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Most People Seeking a Kidney Transplant Never Reach the Waitlist

Only 19% of referred patients completed evaluation, and barriers were greatest for rural, poorer and Spanish-speaking patients, researchers said.

  • On Saturday, June 20, 2026, NYU Langone Health researchers published a study in the Journal of the American Society of Nephrology revealing that most patients referred for kidney transplants never successfully reach the waitlist.
  • Analyzing 720,348 patients, researchers found that only 19 percent completed the required evaluation, while 48 percent never even started the process, using data from Epic Cosmos covering over 1,850 hospitals.
  • Unmarried individuals, those with severe obesity, or patients living in rural areas or the South face greater challenges in progressing; older, Spanish-speaking, and poorer patients were also especially unlikely to reach the waitlist.
  • Smaller centers may be more selective, as researchers noted that "Which transplant center you go to, where you live, and even whether you are married all appear to influence your chances of moving forward to the waitlist for a new kidney."
  • Study co-senior author Allan B. Massie, PhD, stated, "These results demonstrate that finding ways to reduce barriers to both evaluation and waitlisting could help expand much-needed access to kidney transplantation.
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Most People Seeking a Kidney Transplant Never Reach the Waitlist

Note: This presentation at American Transplant Congress on Saturday, June 20, at 4:30 p.m. ET in Boston, Massachusetts, is titled ""Individual and Center Level Determinants of Progression from Kidney Transplant Referral to Kidney Transplantation in the United States: A National…

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PR Newswire broke the news in United States on Saturday, June 20, 2026.
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