Predonation Direct and Indirect Costs Incurred by Adults Who Donated a Kidney: Findings From the KDOC Study: Predonation Costs

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.13286

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Predonation Direct and Indirect Costs Incurred by Adults Who Donated a Kidney: Findings From the KDOC Study: Predonation Costs

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Predonation Direct and Indirect Costs Incurred by Adults Who Donated a Kidney: Findings From the KDOC Study: Predonation Costs

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.15(9), pp.2387-2393

09/2015

DOI: 10.1111/ajt.13286

PMCID: PMC5097875

PMID: 25943721

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Abstract

Limited information exists on the predonation costs incurred by eventual living kidney donors (LKDs). Expenses related to completion of the donation evaluation were collected from 194 LKDs participating in the multi-center, prospective Kidney Donor Outcomes Cohort (KDOC) Study. Most LKDs (n = 187, 96%) reported one or more direct costs, including ground transportation (80%), healthcare (24%), lodging (17%) and air transportation (14%), totaling $101 484 (USD; mean = $523 ± 942). Excluding paid vacation or sick leave, donor and companion lost wages totaled $35 918 (mean = $187 ± 556) and $14 378 (mean = $76 ± 311), respectively. One-third of LKDs used paid vacation or sick leave to avoid incurring lost wages. Few LKDs reported receiving financial support from the transplant candidate (6%), transplant candidate's family (3%), a nonprofit organization (3%), the National Living Donor Assistance Center (7%), or transplant center (3%). Higher total costs were significantly associated with longer distance traveled to the transplant center (p < 0.001); however, total costs were not associated with age, sex, race/ethnicity, household income, marital status, insurance status, or transplant center. Moderate predonation direct and indirect costs are common for adults who complete the donation evaluation. Potential LKDs should be advised of these possible costs, and the transplant community should examine additional strategies to reimburse donors for them.

Details

Title: Subtitle: Predonation Direct and Indirect Costs Incurred by Adults Who Donated a Kidney: Findings From the KDOC Study: Predonation Costs
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 - Montefiore 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
KDOC Study Group
Resource Type: Journal article
Publication Details: American journal of transplantation, Vol.15(9), pp.2387-2393
DOI: 10.1111/ajt.13286
PMID: 25943721
PMCID: PMC5097875
NLM abbreviation: Am J Transplant
ISSN: 1600-6135
eISSN: 1600-6143
Grant note: DOI: 10.13039/100000062, name: National Institute of Diabetes and Digestive and Kidney Diseases, award: R01DK085185
Language: English
Date published: 09/2015
Academic Unit: Psychological and Brain Sciences; Surgery
Record Identifier: 9984322821302771

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