Donor Gender Balance in a Living-Related Kidney Transplantation Program in Oman

Mohsin, Nabil; Budruddin, M.; Khalil, Muhammad; Pakkyarra, A.; Jha, A.; Mohammed, Ehab; Kamble, Pramod; Ahmed, H.; Militsala, E.; Prabhakar, Nitya; al-Marhuby, H A; Ahmed, Jaleel; As, Daar

doi:10.1016/j.transproceed.2007.04.016

Cited by 11 publications

(6 citation statements)

References 27 publications

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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%

“…Although the majority of living kidney donors are women, they are considerably less likely than men to receive a kidney transplant. With the exception of Muslim-dominated countries (Ghods and Nasrollahzadeh 2003;Guella and Mohammed 2011;Mohsin et al 2007), women are more likely than men to donate (Kayler et al 2002;Øien et al 2005;Thiel, Nolte, and Tsinalis 2005;Voiculescu et al 2003). However, women are less likely to be a transplant recipient, irrespective of the country in which they reside.…”

mentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 90%

mentioning

confidence: 99%

Gender Disparity in Indian Renal Transplantation

Malattiri

Kumar

2014

AJOB Empirical Bioethics

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“…It is well understood that in doctor-patient interactions, it is the medical expert who will elicit the majority of responses (Frankel, 1983a;1983b;West, 1983) and often patients are expected to listen and learn from the conversation. As previously observed by researchers (Mohsin, et al, 2007;Decker, et al, 2008) more women become living kidney donors than men to such an extent that they are considered a vulnerable group and when considering gift-giving practices as they are more likely to be placed in a caretaker role of the transplant recipient or harbour feelings of obligation. Unlike women, males are more likely to take a marketplace view and underestimate the contributions of their female partners (Rucker, 1991).…”

Section: Asymmetrymentioning

confidence: 86%

“…Where living kidney donors in the previous studies often failed to recognise or rather refrained from articulating any concerns they may have felt relating to the psychological implications of their donation on either their recipient or themselves, a more recent retrospective Queensland longitudinal study (McGrath, et al, 2012) finds that patients responded to research interviewers by saying that their kidney donation is "no big deal" (p. Further similarities to previous statistics derived from overseas research (Mohsin, et al, 2007;Thiel, 2005;Kjellstrand, 1988;Oien, et al, 2005;Zimmerman, Donnelly, Miller, Stewart & Albert, 2000;Leander, 2011), were found in the Living Donor Study in the form of gender disparity. In this project seven of the ten participants were women and represented two wives donating to husbands, two sisters donating to siblings, two mothers donating to their adult children and one female friend who wished to donate to another friend.…”

Section: Speaker Living Donor Quotesmentioning

confidence: 95%

“…The bond obligation as described by Benner (2002), gift-giving and exchange as defined by Mauss (1970), 30 and Davis (1972), as well as gender imbalance within the living donation setting are not easily anticipated. This is highlighted by data provided by Mohsin, et al (2007) and Decker, Winter, Brahler and Beutel (2008), that show of medically suitable living donors, more women than men will donate their organs. This occurs to such an extent that women are considered a more vulnerable group and may succumb more easily to subtle pressures to donate (Dobson, 2002).…”

Section: Patient Expectationsmentioning

confidence: 99%

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The living donor study: the concepts and frames of living kidney donors

Cunningham¹,

Leach²,

Fawcett³

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This thesis explores the concepts and frames of living kidney donors through the use of recorded and transcribed conversations between living kidney donor patients and their transplant team. It offers insight into the expectations of living kidney donors as they prepare themselves to gift a kidney to someone they know.Living kidney donor frames are represented as particularly resilient and well-defined, shielding them from messages delivered by their transplant team. Those frames incorporate their acceptance as living kidney donors, the risk to themselves and their own personal definitions of autonomy and choice.With the intention of using phenomenological discourse analysis to examine the recorded and transcribed data, ten potential living kidney donors and their recipients were invited to take part in a PhD project entitled the Living Donor Study at the Princess Alexandra Hospital, in Queensland Australia. Transcriptions were analysed using line-by-line and axial coding and living donor transcripts were repeatedly compared with one another in order to reach an appropriate level of saturation and provide evidence of re-emerging concepts and frames.Data for the Living Donor Study were obtained during the living kidney donor's initial transplant assessment clinic visit. The purpose of this project was to examine prospective accounts of the living donation experience using conversations with their transplant team as opposed to using retrospective questionnaires and interviewing methods. By eliminating much of the subjectivity that is common in ex post facto interviews, I was able to identify many of the concepts that assist living kidney donors in framing their experience and how those frames impact upon their expectations of the transplant assessment clinic and their upcoming donation.

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