Gender disparity of living donor renal transplantation in East China

Authors

  • Guangxiang Liu,

    1. Department of Urology and Kidney Transplant Center, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, China
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    • These two authors contributed equally to this work.
  • Xiaogong Li,

    1. Department of Urology and Kidney Transplant Center, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, China
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    • These two authors contributed equally to this work.
  • Tieshi Liu,

    1. Department of Urology and Kidney Transplant Center, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, China
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  • Xiaozhi Zhao,

    1. Department of Urology and Kidney Transplant Center, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, China
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  • Shiwei Zhang,

    1. Department of Urology and Kidney Transplant Center, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, China
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  • Junjun Wang,

    1. Department of Urology and Kidney Transplant Center, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, China
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  • Changwei Ji,

    1. Department of Urology and Kidney Transplant Center, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, China
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  • Weidong Gan,

    1. Department of Urology and Kidney Transplant Center, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, China
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  • Hongqian Guo

    Corresponding author
    • Department of Urology and Kidney Transplant Center, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, China
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  • Conflict of interest: None.

Corresponding author: Hongqian Guo, MD, PhD, Department of Urology and Kidney Transplant Center, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, 321 Zhongshan Road, Nanjing, Jiangsu 210008, China.

Tel.: +86 25 8310 5107; fax: +86 25 8310 5107; e-mail: dr.guohongqian@gmail.com

Abstract

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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