About The Study: This retrospective cohort study of incident hemodialysis patients found that system-based disparities in pre-dialysis access to nephrology care contribute to approximately one-third of incident vascular access disparities among Hispanic individuals. Targeted system-based remedies and policies are needed to improve timely identification and nephrology referrals among Hispanic individuals, for equitable improvements in incident kidney failure outcomes.
Corresponding Author: To contact the corresponding author, Ashutosh M. Shukla, MBBS, MD, email ashushukla@hotmail.com.
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(doi:10.1001/jamanetworkopen.2025.30972)
Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.
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