Evidence map›Paper›PMID 32546487›Full record

ArticleBMJ open2020

Has the UK living kidney donor population changed over time? A cross-sectional descriptive analysis of the UK living donor registry between 2006 and 2017.

Phillippa K Bailey, Katie Wong, Matthew Robb, Lisa Burnapp, Alistair Rogers, Aisling Courtney, Caroline Wroe

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.3field-weighted citation impact, top 18% 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

5 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Survival Advantage Comparing Older Living Donor Versus Standard Criteria Donor Kidney Transplants.Transplant international : official journal of the European Society for Organ Transplantation · 2024
    Article
  3. Article
  4. Decisional Needs of People From Minority Ethnic Groups Around Living Donor Kidney Transplantation: A UK Healthcare Professionals' Perspective.Transplant international : official journal of the European Society for Organ Transplantation · 2023
    Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 6 institutions in 5 countries.

Phillippa K BaileyPopulation Health Sciences, Bristol Medical School, Bristol, UK.ORCID 0000-0003-2323-1082
Katie WongPopulation Health Sciences, Bristol Medical School, Bristol, UK.
Matthew RobbStatistics and Clinical Studies Department, NHS Blood and Transplant, Bristol, UK.
Lisa BurnappNHS Blood and Transplant Clinical Lead for Living Donation, Renal Department, Guy's and Saint Thomas' Hospitals NHS Trust, London, UK.
Alistair RogersUrology Department, Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle Upon Tyne, UK.
Aisling CourtneyRenal Department, Belfast Health and Social Care Trust, Belfast, UK.
Caroline WroeRenal Department, South Tees Hospitals NHS Foundation Trust, Middlesbrough, UK Caroline.wroe@nhs.net.
North Bristol NHS Trust · GBBelfast Health and Social Care Trust · GBNewcastle upon Tyne Hospitals NHS Foundation Trust · GBNHS Blood and Transplant · GBSaint Thomas West Hospital · USSouth Tees Hospitals NHS Foundation Trust · GB

Funding

Wellcome Trust
6 · The paper itself

Abstract

backgroundA living-donor kidney transplant is the best treatment for most people with kidney failure. Population cohort studies have shown that lifetime living kidney donor risk is modified by sex, age, ethnicity, body mass index (BMI), comorbidity and relationship to the recipient.

objectivesWe investigated whether the UK population of living kidney donors has changed over time, investigating changes in donor demographics.

designWe undertook a cross-sectional analysis of the UK living kidney donor registry between January 2006 to December 2017. Data were available on living donor sex, age, ethnicity, BMI, hypertension and relationship to recipient.

settingUK living donor registry.

participants11 651 consecutive living kidney donors from January 2006 to December 2017. OUTCOME MEASURES: Living kidney donor demographic characteristics (sex, age, ethnicity, BMI and relationship to the transplant recipient) were compared across years of donation activity. Donor characteristics were also compared across different ethnic groups.

resultsOver the study period, the mean age of donors increased (from 45.8 to 48.7 years, p<0.001), but this change appears to have been limited to the White population of donors. Black donors were younger than White donors, and a greater proportion were siblings of their intended recipient and male. The proportion of non-genetically related non-partner donations increased over the 12-year period of analysis (p value for linear trend=0.002).

conclusionsThe increasing age of white living kidney donors in the UK has implications for recipient and donor outcomes. Despite an increase in the number of black, Asian and minority ethnic individuals waitlisted for a kidney transplant, there has been no increase in the ethnic diversity of UK living kidney donors. Black donors in the UK may be at a much greater risk of developing kidney failure due to accumulated risks: whether these risks are being communicated needs to be investigated.

Indexed as

Kidney TransplantationRegistriesCross-Sectional StudiesDemographyEthnicityFemaleHumansLiving DonorsMaleMiddle AgedUnited Kingdomliving-donor kidney transplantationliving kidney donorsregistry analysis

Identifiers

PMID32546487
PMCPMC7299046
OpenAlexW3035525380

What OpenQuestion holds

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LicenceCC BY-NC
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.