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Liver Transplants Less Likely in Hispanics and Asians

by Kathy Jones on August 21, 2010 at 8:46 PM Organ Donation News

Geographic variation has been identified as a key factor accounting for disparities in access to liver transplantation among racial and ethnic groups by researchers at the University of Michigan and Arbor Research Collaborative for Health.

Liver Transplants Less Likely in Hispanics and Asians

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Full details appear in the September issue of Liver Transplantation, a journal published by Wiley-Blackwell on behalf of the American Association for the Study of Liver Diseases (AASLD).

Organ allocation in the U.S. is designed for equitable distribution of deceased donor organs. Patients are prioritized to receive organs for liver transplantation (LT) based on their Model for End-stage Liver Disease (MELD) score, an objective assessment of their risk of dying on the waitlist. Hence, two candidates with similar MELD scores should have an equal chance of receiving a transplant regardless of race, gender, geography, or economics. However, there are multiple patient-specific as well as healthcare-specific barriers to LT that potentially compromise this system. Some of these variables include inadequate access to healthcare, lack of recognition of the need for transplant, access to a transplant center, and inequities in the transplant evaluation process.

While racial and ethnic disparities are evident throughout this entire process, the researchers found that the locale where candidates seek care for their liver disease modifies the effect of race/ethnicity on access to liver transplantation. Organ availability differs by region, and even within a region, the likelihood of LT varies among donor service areas (DSA). Local organ availability and center specific transplant practices may also play a role.

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Liver Transplants Less Likely in Hispanics and Asians

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