ArticleFrontiers in transplantation2026
Evaluating the impact of neighborhood socioenvironmental burden on patient characteristics and survival in liver transplant recipients.
Article in Frontiers in transplantation, 2026. 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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Abstract
Background: The Environmental Justice Index (EJI) measures neighborhood level environmental, social, and health disparities. The Social-Environmental Ranking (SER) components of the EJI is used when linking to health outcomes. Higher SER scores (≥0.75) indicate greater environmental injustice and potential health inequities. This study assesses whether EJI's through SER can inform the care of liver transplantation (LT) patients in Houston, Texas. Methods: This single-center, retrospective analysis was conducted on LT recipients between January 2008 and December 2024. Patient addresses were linked to census tract-level EJI data and stratified at a 0.75 score threshold. Propensity score matching (PSM) was performed. Overall survival (OS) was assessed pre and post matching. Results: A total of 2,030 LT recipients were stratified by SER score (<0.75 vs. ≥0.75). Pre-matching, high SER patients were more often female (44.4% vs. 38.9%, Conclusion: These findings suggest that EJI is associated with pre-transplant variables and may help identify patients in need of social supports. However, individual patient factors seem to determine post-LT survival.
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