Health insurance status of US living kidney donors

Eric M. Gibney, Mona D. Doshi, Erica L. Hartmann, Chirag Parikh, Amit X. Garg

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
Pages (from-to)912-916
Number of pages5
JournalClinical Journal of the American Society of Nephrology
Volume5
Issue number5
DOIs
StatePublished - May 1 2010

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Insurance Coverage
Living Donors
Health Insurance
Health Status
Kidney
Tissue Donors
Preventive Medicine
Tissue and Organ Procurement
Long-Term Care
Organ Transplantation
Hispanic Americans
Databases

ASJC Scopus subject areas

  • Nephrology
  • Transplantation
  • Epidemiology
  • Critical Care and Intensive Care Medicine

Cite this

Health insurance status of US living kidney donors. / Gibney, Eric M.; Doshi, Mona D.; Hartmann, Erica L.; Parikh, Chirag; Garg, Amit X.

In: Clinical Journal of the American Society of Nephrology, Vol. 5, No. 5, 01.05.2010, p. 912-916.

Research output: Contribution to journalArticle

Gibney, Eric M. ; Doshi, Mona D. ; Hartmann, Erica L. ; Parikh, Chirag ; Garg, Amit X. / Health insurance status of US living kidney donors. In: Clinical Journal of the American Society of Nephrology. 2010 ; Vol. 5, No. 5. pp. 912-916.
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