Current Transplantation Reports

, Volume 6, Issue 2, pp 184–191 | Cite as

Overcoming Disparities in Living Donor Kidney Transplantation in the USA: the Promise of Academic and Community Stakeholder Partnerships

  • Morgan Johnson
  • Nicholas Lacy
  • Joseph WilsonJr.
  • Kandice Oakley
  • Kevin Gianaris
  • Jamilah A. Perkins
  • Jaime F. Blanck
  • Tanjala S. PurnellEmail author
Live Kidney Donation (K Lentine and R Schaffer, Section Editors)
Part of the following topical collections:
  1. Topical Collection on Live Kidney Donation


Purpose of Review

Living donor kidney transplantation (LDKT) has been shown to be the optimal treatment for clinically suitable patients with end-stage renal disease (ESRD). Despite the benefits, racial/ethnic and socioeconomic disparities persist in receipt of LDKT. These disparities may be mitigated through the development of academic and community-based partnerships.

Recent Findings

This article provides a systematic review of existing academic-community partnerships designed to address disparities in LDKT for adult populations in the USA. Few academic-community partnerships exist that were designed to specifically address LDKT disparities. Among the 7 existing partnerships identified within this review, the majority were developed as part of grant-funded interventions targeting healthcare access, health education, and health attitudes and behaviors as barriers to LDKT.


Future work is needed to identify practical methods for expanding LDKT partnerships among health equity researchers, healthcare practitioners, transplant centers, and other key stakeholders, including patients, families, faith-based leaders, policy makers, and medically underserved communities.


Community-based participatory research Disparities Equity Kidney Living donor Kidney transplantation Living donation Stakeholder research Systematic review Transplantation 



This work was supported in part by grant K01HS024600 (PI: Purnell) from the Agency for Healthcare Research and Quality. The funders had no role in the design and conduct of the study, interpretation of the data, or preparation of the manuscript.

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.


Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Morgan Johnson
    • 1
    • 2
  • Nicholas Lacy
    • 3
    • 4
  • Joseph WilsonJr.
    • 3
    • 5
  • Kandice Oakley
    • 2
  • Kevin Gianaris
    • 1
    • 2
  • Jamilah A. Perkins
    • 1
    • 2
  • Jaime F. Blanck
    • 6
  • Tanjala S. Purnell
    • 1
    • 2
    • 7
    Email author
  1. 1.Division of Transplantation Surgery, Epidemiology, and Health Behavior and Society|Johns Hopkins University School of MedicineBaltimoreUSA
  2. 2.Johns Hopkins Center for Health EquityJohns Hopkins UniversityBaltimoreUSA
  3. 3.Diversity Summer Internship ProgramJohns Hopkins School of Public HealthBaltimoreUSA
  4. 4.North Carolina State UniversityRaleighUSA
  5. 5.Williams CollegeWilliamstownUSA
  6. 6.William H. Welch Medical LibraryJohns Hopkins UniversityBaltimoreUSA
  7. 7.Department of EpidemiologyJohns Hopkins Bloomberg School of Public HealthBaltimoreUSA

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