ArticleTransplantation2014
Disparities in liver transplantation: the association between donor quality and recipient race/ethnicity and sex.
Article in Transplantation, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Racial and ethnic disparities in outcomes after heart transplantation: A systematic review of contributing factors and future directions to close the outcomes gap.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2016Pooled it
- DNA Methylation Shapes Seed-Borne Microbiome and Proteome Responses During Early Maize-Beneficial Bacteria Interactions.Plant, cell & environment · 2026Article
- Addressing racial disparities in representation across blood, stem cell and organ and tissue donor pools.Vox sanguinis · 2026Review
- Gender disparities in liver transplantation.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2026Review
- Screening and care of patients with graft cirrhosis following liver transplantation.Canadian liver journal · 2026Article
- Risk factors associated with adverse cardiovascular events during orthotopic liver transplantation and the early post-transplant period.Croatian medical journal · 2025Article
- Impact of sex on the outcomes of deceased donor liver transplantation.World journal of transplantation · 2024Article
- Spatial inequalities and non-linear association of continuous variables with mortality risk of liver transplantation in Iran: a retrospective cohort study.Scientific reports · 2024Article
- Organ Donation Willingness Among Asian Americans: Results from a National Study.Journal of racial and ethnic health disparities · 2023Article
- Gender specific survival rates after deceased donor liver transplantation: A retrospective cohort.Annals of medicine and surgery (2012) · 2022Article
- Epidemiology and Prognostic Significance of Rapid Response System Activation in Patients Undergoing Liver Transplantation.Journal of clinical medicine · 2021Article
- Sex Disparity in Liver Transplant and Access to Living Donation.JAMA surgery · 2021Article
- Long-term, Prolonged-release Tacrolimus-based Immunosuppression in De Novo Liver Transplant Recipients: 5-year Prospective Follow-up of Patients in the DIAMOND Study.Transplantation direct · 2021Article
- Sex disparities in waitlisting and liver transplant for acute liver failure.JHEP reports : innovation in hepatology · 2021Article
- Racial disparities of Black Americans hospitalized for decompensated liver cirrhosis.BMC gastroenterology · 2020Article
- Women who undergo liver transplant have longer length of stay post-transplant compared with men.Liver international : official journal of the International Association for the Study of the Liver · 2020Article
- Family First: Asian Americans' Attitudes and Behaviors Toward Deceased Organ Donation.Journal of racial and ethnic health disparities · 2020Article
- Liver transplant waitlist removal, transplantation rates and post-transplant survival in Hispanics.PloS one · 2020Article
- Article
- Racial and Ethnic Differences in Graft Loss Among Female Liver Transplant Recipients.Transplantation proceedings · 2018Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundWe aimed to examine the association between recipient race/ethnicity and sex, donor liver quality, and liver transplant graft survival.
methodsAdult non-status 1 liver recipients transplanted between March 1, 2002, and December 31, 2008, were identified using Scientific Registry of Transplant Recipients data. The factors of interest were recipient race/ethnicity and sex. Donor risk index (DRI) was used as a donor quality measure. Logistic regression was used to assess the association between race/ethnicity and sex in relation to the transplantation of low-quality (high DRI) or high-quality (low DRI) livers. Cox regression was used to assess the association between race/ethnicity and sex and liver graft failure risk, accounting for DRI.
resultsHispanics were 21% more likely to receive low-quality grafts compared to whites (odds ratio [OR]=1.21, P=0.002). Women had greater odds of receiving a low-quality graft compared to men (OR=1.24, P<0.0001). Despite adjustment for donor quality, African American recipients still had higher graft failure rates compared to whites (hazard ratio [HR]=1.28, P<0.001). Hispanics (HR=0.89, P=0.023) had significantly lower graft failure rates compared to whites despite higher odds of receiving a higher DRI graft. Using an interaction model of DRI and race/ethnicity, we found that the impact of DRI on graft failure rates was significantly reduced for African Americans compared to whites (P=0.02).
conclusionsThis study shows that while liver graft quality differed significantly by recipient race/ethnicity and sex, donor selection practices do not seem to be the dominant factor responsible for worse liver transplant outcomes for minority recipients.
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Registered trials
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