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Here, we assess the sociodemographic predictors of substance use and the association between substance use and KT access.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Predictors of substance use were examined using a multivariable\u2010adjusted multinomial logistic regression. The association between current substance use (tobacco and drug) and time from referral to listing or receipt of a KT was examined using Cox proportional hazards models.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 2346 patients, the prevalence of current substance use was 17%. Predictors of current tobacco use were younger age, male sex, Caucasian ethnicity, being unemployed, and unmarried. Predictors of current drug use were younger age, male sex, Caucasian ethnicity, a history of non\u2010adherence, and a history of mental health disorder. Patients with tobacco use had a decreased likelihood of being cleared for KT (hazard ratio [HR]:0.83[0.70, 0.99]) and receiving a KT (HR:0.80 [0.66, 0.96]). No association was seen in this sample for patients with drug use (HR:0.88 [0.69, 1.11] for being cleared for KT and 0.88 [0.69, 1.14] for KT, respectively).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Tobacco use was associated with a decreased likelihood of access to KT whereas there was no statistically significant difference in access to KT between patients with or without drug use.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ctr.13565","type":"journal-article","created":{"date-parts":[[2019,4,19]],"date-time":"2019-04-19T09:48:56Z","timestamp":1555667336000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Substance use in kidney transplant candidates and its impact on access to kidney transplantation"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1241-2446","authenticated-orcid":false,"given":"Evan","family":"Tang","sequence":"first","affiliation":[{"name":"Division of Nephrology, Multi\u2010Organ Transplant Program, University Health Network University of Toronto Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aarushi","family":"Bansal","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Multi\u2010Organ Transplant Program, University Health Network University of Toronto Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olusegun","family":"Famure","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Multi\u2010Organ Transplant Program, University Health Network University of Toronto Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andras","family":"Keszei","sequence":"additional","affiliation":[{"name":"Center for Translational &amp; Clinical Research Aachen (CTC\u2010A) Uniklinik RWTH Aachen University Aachen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marta","family":"Novak","sequence":"additional","affiliation":[{"name":"Centre for Mental Health, University Health Network and Department of Psychiatry University of Toronto Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5021-9831","authenticated-orcid":false,"given":"S. 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