{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T14:50:50Z","timestamp":1788533450119,"version":"build-2803163510"},"reference-count":37,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,7,7]],"date-time":"2025-07-07T00:00:00Z","timestamp":1751846400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003921","name":"Department of Health and Aged Care, Australian Government","doi-asserted-by":"publisher","award":["4\u2010BIA3J8Y"],"award-info":[{"award-number":["4\u2010BIA3J8Y"]}],"id":[{"id":"10.13039\/501100003921","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Medical Journal of Australia"],"published-print":{"date-parts":[[2025,7,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To describe clinician\u2010reported reasons for non\u2010waitlisting of patients with kidney failure for deceased donor kidney transplantation, and to examine disparities affecting Aboriginal and Torres Strait Islander people.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Retrospective cross\u2010sectional analysis of data from a national clinical quality registry.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants and setting<\/jats:title><jats:p>Patients receiving dialysis in 26 Australian renal units as of 31 December 2020.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>Rates of active waitlisting for kidney transplantation and clinician\u2010reported reasons for non\u2010waitlisting.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Thirty\u2010six of 1832 Aboriginal and Torres Strait Islander people (2.0%) were actively waitlisted, compared with 512 of 6128 non\u2010Indigenous people (8.4%). For Aboriginal and Torres Strait Islander patients aged &lt;\u200965 years, 457 of 1204 (38%) were not waitlisted due to a permanent contraindication, 276 (23%) due to a temporary contraindication, and 232 (19%) due to incomplete work\u2010up. Among those with a contraindication, cardiovascular disease was reported as the reason for about a quarter of people in both groups. Obesity was cited for 163 Aboriginal and Torres Strait Islander patients aged &lt;\u200965 years (22%) and 30 Aboriginal and Torres Strait Islander patients aged \u2265\u00a065 years (10%); in the non\u2010Indigenous group, obesity was cited for 207 (26%) and 163 (9%) patients aged &lt;\u200965 years and\u00a0\u2265\u00a065 years, respectively. Cancer was reported for 28 Aboriginal and Torres Strait Islander patients aged &lt;\u200965 years (4%) and 86 non\u2010Indigenous patients aged &lt;\u200965 years (11%). Other reasons for non\u2010waitlisting, reported as free text, included patient safety, smoking, age and mental health.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Aboriginal and Torres Strait Islander people experience inequities in waitlisting for kidney transplantation across multiple stages of a complex process. Addressing these barriers requires system\u2010level reform and accountability to improve equity in transplantation access.<\/jats:p><\/jats:sec>","DOI":"10.5694\/mja2.52698","type":"journal-article","created":{"date-parts":[[2025,7,7]],"date-time":"2025-07-07T05:23:37Z","timestamp":1751865817000},"page":"46-53","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Am I on the list? Clinician\u2010reported factors for kidney transplantation non\u2010waitlisting among Aboriginal and Torres Strait Islander people with kidney failure: a\u00a0cross\u2010sectional study"],"prefix":"10.5694","volume":"223","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6103-1386","authenticated-orcid":false,"given":"Stephen P","family":"McDonald AM","sequence":"first","affiliation":[{"name":"Australia and New Zealand Dialysis and Transplant Registry  Adelaide SA"},{"name":"Adelaide EpiCentre  Adelaide SA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6003-5617","authenticated-orcid":false,"given":"Katie","family":"Cundale","sequence":"additional","affiliation":[{"name":"National Indigenous Kidney Transplantation Taskforce  Adelaide SA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher E","family":"Davies","sequence":"additional","affiliation":[{"name":"Australia and New Zealand Dialysis and Transplant Registry  Adelaide SA"},{"name":"University of Adelaide  Adelaide SA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelli Karrikarringka","family":"Owen","sequence":"additional","affiliation":[{"name":"National Indigenous Kidney Transplantation Taskforce  Adelaide SA"},{"name":"AKction Reference Group  Adelaide SA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kerry","family":"Dole","sequence":"additional","affiliation":[{"name":"Northern Territory Department of Health  Alice Springs NT"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Feruza","family":"Kholmurodova","sequence":"additional","affiliation":[{"name":"Australia and New Zealand Dialysis and Transplant Registry  Adelaide SA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matilda","family":"D\u2019Antoine","sequence":"additional","affiliation":[{"name":"National Indigenous Kidney Transplantation Taskforce  Adelaide SA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaquelyne T","family":"Hughes","sequence":"additional","affiliation":[{"name":"Flinders