Evidence map›Paper›PMID 36176726›Full record

ArticleTransplantation direct2022

Disparities in the Effects of Acuity Circle-based Liver Allocation on Waitlist and Transplant Practice Between Centers.

Shunji Nagai, Tommy Ivanics, Toshihiro Kitajima, Shingo Shimada, Tayseer M Shamaa, Kelly Collins, Michael Rizzari, Atsushi Yoshida, Dilip Moonka, Marwan Abouljoud

Abstract read
In one paragraph

Article in Transplantation direct, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Impact of acuity circles policy on ABO blood type-related waitlist outcomes in liver transplantation.Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Shunji NagaiDivision of Transplant and Hepatobiliary Surgery, Henry Ford Hospital, Detroit, MI.
Tommy IvanicsDivision of Transplant and Hepatobiliary Surgery, Henry Ford Hospital, Detroit, MI.
Toshihiro KitajimaDivision of Transplant and Hepatobiliary Surgery, Henry Ford Hospital, Detroit, MI.
Shingo ShimadaDivision of Transplant and Hepatobiliary Surgery, Henry Ford Hospital, Detroit, MI.
Tayseer M ShamaaDivision of Transplant and Hepatobiliary Surgery, Henry Ford Hospital, Detroit, MI.
Kelly CollinsDivision of Transplant and Hepatobiliary Surgery, Henry Ford Hospital, Detroit, MI.
Michael RizzariDivision of Transplant and Hepatobiliary Surgery, Henry Ford Hospital, Detroit, MI.
Atsushi YoshidaDivision of Transplant and Hepatobiliary Surgery, Henry Ford Hospital, Detroit, MI.
Dilip MoonkaDivision of Gastroenterology and Hepatology, Henry Ford Hospital, Detroit, MI.
Marwan AbouljoudDivision of Transplant and Hepatobiliary Surgery, Henry Ford Hospital, Detroit, MI.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Liver allocation in the United States was updated on February 4, 2020, by introducing the acuity circle (AC)-based model. This study evaluated the early effects of the AC-based allocation on waitlist outcomes. Methods: Adult liver transplant (LT) candidates listed between January 1, 2019, and September 30, 2021, were assessed. Two periods were defined according to listing date (pre- and post-AC), and 90-d waitlist outcomes were compared. Median transplant Model for End-stage Liver Disease (MELD) score of each transplant center was calculated, with centers categorized as low- (<25 percentile), mid- (25-75 percentile), and high-MELD (>75 percentile) centers. Results: A total of 12 421 and 17 078 LT candidates in the pre- and post-AC eras were identified. Overall, the post-AC era was associated with higher cause-specific 90-d hazards of transplant (csHR, 1.32; 95% confidence interval [CI], 1.27-1.38; Conclusions: Although AC-based allocation may improve waitlist outcomes, regional variation exists in the drivers of such outcomes between centers.

Identifiers

PMID36176726
PMCPMC9514831

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.