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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