Nafisa Atiah, Paulette Dahlseide, Nazlee Sharmin, Seema Ganatra, Arnaldo Perez
Dental students' perceptions of instructor storytelling for clinical learning: A qualitative description study
Journal of dental education
may 2019 liver transplant lt allocation policy changed limit meld exception points hepatocellular carcinoma hcc median meld transplant minus three mmat3 evaluated policys impact waitlist outcomes hcc candidates race ethnicity hypothesizing introduction mmat3 reduced inequities waitlist outcomes retrospective cohort study scientific registry transplant recipients including adult lt candidates n 10 751 received hcc exception points may 17 2017 may 18 2019 prepolicy n 6627 may 19 2019 march 1 2021 postpolicy n 4124 compared incidence lt waitlist removal death becoming sick pre postpolicy nonhispanic white nonhispanic black hispaniclatinx asian patients using competing risk regression adjusted candidate characteristics oneyear cumulative incidence lt decreased significantly prepostpolicy among white 774 vs 645 p 01 black 762 vs 631 p 01 candidates 1year incidence deathnonlt waitlist removal decreased significantly among hispanics 134 vs 75 p 01 covariate adjustment effect policy change significantly decreased incidence lt white shr 63 compared prepolicy p 001 black shr 62 p 001 asian shr 68 p 002 change hispanic patients hispanic patients significant decrease deathwaitlist removal policy change shr 69 p 04 compared white patients prepolicy era hispanic shr 88 p 007 asian candidates shr 72 p 001 lower unadjusted incidence lt disparity mitigated postpolicy era hispanic patients higher likelihood lt whites shr 122 p 002 outcome deathnonlt waitlist removal significant difference 42 lower incidence waitlist removal asian compared white patients postpolicy era shr 58 p 03 among lt recipients hcc racialethnic subpopulations differentially affected mmat3 policy resulting postpolicy reduction previous disparities