Donor and Recipient Gender Distribution in a Saudi Kidney Transplant Center

Guella, Adnane; Mohamed, Essam H.

doi:10.1016/j.transproceed.2011.01.049

Cited by 11 publications

(11 citation statements)

References 8 publications

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“…In this study, majority of the living kidney donors were male which is similar to other Asian countries such as Iran, Korea, Pakistan and Saudi Arabia [9][10][11][12]. However, in other countries such as USA, Singapore, Germany and Amsterdam, majority were female donors [13][14][15][16].…”

Section: Discussionsupporting

confidence: 60%

Living Donor Nephrectomy at the National Kidney and Transplant Institute: Surgical Techniques, Perioperative Complications and Outcomes

Casasola¹

2017

JURNOA

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Objectives: To report the cumulative experience of the National Kidney and Transplant Institute in terms of the surgical technique, perioperative complications and otcomes of living-donor nephrectomy. Methods Results:In this study, majority of the living kidney donors were male and single. There were 654 open donor nephrectomy and 307 laparoscopic nephrectomy. Open donor nephrectomy was performed faster with less hospital stay than laparoscopic donor nephrectomy. The mean increase in serum creatinine from baseline to 1 week postdonation was 43%. No perioperative mortalities were noted over the 5 year period. The most common minor complication was fever followed by cough. When separated by technique, the overall complication rate in open donor nephrectomy was higher than laparoscopic donor nephrectomy. Minor complications such as pneumothorax, urinary tract infection and ileus were exclusively seen in open technique while peritonitis and wound infection were exclusively seen in laparoscopic technique. Conclusion and Recommendation

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Section: Discussionsupporting

confidence: 60%

Living Donor Nephrectomy at the National Kidney and Transplant Institute: Surgical Techniques, Perioperative Complications and Outcomes

Casasola¹

2017

JURNOA

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“…For developed countries, women were the majority donors for living kidney transplantation with percentages from 56% to 65% (Table ). In contrast, women did not form the majority of living donors in developing countries, such as 32.6% in Saudi Arabia and 49.5% in Oman . Similar to China, India as a developing country; women were predominant (66.1%) in the donor group .…”

Section: Discussionmentioning

confidence: 95%

“…More importantly, men were the breadwinners and were the dominant financial pillar in families, whereas women were vulnerable, which might explain the gender disparity in developed countries and India . Guella and Mohamed E concluded that an overprotection of women is at least in part responsible for lower rates of women among kidney donors in Saudi Arabia. Analyzing the factor behind the gender imbalance in our country would go beyond the scope of this study.…”

Section: Discussionmentioning

confidence: 99%

Gender disparity of living donor renal transplantation in East China

Liu

et al. 2012

Clinical Transplantation

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Gender disparity among living kidney donors is common world wide, which demonstrates different social and economic problems in different countries. However, few data are available for China. Therefore, we retrospectively analyzed all 139 living donor renal transplants performed in our center between 2003 and 2010. The annual number of living donor renal transplants increased from six to 26 cases per year during the observation period. Among them, 69.2% of all kidney donors were females, whereas 79.5% of the recipients were male. The average age of recipients was 34.1 ± 7.6 yr and 94% (110/117) were younger than 44 yr. In contrast, 53% (62/117) of all donors were "middle-aged" (45-59 yr) with an average donor age of 47.8 ± 9.2 yr. The first-degree relatives accounted for the majority of the donor pool, as the most common donor-recipient combination consisted of mother to son. In conclusion, there was a male and young preponderance among recipients, and a female and middle-aged one among donors of living kidney transplants in our transplant center, which might be related to socio-cultural as well as economic factors.

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“…The male recipient rate in Kerala is high compared to international rates (Ghods and Nasrollahzadeh 2003;Guella and Mohamed 2011;Kayler et al 2002;Mohsin et al 2007;Voiculescu et al 2003) but low compared to rates of other Indian states (Avula et al 1998;Bal and Saikia 2007;Muthusethupathi et al 1998) (see Table 4). The high literacy rate among females may have resulted in more awareness of and access to transplants as compared to other states.…”

Section: Discussionmentioning

confidence: 90%

Gender Disparity in Indian Renal Transplantation

Malattiri

Kumar

2014

AJOB Empirical Bioethics

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Background: Gender disparities are a major ethical concern in renal donation and transplantation. Relatively few Indian studies, each limited by small sample sizes, have investigated the problem of gender disparities in renal transplantation. Methods: A retrospective, cross-sectional study was conducted using data collected from kidney transplantation centers in Kerala, a southern state of India, to analyze the gender disparity in kidney donation and transplantation. Data were collected on gender, age, and relationship of the donor to the recipient. Results: Among 592 related cases, 74.2% of donors were female and 25.8% male (p < .0001). In the case of recipients, 76.2% were male and 23.8% female (p < .0001). Among 110 unrelated donors, 30.9% were female and 69.1% male (p < .0001), while the recipients were 78.2% male and 21.8% female (p < .0001). The number of cadaver kidney transplantations (six) was too small for analysis. Conclusion: The study found that the majority of living-related donors are family members (first-degree relatives) of the affected patients, with a definite female gender disparity among donors and recipients, more pronounced than reported in other studies. This disparity was absent in the case of living-unrelated donors, however. Existing practices in the organ transplantation process should be reviewed in order to eliminate the donor gender disparity in India. Kidney transplantation registries and organ matching systems at the national, state, and district levels are necessary for accountability and regulation of the transplantation process in India.

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Donor and Recipient Gender Distribution in a Saudi Kidney Transplant Center

Cited by 11 publications

References 8 publications

Living Donor Nephrectomy at the National Kidney and Transplant Institute: Surgical Techniques, Perioperative Complications and Outcomes

Living Donor Nephrectomy at the National Kidney and Transplant Institute: Surgical Techniques, Perioperative Complications and Outcomes

Gender disparity of living donor renal transplantation in East China

Gender Disparity in Indian Renal Transplantation

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