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The Living Donor Lost Wages Trial: Study Rationale and Protocol.
James R Rodrigue1,2, Aaron Fleishman1, Michaela Carroll1
1The Transplant Institute, Beth Israel Deaconess Medical Center, Boston, MA.
Current Transplantation Reports
|May 29, 2018
Summary
Reimbursing lost wages for living kidney donors may increase live donor kidney transplants (LDKT) and reduce racial disparities. This study investigates the impact of wage reimbursement on LDKT rates and access.
Area of Science:
- Nephrology
- Transplantation
- Health Economics
Background:
- Live donor kidney transplant (LDKT) is the optimal treatment for end-stage renal disease.
- Living kidney donation has declined, particularly among younger, Black, and lower-income individuals.
- Donation-related costs, especially lost wages, may deter potential living donors.
Purpose of the Study:
- To evaluate the impact of lost wage reimbursement on LDKT rates.
- To determine if wage reimbursement reduces racial disparities in LDKT.
- To assess the relationship between reimbursement amount and LDKT rates.
Main Methods:
- NIH-funded, single-center study design.
- Focus on newly evaluated kidney transplant candidates.
- Investigating reimbursement for post-nephrectomy lost wages.
Main Results:
- Declining LDKT rates observed across demographics.
- Lost wages identified as a significant financial barrier for living donors.
- Existing financial assistance programs do not cover lost wages.
Conclusions:
- Study addresses the need to reduce financial burdens in living donation.
- Findings may inform policies to improve LDKT access.
- Potential to mitigate income-related and racial disparities in kidney transplantation.
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