ArticleJournal of pediatric gastroenterology and nutrition2018
Impact of Race and Ethnicity on Outcomes for Children Waitlisted for Pediatric Liver Transplantation.
Article in Journal of pediatric gastroenterology and nutrition, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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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.
The trial behind it
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
17 citing papers in PubMed.
- Structural Barriers Underlying Kidney and Liver Transplant Inequity in Hispanic Americans.Cureus · 2026Review
- Characterizing Barriers to Living Donor Liver Transplantation for Pediatric Recipients: Qualitative Results from the SOCIAL-Tx Study.The Journal of pediatrics · 2026Observational
- Early Living Donor Liver Transplant Is Associated With Improved Graft- and Patient-Survival Outcomes in Children With Biliary Atresia.Pediatric transplantation · 2026Article
- Racial Disparities in Pediatric Patients With Cholestatic Liver Disease Undergoing Liver Transplant: A UNOS Database Study.Pediatric transplantation · 2026Article
- Implementation of Comprehensive Surgical Guidelines for Hepatoblastoma: Analysis of the Children's Oncology Group AHEP0731 Phase III Trial.Annals of surgery · 2025Article
- Disparities in lung transplantation in children.Pediatric pulmonology · 2024Review
- The impact of socioeconomic deprivation on liver transplantation.Frontiers in transplantation · 2024Review
- The current landscape of pediatric living donor liver transplantation in the United States: Benefits, challenges, and future directions.Clinical liver disease · 2023Article
- Prognostic Factors of Liver Transplantation for Hepatocellular Carcinoma: A Surveillance, Epidemiology, and End Results (SEER) Database Analysis.Current medical science · 2023Article
- Can non-directed living liver donation help improve access to grafts and correct socioeconomic disparities in pediatric liver transplantation?Pediatric transplantation · 2023Article
- Quality of life, depression and anxiety in potential living liver donors for pediatric recipients: A retrospective single center experience.World journal of hepatology · 2022Article
- Association of Race and Family Socioeconomic Status With Pediatric Postoperative Mortality.JAMA network open · 2022Article
- Decreased access to pediatric liver transplantation during the COVID-19 pandemic.Pediatric transplantation · 2022Article
- Racial/ethnic disparities in wait-list outcomes are only partly explained by socioeconomic deprivation among children awaiting liver transplantation.Hepatology (Baltimore, Md.) · 2022Article
- Dual Procurement of Lung and Heart Allografts Does Not Negatively Affect Lung Transplant Outcomes.The Journal of surgical research · 2021Article
- Predicting chance of liver transplantation for pediatric wait-list candidates.Pediatric transplantation · 2019Article
- Barriers to access in pediatric living-donor liver transplantation.Pediatric transplantation · 2019Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
objectiveAfrican Americans and other minorities are known to face barriers to health care influencing their access to organ transplantation but it is not known whether these barriers exist among pediatric liver transplant waitlist candidates. We sought to determine whether outcomes on the waitlist (ie, mortality, deceased donor liver transplantation [DDLT], and living-donor liver transplantation [LDLT]) varied by race/ethnicity.
methodsNational registry data were studied to estimate the race/ethnicity-specific risk of waitlist mortality, DDLT and LDLT in children (<18 years) waitlisted between March 2002 and March 2015.
resultsThere was no evidence of racial/ethnic disparities in waitlist mortality. Compared to Caucasians, LDLT varied by race/ethnicity, with only 6.7% African Americans and 10.3% Hispanic children receiving LDLT compared with 12.4% Caucasian, 13.3% Asian, and 9.4% mix/other children. In an adjusted Cox proportional hazards model, African Americans were half as likely as Caucasians to use LDLT (hazard ratio [HR]: 0.410.550.73) but had similar use of DDLT (HR: 0.981.061.16). In a model that considered mortality, DDLT, and LDLT as competing risks, African Americans had significantly reduced incidence of LDLT (subhazard ratio [sHR]: 0.410.560.75) compared to Caucasians, but increased use of DDLT (sHR: 1.061.161.26).
conclusionsCompared to Caucasian children, African-American children are less likely to use LDLT but have higher rates of DDLT and similar survival on the waitlist. Additional research is necessary to understand the clinical and socioeconomic factors contributing to lower utilization of LDLT among African-American children awaiting transplantation.
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