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肾移植中的性别差异：历史和未来的视角。

Sex and gender disparity in kidney transplantation: Historical and future perspectives.

机构信息

Department of Medicine, Division of Nephrology and Hypertension, Medical University of South Carolina, Charleston, South Carolina, USA.

Renal Associates of Montgomery, Montgomery, Alabama, USA.

出版信息

Clin Transplant. 2022 Dec;36(12):e14814. doi: 10.1111/ctr.14814. Epub 2022 Sep 26.

DOI:10.1111/ctr.14814
PMID:36097741
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10069947/
Abstract

Sex and gender disparity exist in various stages of kidney transplantation. Females were found to be less likely to be referred for kidney transplant, complete pre-transplant evaluation, be placed on the waitlist, and receive a kidney transplant compared to their male counterparts. Interestingly, females comprise the majority of living kidney donors. This review explores the biological and psychosocial factors that contribute to sex and gender disparity in kidney transplantation and proposes ways to address the disparity.

摘要

性别差异在肾脏移植的各个阶段都存在。与男性相比，女性接受肾脏移植的可能性较小，更不容易被推荐接受肾脏移植，完成移植前的全面评估，进入等候名单，以及接受肾脏移植。有趣的是，女性占活体肾脏捐献者的大多数。本综述探讨了导致肾脏移植中性别差异的生物学和社会心理因素，并提出了解决这些差异的方法。

相似文献

[1]
Sex and gender disparity in kidney transplantation: Historical and future perspectives.

Clin Transplant. 2022-12

[2]
Gender disparities in transplantation.

Curr Opin Organ Transplant. 2021-10-1

[3]
Gender disparity in living renal transplant donation.

Am J Kidney Dis. 2000-9

[4]
Are Differences in Living Kidney Donation Rates a Sex or a Gender Disparity?

Exp Clin Transplant. 2024-1

[5]
Sex differences and attitudes toward living donor kidney transplantation among urban black patients on hemodialysis.

Clin J Am Soc Nephrol. 2014-10-7

[6]
Attitude of kidney patients on the transplant waiting list toward related-living donation. A reason for the scarce development of living donation in Spain.

Clin Transplant. 2006

[7]
The extent and predictors of waiting time geographic disparity in kidney transplantation in the United States.

Transplantation. 2014-5-27

[8]
Does Sex, Race, and the Size of a Kidney Transplant Candidate's Social Network Affect the Number of Living Donor Requests? A Multicenter Social Network Analysis of Patients on the Kidney Transplant Waitlist.

Transplantation. 2020-12

[9]
Understanding the sex disparity in living kidney donation.

J Eval Clin Pract. 2018-10

[10]
Gender Disparity in Living-Donor Kidney Transplant Among Minority Ethnic Groups.

Exp Clin Transplant. 2016-4

引用本文的文献

[1]
The role of recipient sex in the post-liver transplant prognosis of acute-on-chronic liver failure.

J Liver Transpl. 2025-5

[2]
Ambulance Service Utilization by Kidney Transplant Recipients.

Can J Kidney Health Dis. 2025-4-4

[3]
Kidney Allograft Torsion After Simultaneous Pancreas Kidney Transplantation: Case Report and Review of Literature.

Case Rep Transplant. 2025-1-19

[4]
Sex and gender as predictors for allograft and patient-relevant outcomes after kidney transplantation.

Cochrane Database Syst Rev. 2024-12-19

[5]
A convergent mixed methods to study registration on kidney transplantation waiting list refusal by women and men on dialysis in France.

Sci Rep. 2024-11-24

[6]
An Analysis of the Influence of a Patient's Sex on Quality of Life in Liver and Kidney Transplantation.

Healthcare (Basel). 2024-10-23

[7]
A Single-Center Retrospective Study to Identify Causes of Sex Differences in the Living Kidney Donor Evaluation Process.

Kidney360. 2024-12-1

[8]
Patient and Caregiver Perspectives on Gender Disparity in Chronic Kidney Disease: Questionnaire Survey, Based on an Interview Study.

Am J Nephrol. 2024

[9]
Sex/Gender Disparities in Preemptive Referrals for Kidney Transplantation.

Kidney Int Rep. 2024-4-15

[10]
Time trends in preemptive kidney transplantation in Europe: an ERA registry study.

Nephrol Dial Transplant. 2024-11-27

本文引用的文献

[1]
Gender Disparities in Access to Kidney Transplant: Inequities in the Inequity.

Kidney Int Rep. 2022-4-4

[2]
Kidney Function, Kidney Replacement Therapy, and Mortality in Men and Women.

Kidney Int Rep. 2021-12-27

[3]
Sex-Specific Differences in Mortality and Incident Dialysis in the Chronic Kidney Disease Outcomes and Practice Patterns Study.

Kidney Int Rep. 2021-12-1

[4]
Sex Differences in Kidney Transplantation: Austria and the United States, 1978-2018.

Front Med (Lausanne). 2022-1-24

[5]
Frailty among chronic kidney disease patients on the kidney transplant waiting list: the sex-frailty paradox.

Clin Kidney J. 2021-7-10

[6]
Meeting Report: First State of the Art Meeting on Gender Disparity in Kidney Transplantation in the Asia-Pacific.

Transplantation. 2021-9-1

[7]
Racial and sex representation in clinical trials: Where are we in abdominal organ transplantation?

Am J Transplant. 2021-10

[8]
Access to kidney transplantation in Mexico, 2007-2019: a call to end disparities in transplant care.

BMC Nephrol. 2021-3-19

[9]
Recipient Sex Differences in Kidney Graft Survival Are Influenced by Donor Sex and Recipient Age.

Exp Clin Transplant. 2021-3

[10]
Sex Disparity in Deceased-Donor Kidney Transplant Access by Cause of Kidney Disease.

Clin J Am Soc Nephrol. 2021-2-8

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