It is known that 0.10% of Caucasians and 0.51%of AA living donors progress to ESRD over the years70 and it is assumed that this increased risk of worse outcome in AAreflects the higher CKD risk this ethnic group has versus the generalpopulation.71 One possibility would be toperform APOL1 genotyping in AA being considered for kidneydonation. Here, APOL1 is linked to chronic kidney disease.