Gender Differences in Willingness to Be Evaluated for Living Kidney Donation.
Ritah R Chumdermpadetsuk, Cayley Ryan-Claytor, Mary K Roberts and 8 others
PMID 41191017WHAT IT FOUND
Men with a relative who had kidney disease reported higher willingness to be evaluated for living donation than women, 71.5% versus 64.2%.
When the relative was actively seeking a transplant, men reported 13.1% higher willingness after accounting for other differences.
Key findings
01Men reported higher willingness to be evaluated for living kidney donation than women, 71.5% versus 64.2%.
02The adjusted estimate for male gender was 7.1% in the full group and 13.1% in the subgroup whose relatives were actively seeking transplantation.
03In the full cohort, men aged 70-79 years had a 32.2% higher adjusted probability of willingness, and men with self-reported medical contraindications had a 9.0% higher adjusted probability, compared with women with the same traits.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study is cross-sectional and self-reported, so it cannot show that being male causes higher willingness or that donation rates will change. Willingness was often hypothetical. Many respondents had not taken concrete steps toward donation, and social desirability bias may inflate reported willingness. The sample came from an online panel, so it may miss people with limited internet access and may overrepresent women, younger people, non-Hispanic White people, and people with higher education. Only male and female categories were analysed, and 13 respondents who marked other gender were excluded. Patient characteristics were reported by relatives and not verified, and the survey did not deeply assess social pressure, relationship dynamics, or real donation decisions.
The easy way to misread this
Do not conclude that men are more likely to donate. This survey measured self-reported willingness to be evaluated, not completed donation, and men with medical contraindications or age 70-79 years reported higher willingness than women with the same traits.