{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T17:55:11Z","timestamp":1785779711796,"version":"3.56.0"},"reference-count":24,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T00:00:00Z","timestamp":1781827200000},"content-version":"vor","delay-in-days":18,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","award":["DK116066"],"award-info":[{"award-number":["DK116066"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","award":["DK126739"],"award-info":[{"award-number":["DK126739"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","award":["DK130058"],"award-info":[{"award-number":["DK130058"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000070","name":"National Institute of Biomedical Imaging and Bioengineering","doi-asserted-by":"publisher","award":["EB032910"],"award-info":[{"award-number":["EB032910"]}],"id":[{"id":"10.13039\/100000070","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    In the United States, kidney transplant candidates are permitted to waitlist at multiple transplant centers to improve their likelihood of transplantation. In March 2021, a distance\u2010based kidney allocation system (KAS250) was implemented, leading to greater geographic organ sharing that might reduce the perceived benefit of multilisting compared to the prior system (KAS). To assess whether the incidence and geographic patterns of multilisting changed after KAS250, we used national registry data to examine adult candidates added to the waitlist before and after KAS250. Among 40\u00a0048 candidates waitlisted in KAS and 48\u00a0568 in KAS250, the proportion of multilisted candidates was similar (9.5%\u00a0vs. 9.3%, respectively). Multilisting conferred a greater than twofold increase in two\u2010year adjusted transplant incidence in both KAS and KAS250 (HR 2.02, 2.51, respectively; both\n                    <jats:italic>p<\/jats:italic>\n                    &lt;0.001). Additionally, among multilisted candidates, those whose centers were more than 250 NM apart had a significantly higher adjusted transplant incidence than those whose centers were within 250 NM in both eras (\n                    <jats:italic>p<\/jats:italic>\n                    &lt;0.05). From KAS to KAS250, geographic patterns shifted modestly: cross\u2010DSA multilisting declined slightly (\n                    <jats:italic>p<\/jats:italic>\n                    = 0.035), and median distance between centers increased from 92.5 to 101.6 NM (\n                    <jats:italic>p<\/jats:italic>\n                    = 0.002), with metropolitan and small\u2010town residents traveling farther under KAS250 while rural residents traveled shorter distances. These results demonstrate that multilisting practices have modestly shifted after KAS250 but continue to confer a tremendous advantage regarding transplant receipt. These findings underscore the need for ongoing policy discussions on balancing candidate autonomy with allocation equity.\n                  <\/jats:p>","DOI":"10.1111\/ctr.70598","type":"journal-article","created":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T12:35:13Z","timestamp":1781872513000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Multilisting Practices and Outcomes for Deceased Donor Kidney Transplants After Implementation of Distance\u2010Based Kidney Allocation"],"prefix":"10.1111","volume":"40","author":[{"given":"Harrison M.","family":"Drebin","sequence":"first","affiliation":[{"name":"Division of Nephrology Department of Medicine Columbia University Vagelos College of Physicians and Surgeons  New York City New York USA"},{"name":"Columbia University Renal Epidemiology Group (CURE)  New York City New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miko E.","family":"Yu","sequence":"additional","affiliation":[{"name":"Division of Nephrology Department of Medicine Columbia University Vagelos College of Physicians and Surgeons  New York City New York USA"},{"name":"Columbia University Renal Epidemiology Group (CURE)  New York City New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bayla","family":"Mohan","sequence":"additional","affiliation":[{"name":"Division of Nephrology Department of Medicine Columbia University Vagelos College of Physicians and Surgeons  New York City New York USA"},{"name":"Columbia University Renal Epidemiology Group (CURE)  New York City New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cameron D.","family":"Ekanayake","sequence":"additional","affiliation":[{"name":"Division of Nephrology Department of Medicine Columbia University Vagelos College of Physicians and Surgeons  New York City New York USA"},{"name":"Columbia University Renal Epidemiology Group (CURE)  New York City New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danielle S.","family":"Kroll","sequence":"additional","affiliation":[{"name":"Columbia University Renal Epidemiology Group (CURE)  New York City New York USA"},{"name":"Department of Medicine Beth Israel\u2010Deaconess Hospital  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xingxing S.","family":"Cheng","sequence":"additional","affiliation":[{"name":"Division of Nephrology School of Medicine Stanford University  Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vishnu S.","family":"Potluri","sequence":"additional","affiliation":[{"name":"Renal\u2010Electrolyte and Hypertension Division Department of Medicine Hospital of the University of Pennsylvania  Philadelphia Pennsylvania USA"},{"name":"Center For Clinical Epidemiology and Biostatistics University of Pennsylvania Perelman School of Medicine  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne M.","family":"Huml","sequence":"additional","affiliation":[{"name":"Department of Kidney Medicine Cleveland Clinic  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jesse D.","family":"Schold","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Colorado Anschutz Medical Campus  Aurora Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joel T.","family":"Adler","sequence":"additional","affiliation":[{"name":"Department of Surgery Dell Medical School At The University of Texas at Austin  Austin Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sumit","family":"Mohan","sequence":"additional","affiliation":[{"name":"Division of Nephrology Department of Medicine Columbia University Vagelos College of Physicians and Surgeons  New York City New York USA"},{"name":"Columbia University Renal Epidemiology Group (CURE)  New York City New York USA"},{"name":"Department of Epidemiology Mailman School of Public Health  New York City New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Syed Ali","family":"Husain","sequence":"additional","affiliation":[{"name":"Department of Surgery NYU Langone Health  New York City New York USA"},{"name":"Department of Medicine Division of Nephrology NYU Langone Health  New York City New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,19]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.2020030335"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.2022040471"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.02770319"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajt.2025.01.040"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2021.1489"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.humimm.2016.08.008"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ekir.2019.08.018"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.tp.0000438623.89310.dc"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2009.11.022"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1600\u20106135.2003.00282.x"},{"key":"e_1_2_10_12_1","unstructured":"OPTN 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Program\u2010Specific Reports 2025 https:\/\/www.srtr.org\/reports\/program\u2010specific\u2010reports\/."},{"key":"e_1_2_10_24_1","unstructured":"Department of Agriculture ERS\u201cRural\u2010Urban Commuting Area Codes \u201dWWAMI Rural Health Research Center University of Washington Updated August 13 2025 https:\/\/www.ers.usda.gov\/data\u2010products\/rural\u2010urban\u2010commuting\u2010area\u2010codes\/."},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajt.17044"}],"container-title":["Clinical 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