June 20, 2026 · Journal of the American Society of Nephrology : JASN · DOI: 10.1681/ASN.0000001162

Evaluating Barriers to Kidney Transplantation in the United States

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The authors aimed to evaluate the barriers to kidney transplantation in the United States by analyzing the progression from referral to evaluation, waitlisting, and transplantation among 720,348 adults from 2014 to 2025. They found that only 48% of referred patients were evaluated and 19% were waitlisted, with significant attrition influenced by individual, center-level, and geographic factors. The study highlights the disparities in access to transplantation, particularly in low-volume centers and among certain demographic groups.

Conor B Donnelly, Suhani S Patel, Syed Ali Husain, Sommer E Gentry, Rachel E Patzer, Bonnie E Lonze, Sunjae Bae, David Axelrod, Babak J Orandi, Mara A McAdams-DeMarco, Dorry L Segev, Allan B Massie, Michal A Mankowski

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