Diversity, equity, inclusion, and belonging in organ transplantation

Diversity, equity, inclusion, and belonging (DEIB) have implications for transplant access and outcomes. Inequities in transplantation have been identified over the years for minoritized groups based on race, ethnicity, sex, sexual orientation, gender identity, disability status, and other sociocultural identities. While DEIB initiatives have demonstrated success in improving transplant outcomes for some minoritized groups, many gaps still exist, and additional work is needed. Concerns about these practices have also been raised, and they may create barriers to achieving DEIB goals. This underscores the importance of transplant organizational commitment to practices that uphold the values of DEIB, as such efforts are effective in reducing transplant inequities and fostering an inclusive community. From this viewpoint, we reviewed the existing inequalities in transplant, importance of DEIB, common concerns about DEIB initiatives, and commitment of the American Society of Transplant to DEIB initiatives, including the foundation of Inclusion, Diversity, Equity, and Access to Life (IDEAL) committee. Recommendations for cultivating DEIB practices, as well as tips for managing backlash against DEIB initiatives, are also provided. All professionals within the field of transplantation should carefully consider these recommendations to help promote an inclusive community for patients, providers, and all key stakeholders.