ArticleWorld journal of transplantation2025
Geographical disparities for liver transplantation access in Mexico.
Article in World journal of transplantation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Funding
Abstract
backgroundLiver disease is a major cause of mortality in Mexico. Liver transplantation (LT) remains severely limited, and there are no reports on equity of access.
aimTo analyze geographical disparities in LT access in Mexico.
methodsLT waitlist registrations and LT rates in Mexico from 2014 to 2023 were assessed. LT listings per million persons (pmp) were calculated. Observed-to-expected listings were calculated by controlling listings pmp and mortality rate per 10000. LT and waitlist mortality was calculated as 90-day rate, overall rate and rate per 100 person-years. We compared access to waitlist, transplantation and mortality between patients living in Mexican States with higher LT activity and those living in other States.
resultsThere were 2600 new waitlist registrations; 1572 registrations (60.4%) living in Mexico City and State, Jalisco and Nuevo Leon. There were 1755 LT; 92.5% of them performed in States with higher LT activity, and 1101 (62.7%
conclusionGeographic disparities substantially affect LT access in Mexico. The population living near Transplant Centers has a 3.2-fold higher access to the waiting list and a 3.8-fold higher likelihood of LT. Current referral system, and resource allocation need urgent revision to remove the barriers associated with geographic disparity.
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