The closing survival gap after liver transplantation for hepatocellular carcinoma in the United States.
Publication/Presentation Date
11-1-2022
Abstract
BACKGROUND: Socio-economic inequalities among different racial/ethnic groups have increased in many high-income countries. It is unclear, however, whether increasing socio-economic inequalities are associated with increasing differences in survival in liver transplant (LT) recipients.
METHODS: Adults undergoing first time LT for hepatocellular carcinoma (HCC) between 2002 and 2017 recorded in the Scientific Registry of Transplant Recipients (SRTR) were included and grouped into three cohorts. Patient survival and graft survival stratified by race/ethnicity were compared among the cohorts using unadjusted and adjusted analyses.
RESULTS: White/Caucasians comprised the largest group (n=9,006, 64.9%), followed by Hispanic/Latinos (n=2,018, 14.5%), Black/African Americans (n=1,379, 9.9%), Asians (n=1,265, 9.1%) and other ethnic/racial groups (n=188, 1.3%). Compared to Cohort I (2002-2007), the 5-year survival of Cohort III (2012-2017) increased by 18% for Black/African Americans, by 13% for Whites/Caucasians, by 10% for Hispanic/Latinos, by 9% for patients of other racial/ethnic groups and by 8% for Asians (All P values
CONCLUSION: The survival gap between Black/African Americans and other ethnic/racial groups undergoing LT for HCC has significantly decreased over time. However, Black/African Americans continue to have the lowest survival among all racial/ethnic groups.
Volume
24
Issue
11
First Page
1994
Last Page
2005
ISSN
1477-2574
Published In/Presented At
Liu, H., Kaltenmeier, C., Jonassaint, N., Behari, J., Duarte-Rojo, A., Malik, S., Hughes, D. L., Ganesh, S., Reddy, D., Powers, C., Loseth, C., Thompson, A., Al Harakeh, H., Hill, R., Xingyu, Z., Diego, E., Di Martini, A., Bataller, R., & Molinari, M. (2022). The closing survival gap after liver transplantation for hepatocellular carcinoma in the United States. HPB : the official journal of the International Hepato Pancreato Biliary Association, 24(11), 1994–2005. https://doi.org/10.1016/j.hpb.2022.07.008
Disciplines
Medicine and Health Sciences
PubMedID
35981946
Department(s)
Department of Medicine
Document Type
Article
