{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T02:30:14Z","timestamp":1791945014648,"version":"4.3.4"},"reference-count":14,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,2,21]],"date-time":"2024-02-21T00:00:00Z","timestamp":1708473600000},"content-version":"vor","delay-in-days":20,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Race\u2010inclusive estimated glomerular filtration rate (eGFR) could contribute to racial disparity in access to kidney transplantation. The Organ Procurement and Transplantation Network (OPTN) issued a policy allowing waiting time modification for candidates affected by race\u2010inclusive eGFR calculations. Implementation of the new OPTN policy at the kidney transplant program of the Mount Sinai Hospital involved review of 921 African American candidates, of whom 240 (26%) candidates gained a median of 1\u00a0year and 10\u00a0months. The duration of time candidates gained varied from a minimum of 5\u00a0days to a maximum of 12\u00a0years and 3\u00a0months; 45.4% gained at least 2\u00a0years, and 12% gained at least 4\u00a0years of wait time. Among those who gained wait time, 20 (8.3%) candidates received deceased donor kidney transplants. Candidates who gained wait time had similar sociodemographic characteristics as those who did not, except that the median age for the former was higher by 3\u00a0years (59 vs. 56). Our early data suggest that the current policy on waiting time modification for candidates affected by race\u2010inclusive estimation of GFR has the potential to improve racial disparity in access to kidney transplantation. However, the generalizability of our findings to other centers requires further study.<\/jats:p>","DOI":"10.1111\/ctr.15267","type":"journal-article","created":{"date-parts":[[2024,2,21]],"date-time":"2024-02-21T12:25:32Z","timestamp":1708518332000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Impact of race\u2010neutral eGFR calculations on African American kidney transplant candidate wait time: A single center retrospective analysis"],"prefix":"10.1111","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6401-9008","authenticated-orcid":false,"given":"Rafael","family":"Khaim","sequence":"first","affiliation":[{"name":"Mount Sinai Recanati\/Miller Transplantation Institute Icahn School of Medicine  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Todd","sequence":"additional","affiliation":[{"name":"Mount Sinai Recanati\/Miller Transplantation Institute Icahn School of Medicine  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Rosowicz","sequence":"additional","affiliation":[{"name":"Mount Sinai Recanati\/Miller Transplantation Institute Icahn School of Medicine  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ron","family":"Shapiro","sequence":"additional","affiliation":[{"name":"Mount Sinai Recanati\/Miller Transplantation Institute Icahn School of Medicine  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1635-9136","authenticated-orcid":false,"given":"Sander","family":"Florman","sequence":"additional","affiliation":[{"name":"Mount Sinai Recanati\/Miller Transplantation Institute Icahn School of Medicine  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leona","family":"Kim\u2010Schluger","sequence":"additional","affiliation":[{"name":"Mount Sinai Recanati\/Miller Transplantation Institute Icahn School of Medicine  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2695-9570","authenticated-orcid":false,"given":"Fasika","family":"Tedla","sequence":"additional","affiliation":[{"name":"Mount Sinai Recanati\/Miller Transplantation Institute Icahn School of Medicine  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,2,21]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2021.08.003"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2102953"},{"key":"e_1_2_7_4_1","unstructured":"OPTN\/UNOS.Organ Procurement and Transplantation Network Policies.2023. Accessed August 16 2023.https:\/\/optn.transplant.hrsa.gov\/media\/eavh5bf3\/optn_policies.pdf"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2019.5774"},{"key":"e_1_2_7_6_1","unstructured":"OPTN\/UNOS.eGFR Background.2023. Accessed August 16 2023.https:\/\/optn.transplant.hrsa.gov\/media\/3rjiwoka\/egfr\u2010background_01052023.pdf"},{"key":"e_1_2_7_7_1","unstructured":"Mount Sinai Health System.Removing the Racial Coefficient from Calculations of eGFR.2021. Accessed August 20 2023.https:\/\/reports.mountsinai.org\/article\/neph2021\u201007\u2010egfr\u2010and\u2010race"},{"key":"e_1_2_7_8_1","unstructured":"U.S. Census Bureau Quickfacts: New York City New York; New York. Accessed July 30 2023.https:\/\/www.census.gov\/quickfacts\/fact\/table\/newyorkcitynewyork NY US\/PST045222"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199101313240505"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40472-022-00369-y"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajt.16392"},{"key":"e_1_2_7_12_1","volume-title":"Realizing the Promise of Equity in the Organ Transplantation System","author":"National Research Council","year":"2022"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ASN.0000013295.11876.C9"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2011.05.023"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajt.14557"}],"container-title":["Clinical Transplantation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ctr.15267","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,29]],"date-time":"2024-03-29T17:56:07Z","timestamp":1711734967000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ctr.15267"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2]]},"references-count":14,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024,2]]}},"alternative-id":["10.1111\/ctr.15267"],"URL":"https:\/\/doi.org\/10.1111\/ctr.15267","archive":["Portico"],"relation":{},"ISSN":["0902-0063","1399-0012"],"issn-type":[{"value":"0902-0063","type":"print"},{"value":"1399-0012","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,2]]},"assertion":[{"value":"2023-10-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-02-02","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-02-21","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e15267"}}