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