{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T02:59:41Z","timestamp":1790132381168,"version":"4.0.1"},"reference-count":17,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T00:00:00Z","timestamp":1788739200000},"content-version":"vor","delay-in-days":6,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"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":["Nephrology"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>In 2012, the Australian state of Victoria introduced a 6\u2010monthly reportable renal quality indicator (QI) for the proportion of patient's waitlisted or pre\u2010emptively transplanted by set time points after beginning kidney replacement therapy (KRT). This prospective cohort study aimed to determine if the QI influenced timeliness of transplant waitlisting for Victorians, compared to the rest of Australia as a control group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients aged 18\u201370 commencing KRT between 2007 and 2020 were extracted from the Australian and New Zealand Dialysis and Transplant Registry (ANZDATA) and divided into three time eras. The primary outcome was the percentage of patients waitlisted or transplanted at 6, 12 and 24 months from starting KRT. Given the systematic disadvantage reported, specific analysis was performed to examine the QI's effect on Aboriginal and Torres Strait Islander people living in Victoria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 25\u2009836 (14.7% Indigenous) patients starting dialysis, one third (8587, 5.7% Indigenous) were listed for transplant. Following implementation of the QI, the proportion of Victorian patients waitlisted within 6, 12 and 24\u2010months of starting KRT increased (adjusted OR [aOR] 1.85, 1.67 and 1.55 respectively; all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). There was no significant change in Australian (non\u2010Victorian) rates at 6 and 12\u2009months but a small increase was observed at 24\u2009months.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Following introduction of the Victorian renal QI, the proportion of Victorian patients waitlisted at key timepoints improved more than patients in Australian states without QIs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/nep.70277","type":"journal-article","created":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T03:01:38Z","timestamp":1788836498000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Impact of Quality Indicators on Transplant Access: A Prospective Cohort Study in Australian Dialysis Patients"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-9811-4731","authenticated-orcid":false,"given":"Rebecca","family":"Ling","sequence":"first","affiliation":[{"name":"Department of Nephrology St Vincent's Hospital Melbourne  Fitzroy Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6595-8656","authenticated-orcid":false,"given":"Christopher E.","family":"Davies","sequence":"additional","affiliation":[{"name":"Australia and New Zealand Dialysis and Transplant (ANZDATA) Registry South Australian Health and Medical Research Institute (SAHMRI)  Adelaide South Australia Australia"},{"name":"Adelaide Medical School University of Adelaide  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-5363-9725","authenticated-orcid":false,"given":"Tia","family":"Mark","sequence":"additional","affiliation":[{"name":"Kidney &amp; Pancreas Transplant Unit Monash Health  Clayton Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6103-1386","authenticated-orcid":false,"given":"Stephen P.","family":"McDonald","sequence":"additional","affiliation":[{"name":"Australia and New Zealand Dialysis and Transplant (ANZDATA) Registry South Australian Health and Medical Research Institute (SAHMRI)  Adelaide South Australia Australia"},{"name":"Adelaide Medical School University of Adelaide  Adelaide South Australia Australia"},{"name":"Central and Northern Adelaide Renal and Transplantation Services (CNARTS) Royal Adelaide Hospital  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6776-481X","authenticated-orcid":false,"given":"David J.","family":"Goodman","sequence":"additional","affiliation":[{"name":"Department of Nephrology St Vincent's Hospital Melbourne  Fitzroy Victoria Australia"},{"name":"University of Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,7]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199912023412303"},{"key":"e_1_2_9_3_1","volume-title":"Renal Key Performance Indicators Review","author":"Safer Care Victoria","year":"2019"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja18.00304"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/nep.12366"},{"key":"e_1_2_9_6_1","unstructured":"ANZDATA \u201cANZDATA 45th Annual Report 2022 (Data to 2021) \u201d03\/07\/2023 ed. 2023 https:\/\/www.anzdata.org.au\/wp\u2010content\/uploads\/2022\/09\/Chapter\u20106\u2010Australian\u2010Transplant\u2010Waiting\u2010List\u2010ANZDATA\u2010Annual\u2010Report\u20102022.pdf."},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/13557850303562"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.V1261293"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.2010080819"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/ctr.13760"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/22423982.2022.2040773"},{"key":"e_1_2_9_12_1","unstructured":"M. R. N. G.Massoud K.Nolan M. W.Schall andC.Sevin \u201cA Framework for Spread: From Local Improvements to System\u2010Wide Change \u201dIHI Innovation Series White Paper (Institute for Healthcare Improvement 2006) https:\/\/www.ihi.org."},{"key":"e_1_2_9_13_1","unstructured":"Australian Bureau of Statistics \u201c1270.0.55.001 \u2010 Australian Statistical Geography Standard (ASGS): Volume 1\u2014Main Structure and Greater Capital City Statistical Areas July 2016 \u201d2017 https:\/\/www.abs.gov.au\/AUSSTATS\/abs@.nsf\/Lookup\/1270.0.55.001Main+Features10018July%202016?OpenDocument."},{"key":"e_1_2_9_14_1","volume-title":"Report of the Key Performance Indicator Working Group","author":"Australian and New Zealand Society of Nephrology","year":"2021"},{"key":"e_1_2_9_15_1","unstructured":"ANZDATA \u201cQuality Indicators. First Half of Year Report. 01 January 2023\u201330 June 2023 \u201d11\/08\/2023 ed. 2023 https:\/\/www.anzdata.org.au\/wp\u2010content\/uploads\/2023\/08\/20230811_QI_first_half_realtime_2023.pdf."},{"key":"e_1_2_9_16_1","volume-title":"Victorian Renal Key Performance Indicators","author":"Safer Care Victoria","year":"2023"},{"key":"e_1_2_9_17_1","unstructured":"The Transplantation Society of Australia and New Zealand \u201cClinical Guidelines for Organ Transplantation From Deceased Donors (Version 1.11) \u201d2023 https:\/\/tsanz.com.au\/storage\/documents\/TSANZ_Clinical_Guidelines_Version\u2010111_13062023Final\u2010Version.pdf."},{"key":"e_1_2_9_18_1","unstructured":"NIKTT \u201cNational Indigenous Kidney Transplantation Taskforce Recommendations \u201d2024 https:\/\/www.niktt.com.au\/."}],"container-title":["Nephrology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/nep.70277","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/nep.70277","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/nep.70277","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T02:03:37Z","timestamp":1790129017000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/nep.70277"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":17,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1111\/nep.70277"],"URL":"https:\/\/doi.org\/10.1111\/nep.70277","archive":["Portico"],"relation":{},"ISSN":["1320-5358","1440-1797"],"issn-type":[{"value":"1320-5358","type":"print"},{"value":"1440-1797","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9]]},"assertion":[{"value":"2025-12-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-22","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-07","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70277"}}