{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:47:40Z","timestamp":1787014060121,"version":"build-2736575974"},"reference-count":42,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2023,2,27]],"date-time":"2023-02-27T00:00:00Z","timestamp":1677456000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Neighborhood socioeconomic deprivation may have important implications on disparities in liver transplant (LT) evaluation. In this retrospective cohort study, we constructed a novel dataset by linking individual patient\u2010level data with the highly granular Area Deprivation Index (ADI), which is advantageous over other neighborhood measures due to: specificity of Census Block\u2010Group (versus Census Tract, Zip code), scoring, and robust variables. Our cohort included 1377 adults referred to our center for LT evaluation 8\/1\/2016\u201012\/31\/2019. Using modified Poisson regression, we tested for effect measure modification of the association between neighborhood socioeconomic status (nSES) and LT evaluation outcomes (listing, initiating evaluation, and death) by race and ethnicity. Compared to patients with high nSES, those with low nSES were at higher risk of not being listed (aRR\u00a0=\u00a01.14; 95%CI 1.05\u20131.22;\n                    <jats:italic>p<\/jats:italic>\n                    \u00a0&lt;\u00a0.001), of not initiating evaluation post\u2010referral (aRR\u00a0=\u00a01.20; 95%CI 1.01\u20131.42;\n                    <jats:italic>p<\/jats:italic>\n                    \u00a0=\u00a0.03) and of dying without initiating evaluation (aRR\u00a0=\u00a01.55; 95%CI 1.09\u20132.2;\n                    <jats:italic>p<\/jats:italic>\n                    \u00a0=\u00a0.01). While White patients with low nSES had similar rates of listing compared to White patients with high nSES (aRR\u00a0=\u00a01.06; 95%CI .96\u20131.17;\n                    <jats:italic>p<\/jats:italic>\n                    \u00a0=\u00a0.25), Underrepresented patients from neighborhoods with low nSES incurred 31% higher risk of not being listed compared to Underrepresented patients from neighborhoods with high nSES (aRR\u00a0=\u00a01.31; 95%CI 1.12\u20131.5;\n                    <jats:italic>p<\/jats:italic>\n                    \u00a0&lt;\u00a0.001). Interventions addressing neighborhood deprivation may not only benefit patients with low nSES but may address racial and ethnic inequities.\n                  <\/jats:p>","DOI":"10.1111\/ctr.14938","type":"journal-article","created":{"date-parts":[[2023,2,14]],"date-time":"2023-02-14T08:13:34Z","timestamp":1676362414000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":27,"title":["Critical interactions between race and the highly granular area deprivation index in liver transplant evaluation"],"prefix":"10.1111","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6313-7221","authenticated-orcid":false,"given":"Alexandra T.","family":"Strauss","sequence":"first","affiliation":[{"name":"Department of Medicine Johns Hopkins University School of Medicine  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Moughames","sequence":"additional","affiliation":[{"name":"Department of Medicine Johns Hopkins University School of Medicine  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John W.","family":"Jackson","sequence":"additional","affiliation":[{"name":"Department of Epidemiology Johns Hopkins University, Bloomberg School of Public Health  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Malinsky","sequence":"additional","affiliation":[{"name":"Department of Biostatistics Columbia University Mailman School of Public Health  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dorry L.","family":"Segev","sequence":"additional","affiliation":[{"name":"Department of Surgery New York University, Grossman School of Medicine  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James P.","family":"Hamilton","sequence":"additional","affiliation":[{"name":"Department of Medicine Johns Hopkins University School of Medicine  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacqueline","family":"Garonzik\u2010Wang","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Wisconsin, School of Medicine and Public Health  Madison Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2221-9148","authenticated-orcid":false,"given":"Ahmet","family":"Gurakar","sequence":"additional","affiliation":[{"name":"Department of Medicine Johns Hopkins University School of Medicine  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Cameron","sequence":"additional","affiliation":[{"name":"Department of Surgery Johns Hopkins University, School of Medicine  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorraine","family":"Dean","sequence":"additional","affiliation":[{"name":"Department of Epidemiology Johns Hopkins University, Bloomberg School of Public Health  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eili","family":"Klein","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Johns Hopkins University, School of Medicine  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott","family":"Levin","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Johns Hopkins University, School of Medicine  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8661-7911","authenticated-orcid":false,"given":"Tanjala S.","family":"Purnell","sequence":"additional","affiliation":[{"name":"Department of Medicine Johns Hopkins University School of Medicine  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,2,27]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.transproceed.2011.08.076"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/ctr.13714"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/hep.22223"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/lt.26532"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajt.16543"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0000000000001624"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2020.10.057"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2020.12.001"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13075-020-2123-4"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1159\/000509351"},{"key":"e_1_2_10_12_1","volume-title":"Mapping inequality","author":"Nelson RK"},{"key":"e_1_2_10_13_1","unstructured":"The Lasting Impacts of Segregation and Redlining. SAVI. Published 24 2021. Accessed 23 2022.https:\/\/www.savi.org\/2021\/06\/24\/lasting\u2010impacts\u2010of\u2010segregation\/"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.98.Supplement_1.S48"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.7326\/M13-2946"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.93.7.1137"},{"key":"e_1_2_10_17_1","volume-title":"Geographic areas reference manual","author":"U.S. Department of Commerce Economics and Statistics Administration","year":"1994"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11524-006-9094-x"},{"key":"e_1_2_10_19_1","volume-title":"About the Neighborhood Atlas. 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