Kidney transplant: a chance at the life you deserve

Although a kidney transplant is not a cure for kidney failure, it is considered the best treatment for it. Generally, people who have successful kidney transplants often enjoy a better quality of life than what is possible on dialysis. American Kidney Fund believes that everyone who wants a kidney transplant should receive a fair evaluation, without barriers created by biases. As in many areas of health care, health equity is often an issue in kidney transplants, too.

Access to kidney transplant 

Not everyone has equal access to kidney transplant 

A successful transplant is life-changing for someone who has been living with or is facing kidney failure. A kidney transplant is considered the best treatment for kidney failure. 

Although Black and Hispanic Americans have more cases of kidney failure, they are less likely to get a kidney transplant compared to White Americans. Black and Hispanic Americans are also less likely to find a living kidney donor, which often has more successful results than a transplant from a deceased kidney donor.  

hispanic senior woman in hospital gown

Although Black Americans are more likely than Whites to have kidney failure, they are 25% less likely to be placed on the transplant waitlist. Even once on the waiting list, Black Americans wait longer than other groups before they get a transplant.

Reasons for these inequities may include: 

  • Biases in transplant qualifications such as eGFR, BMI  and genetic risk assumptions  

  • Doctors may make wrong assumptions about their patients' chances of having a successful transplant. These concerns might be about being able to manage their care after the transplant surgery or not having a support system around them at home. 

  • Personal finances and not enough health insurance coverage are also barriers  

Another reason some patients may not have been considered for a transplant is that for many years, a kidney function test, called the eGFR test, used race as a factor when calculating the result. Based on the calculations, Black people and their doctors might have believed their kidneys were working better than they really were. Fortunately, the medical community has recognized the harm this has done, and race is no longer a factor when eGFR is calculated by a lab.  

None of these challenges should stop you from seeking a transplant. Getting a transplant is a long path, but you can take it step by step. 

How to improve your chances of receiving a kidney transplant 

One of the best things you can do to improve your chances of a kidney transplant is to plan ahead. If you have kidney disease, you may never reach kidney failure. But because transplant is a complex process, it is a good idea to prepare in case you do experience kidney failure. 

senior black woman talking

Spread the word about living kidney donations 

Another way to shorten your wait is to talk with your family and friends about living kidney donation.  Tell them you may need a kidney transplant eventually and that you want to start preparing. Share all the information you have and tell them you don't need a kidney right now, but want to start thinking about it early. You may have a family member or friend who is willing to give you the gift of life by becoming a kidney donor.