Ethnically diverse populations and their participation in living kidney donation programs.

Abstract:

BACKGROUND:The number of living donor kidney transplantations increases steeply in Europeans, whereas the non-Europeans are dependent on deceased donor transplantations. We wondered whether a low attendance or a high decline of potential non-European donors could explain this difference. METHODS:This retrospective study includes all 1059 potential living kidney donors who attended our pretransplant clinic between 2000 and 2007. Potential donors were divided according to eight countries of origin: African, Dutch Antillean, European, Indonesian, Moroccan, Surinamese, Turkish, and various countries. In addition to direct living donation, alternative living donation programs are operational in our center: kidney exchange, domino paired, ABO incompatible, and anonymous donation. RESULTS:European donors predominated in both the potential (79%) and the actual donor populations (85%). Actual donors comprised 39% of non-European and 59% of the European potential donors (P<0.001). Participation in alternative donation programs is significantly less among non-European donors in comparison with European donors (3.6% vs. 12.6%, P<0.001). In all non-European populations, genetically related donors predominated, whereas genetically related and unrelated donors were equally represented in the European potential donor population (P<0.001). Partners were under-represented in all non-European populations (P<0.001). The attitude and behavior of non-Europeans with the longest duration of stay in the Netherlands were closest to that of the Europeans. The population with the shortest stay differed the most. This could possibly be attributed to integration. CONCLUSION:There are less non-European donors than expected based on the population composition. Living donor characteristics are different between Europeans and non-Europeans. The reasons for the difference deserve investigation.

journal_name

Transplantation

journal_title

Transplantation

authors

Roodnat JI,van de Wetering J,Zuidema W,van Noord MA,Kal-van Gestel JA,Ijzermans JN,Weimar W

doi

10.1097/TP.0b013e3181d84ca7

subject

Has Abstract

pub_date

2010-05-27 00:00:00

pages

1263-9

issue

10

eissn

0041-1337

issn

1534-6080

journal_volume

89

pub_type

杂志文章
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    doi:

    authors: Cairns T,Lee J,Goldberg L,Cook T,Simpson P,Spackman D,Palmer A,Taube D

    更新日期:1995-12-15 00:00:00

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    doi:

    authors: Streilein JW,Strome P,Wood PJ

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    authors: Phipps LM,Chen SC,Kable K,Halliday CL,Firacative C,Meyer W,Wong G,Nankivell BJ

    更新日期:2011-12-27 00:00:00

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    doi:10.1097/00007890-199812150-00022

    authors: Squiers EC,Hodell M,Tice D,Buelow R

    更新日期:1998-12-15 00:00:00

  • Distribution of ABO blood group antibody titers in pediatric patients awaiting renal transplantation: implications for organ allocation policy.

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    authors: Barnett AN,Hudson A,Hadjianastassiou VG,Marks SD,Reid CJ,Maggs TP,Vaughan R,Mamode N

    更新日期:2012-08-27 00:00:00

  • Tissue-Resident Lymphocytes in Solid Organ Transplantation: Innocent Passengers or the Key to Organ Transplant Survival?

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    journal_title:Transplantation

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    authors: Prosser AC,Kallies A,Lucas M

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  • Bladder augmentation using tissue-engineered autologous oral mucosal epithelial cell sheets grafted on demucosalized gastric flaps.

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    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31820e0170

    authors: Watanabe E,Yamato M,Shiroyanagi Y,Tanabe K,Okano T

    更新日期:2011-04-15 00:00:00

  • Tacrolimus enhances transforming growth factor-beta1 expression and promotes tumor progression.

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    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.TP.0000081399.75231.3B

    authors: Maluccio M,Sharma V,Lagman M,Vyas S,Yang H,Li B,Suthanthiran M

    更新日期:2003-08-15 00:00:00

  • Human granulocytic ehrlichiosis in a renal transplant patient: case report and review of the literature.

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    journal_title:Transplantation

    pub_type: 杂志文章,评审

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    更新日期:1997-10-27 00:00:00

  • Induction of epidermal fatty acid binding protein in intravascular monocytes of renal allografts.

