We need more kidneys: Living donation, BMI, and Black mortality from renal disease

IF 0.1 0 RELIGION Review & Expositor Pub Date : 2022-05-01 DOI:10.1177/00346373221136249
Mari Rapela Heidt
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Abstract

Renal disease is an endemic problem within the United States, with about 10% of the population afflicted with kidney problems that range from minor to life-threatening. Black Americans are especially affected by kidney disease, with a high proportion of those affected needing a kidney transplant. While kidney transplants are very common, a shortage of donated kidneys exists, causing many people to turn to directed living donation, through which family members or friends volunteer to donate a healthy kidney to a specific person. This essay examines racial bias in the evaluation of living donors, especially the bias associated with body mass index. The requirement for a “normal weight” prevents many African American volunteers from donating, leading to a higher mortality rate than necessary for Black kidney transplant patients.
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我们需要更多的肾脏:活体捐献、身体质量指数和黑人肾脏疾病死亡率
肾脏疾病是美国的一个地方性问题,大约10%的人口患有从轻微到危及生命的肾脏问题。美国黑人尤其容易受到肾脏疾病的影响,其中很大一部分需要进行肾脏移植。虽然肾脏移植非常普遍,但由于捐赠的肾脏短缺,许多人转向定向活体捐赠,即家庭成员或朋友自愿将健康的肾脏捐赠给特定的人。本文考察了活体捐献者评估中的种族偏见,特别是与身体质量指数相关的偏见。对“正常体重”的要求阻止了许多非裔美国志愿者捐献,导致比黑人肾脏移植患者更高的死亡率。
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Review & Expositor RELIGION-
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