creator>Segev, Dorry L.</creator><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7T5</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-5749-5505</orcidid><orcidid>https://orcid.org/0000-0002-5808-5954</orcidid><orcidid>https://orcid.org/0000-0002-4239-1252</orcidid></search><sort><creationdate>201803</creationdate><title>Factors associated with perceived donation‐related financial burden among living kidney donors</title><author>Ruck, Jessica M. ; Holscher, Courtenay M. ; Purnell, Tanjala S. ; Massie, Allan B. ; Henderson, Macey L. ; Segev, Dorry L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3888-80bb581bb89c8dae9ab474218756c779b368ddd6e9aca43aec1a4e315ed850df3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adult</topic><topic>clinical research/practice</topic><topic>Donations</topic><topic>donor nephrectomy</topic><topic>donors and donation</topic><topic>donors and donation: donor evaluation</topic><topic>donors and donation: living</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Kidney Transplantation - economics</topic><topic>Kidney Transplantation - psychology</topic><topic>Kidney Transplantation - trends</topic><topic>kidney transplantation/nephrology</topic><topic>kidney transplantation: living donor</topic><topic>Kidney transplants</topic><topic>Kidneys</topic><topic>Living Donors - psychology</topic><topic>Male</topic><topic>Nephrectomy - economics</topic><topic>Nephrectomy - psychology</topic><topic>Organ donors</topic><topic>Tissue and Organ Harvesting - economics</topic><topic>Tissue and Organ Harvesting - psychology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ruck, Jessica M.</creatorcontrib><creatorcontrib>Holscher, Courtenay M.</creatorcontrib><creatorcontrib>Purnell, Tanjala S.</creatorcontrib><creatorcontrib>Massie, Allan B.</creatorcontrib><creatorcontrib>Henderson, Macey L.</creatorcontrib><creatorcontrib>Segev, Dorry L.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Immunology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of transplantation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ruck, Jessica M.</au><au>Holscher, Courtenay M.</au><au>Purnell, Tanjala S.</au><au>Massie, Allan B.</au><au>Henderson, Macey L.</au><au>Segev, Dorry L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Factors associated with perceived donation‐related financial burden among living kidney donors</atitle><jtitle>American journal of transplantation</jtitle><addtitle>Am J Transplant</addtitle><date>2018-03</date><risdate>2018</risdate><volume>18</volume><issue>3</issue><spage>715</spage><epage>719</epage><pages>715-719</pages><issn>1600-6135</issn><eissn>1600-6143</eissn><abstract>The perception of living kidney donation–related financial burden affects willingness to donate and the experience of donation, yet no existing tools identify donors who are at higher risk of perceived financial burden. We sought to identify characteristics that predicted higher risk of perceived financial burden. We surveyed 51 living kidney donors (LKDs) who donated from 01/2015 to 3/2016 about socioeconomic characteristics, predonation cost concerns, and perceived financial burden. We tested associations between both self‐reported and ZIP code–level characteristics and perceived burden using Fisher's exact test and bivariate modified Poisson regression. Donors who perceived donation‐related financial burden were less likely to have an income above their ZIP code median (14% vs. 72%, P = .006); however, they were more likely than donors who did not perceive burden to rent their home (57% vs. 16%, P = .03), have an income <$60 000 (86% vs. 20%, P = .002), or have had predonation cost concerns (43% vs. 7%, P = .03). Perceived financial burden was 3.6‐fold as likely among those with predonation cost concerns and 10.6‐fold as likely for those with incomes <$60 000. Collecting socioeconomic characteristics and asking about donation‐related cost concerns prior to donation might allow transplant centers to target financial support interventions toward potential donors at higher risk of perceiving donation‐related financial burden.
In this single‐center study of perceived donation‐related financial burden among living kidney donors, the authors observe that key socioeconomic factors, including home ownership and household income, are associated with perceived burden, potentially allowing centers to identify and support donors at higher risk of perceived financial burden early in the evaluation process.</abstract><cop>United States</cop><pub>Elsevier Limited</pub><pmid>29068176</pmid><doi>10.1111/ajt.14548</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0002-5749-5505</orcidid><orcidid>https://orcid.org/0000-0002-5808-5954</orcidid><orcidid>https://orcid.org/0000-0002-4239-1252</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Adult clinical research/practice Donations donor nephrectomy donors and donation donors and donation: donor evaluation donors and donation: living Female Follow-Up Studies Humans Kidney Transplantation - economics Kidney Transplantation - psychology Kidney Transplantation - trends kidney transplantation/nephrology kidney transplantation: living donor Kidney transplants Kidneys Living Donors - psychology Male Nephrectomy - economics Nephrectomy - psychology Organ donors Tissue and Organ Harvesting - economics Tissue and Organ Harvesting - psychology |
| title | Factors associated with perceived donation‐related financial burden among living kidney donors |
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