Longer travel and traffic are associated with adult liver transplant waitlist mortality in the United States
Rattachement africain : us. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
Transportation to transplant centers is a barrier to liver transplantation (LT). We analyzed the impact of travel metrics on LT waitlist outcomes in the United States. A total of 83 640 adult LT candidates in the Scientific Registry of Transplant Recipients database (2013-2021) were included. Google Distance Matrix application programming interface estimated driving time from patients' residing ZIP code to listing center. Effect of travel time (short [<1 hour], medium [1 to < 3 hours], or long [3 to < 6 hours]), traffic congestion in metropolitan areas, and center mismatch (defined as listing at a center >1 hour from nearest center) on waitlist mortality were examined using multivariable competing risk regression with adjustment for confounders. Compared to short travel, medium (HR 1.09 [95% CI: 1.05-1.13]) and long travel times (HR 1.14 [95% CI: 1.08-1.20]) were associated with higher waitlist mortality. Both high (HR 1.09 [95% CI: 1.01-1.12]) and moderate traffic (HR 1.09 [95% CI 1.02-1.15]) was also associated with higher waitlist mortality compared to low traffic. Lastly, there was no relationship between center mismatch (9.1% of listed) and waitlist deaths. Longer travel and traffic congestion are associated with greater waitlist mortality for adult LT candidates. Strategies to address these underrecognized spatial barriers to LT are needed.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Longer travel and traffic are associated with adult liver transplant waitlist mortality in the United States
- Date Crossref
- 01/07/2025
- Éditeur
- Elsevier BV
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
-
University of Southern California Department of Population and Public Health Sciences pays non établi dans la noticeUniversité ou école supérieure
-
Touro University California pays non établi dans la noticeUniversité ou école supérieure
-
University of California Division of Gastroenterology and Hepatology pays non établi dans la noticeUniversité ou école supérieure
-
Keck School of Medicine Division of Gastrointestinal and Liver Diseases pays non établi dans la noticeUniversité ou école supérieure
Department of Population and Public Health Sciences — University of Southern California, Touro University California et Division of Gastroenterology and Hepatology — University of California, avec 1 autre affiliation.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.