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    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.TP.0000052591.91653.52

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    authors: Hoffmann RM,Stratta RJ,D'Alessandro AM,Sollinger HW,Kalayoglu M,Pirsch JD,Southard JH,Belzer FO

    更新日期:1989-01-01 00:00:00

  • Detection of kidney reactive antibodies at crossmatch in renal transplant recipients.

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    authors: Evans PR,Trickett LP,Gosney AR,Hodges E,Shires S,Wilson PJ,MacIver AG,Gardner B,Slapak M,Smith JL

    更新日期:1988-12-01 00:00:00

  • Fragility of the electron transport chain and superoxide generation in mitochondria of the liver graft after cold ischemia.

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    authors: Ohkohchi N,Endoh T,Oikawa K,Seya K,Satomi S

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    authors: Hancock WH,Whitley WD,Tullius SG,Heemann UW,Wasowska B,Baldwin WM 3rd,Tilney NL

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  • Continuous Monitoring of Transplant Center Performance: Different Options for Different Goals.

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    pub_type: 杂志文章

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    authors: Alexandrine B,Savoye E,Pessione F,Cantrelle C,Jasseron C,Santin G,Bastien O,Legeai C

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  • Section 2. Small-for-size liver graft and hepatocellular carcinoma recurrence.

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    pub_type: 杂志文章,评审

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  • Efficacy of caspofungin addition to trimethoprim-sulfamethoxazole treatment for severe pneumocystis pneumonia in solid organ transplant recipients.

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  • Impact of early conversion from tacrolimus to sirolimus on chronic allograft changes in kidney recipients on rapid steroid withdrawal.

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    pub_type: 杂志文章,随机对照试验

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  • Immunofluorescent localization of beta2-microglobulin in the human kidney.

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  • Pharmacokinetics of methylprednisolone and rejection episodes in kidney transplant patients.

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    pub_type: 杂志文章

    doi:10.1097/00007890-199508270-00005

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  • Urine cytologic profile in renal allograft recipients determined by monoclonal antibodies. Diagnosis of allograft rejection.

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    pub_type: 杂志文章

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    更新日期:1989-03-01 00:00:00

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    更新日期:2000-06-15 00:00:00

  • Induction immunosuppression.

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    pub_type: 社论,评审

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    pub_type: 杂志文章

    doi:10.1097/00007890-199306000-00008

    authors: Nguyen DM,Mulder DS,Shennib H

    更新日期:1993-06-01 00:00:00

  • Consistent absorption of cyclosporine from a microemulsion formulation assessed in stable renal transplant recipients over a one-year study period.

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    journal_title:Transplantation

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

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    authors: Wahlberg J,Wilczek HE,Fauchald P,Nordal KP,Heaf JG,Olgaard K,Hansen JM,Lokkegaard H,Mueller EA,Kovarik JM

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  • Management of Patients Who Receive an Organ Transplant Abroad and Return Home for Follow-up Care: Recommendations From the Declaration of Istanbul Custodian Group.

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    pub_type: 杂志文章

    doi:10.1097/TP.0000000000001963

    authors: Domínguez-Gil B,Danovitch G,Martin DE,López-Fraga M,Van Assche K,Morris ML,Lavee J,Erlich G,Fadhil R,Busic M,Rankin G,Al-Rukhaimi M,OʼConnell P,Chin J,Norman T,Massari P,Kamel R,Delmonico FL,Declaration of Istanbul Cu

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    pub_type: 杂志文章

    doi:10.1097/00007890-199204000-00025

    authors: Warren HS,Hodder MJ,Allan W,Hume DA,Simeonovic CJ

    更新日期:1992-04-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1097/01.tp.0000156319.47645.3b

    authors: Aoki T,Jin Z,Nishino N,Kato H,Shimizu Y,Niiya T,Murai N,Enami Y,Mitamura K,Koizumi T,Yasuda D,Izumida Y,Avital I,Umehara Y,Demetriou AA,Rozga J,Kusano M

    更新日期:2005-04-15 00:00:00

  • Molecular regulation of hepatic dendritic cell function and its relation to liver transplant outcome.

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    journal_title:Transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/TP.0b013e3181af7c0d

    authors: Sumpter TL,Lunz JG 3rd,Demetris AJ,Thomson AW

    更新日期:2009-08-15 00:00:00

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    更新日期:2002-11-27 00:00:00