Renal transplant: gender differences

Anna Laura Fantuzzi; Elisa Berri; Lida Tartaglione; Rossella Giannini; Sara Dominjanni; Silvia Porreca

doi:10.33393/gcnd.2023.2606

Authors

Anna Laura Fantuzzi Dietista già Coordinatore Nutrizione e Dietetica Aziendale, AUSL Modena, Comitato Scientifico ASAND (Associazione Scientifica Alimentazione Nutrizione e Dietetica) - Italy
Elisa Berri Dietista, Dipartimento di Cure Primarie, AUSL—IRCCS di Reggio Emilia | Italy
Lida Tartaglione Dirigente Medico, UOC Nefrologia, AOU Policlinico Umberto I di Roma https://orcid.org/0000-0003-4537-0876
Rossella Giannini Dietista, SSD Malattie del Metabolismo e Nutrizione Clinica Azienda Ospedaliero Unive
Sara Dominjanni Dirigente Medico, UOC Nefrologia e Dialisi Ospedale Sant'Eugenio - ASL Roma 2 – Roma https://orcid.org/0000-0001-5480-3616
Silvia Porreca Dirigente Medico, U.O C.. di Nefrologia e Dialisi, P.O. “Di Venere” - BARI - ASL BA https://orcid.org/0000-0002-5636-1361

DOI:

https://doi.org/10.33393/gcnd.2023.2606

Keywords:

Gender, Kidney transplantation, Organ donation, Sex

Abstract

Renal transplantation represents the best treatment for end-stage kidney disease, leading to improved quality of life and life-expectancy for most of the patients. However, gender disparities are evident both in access and in outcomes of kidney transplantation.nWomen on dialysis are less likely to be on the waiting list for kidney transplantation and receive an organ from a deceased donor or living donor. Several biological and sociocultural aspects could explain this disparity. On the contrary, more women than men are living kidney donors. Italian women are the first organ donors for living transplants in Europe. The gender difference in living donation is certainly affected by different comorbidities, but such a marked trend highlights a greater predisposition to donate of women, especially in the family context. Some differences are also found in kidney outcomes, even not fully understand. Our paper analyzes the main differences in different aspects of kidney transplantation related to gender, including nutritional aspects.

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