{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T03:15:24Z","timestamp":1788318924833,"version":"build-2803163510"},"reference-count":19,"publisher":"Baishideng Publishing Group Inc.","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World J Transplant"],"abstract":"<jats:p>BACKGROUND<\/jats:p>\n                  <jats:p>This study evaluated the joint and modifying effects of obesity and income on access to kidney transplantation, stratified by race\/ethnicity.<\/jats:p>\n                  <jats:p>AIM<\/jats:p>\n                  <jats:p>To investigate whether income modifies the association between body mass index (BMI) and the likelihood of deceased donor kidney transplantation (DDKT) and living donor kidney transplantation (LDKT).<\/jats:p>\n                  <jats:p>METHODS<\/jats:p>\n                  <jats:p>We conducted a retrospective cohort study of 54891 adult kidney-only candidates added to the United States waiting list in 2020 and 2022, using data from the Organ Procurement and Transplantation Network and LexisNexis.<\/jats:p>\n                  <jats:p>RESULTS<\/jats:p>\n                  <jats:p>Overall, 47% of candidates were obese (BMI \u2265 30 kg\/m2). In multivariable models, BMI 30- &lt; 35 was associated with a lower likelihood of DDKT for non-Hispanic White and non-Hispanic Black candidates [sub-distribution hazard ratio (sHR): 0.93 for both]. BMI \u2265 35 was associated with an 18% lower likelihood to DDKT for non-Hispanic White candidates only. Low income was associated with higher likelihood of DDKT among non-Hispanic White (sHR: 1.34) and Hispanic\/Latino (sHR: 1.20) candidates but was not associated with DDKT among non-Hispanic Black candidates. In interaction models, income-related differences in DDKT were most consistently observed among nonobese nonHispanic White and Hispanic\/Latino candidates. For LDKT, both BMI \u2265 35 and low income were associated with lower likelihood of transplantation across all racial and ethnic groups; low income was also associated with reduced likelihood of LDKT among non-obese candidates in interaction models.<\/jats:p>\n                  <jats:p>CONCLUSION<\/jats:p>\n                  <jats:p>Obesity and income are differentially associated with access to transplantation by racial\/ethnicity and transplant modality, highlighting the importance of jointly considering clinical and social risk factors in transplantation.<\/jats:p>","DOI":"10.5500\/wjt.120639","type":"journal-article","created":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T09:08:37Z","timestamp":1782205717000},"source":"Crossref","is-referenced-by-count":0,"title":["Impact of obesity and income on the likelihood of kidney transplantation: A retrospective cohort study"],"prefix":"10.5500","volume":"16","author":[{"given":"Tatenda G","family":"Mupfudze","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dzhuliyana G","family":"Handarova","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samantha M G","family":"Noreen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jesse D","family":"Schold","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anil","family":"Paramesh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajesh","family":"Mohandas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2060","published-online":{"date-parts":[[2026,9,18]]},"reference":[{"key":"B1","unstructured":"Fryar CD, Afful J, Saif NT.   Prevalence of Overweight, Obesity, and Severe Obesity Among Adults Age 20 and Older: United States, 1960\u20131962 Through August 2021\u2013August 2023. In: NCHS Health E Stats [Internet]. Hyattsville (MD): National Center for Health Statistics (US); 2024 Sep-"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.1097\/00000441-200209000-00003"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ki.5002586"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.1111\/ajt.12331"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.1111\/ajt.16463"},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0000000000002328"},{"key":"B7","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.2007050610"},{"key":"B8","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6650a1"},{"key":"B9","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/79.1.6"},{"key":"B10","unstructured":"US Department of Health and Human Services.   Healthy People 2010. U.S. Dept. of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics. [cited April 21, 2025]. Available from: https:\/\/www.cdc.gov\/nchs\/data\/hpdata2010_final_review.pdf"},{"key":"B11","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kww108"},{"key":"B12","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0308407"},{"key":"B13","doi-asserted-by":"publisher","DOI":"10.1016\/j.ekir.2024.12.011"},{"key":"B14","unstructured":"CDC\/ATSDR.   Social Vulnerability Index. [cited February 5, 2025]. Available from: https:\/\/www.atsdr.cdc.gov\/place-health\/php\/svi\/index.html"},{"key":"B15","unstructured":"CDC.   Adult BMI Categories. [cited February 1, 2025]. Available from: https:\/\/www.cdc.gov\/bmi\/adult-calculator\/bmi-categories.html"},{"key":"B16","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0176616"},{"key":"B17","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfz100"},{"key":"B18","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.08310813"},{"key":"B19","doi-asserted-by":"publisher","DOI":"10.1111\/ajt.16196"}],"container-title":["World Journal of Transplantation"],"original-title":[],"link":[{"URL":"https:\/\/www.wjgnet.com\/2220-3230\/full\/v16\/i3\/120639.htm","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.wjgnet.com\/2220-3230\/full\/v16\/i3\/120639.htm","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T02:43:51Z","timestamp":1788317031000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.wjgnet.com\/2220-3230\/full\/v16\/i3\/120639.htm"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,18]]},"references-count":19,"journal-issue":{"issue":"3"},"alternative-id":["120639"],"URL":"https:\/\/doi.org\/10.5500\/wjt.120639","relation":{},"ISSN":["2220-3230"],"issn-type":[{"value":"2220-3230","type":"print"}],"subject":[],"published":{"date-parts":[[2026,9,18]]}}}