Research Article

The Effect of Race, Sex, and Insurance Status on Time-to-Listing Decisions for Liver Transplantation

Table 1

Characteristics of patients with liver-transplant potential*.

Full cohort of patientsPatients who were listed for a transplantPatients who received a transplant
Characteristic, no. (%) š‘ = 1 4 4 , 5 0 7 š‘› = 3 , 0 7 1 š‘› = 1 , 5 3 7

Age
ā€ƒ18ā€“39 years 25,779 (17.8) 493 (16.1) 225 (14.6)
ā€ƒ40ā€“64 years 60,856 (42.1) 2,365 (77.0) 1,219 (79.3)
ā€ƒā‰„65 years 57,872 (40.1) 213 (6.9) 93 (6.1)

Gender
ā€ƒMale 77,885 (53.9) 1,880 (61.2) 987 (64.2)
ā€ƒFemale 66,622 (46.1) 1,191 (38.8) 550 (35.8)

Race/ethnicity
ā€ƒWhite103,969 (72.0) 2,267 (73.8) 1,165 (75.8)
ā€ƒBlack 19,791 (13.7) 260 (8.5) 114 (7.4)
ā€ƒOther race/ethnicity 6,363 (4.4) 185 (6.0) 87 (5.7)
ā€ƒUnknown 14,384 (10.0) 359 (11.7) 171 (11.1)

Insurance status
ā€ƒMedicare only 14,315 (9.9) 123 (4.0) 64 (4.2)
ā€ƒMedicare plus Medicaid 7,721 (5.3) 61 (2.0) 24 (1.6)
ā€ƒMedicare plus commercial 40,137 (27.8) 229 (7.5) 107 (7.0)
ā€ƒMedicaid only 24,214 (16.8) 475 (15.5) 219 (14.2)
ā€ƒCommercial only 51,711 (35.8) 2,043 (66.5) 1,049 (68.2)
ā€ƒUninsured (including self-pay) 4,915 (3.4) 109 (3.5) 59 (3.8)
ā€ƒUnknown 1,494 (1.0) 31 (1.0) 15 (1.0)

Liver disease categories
ā€ƒViral hepatitis 28,392 (19.6) 448 (14.6) 211 (13.7)
ā€ƒAlcoholic liver disease 16,301 (11.3) 763 (24.9) 391 (25.4)
ā€ƒAutoimmune disorder 15,652 (10.8) 966 (31.5) 518 (33.7)
ā€ƒMetabolic disease 14,344 (9.9) 15 (0.5) 9 (0.6)
ā€ƒPrimary sclerosing cholangitis 6,635 (4.6) 118 (3.8) 56 (3.6)
ā€ƒCancer 4,754 (3.3) 54 (1.8) 29 (1.9)
ā€ƒPrimary biliary cirrhosis 864 (0.6) 80 (2.6) 53 (3.5)
ā€ƒOther chronic disease 46,096 (31.9) 349 (11.4) 156 (10.2)
ā€ƒAcute liver failure 11,469 (7.9) 278 (9.1) 114 (7.4)

Severity of illness at diagnosis
ā€ƒNone 11,985 (8.3) 179 (5.8) 85 (5.5)
ā€ƒMinimal 33,284 (23.0) 509 (16.6) 246 (16.0)
ā€ƒModerate 39,719 (27.5) 1,142 (37.2) 564 (36.7)
ā€ƒSevere 27,508 (19.0) 746 (24.3) 367 (23.9)
ā€ƒMaximal 3,615 (2.5) 45 (1.5) 16 (1.0)
ā€ƒUnknown 28,396 (19.7) 450 (14.7) 259 (16.9)
Pennsylvania transplant center N/A 2,758 (89.8) 1,416 (92.1)
Died during study period 57,020 (39.5) 1,027 (33.4) 374 (24.3)

N/A: Not applicable for patients at the diagnosis stage.
āˆ— For the Pennsylvania transplant center, š‘ƒ = . 0 1 . For all other variables, š‘ƒ < . 0 0 1 because of the large sample size.