Evidence map›Paper›PMID 29519800›Full record

ArticleJournal of the American Society of Nephrology : JASN2018

The Change in Living Kidney Donation in Women and Men in the United States (2005-2015): A Population-Based Analysis.

Jagbir Gill, Yayuk Joffres, Caren Rose, Julie Lesage, David Landsberg, Matthew Kadatz, John Gill

Abstract readComparative Study
In one paragraph

Article in Journal of the American Society of Nephrology : JASN, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
8.7field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 72 citations in OpenAlex.

  1. Pregnancy after living kidney donation, a systematic review of the available evidence, and a review of the current guidance.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2022
    Pooled it
  2. Article
  3. Gender Differences in Willingness to Be Evaluated for Living Kidney Donation.Progress in transplantation (Aliso Viejo, Calif.) · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Article
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  10. Review
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  12. Why do we keep ignoring sex in kidney disease?Clinical kidney journal · 2023
    Review
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  15. Article
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  17. Article
  18. Review
  19. Country-specific sex disparities in living kidney donation.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2022
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Jagbir GillDivision of Nephrology, University of British Columbia, Vancouver, British Columbia, Canada; jsgill2@me.com.
Yayuk JoffresDivision of Nephrology, University of British Columbia, Vancouver, British Columbia, Canada.
Caren RoseDivision of Nephrology, University of British Columbia, Vancouver, British Columbia, Canada.
Julie LesageDepartment of Medicine, Centre Hospitalier de l'Universite de Montreal, Montréal, Québec, Canada; and.
David LandsbergDivision of Nephrology, University of British Columbia, Vancouver, British Columbia, Canada.
Matthew KadatzDivision of Nephrology, University of British Columbia, Vancouver, British Columbia, Canada.
John GillDivision of Nephrology, University of British Columbia, Vancouver, British Columbia, Canada.
University of British Columbia · CACentre Hospitalier de l’Université de Montréal · CATufts Medical Center · US

Funding

CIHR
6 · The paper itself

Abstract

The factors underlying the decline in living kidney donation in the United States since 2005 must be understood to inform strategies to ensure access to this option for future patients. Population-based estimates provide a better assessment of donation activity than do trends in the number of living donor transplants. Using data from the Scientific Registry of Transplant Recipients and the United States Census, we determined longitudinal changes in living kidney donation between 2005 and 2015, focusing on the effect of sex and income. We used multilevel Poisson models to adjust for differences in age, race, the incidence of ESRD, and geographic factors (including population density, urbanization, and daily commuting). During the study period, the unadjusted rate of donation was 30.1 and 19.3 per million population in women and men, respectively, and the adjusted incidence of donation was 44% higher in women (incidence rate ratio [IRR], 1.44; 95% confidence interval [95% CI], 1.39 to 1.49). The incidence of donation was stable in women (IRR, 0.95; 95% CI, 0.84 to 1.07) but declined in men (IRR, 0.75; 95% CI, 0.68 to 0.83). Income was associated with longitudinal changes in donation in both sexes, yet donation was stable in the highest two population income quartiles in women but only in the highest income quartile in men. In both sexes, living related donations declined, irrespective of income. In conclusion, living donation declined in men but remained stable in women between 2005 and 2015, and income appeared to have a greater effect on living donation in men.

Indexed as

Kidney TransplantationSex FactorsAdolescentAdultAgedEthnicityFemaleHumansIncidenceIncomeKidney Failure, ChronicLiving DonorsMaleMiddle AgedPoisson DistributionRegistriesgender differenceincomekidney transplantationliving kidney donationsex

Identifiers

PMID29519800
PMCPMC5875963
OpenAlexW2793153338

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.