Older women have less access to donated kidneys

NEW YORK (Reuters Health) - Younger women have equal access to kidney transplants compared with their male counterparts, but older women receive kidney transplants much less frequently than older men, new research shows.

However, the research team at Johns Hopkins University in Baltimore “found no difference in survival benefit from transplantation between men and women, suggesting that a substantial number of older women who stand to benefit from transplantation lack access to it,” they report in their study posted online January 7th by the Journal of the American Society of Nephrology.

The findings are based on a look at more than 560,000 adults with advanced kidney disease reported to the United States Renal Data System and the United Network for Organ Sharing between 2000 and 2005.

The analysis showed that for women ages 18 to 45 years, access to kidney transplantation was equivalent to that of men.

However, gender disparity increased with increasing age, such that women ages 56 to 65 had 15 percent less access than men of the same age. Women between 66 to 75 years old had 29 percent less access, while those older than 75 years had 59 percent less access. The patterns were seen on both the deceased-donor waiting list and live donation.

Women of all ages who had other illnesses, such as diabetes, heart disease or blood vessel disease, also had decreased access compared to men with similar “comorbid” illnesses, Dr. Dorry L. Segev and associates found. Comorbid illness further increased the gender disparity among older women.

Once women were wait-listed, their time to transplantation did not differ from that of men, indicating that “they are equally likely to receive an organ once ‘in the system,’” the investigators observed.

The research team speculates that patients and doctors may perceive older and sicker women to be too frail to withstand a major surgical procedure. They recommend further research to design interventions to increase access to renal transplantation for women who are likely to benefit.

SOURCE: Journal of the American Society of Nephrology, online January 7, 2009.

Source

--------------------------------------------------------------------------------------------
Related Posts:


NEW YORK (Reuters Health) - Eating fish at least twice a week seems to reduce the incidence of kidney disease in patients with diabetes, according to findings from a large British study. Although diabetics are advised to limit dietary protein to delay the progression of kidney disease, recent observations suggest that the benefit to the kidneys

Full Post: Eating fish may prevent kidney decline in diabetics
--------------------------------------------------------------------------------------------

By Will Boggs, MD NEW YORK (Reuters Health) - People hoping for a liver transplant and who are obese face prolonged waiting times, reflecting a possible “reluctance to transplant obese patients,” according to a new report. “In transplantation, outcomes are available online to the general public, and compared from hospital to hospital,” Dr. Dorry L. Segev explained

Full Post: Obese patients wait longer for liver transplant
--------------------------------------------------------------------------------------------

NEW YORK (Reuters Health) - Surgical removal of the kidney — a procedure known as nephrectomy — improves survival in patients with locally advanced renal cell carcinoma, the most common form of kidney cancer. Dr. Pierre I. Karakiewicz from University of Montreal and colleagues determined survival rates for 43,143 patients treated with nephrectomy for advanced renal

Full Post: Surgery improves kidney cancer survival: study
--------------------------------------------------------------------------------------------

NEW YORK (Reuters Health) - People who undergo liver transplantation, particularly children, are at increased risk for developing cancer, Finnish researchers report in the journal Liver Transplantation. “On the basis of our data,” Dr. Fredrik Aberg, from the Helsinki University Central Hospital, and co-authors note, “1 of 6 liver transplant patients is estimated to develop some

Full Post: Cancer common after liver transplantation
--------------------------------------------------------------------------------------------

NEW YORK (Reuters Health) - For men with long-standing, poorly controlled diabetes, intensive efforts to regulate glucose levels have little effect on rates of heart attacks or stroke, complications such as eye damage, or death, according to a report published Wednesday. Previous studies indicated a delayed benefit from intensive glucose control in young patients with type

Full Post: Damage may already be done in advanced diabetes

Site Navigation

Most Read

Search