{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T18:19:45Z","timestamp":1787681985727,"version":"build-2784847793"},"reference-count":18,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T00:00:00Z","timestamp":1786492800000},"content-version":"vor","delay-in-days":11,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>As a 6\u2010month waiting period is required to receive exception points to prioritize patients with hepatocellular carcinoma (HCC) for liver transplantation, prompt addition to the waitlist is critical in access to LT.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using Epic Cosmos data on patients with HCC referred for LT 1\/2018\u201010\/2024, we used modified Poisson regression to calculate rates of waitlisting. Center\u2010level and individual (socioeconomic, geographic, and insurance) factors were measured among those who progressed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 11,422 HCC patients referred for LT at 70 centers, with median age 63 [IQR: 58, 68], 71.5% initiated evaluation and, of those who began evaluation, 57.6% were waitlisted for LT. Of those referred, patients who were older (age 70+ vs. 51\u201060;\u00a0RR 0.77, 95% CI: 0.65\u20130.90,\n                      <jats:italic>p\u00a0<\/jats:italic>\n                      &lt;\u00a00.001), on Medicaid (0.83, 95% CI: 0.71\u20130.97,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.02), never\u2010married (0.82, 95% CI: 0.73\u20130.91,\n                      <jats:italic>p\u00a0<\/jats:italic>\n                      &lt;\u00a00.001), or low SES (Q4:\u00a00.87, 95% CI: 0.77\u20130.97,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.002) had lower rates of waitlisting. Among waitlisted patients, median time from referral was 3.3 months [IQR: 2.0, 5.3]. Despite adjustment for patient level covariates, there was high center\u2010level variation in rate of waitlisting within 12 months; 13% of centers listed patients at a rate \u2265\u00a020% below the national median.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Only a fraction of referred patients with HCC are waitlisted for LT. High variation in access to waitlisting based on non\u2010clinical factors suggests barriers to waitlisting that must be addressed. Centers should focus on interventions to reduce barriers to waitlisting in patients with HCC.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ctr.70639","type":"journal-article","created":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T17:23:24Z","timestamp":1786555404000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Access to the Liver Transplant Waitlist in Patients With HCC: A National EHR Study of Center Level Variation among 11\u00a0422 Referrals"],"prefix":"10.1111","volume":"40","author":[{"given":"Conor B.","family":"Donnelly","sequence":"first","affiliation":[{"name":"Department of Surgery NYU Grossman School of Medicine  New York New York USA"},{"name":"Department of Population Health NYU Grossman School of Medicine  New York New York 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J.","family":"Long","sequence":"additional","affiliation":[{"name":"Department of Surgery NYU Grossman School of Medicine  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luckmini","family":"Liyanage","sequence":"additional","affiliation":[{"name":"Department of Surgery NYU Grossman School of Medicine  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra T.","family":"Strauss","sequence":"additional","affiliation":[{"name":"Department of GI &amp; Hepatology Johns Hopkins University  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Greg D.","family":"Sacks","sequence":"additional","affiliation":[{"name":"Department of Surgery NYU Grossman School of Medicine  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Babak J.","family":"Orandi","sequence":"additional","affiliation":[{"name":"Department of Surgery NYU Grossman School of Medicine  New York New York USA"},{"name":"Department of Medicine NYU Grossman School of Medicine  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karim","family":"Halazun","sequence":"additional","affiliation":[{"name":"Department of Surgery NYU Grossman School of Medicine  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sommer E.","family":"Gentry","sequence":"additional","affiliation":[{"name":"Department of Surgery NYU Grossman School of Medicine  New York New York USA"},{"name":"Department of Population Health NYU Grossman School of Medicine  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dorry L.","family":"Segev","sequence":"additional","affiliation":[{"name":"Department of Surgery NYU Grossman School of Medicine  New York New York USA"},{"name":"Department of Population Health NYU Grossman School of Medicine  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allan B.","family":"Massie","sequence":"additional","affiliation":[{"name":"Department of Surgery NYU Grossman School of Medicine  New York New York USA"},{"name":"Department of Population Health NYU Grossman School of Medicine  New York New York 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