University  Darwin NT"},{"name":"Royal Darwin Hospital  Darwin NT"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,7,7]]},"reference":[{"key":"e_1_2_10_1_1","volume-title":"Australia and New Zealand Dialysis and Transplant Registry 46th annual report","author":"Bateman S","year":"2023"},{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja2.52361"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.34067\/KID.0003692021"},{"key":"e_1_2_10_4_1","volume-title":"Clinical guidelines for organ transplantation from deceased donors, version 1.1","author":"Transplantation Society of Australia and New Zealand","year":"2017"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja18.00304"},{"key":"e_1_2_10_6_1","first-page":"17","volume-title":"\u201cAm I on the kidney transplant waiting list?\u201d [abstract]","author":"Goodman D"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41581-023-00745-6"},{"key":"e_1_2_10_8_1","first-page":"215","article-title":"Gathering perspectives\u2014finding solutions for chronic and end\u2010stage kidney disease: Indigenous patient voices","volume":"26","author":"Hughes JT","year":"2021","journal-title":"Nephrology (Carlton)"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/imj.14960"},{"key":"e_1_2_10_10_1","volume-title":"Improving access to and outcomes of kidney transplantation for Aboriginal and Torres Strait Islander people in Australia: performance report","author":"Garrard E","year":"2019"},{"key":"e_1_2_10_11_1","volume-title":"Final report: National Indigenous Kidney Transplantation Taskforce","author":"Cundale K","year":"2023"},{"key":"e_1_2_10_12_1","volume-title":"Australia and New Zealand Dialysis and Transplant Registry 47th annual report","author":"Lee D","year":"2024"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)61602-X"},{"key":"e_1_2_10_14_1","volume-title":"Data collection","author":"Australia and New Zealand Dialysis and Transplant Registry","year":"2023"},{"key":"e_1_2_10_15_1","volume-title":"Transplant Assessment Stage [form TA]","author":"Australia and New Zealand Dialysis and Transplant Registry","year":"2019"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12874-019-0815-8"},{"key":"e_1_2_10_17_1","volume-title":"Data requests relating to patient ethnicity","author":"Australia and New Zealand Dialysis and Transplant Registry","year":"2021"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.kint.2023.06.026"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.33235\/rsaj.15.3.92-96"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja2.52347"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-0012.2006.00608.x"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0000000000000028"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfv214"},{"key":"e_1_2_10_24_1","first-page":"121","article-title":"Consequences of recipient obesity on postoperative outcomes in a renal transplant: a systematic review and meta\u2010analysis","volume":"14","author":"Sood A","year":"2016","journal-title":"Exp Clin Transplant"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-015-0340-5"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/ctr.14506"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/imj.13450"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/1753-6405.13092"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/1753-6405.12914"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12939-017-0664-1"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja2.52355"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja2.52317"},{"key":"e_1_2_10_33_1","volume-title":"Cultural safety education requirements for specialist registration","author":"Medical Board of Australia","year":"2024"},{"issue":"8","key":"e_1_2_10_34_1","first-page":"S19","article-title":"Towards equity in kidney transplantation: the next steps","volume":"219","author":"Hughes JT","year":"2023","journal-title":"Med J Aust"},{"key":"e_1_2_10_35_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja2.52383"},{"key":"e_1_2_10_36_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja2.52114"},{"key":"e_1_2_10_37_1","volume-title":"National Law amendments","author":"Australian Health Practitioner Regulation Agency","year":"2024"}],"container-title":["Medical Journal of Australia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.5694\/mja2.52698","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T08:02:56Z","timestamp":1759392176000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.5694\/mja2.52698"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,7]]},"references-count":37,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,7,7]]}},"alternative-id":["10.5694\/mja2.52698"],"URL":"https:\/\/doi.org\/10.5694\/mja2.52698","archive":["Portico"],"relation":{},"ISSN":["0025-729X","1326-5377"],"issn-type":[{"value":"0025-729X","type":"print"},{"value":"1326-5377","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,7]]},"assertion":[{"value":"2025-01-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-15","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-07-07","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}