Race and Liver Transplantation

Thomas A. Gonwa, Christine A. Morris, Martin L. Mai, B. S. Husberg, Robert M. Goldstein, Goran B. Klintmalm

Research output: Contribution to journalArticlepeer-review

24 Scopus citations

Abstract

Little is known about the effect of race on the outcome of liver transplantation. We retrospectively reviewed a series of 358 recipients of orthotopic liver transplants to address this issue. Black recipients were underrepresented compared with the general population (6% of transplant recipients vs 12% of the population). Black recipients appeared sicker when presenting for transplantation, as evidenced by a higher priority score and a significantly greater incidence of acute and fulminant presentation. Despite this, black recipients had survival rates following transplantation that were not significantly different from those of white recipients; the 1-, 2-, and 3-year actuarial survival rates of blacks were 89.6%, 68.3%, and 68.3%, respectively, while the actuarial survival rates of whites at the same periods were 86%, 82.4%, and 78.6%, respectively. We conclude that blacks can have an outcome equal to whites following liver transplantation but they are underrepresented compared with the general population.

Original languageEnglish (US)
Pages (from-to)1141-1143
Number of pages3
JournalArchives of Surgery
Volume126
Issue number9
DOIs
StatePublished - Sep 1991

ASJC Scopus subject areas

  • Surgery

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