Abstract
People of Black ethnicity are more likely to develop end-stage kidney disease (ESKD)1 but are less likely to be preemptively listed for transplantation in the United Kingdom,2 and on average waiting times are 327 days longer compared with 573 days for White patients.3 Living donor kidney transplantation is the gold standard treatment for ESKD.4 From 2019 to 2020, 3488 kidney transplants were performed in the United Kingdom and 982 (28%) were from living donors.3 In the same period, 12% of patients listed for kidney transplantation in the United Kingdom were of Black ethnicity, but only 26 (3%) of living kidney donors were Black compared with 846 (86%) White donors.
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