LAUSR

T he Living Donation Coalition was created by the White House Organ Summit in June, 2016 to provide education and resources for potential donors to make informed decisions about living and deceased donation with a greater goal of eliminating the deficit of available kidneys. Central to the realization of this goal is an understanding of the impact of ethnic minorities and immigrants within the current framework of kidney donation. While studies have demonstrated geographic, social, financial, and ethnic contributions to the incidences of end-stage renal disease and renal transplantation, the impact of minorities and specifically immigrants within the framework of deceased and living donation kidney transplantation is not well understood. To this end, we evaluated the impact of this population on kidney donation through the Scientific Registry of Transplant Recipient (SRTR) database for deceased donation (n 1⁄4 273,424) and for living donation (n 1⁄4 141,908) from 1990 to 2016. All statistical analyses were conducted in SAS 9.4 (Cary, NC) using chi-square tests to compare deceased versus living donors with an alpha set at P < 0.05. All graphs were created in SAS 9.4. Within deceased donation, Caucasians constituted 72.6% of donors and 50.3% of recipients. Among the Caucasian recipients, 81.4% obtained a kidney from a deceased Caucasian donor (Table 1). While African Americans and Hispanics had a similar 13% rate of deceased donation, African Americans received 29% of deceased kidneys, compared with 13.9% amongst Hispanics. Asian and Pacific Islanders constituted 2.2% of deceased donors. Amongst Caucasian transplant recipients, 1.4% of deceased kidneys were of Asian or Pacific Islander origin. Amongst living donor kidney transplants, Caucasians composed 70.5% of donors and 68.1% of recipients, and 96% of Caucasian recipients obtained a kidney from a Caucasian donor. African Americans and Hispanics constituted the second and third largest cohort within live kidney donation, each constituting approximately 13% of living kidney donation and receipt. Asian and Pacific Islanders constituted 3.5% of living donors. Amongst Caucasian transplant recipients, 0.6% of living donors were of Asian or Pacific Islander origin. Across all ethnicities, cross-over in donor-recipient ethnicity amongst white and non-whites occurred in 40.9% and 7.7% of deceased and living donation, respectively. Kidney donation from