{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T05:06:32Z","timestamp":1779944792277,"version":"3.53.1"},"reference-count":17,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T00:00:00Z","timestamp":1779926400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Nephrol."],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Minimizing delays during the pre-kidney transplant workup is critical for patients and providers. We evaluated the factors associated with workup completion times across the processes and key investigations in our program.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this single-center, retrospective cohort study, we included all candidates who initiated their pretransplant workup between January 1, 2019 - December 31, 2022. Patients were allocated, based on their consecutive referrals, alternately to an intensified pretransplant clinic follow-up process with more frequent assessment visits every 4 months during evaluation (Cohort 1), or a single initial assessment with no interim visits until full workup completion (Cohort 2). Follow-up was continued until June 1, 2025. Ethical approval was obtained with waived informed consent.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In total, 207 patients were allocated to Cohort 1 (n = 94, Age 52.2 \u00b1 14.2 years, 45.7% female) and Cohort 2 (n = 113, Age 56.8 \u00b1 12.1 years, 43.4% female), with no significant demographic differences between cohorts. Cohort 1 demonstrated a significantly shorter median workup duration (12.8 vs. 17.1 (-4.1 months), P = 0.007) and reduced dialysis vintage at the time of transplant decision (22.3 vs. 29.4 (-7.1 months), P = 0.056).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Frequent pre-transplant assessment visits were associated with expedited workup completion and reduced dialysis vintage.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fneph.2026.1789895","type":"journal-article","created":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T04:51:16Z","timestamp":1779943876000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Factors associated with transplant workup completion in a regional kidney program in Ontario, Canada: a retrospective cohort study"],"prefix":"10.3389","volume":"6","author":[{"given":"Abdelrahman","family":"Elsebaie","sequence":"first","affiliation":[{"name":"Department of Medicine, Division of Nephrology, Queen\u2019s University","place":["Kingston, ON, Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalie","family":"Witton","sequence":"additional","affiliation":[{"name":"Kingston Health Sciences Centre","place":["Kingston, ON, Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wilma","family":"Hopman","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Nephrology, Queen\u2019s University","place":["Kingston, ON, Canada"]},{"name":"Kingston Health Sciences Centre","place":["Kingston, ON, Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arezou","family":"Shahmoradi","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Nephrology, Queen\u2019s University","place":["Kingston, ON, Canada"]},{"name":"Kingston Health Sciences Centre","place":["Kingston, ON, Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Holland","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Nephrology, Queen\u2019s University","place":["Kingston, ON, Canada"]},{"name":"Kingston Health Sciences Centre","place":["Kingston, ON, Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. Khaled","family":"Shamseddin","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Nephrology, Queen\u2019s University","place":["Kingston, ON, Canada"]},{"name":"Kingston Health Sciences Centre","place":["Kingston, ON, Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,5,28]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.1097\/00007890-200211270-00005","article-title":"Waiting time on dialysis as the strongest modifiable risk factor for renal transplant outcomes: a paired donor kidney analysis","volume":"74","author":"Meier-Kriesche","year":"2002","journal-title":"Transplantation"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.1016\/j.kint.2020.07.014","article-title":"Measuring quality in living donation and kidney transplantation: moving beyond survival metrics","volume":"98","author":"Knoll","year":"2020","journal-title":"Kidney Int"},{"key":"B3","doi-asserted-by":"publisher","first-page":"20","DOI":"10.1016\/j.xkme.2020.07.011","article-title":"Cost-utility of dialysis in Canada: hemodialysis, peritoneal dialysis, and nondialysis treatment of kidney failure","volume":"3","author":"Ferguson","year":"2021","journal-title":"Kidney Med"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200103083441004","article-title":"Effect of the use or nonuse of long-term dialysis on the subsequent survival of renal transplants from living donors","volume":"344","author":"Mange","year":"2001","journal-title":"N Engl J Med"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2005.05.013","article-title":"The role of pretransplantation renal replacement therapy modality in kidney allograft and recipient survival","volume":"46","author":"Goldfarb-Rumyantzev","year":"2005","journal-title":"Am J Kidney Dis"},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.1046\/j.1523-1755.1998.00787.x","article-title":"Patient survival after renal transplantation: I. 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