Health Insurance Status of US Living Kidney Donors
Health Insurance Status of US Living Kidney Donors
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DOI：
10.2215/cjn.07121009
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发表时间：
2010-05-01
影响因子：
9.8
通讯作者：
Garg, Amit X.
中科院分区：
文献类型：
--
作者：
Gibney, Eric M.;Doshi, Mona D.;Garg, Amit X.
Background and objectives: Ensuring follow-up of living kidney donors (LKDs) is essential to long-term preventive care. We sought information on health insurance status of US LKDs, with particular attention to age, gender, and ethnicity.Design, setting, participants, & measurements: The United Network for Organ Sharing/Organ Procurement Transplantation Network database was queried for associations among age at donation, race, gender, and health insurance status. We studied all US LKDs between July 2004 and September 2006.Results: A total of 10,021 LKDs with known health insurance status were studied, 1765 (18%) of whom lacked health insurance at donation. There were 4852 donors without health insurance information. Younger kidney donors had higher rates of being uninsured (age 18 to 34: 26.2%; age 35 to 49: 15.2%; age 50 to 64: 11.2%; age >65: 3.8%; P < 0.0001), as did men (19.5 versus 16.3% for women; P < 0.0001), and ethnic minorities (white 13.4%, black 21%, Hispanic 35.6%, Asian 26.7%; P < 0.0001).Conclusions: This study confirms that younger patients, ethnic minorities, and men are less likely to have health insurance when donating a kidney, which could negatively affect adherence to long-term follow-up. Clin J Am Sec Nephrol 5:912-916, 2010. doi: 10.2215/CJN.07121009
