{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T18:20:02Z","timestamp":1787682002267,"version":"build-2784847793"},"reference-count":50,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T00:00:00Z","timestamp":1786492800000},"content-version":"vor","delay-in-days":11,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"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":["R01DK101715"],"award-info":[{"award-number":["R01DK101715"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","award":["UL1TR001857"],"award-info":[{"award-number":["UL1TR001857"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","award":["T32HL007736"],"award-info":[{"award-number":["T32HL007736"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100015502","name":"Dialysis Clinics","doi-asserted-by":"publisher","award":["C\u20103924"],"award-info":[{"award-number":["C\u20103924"]}],"id":[{"id":"10.13039\/100015502","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>In the United States, streamlining the kidney transplantation (KT) evaluation process may reduce disparities and barriers to KT access. Prior work showed that the Kidney Transplant Fast Track (KTFT) program shortened this process and reduced racial disparities in waitlisting and overall KT. In the present study, we examined whether race\/ethnicity and sociocultural factors (e.g., medical mistrust, healthcare\u2010related discrimination\/racism) remained independently associated with time to active waitlisting and KT receipt (overall, living [LDKT] and deceased donor KT [DDKT]) and whether sociocultural factors attenuated racial\/ethnic differences in these outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this secondary analysis, data came from the KTFT study, a prospective KT candidate cohort. Participants were recruited before KT evaluation start (05\/2015\u201306\/2018), coinciding with baseline measure collection, then followed via medical record through 08\/2022. We used hierarchically\u2010adjusted Fine\u2013Gray proportional hazards models in this exploratory analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 1108 KT candidates (243 Black, 783 White, 82 Other), medical mistrust was associated with lower cumulative incidence of waitlisting, but no other sociocultural factors were associated with outcomes. Racial and ethnic differences emerged for KT type: Black participants had a greater cumulative incidence of DDKT, and participants categorized as other race\/ethnicity had a lower cumulative incidence of LDKT, relative to White participants.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Although KTFT reduced racial\/ethnic disparities in waitlisting and overall KT receipt, we identified racial\/ethnic differences in LDKT and DDKT. Medical mistrust was a significant barrier to waitlisting. Findings suggest that even when the KT evaluation process is streamlined, sociocultural factors and race\/ethnicity may remain associated with KT outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>ClinicalTrials.gov identifier: NCT02342119<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ctr.70640","type":"journal-article","created":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T17:33:29Z","timestamp":1786556009000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Healthcare\u2010Related Sociocultural Factors, Racial Disparities, and Kidney Transplant Outcomes in the Kidney Transplant Fast Track Program"],"prefix":"10.1111","volume":"40","author":[{"given":"Miriam","family":"V\u00e9lez\u2010Berm\u00fadez","sequence":"first","affiliation":[{"name":"Center For Healthcare Evaluation in Kidney Disease (CHEK\u2010D) School of Medicine University of New Mexico  Albuquerque New Mexico USA"},{"name":"Person\u2010Centered Outcomes Research Global Clinical Evidence Generation Renal Research Institute  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuridia","family":"Leyva","sequence":"additional","affiliation":[{"name":"Center For Healthcare Evaluation in Kidney Disease (CHEK\u2010D) School of Medicine University of New Mexico  Albuquerque New Mexico USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chethan","family":"Puttarajappa","sequence":"additional","affiliation":[{"name":"Department of Medicine School of Medicine University of Pittsburgh  Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arjun","family":"Kalaria","sequence":"additional","affiliation":[{"name":"Florida Kidney Physicians  Tampa Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yiliang","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine School of Medicine University of New Mexico  Albuquerque New Mexico USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yue\u2010Harn","family":"Ng","sequence":"additional","affiliation":[{"name":"Department of Medicine School of Medicine University of Washington  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark L.","family":"Unruh","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine School of Medicine University of New Mexico  Albuquerque New Mexico USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L. Ebony","family":"Boulware","sequence":"additional","affiliation":[{"name":"School of Medicine Wake Forest University  Charlotte North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amit","family":"Tevar","sequence":"additional","affiliation":[{"name":"Thomas E. Starzl Transplantation Institute University of Pittsburgh Medical Center  Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary Amanda","family":"Dew","sequence":"additional","affiliation":[{"name":"Department of Psychiatry School of Medicine University of Pittsburgh  Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Larissa","family":"Myaskovsky","sequence":"additional","affiliation":[{"name":"Center For Healthcare Evaluation in Kidney Disease (CHEK\u2010D) School of Medicine University of New Mexico  Albuquerque New Mexico USA"},{"name":"Department of Internal Medicine School of Medicine University of New Mexico  Albuquerque New Mexico USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,12]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ASN.0000013295.11876.C9"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199912023412303"},{"key":"e_1_2_12_4_1","unstructured":"United States Renal Data System 2023 USRDS Annual Data Report: Epidemiology of Kidney Disease in the United States. 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