Residential and Transplant Center Neighborhood Segregation and Live Donor Liver Transplant
By
Alexandra T. Strauss
Gayathri Menon
Yiting Li
Valerie L. Thompson
Vedant Jain
Jane J. Long
Byoungjun Kim
Mario P. DeMarco
Babak J. Orandi
Dorry L. Segev
Mara A. McAdams-DeMarco
June 2, 2026
Clinical Scorecard: Neighborhood Disparities in Access to Live Donor Liver Transplant and Residential Segregation of Transplant Centers
At a Glance
Category Detail
Condition Liver Transplant Access Disparities Key Mechanisms Impact of neighborhood segregation and structural racism on access to live donor liver transplant (LDLT). Target Population Adult first-time liver transplant candidates (age ≥18 years). Care Setting Transplant centers in the United States.
Key Highlights
Racial and ethnic disparities persist in access to LDLT. Structural racism and neighborhood segregation adversely affect health outcomes. Higher segregation scores correlate with lower access to LDLT. Social networks and support influence health-seeking behaviors and transplant access. Study utilized data from the Scientific Registry of Transplant Recipients (SRTR). Guideline-Based Recommendations
Diagnosis
Assess liver transplant candidacy based on clinical and demographic factors. Management
Address barriers to access for marginalized populations in the transplant continuum. Monitoring & Follow-up
Monitor wait-listed candidates' outcomes by race, ethnicity, and neighborhood segregation. Risks
Increased health disparities and worse outcomes for patients in high-segregation neighborhoods. Patient & Prescribing Data
Adult first-time liver transplant candidates wait-listed between February 1, 2016, and June 30, 2025.
Candidates from high-segregation neighborhoods face significant barriers to LDLT.
Clinical Best Practices
Implement strategies to improve access to LDLT for racially and ethnically minoritized groups. Enhance social support networks for patients in segregated neighborhoods. Related Resources & Content
