Direct and Indirect Costs Following Living Kidney Donation: Findings From the KDOC Study

J R Rodrigue; J D Schold; P Morrissey; J Whiting; J Vella; L K Kayler; D Katz; J Jones; B Kaplan; A Fleishman; M Pavlakis; D A Mandelbrot; KDOC Study Group

doi:10.1111/ajt.13591

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Direct and Indirect Costs Following Living Kidney Donation: Findings From the KDOC Study

Journal article

Open access

Peer reviewed

Direct and Indirect Costs Following Living Kidney Donation: Findings From the KDOC Study

J R Rodrigue, J D Schold, P Morrissey, J Whiting, J Vella, L K Kayler, D Katz, J Jones, B Kaplan, A Fleishman, …

American journal of transplantation, Vol.16(3), pp.869-876

03/2016

DOI: 10.1111/ajt.13591

PMID: 26845630

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Abstract

Some living kidney donors (LKDs) incur costs associated with donation, although these costs are not well characterized in the United States. We collected cost data in the 12 mo following donation from 182 LKDs participating in the multicenter prospective Kidney Donor Outcomes Cohort (KDOC) Study. Most LKDs (n = 167, 92%) had one direct cost or more following donation, including ground transportation (86%), health care (41%), meals (53%), medications (36%), lodging (23%), and air transportation (12%). LKDs missed 33 072 total work hours, 40% of which were unpaid and led to $302 175 in lost wages (mean $1660). Caregivers lost $68 655 in wages (mean $377). Although some donors received financial assistance, 89% had a net financial loss in the 12-mo period, with one-third (33%) reporting a loss exceeding $2500. Financial burden was higher for those with greater travel distance to the transplant center (Spearman's ρ = 0.26, p < 0.001), lower household income (Spearman's ρ = -0.25, p < 0.001), and more unpaid work hours missed (Spearman's ρ = 0.52, p < 0.001). Achieving financial neutrality for LKDs must be an immediate priority for the transplant community, governmental agencies, insurance companies, nonprofit organizations, and society at large.

Adult

Costs and Cost Analysis

Female

Follow-Up Studies

Health Expenditures - trends

Humans

Kidney Failure, Chronic - surgery

Kidney Transplantation - economics

Living Donors

Male

Nephrectomy - economics

Outcome Assessment (Health Care)

Prognosis

Prospective Studies

Tissue and Organ Harvesting - economics

Details

Title: Subtitle: Direct and Indirect Costs Following Living Kidney Donation: Findings From the KDOC Study
Creators: J R Rodrigue - Harvard University
J D Schold - Cleveland Clinic
P Morrissey - Rhode Island Hospital
J Whiting - Maine Medical Center
J Vella - Maine Medical Center
L K Kayler - Erie County Medical Center
D Katz - University of Iowa
J Jones - University of Iowa
B Kaplan - University of Arizona
A Fleishman - Harvard University
M Pavlakis - Harvard University
D A Mandelbrot - University of Wisconsin–Madison
KDOC Study Group
Resource Type: Journal article
Publication Details: American journal of transplantation, Vol.16(3), pp.869-876
DOI: 10.1111/ajt.13591
PMID: 26845630
NLM abbreviation: Am J Transplant
ISSN: 1600-6135
eISSN: 1600-6143
Grant note: R01DK085185 / NIDDK NIH HHS
Language: English
Date published: 03/2016
Academic Unit: Psychological and Brain Sciences; Surgery
Record Identifier: 9984322804902771

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