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Black patients with cirrhosis have higher mortality and lower transplant rates: Results from a metropolitan cohort study

Hepatology Jun 19, 2021

Mazumder NR, Simpson D, Atiemo K, et al. - In order to estimate racial disparity in cirrhosis, researchers herein analyzed a large, metropolitan, population-based electronic health record data set from seven large health systems linked to the state death registry and the national transplant database. During the study period, they identified 11,277 patients meeting the inclusion criteria, 2,498 of whom (22.2%) were identified as Black. Compared with White patients, Black patients had higher comorbidity burden, lower rates of private insurance, and lower rates of portal hypertensive complications. Compared to White patients, Black patients had the highest rate of all-cause mortality and non-liver-related death and were listed or transplanted less frequently. Black patients were noted to have a 26% increased hazard of liver-related death in multivariate competing risk analysis. Overall findings suggest discordant outcomes in Black patients with cirrhosis.

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