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Racial/ethnic disparities in wait list outcomes are only partly explained by socioeconomic deprivation among children awaiting liver transplantation

Hepatology Aug 19, 2021

Wadhwani SI, Ge J, Gottlieb L, et al. - Outcomes following liver transplantation are poorer for racial/ethnic minority children. The racial/ethnic disparities for children awaiting transplant may be explained by household and neighborhood socioeconomic factors and disease severity at waitlist entry.

  • From 2005 to 2015, 7,716 children were listed in the Scientific Registry of Transplant Recipients.

  • Of these children, 17% were identified as Black and 24% as Hispanic.

  • An increased unadjusted hazard of waitlist mortality was recorded for Black and Hispanic children.

  • After adjusting for neighborhood deprivation, insurance, and listing lab Model for End-Stage Liver Disease/Pediatric End-Stage Liver Disease, increased hazard of waitlist mortality did not remain for Black and Hispanic children.

  • Similarly, decreased likelihood of living donor liver transplant (LDLT) was evident for Black and Hispanic children.

  • The effect of Black and Hispanic race/ethnicity on likelihood of LDLT attenuated following adjustments.

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