Outcomes and disparities in liver transplantation will be improved by redistricting-cons

Research output: Contribution to journalReview articlepeer-review

4 Scopus citations


Purpose of review Over the last 2 years, the liver transplant community has been debating a proposal to redraw the maps of organ distribution. The basis for these proposed changes is reported disparities in severity of illness at transplantation across the USA - however, this is based on the allocation model for end-stage liver disease score. In this review, we provide a critical overview of the redistribution proposal, its flaws and how it may worsen outcomes and exacerbate disparities in liver transplantation. Recent findings The main findings we highlight are data questioning the disparity metric used to justify the redistribution. We also review data published in recent articles and presented at public forums questioning whether there truly are disparities in access to transplant care among the broader population with liver disease, and whether disparities even getting to the waitlist are important and not to be ignored. Summary This review article highlights major methodological and policy flaws with the current redistribution proposal. We demonstrate how the waitlist disparities that the proposal is intended to fix are not as they seem. Furthermore, if this proposal is passed, outcomes of liver transplantation nationally may worsen, and disparities for those with limited access to healthcare will worsen.

Original languageEnglish (US)
Pages (from-to)169-173
Number of pages5
JournalCurrent Opinion in Organ Transplantation
Issue number2
StatePublished - 2017
Externally publishedYes


  • Calculated model for end-stage liver disease score
  • Disparities
  • Geography

ASJC Scopus subject areas

  • Immunology and Allergy
  • Transplantation


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