Investigators sought to examine kidney transplant waitlist addition rates among adults with HIV, and also whether existing racial disparities in access to transplant waitlist persisted in the presence of an HIV diagnosis.  Information related to demographic and clinical characteristics was retrieved from the U.S. Renal Data System, a national database of people with end-stage kidney disease which includes Medicare claims information.  Patients with end-stage kidney disease entered the study (595,756 without HIV and 6,250 with HIV) and began contributing time-at-risk on the date of dialysis initiation, and were followed until the earliest of waitlist addition, death, living donor transplant before waitlist addition, or study conclusion on December 31, 2018.  People with HIV were significantly younger, Black (70% vs. 26.7%), and less commonly female (31.7% vs. 43.4%).  Rates of reported alcohol and drug dependance were higher among PWH (3.0% vs. 1.4%).  After adjustment for demographic and clinical features as well as geography, HIV status and race were independently associated with a 50% and 12% lower likelihood of waitlist addition, respectively.  Investigators also observed a significant interaction between HIV status and Black race, with hazard ratios revealing that Black PWH had lower predicted likelihood of waitlist addition than White patients with ESKD, White PWH, and Black patients with ESKD.