Racial and ethnic disparities in psychosocial evaluation and liver transplant waitlisting

dc.contributor.authorDeutch-Link, Sasha
dc.contributor.authorBittermann, Therese
dc.contributor.authorNephew, Lauren
dc.contributor.authorRoss-Driscoll, Katherine
dc.contributor.authorWeinberg, Ethan M.
dc.contributor.authorWeinrieb, Robert M.
dc.contributor.authorOlthoff, Kim M.
dc.contributor.authorAddis, Senayish
dc.contributor.authorSerper, Marina
dc.date.accessioned2025-06-02T15:52:04Z
dc.date.available2025-06-02T15:52:04Z
dc.date.issued2023-06-01
dc.description.abstractHealth 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.
dc.identifier.citationDeutsch-Link, S., Bittermann, T., Nephew, L., Ross-Driscoll, K., Weinberg, E. M., Weinrieb, R. M., Olthoff, K. M., Addis, S., & Serper, M. (2023). Racial and ethnic disparities in psychosocial evaluation and liver transplant waitlisting. American Journal of Transplantation, 23(6), 776–785. https://doi.org/10.1016/j.ajt.2023.01.011
dc.identifier.urihttps://hdl.handle.net/1805/48513
dc.language.isoen_US
dc.relation.isversionof10.1016/j.ajt.2023.01.011
dc.subjectLiver transplantation
dc.subjectRacial and ethnic disparities
dc.subjectTransplant evaluation
dc.subjectPsychosocial evaluation
dc.subjectStanford Integrated Psychosocial Assessment for Transplant
dc.titleRacial and ethnic disparities in psychosocial evaluation and liver transplant waitlisting
dc.typeArticle
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