{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,14]],"date-time":"2025-04-14T04:02:23Z","timestamp":1744603343266,"version":"3.40.4"},"reference-count":18,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,12,19]],"date-time":"2024-12-19T00:00:00Z","timestamp":1734566400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Internal Medicine Journal"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The numbers of M\u0101ori and Pasifika peoples with kidney failure living in Australia are rising. However, data describing outcomes of those proceeding to transplantation are limited. This study describes clinical outcomes of M\u0101ori and Pasifika peoples who received a kidney transplant in Australia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>This study describes clinical outcomes of Maori and Pasifika peoples who received a kidney transplant in Australia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective review was conducted of kidney transplant recipients aged \u226518\u2009years receiving their first graft between 1 January 2002 and 31 December 2021, as recorded in the Australia and New Zealand Dialysis and Transplant Registry. The primary outcome was death\u2010censored graft survival. Secondary outcomes included delayed graft function (DGF), rejection and patient survival.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 12\u2009543 transplant recipients, mean age was 50\u2009years and the majority identified as male sex. A total of 89 patients identified as M\u0101ori and 313 as Pasifika. M\u0101ori and Pasifika patients were more likely to have diabetic kidney disease or obesity at time of transplantation (body mass index\u2009&gt;\u200930 kg\/m<jats:sup>2<\/jats:sup>) and be current or former smokers compared to other ethnicities. Times to graft loss were shorter for M\u0101ori (adjusted hazard ratio (HR) 2.06, 95% confidence interval (CI) 1.36\u20133.11) and Pasifika (adjusted HR 1.78, 95% CI 1.39\u20132.029, <jats:italic>P<\/jats:italic> &lt;\u20090.001) people compared to other ethnicities. The incidences of DGF were significantly higher in the M\u0101ori (30%) and Pasifika groups (28%) compared with 22% for other ethnicities (<jats:italic>P<\/jats:italic> &lt;\u20090.005). Overall patient survival was comparable (M\u0101ori HR 0.93, 95% CI 0.57\u20131.49, <jats:italic>P<\/jats:italic> =\u20090.75; Pasifika HR 1.18, Cl 0.88\u20131.60, <jats:italic>P<\/jats:italic> =\u20090.26).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Times to graft loss for M\u0101ori and Pasifika kidney transplant patients were shorter than for other ethnicities.<\/jats:p><\/jats:sec>","DOI":"10.1111\/imj.16606","type":"journal-article","created":{"date-parts":[[2024,12,19]],"date-time":"2024-12-19T10:37:51Z","timestamp":1734604671000},"page":"277-283","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Kidney transplant outcomes of M\u0101ori and Pasifika people receiving transplantation in Australia: an <scp>Australia and New Zealand Dialysis and Transplant<\/scp> Registry study"],"prefix":"10.1111","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0615-2745","authenticated-orcid":false,"given":"Laura","family":"De Souza","sequence":"first","affiliation":[{"name":"Department of Kidney and Transplant Services Princess Alexandra Hospital  Brisbane Queensland Australia"},{"name":"Griffith University  Gold Coast Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dev","family":"Jegatheesan","sequence":"additional","affiliation":[{"name":"Department of Kidney and Transplant Services Princess Alexandra Hospital  Brisbane Queensland Australia"},{"name":"Oceania Pacific Health Association  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kuinileti","family":"Chang\u2010Wai","sequence":"additional","affiliation":[{"name":"Oceania Pacific Health Association  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David W.","family":"Johnson","sequence":"additional","affiliation":[{"name":"Department of Kidney and Transplant Services Princess Alexandra Hospital  Brisbane Queensland Australia"},{"name":"Australasian Kidney Trials Network, University of Queensland  Brisbane Queensland Australia"},{"name":"Translational Research Institute  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Scott B.","family":"Campbell","sequence":"additional","affiliation":[{"name":"Department of Kidney and Transplant Services Princess Alexandra Hospital  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea K.","family":"Viecelli","sequence":"additional","affiliation":[{"name":"Department of Kidney and Transplant Services Princess Alexandra Hospital  Brisbane Queensland Australia"},{"name":"Australasian Kidney Trials Network, University of Queensland  Brisbane Queensland Australia"},{"name":"Translational Research Institute  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yeoungjee","family":"Cho","sequence":"additional","affiliation":[{"name":"Department of Kidney and Transplant Services Princess Alexandra Hospital  Brisbane Queensland Australia"},{"name":"Australasian Kidney Trials Network, University of Queensland  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryan","family":"Gately","sequence":"additional","affiliation":[{"name":"Department of Kidney and Transplant Services Princess Alexandra Hospital  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicole","family":"Isbel","sequence":"additional","affiliation":[{"name":"Department of Kidney and Transplant Services Princess Alexandra Hospital  Brisbane Queensland Australia"},{"name":"Australasian Kidney Trials Network, University of Queensland  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,12,19]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-6143.2011.03686.x"},{"volume-title":"41st Report, Chapter 9 and 10: End Stage Kidney Disease in Indigenous Peoples of Australia and Aotearoa\/New Zealand","year":"2018","author":"ANZDATA Registry","key":"e_1_2_7_3_1"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1523-1755.63.s83.26.x"},{"key":"e_1_2_7_5_1","unstructured":"Queensland Health's response to Pacific Islander and M\u0101ori health needs assessment.2011[cited 2023 Jul 12]. Available from URL:https:\/\/www.health.qld.gov.au\/__data\/assets\/pdf_file\/0037\/385867\/qh-response-data.pdf"},{"key":"e_1_2_7_6_1","unstructured":"LiuH HowesS.Pacific islanders in Australia \u2013 2021 census results.DevPolicy Blog.2023[cited 2023 Jul 12]. Available from URL:https:\/\/devpolicy.org\/pacific-islanders-in-australia-census-results-20230331\/"},{"volume-title":"Pasifika and M\u0101ori Health and Wellbeing: A Strategic Framework and Action Plan for Brisbane South 2020\u20132025","key":"e_1_2_7_7_1"},{"volume-title":"43rd Report, Chapter 11: Kidney Failure among M\u0101ori in Aotearoa New Zealand","year":"2021","author":"ANZDATA Registry","key":"e_1_2_7_8_1"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12874-019-0815-8"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2007.11.008"},{"volume-title":"Socio\u2010Economic Indexes for Areas (SEIFA), Australia","year":"2021","author":"Australian Bureau of Statistics","key":"e_1_2_7_11_1"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/petr.12322"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(04)17406-0"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/TXD.0000000000001433"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajt.16196"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12939-018-0737-9"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40615-021-01212-3"},{"volume-title":"Initial Report of the 2018 Census External Data Quality Panel","year":"2019","author":"EDQP","key":"e_1_2_7_18_1"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ekir.2022.08.027"}],"container-title":["Internal Medicine Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/imj.16606","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,13]],"date-time":"2025-04-13T05:01:15Z","timestamp":1744520475000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/imj.16606"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,19]]},"references-count":18,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,2]]}},"alternative-id":["10.1111\/imj.16606"],"URL":"https:\/\/doi.org\/10.1111\/imj.16606","archive":["Portico"],"relation":{},"ISSN":["1444-0903","1445-5994"],"issn-type":[{"type":"print","value":"1444-0903"},{"type":"electronic","value":"1445-5994"}],"subject":[],"published":{"date-parts":[[2024,12,19]]},"assertion":[{"value":"2024-06-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-11-20","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-12-19","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}