{"title":"We need more kidneys: Living donation, BMI, and Black mortality from renal disease","authors":"Mari Rapela Heidt","doi":"10.1177/00346373221136249","DOIUrl":null,"url":null,"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.","PeriodicalId":21049,"journal":{"name":"Review & Expositor","volume":"119 1","pages":"100 - 109"},"PeriodicalIF":0.1000,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Review & Expositor","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/00346373221136249","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"0","JCRName":"RELIGION","Score":null,"Total":0}
引用次数: 0
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.