Perspectives of Transplant Professionals on Gender Differences in Living Kidney Donation.

Eswari Vilayur, Chandana Guha, Anita van Zwieten, Allison Jauré, Anna Francis, Siah Kim, Melanie Wyld, Germaine Wong

Abstract read

In one paragraph

Article in Kidney international reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Eswari VilayurFaculty of Medicine and Health, Sydney School of Public Health, University of Sydney, Sydney, New South Wales, Australia.

Chandana GuhaFaculty of Medicine and Health, Sydney School of Public Health, University of Sydney, Sydney, New South Wales, Australia.

Anita van ZwietenFaculty of Medicine and Health, Sydney School of Public Health, University of Sydney, Sydney, New South Wales, Australia.

Allison JauréFaculty of Medicine and Health, Sydney School of Public Health, University of Sydney, Sydney, New South Wales, Australia.

Anna FrancisFaculty of Medicine and Health, Sydney School of Public Health, University of Sydney, Sydney, New South Wales, Australia.

Siah KimFaculty of Medicine and Health, Sydney School of Public Health, University of Sydney, Sydney, New South Wales, Australia.

Melanie WyldFaculty of Medicine and Health, Sydney School of Public Health, University of Sydney, Sydney, New South Wales, Australia.

Germaine WongFaculty of Medicine and Health, Sydney School of Public Health, University of Sydney, Sydney, New South Wales, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Gender disparities in living kidney donation are well-documented, with women comprising 55% to 65% of kidney donors globally. The underlying reasons for these disparities are multifaceted and complex. We aimed to describe the perspectives of transplant professionals on gender disparities in living kidney donation. Methods: We conducted semistructured interviews with transplant professionals involved in living kidney donation from November 2023 to July 2024. The transcripts were analyzed thematically. Results: Thirty-nine transplant professionals (24 nephrologists [62%], 11 coordinators [28%], 4 transplant surgeons [10%]) from 15 countries participated. We identified the following 5 themes: (i) fulfilling the central role of caregiving (natural extension of the duty of care, prioritizing family health over themselves, empathizing with suffering, and disproportionate burden of childcare); (ii) diminishing autonomy and disempowerment of women (family and societal expectations of women to donate, lack of personal decisional power, and devalued role of women); (iii) driven by courage and vitality (proactivity and health-consciousness, stoicism and resilience through pain); (iv) protecting health outcomes (medical barriers precluding donation in men, preventing risks in future pregnancies); and (v) constrained by financial and health care systems (safeguarding financial wellbeing, fragmented donation pathways, and untold benefits of donation from men). Transplant professionals provided practical strategies to improve living donation among men to reduce the gender gap. Conclusion: Transplant professionals believe that culturally driven societal roles and status of women, the financial burden associated with donation, and concerns about donor health outcomes contribute to gender disparities in living kidney donation.

Indexed as

cliniciansgendergender disparitieskidney donorliving kidney donationtransplant professionals

Identifiers

PMID41278321

DOI10.1016/j.ekir.2025.08.024

PMCPMC12639811

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LicenceCC BY-NC-ND

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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.