Evidence map›Paper›PMID 36731782›Full record

ArticleAmerican journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons2023

Racial and ethnic disparities in psychosocial evaluation and liver transplant waitlisting.

Sasha Deutsch-Link, Therese Bittermann, Lauren Nephew, Katherine Ross-Driscoll, Ethan M Weinberg, Robert M Weinrieb, Kim M Olthoff, Senayish Addis, Marina Serper

Open access · bronzeAbstract read
In one paragraph

Article in American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
5.9field-weighted citation impact, top 3% of its field
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

20 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
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  15. Article
  16. Neighborhood-level social determinants of health measures independently predict receipt of living donor liver transplantation in the United States.Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society · 2024
    Article
  17. Article
  18. Article
  19. Psychosocial fitness for transplant: Factors yet unmeasured.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2023
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Sasha Deutsch-LinkDivision of Gastroenterology and Hepatology, University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA.
Therese BittermannDivision of Gastroenterology and Hepatology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
Lauren NephewDivision of Gastroenterology and Hepatology, Indian University School of Medicine, Indianapolis, Indiana, USA.
Katherine Ross-DriscollDivision of Transplantation, Department of Surgery, Emory University School of Medicine, Atlanta, GA, USA.
Ethan M WeinbergDivision of Gastroenterology and Hepatology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
Robert M WeinriebDepartment of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
Kim M OlthoffDivision of Transplant Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
Senayish AddisDivision of Gastroenterology and Hepatology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
Marina SerperDivision of Gastroenterology and Hepatology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA; Leonard Davis Institute of Health Economics, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA. Electronic address: marinas2@pennmedicine.upenn.edu.
University of Pennsylvania · USEmory University · USIndiana University School of MedicineUniversity of North Carolina at Chapel Hill · US

Funding

Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone (IMPROVE)UL1TR002378 · NCATS · EMORY UNIVERSITY · PI Andres J Garcia, Elizabeth O. Ofili · 2017 to 2026
$92.1M
Institutional Career Development CoreKL2TR002381 · NCATS · EMORY UNIVERSITY · PI HENRY M BLUMBERG, Anandi Nayan Sheth · 2017 to 2026
$14.1M
Neuro HPA Project 1U54AG062334 · NIA · EMORY UNIVERSITY · PI Ighovwerha Ofotokun · 2018 to 2026
$12.2M
DIGESTIVE DISEASES EPIDEMIOLOGY TRAINING PROGRAMT32DK007634 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ROBERT S. SANDLER · 1990 to 2026
$7.4M
Cognitive Function, Self-Management, and Health Outcomes among Liver Transplant Recipients: the LivCog CohortR01DK132138 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI Marina Serper · 2022 to 2026
$3.5M
Technology Enabled Strategies to Promote Treatment Adherence in Liver Transplant: The TEST TrialR01DK131547 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI Marina Serper · 2022 to 2026
$3.4M
Developing technology-based approaches to improve access and quality of care in cirrhosisK23DK115897 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI SERPER, MARINA · 2018 to 2022
$961k
Impact of immunosuppression variability on outcomes after liver transplantationK08DK117013 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI BITTERMANN, THERESE · 2018 to 2022
$932k
Overcoming Racial Disparities in Curative Therapies for Hepatocellular CarcinomaK23MD018090 · NIMHD · INDIANA UNIVERSITY INDIANAPOLIS · PI NEPHEW, LAUREN · 2022 to 2025
$610k
NCATS NIH HHS KL2 TR002381NCATS NIH HHS UL1 TR002378NIA NIH HHS U54 AG062334NIDDK NIH HHS K08 DK117013NIDDK NIH HHS K23 DK115897NIDDK NIH HHS R01 DK131547NIDDK NIH HHS R01 DK132138NIDDK NIH HHS T32 DK007634NIMHD NIH HHS K23 MD018090
6 · The paper itself

Abstract

Health disparities have been well-described in all stages of the liver transplantation (LT) process. Using data from psychosocial evaluations and the Stanford Integrated Psychosocial Assessment, our objective was to investigate potential racial and ethnic inequities in overall LT waitlisting and not waitlisting for medical or psychosocial reasons. In a cohort of 2271 candidates evaluated for LT from 2014 to 2021 and with 1-8 years of follow-up, no significant associations were noted between race/ethnicity and overall waitlisting and not waitlisting for medical reasons. However, compared with White race, Black race (odds ratio [OR], 1.65; 95% confidence interval [CI], 1.07-2.56) and Hispanic/Latinx ethnicity (OR, 2.10; 95% CI, 1.16-3.78) were associated with not waitlisting for psychosocial reasons. After adjusting for sociodemographic variables, the relationship persisted in both populations: Black (OR, 1.95; 95% CI, 1.12-3.38) and Hispanic/Latinx (OR, 2.29; 95% CI, 1.08-4.86) (reference group, White). High-risk Stanford Integrated Psychosocial Assessment scores were more prevalent in Black and Hispanic/Latinx patients, likely reflecting upstream factors and structural racism. Health systems and LT centers should design programs to combat these disparities and improve equity in access to LT.

Indexed as

Healthcare DisparitiesLiver TransplantationWaiting ListsBlack or African AmericanEthnicityHispanic or LatinoHumansWhiteliver transplantation (LT)psychosocial evaluationracial and ethnic disparitiesStanford Integrated Psychosocial Assessment for Transplanttransplant evaluation

Identifiers

PMID36731782
PMCPMC10247400
OpenAlexW4318561827

What OpenQuestion holds

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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.