Evidence map›Paper›PMID 30404908›Full record

ArticleJournal of the American Society of Nephrology : JASN2018

Financial Costs Incurred by Living Kidney Donors: A Prospective Cohort Study.

Sebastian Przech, Amit X Garg, Jennifer B Arnold, Lianne Barnieh, Meaghan S Cuerden, Christine Dipchand, Liane Feldman, John S Gill, Martin Karpinski, Greg Knoll and 10 more

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
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. It is linked to trial NCT00936078 (The Living Kidney Donor Safety Study), which is not on this map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
–field-weighted citation impact
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.

NCT00936078 completednot on this map

The Living Kidney Donor Safety Study (Long-term Effects of Becoming a Living Kidney Donor)

TypeobservationalSponsorLondon Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph'sRan2009 to 2022Enrolled1,438ConditionsLiving Kidney Donation
3 · Its place in the literature

Who cites it

24 citing papers in PubMed.

  1. Article
  2. Evaluation and Counseling of Living Kidney Donor Candidates.Journal of the American Society of Nephrology : JASN · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. Navigating a Quandary in Kidney Exchange Programs: A Review of Donor Travel versus Organ Shipment.Transplant international : official journal of the European Society for Organ Transplantation · 2025
    Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Telemedicine services for living kidney donation: A US survey of multidisciplinary providers.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2022
    Article
  14. Article
  15. Article
  16. Review
  17. Review
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors.

Sebastian PrzechDepartment of Medicine and Department of Clinical Epidemiology and Biostatistics, London Health Sciences Centre, Western University, London, Ontario, Canada.
Amit X GargDepartment of Medicine and Department of Clinical Epidemiology and Biostatistics, London Health Sciences Centre, Western University, London, Ontario, Canada.
Jennifer B ArnoldDepartment of Medicine and Department of Clinical Epidemiology and Biostatistics, London Health Sciences Centre, Western University, London, Ontario, Canada.
Lianne BarniehDepartment of Medicine and Department of Clinical Epidemiology and Biostatistics, London Health Sciences Centre, Western University, London, Ontario, Canada.
Meaghan S CuerdenDepartment of Medicine and Department of Clinical Epidemiology and Biostatistics, London Health Sciences Centre, Western University, London, Ontario, Canada.
Christine DipchandDivision of Nephrology, Dalhousie University, Halifax, Nova Scotia, Canada.
Liane FeldmanDepartment of Surgery, McGill University Health Centre, Montreal, Quebec, Canada.
John S GillDivision of Nephrology, University of British Columbia, Vancouver, British Columbia, Canada.
Martin KarpinskiDepartment of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.
Greg KnollDepartment of Medicine, University of Ottawa, Ottawa, Ontario, Canada.
Charmaine LokDepartment of Medicine, University of Toronto, Toronto, Ontario, Canada.
Matthew MillerDivision of Nephrology and Transplantation, McMaster University, Hamilton, Ontario, Canada.
Mauricio MonroyDepartment of Surgery, Foothills Medical Center, University of Calgary, Calgary, Alberta, Canada.
Chris NguanDivision of Nephrology, University of British Columbia, Vancouver, British Columbia, Canada.
G V Ramesh PrasadDivision of Nephrology, St. Michael's Hospital, Toronto, Ontario, Canada; and.
Sisira SarmaDepartment of Medicine and Department of Clinical Epidemiology and Biostatistics, London Health Sciences Centre, Western University, London, Ontario, Canada.
Jessica M SontropDepartment of Medicine and Department of Clinical Epidemiology and Biostatistics, London Health Sciences Centre, Western University, London, Ontario, Canada.
Leroy StorsleyDepartment of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.
Scott KlarenbachDepartment of Medicine, University of Alberta, Edmonton, Alberta, Canada swk@ualberta.ca.
Donor Nephrectomy Outcomes Research (DONOR) Network

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundApproximately 40% of the kidneys for transplant worldwide come from living donors. Despite advantages of living donor transplants, rates have stagnated in recent years. One possible barrier may be costs related to the transplant process that potential willing donors may incur for travel, parking, accommodation, and lost productivity.

methodsTo better understand and quantify the financial costs incurred by living kidney donors, we conducted a prospective cohort study, recruiting 912 living kidney donors from 12 transplant centers across Canada between 2009 and 2014; 821 of them completed all or a portion of the costing survey. We report microcosted total, out-of-pocket, and lost productivity costs (in 2016 Canadian dollars) for living kidney donors from donor evaluation start to 3 months after donation. We examined costs according to (

resultsLiving kidney donors incurred a median (75th percentile) of $1254 ($2589) in out-of-pocket costs and $0 ($1908) in lost productivity costs. On average, total costs were $2226 higher in spousal compared with emotionally related nonspousal donors (

conclusionsOur results can be used to inform strategies to minimize the financial burden of living donation, which may help improve the donation experience and increase the number of living donor kidney transplants.

Indexed as

Health ExpendituresLiving DonorsAdultCanadaCohort StudiesDirected Tissue DonationEfficiencyFemaleHumansKidney TransplantationMaleMiddle AgedProspective StudiesSpousesSurveys and QuestionnairesTissue and Organ ProcurementEconomic Analysiskidney donationkidney transplantation

Identifiers

PMID30404908
PMCPMC6287873

What OpenQuestion holds

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Registered trials

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.