Douglas Mogul|Xiaobin Luo|Eugene M. Chow|Allan B. Massie|Tanjala S. Purnell|Kathleen B. Schwarz|Andrew M. Cameron|John F.P. Bridges|Dorry L. Segev
Impact of Race and Ethnicity on Outcomes for Children Waitlisted for Pediatric Liver Transplantation
Johns Hopkins Medicine|Johns Hopkins University|Johns Hopkins Medicine|Johns Hopkins University|Johns Hopkins Medicine|Johns Hopkins University|Johns Hopkins Medicine|Johns Hopkins University|Johns Hopkins Medicine|Johns Hopkins University|Johns Hopkins University|Johns Hopkins Medicine|Johns Hopkins University
african americans minorities known face barriers health care influencing access organ transplantation known whether barriers exist among pediatric liver transplant waitlist candidates sought determine whether outcomes waitlist ie mortality deceased donor liver transplantation ddlt livingdonor liver transplantation ldlt varied raceethnicitynational registry data studied estimate raceethnicityspecific risk waitlist mortality ddlt ldlt children 18 years waitlisted march 2002 march 2015there evidence racialethnic disparities waitlist mortality compared caucasians ldlt varied raceethnicity 67 african americans 103 hispanic children receiving ldlt compared 124 caucasian 133 asian 94 mixother children adjusted cox proportional hazards model african americans half likely caucasians use ldlt hazard ratio hr 041055073 similar use ddlt hr 098106116 model considered mortality ddlt ldlt competing risks african americans significantly reduced incidence ldlt subhazard ratio shr 041056075 compared caucasians increased use ddlt shr 106116126compared caucasian children africanamerican children less likely use ldlt higher rates ddlt similar survival waitlist additional research necessary understand clinical socioeconomic factors contributing lower utilization ldlt among africanamerican children awaiting transplantation