{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T15:44:59Z","timestamp":1791906299797,"version":"4.3.4"},"reference-count":27,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T00:00:00Z","timestamp":1791849600000},"content-version":"vor","delay-in-days":12,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>The 2023 organ procurement and transplantation network (OPTN) policy \u201cModify waiting time for candidates affected by race\u2010inclusive eGFR calculations\u201d for kidney transplantation (KT) was analyzed at our kidney transplant center over a 15\u2010month period following its implementation. A total of 372 adult Black patients active on our KT waiting list were identified, of whom 104 (28%) qualified for waiting\u2010time modification (WTM). The WTM group gained a median total waiting time of 2.4 years, with 36 (35%) receiving KTs compared to 107 (42%) in the no wait\u2010time modification (NWTM) group. Pre\u2010listing time, older age, female gender, and A or B blood type was found to increase likelihood of KT in both groups. Despite lower actual transplant rates during the study period, the WTM group is projected to gain a 25% annual probability of transplant for each additional year of qualifying time. Therefore, while the decision to grant WTM has generated some controversy, short\u2010term outcomes at our center suggest that the OPTN policy change has the potential to improve transplant access among Black patients without necessarily disadvantaging those Black patients who do not benefit from WTM. Longer follow\u2010up is required to determine the intended and unintended effects of the race\u2010neutral GFR (rnGFR) and WTM policy changes.<\/jats:p>","DOI":"10.1111\/ctr.70688","type":"journal-article","created":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T14:47:36Z","timestamp":1791902856000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Race\u2010Neutral Glomerular Filtration Rate Projected to Increase Kidney Transplantation for Black Patients: Initial Policy Effects at a Single Center"],"prefix":"10.1111","volume":"40","author":[{"given":"Arianna","family":"Cabrales","sequence":"first","affiliation":[{"name":"Wake Forest University School of Medicine, Winston\u2010Salem  North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kirsten","family":"Fernando","sequence":"additional","affiliation":[{"name":"Wake Forest University School of Medicine, Winston\u2010Salem  North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tim","family":"Craven","sequence":"additional","affiliation":[{"name":"Wake Forest University School of Medicine, Winston\u2010Salem  North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"McCracken","sequence":"additional","affiliation":[{"name":"Wake Forest University School of Medicine, Winston\u2010Salem  North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Colleen","family":"Jay","sequence":"additional","affiliation":[{"name":"Wake Forest University School of Medicine, Winston\u2010Salem  North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Orlando","sequence":"additional","affiliation":[{"name":"Wake Forest University School of Medicine, Winston\u2010Salem  North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan","family":"Farney","sequence":"additional","affiliation":[{"name":"Wake Forest University School of Medicine, Winston\u2010Salem  North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Webb","sequence":"additional","affiliation":[{"name":"Wake Forest University School of Medicine, Winston\u2010Salem  North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amber","family":"Reeves\u2010Daniel","sequence":"additional","affiliation":[{"name":"Wake Forest University School of Medicine, Winston\u2010Salem  North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalia","family":"Sakhovskaya","sequence":"additional","affiliation":[{"name":"Wake Forest University School of Medicine, Winston\u2010Salem  North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alejandra","family":"Mena\u2010Gutierrez","sequence":"additional","affiliation":[{"name":"Wake Forest University School of Medicine, Winston\u2010Salem  North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Stratta","sequence":"additional","affiliation":[{"name":"Wake Forest University School of Medicine, Winston\u2010Salem  North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,13]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199101313240505"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ackd.2021.10.009"},{"key":"e_1_2_9_4_1","unstructured":"USRDS.United States Renal Data System: Annual Data Report.2023. Accessed September 8 2024 https:\/\/usrds\u2010adr.niddk.nih.gov\/."},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.34679"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0b013e31827191d4"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/ctr.12547"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0000000000003002"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.04860420"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.0000000000000198"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40472\u2010022\u201000369\u2010y"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2016.1625"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajt.14748"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.03140319"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2019.5774"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.34630"},{"key":"e_1_2_9_17_1","unstructured":"Modify Waiting Time for Candidates Affected by Race\u2010Inclusive Estimated Glomerular Filtration Rate (eGFR) Calculations\u2014OPTN. 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