{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T19:21:53Z","timestamp":1770146513703,"version":"3.49.0"},"reference-count":25,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2017,6,19]],"date-time":"2017-06-19T00:00:00Z","timestamp":1497830400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2017,8]]},"abstract":"Abstract<\/jats:title>United Network for Organ Sharing (UNOS<\/jats:styled-content>) policies allow for ABO<\/jats:styled-content>\u2010nonidentical liver transplantation (LT<\/jats:styled-content>) in candidates with Model for End\u2010Stage Liver Disease (MELD<\/jats:styled-content>) scores greater than 30. Previous studies showed ABO<\/jats:styled-content>\u2010nonidentical LT<\/jats:styled-content> resulted in an 18% and 55% net gain in livers for B and AB<\/jats:styled-content> candidates. These results suggested that the current liver ABO<\/jats:styled-content> allocation policies may need refinement. There are, however, strong associations between ABO<\/jats:styled-content> blood groups and race\/ethnicity. We hypothesized that race\/ethnicity is associated with ABO<\/jats:styled-content>\u2010nonidentical LT<\/jats:styled-content> and that this is primarily influenced by recipient ABO<\/jats:styled-content> status. We examined non\u2010status 1 adult candidates registered between July 1, 2013, and December 31, 2015. There were 27\u00a0835 candidates (70% non\u2010Hispanic White, 15% Hispanic, 9% Black, 4% Asian, 1% Other\/Multiracial). A total of 11\u00a0369 underwent deceased donor LT<\/jats:styled-content>: 93% ABO<\/jats:styled-content> identical, 6% ABO<\/jats:styled-content> compatible, and 1% ABO<\/jats:styled-content> incompatible. Black and Asian race\/ethnicity were associated with increased likelihoods of ABO<\/jats:styled-content>\u2010nonidentical LT<\/jats:styled-content>. Adjustment for disease etiology, listing MELD<\/jats:styled-content>, transplant center volume, and UNOS<\/jats:styled-content> region did not alter this association. Stepwise inclusion of recipient ABO<\/jats:styled-content> status did eliminate this significant association of race\/ethnicity with ABO<\/jats:styled-content>\u2010nonidentical LT<\/jats:styled-content>. Blacks and Asians may be advantaged by ABO<\/jats:styled-content>\u2010nonidentical LT<\/jats:styled-content>, and we suspect that changes to the existing policies may disproportionately impact these groups.<\/jats:p>","DOI":"10.1111\/ctr.13011","type":"journal-article","created":{"date-parts":[[2017,5,18]],"date-time":"2017-05-18T10:42:43Z","timestamp":1495104163000},"source":"Crossref","is-referenced-by-count":3,"title":["Race\/ethnicity is associated with ABO<\/scp>\u2010nonidentical liver transplantation in the United States"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1574-1525","authenticated-orcid":false,"given":"Jin","family":"Ge","sequence":"first","affiliation":[{"name":"Department of Medicine University of California\u2010San Francisco San Francisco CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John P.","family":"Roberts","sequence":"additional","affiliation":[{"name":"Division of Transplant Surgery Department of Surgery University of California\u2010San Francisco San Francisco CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2092-6380","authenticated-orcid":false,"given":"Jennifer C.","family":"Lai","sequence":"additional","affiliation":[{"name":"Department of Medicine University of California\u2010San Francisco San Francisco CA USA"},{"name":"Division of Gastroenterology and Hepatology Department of Medicine University of California\u2010San Francisco San Francisco CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,6,19]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"Organ Procurement and Transplantation Network.Organ Procurement and Transplantation Network Policies.Washington DC. 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