{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T23:47:34Z","timestamp":1787701654145,"version":"build-2784847793"},"reference-count":25,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,1,13]],"date-time":"2025-01-13T00:00:00Z","timestamp":1736726400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Internal Medicine Journal"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Access to liver transplantation (LT) is affected by geographic disparities. Higher waitlist mortality is observed in patients residing farther from LT centres, but the impact of distance on post\u2010LT outcomes is unclear.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To evaluate whether the distance LT recipients reside from their LT centre affects graft and patient outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We retrospectively studied consecutive adult patients who received deceased donor LT at a statewide LT referral centre, Royal Prince Alfred Hospital (RPAH), 2006\u20132021. The primary outcome was overall patient survival.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 973 patients who underwent LT during the study period were analysed. The median distance from patient residence to RPAH was 44.9 km (interquartile range 21.9\u2013168.0). Of these, 64.2% lived \u2264100 km from RPAH. Compared to patients living \u2264100 km from RPAH, those living &gt;100 km away were less likely to be male, have chronic hepatitis B as their cause of liver disease or have hepatocellular carcinoma as their primary indication for LT. Living &gt;100 km from RPAH was associated with fewer face\u2010to\u2010face clinic visits in the first year after LT (10 vs 11 visits, <jats:italic>P<\/jats:italic> &lt;\u20090.001) and fewer readmissions to RPAH (32.4% vs 67.6%, <jats:italic>P<\/jats:italic> &lt;\u20090.001). Distance from RPAH, regional code and socioeconomic code did not affect long\u2010term graft or patient survival based on Kaplan\u2013Meier survival analysis (log\u2010rank <jats:italic>P<\/jats:italic> &gt;\u20090.1).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In our single\u2010centre Australian study, patients living farther from their LT centre had different demographics. Distance from the LT centre was not associated with long\u2010term inferior graft or patient survival after LT.<\/jats:p><\/jats:sec>","DOI":"10.1111\/imj.16631","type":"journal-article","created":{"date-parts":[[2025,1,13]],"date-time":"2025-01-13T13:42:08Z","timestamp":1736775728000},"page":"564-572","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Impact of distance from liver transplant centre on outcomes following liver transplantation: an Australian single\u2010centre study"],"prefix":"10.1111","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3656-3097","authenticated-orcid":false,"given":"Simone","family":"Chin","sequence":"first","affiliation":[{"name":"Australian National Liver Transplant Unit Royal Prince Alfred Hospital  Sydney New South Wales Australia"},{"name":"Faculty of Medicine and Health The University of Sydney  Sydney New South Wales 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G.","family":"Bowen","sequence":"additional","affiliation":[{"name":"Australian National Liver Transplant Unit Royal Prince Alfred Hospital  Sydney New South Wales Australia"},{"name":"Faculty of Medicine and Health The University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachael","family":"Jacob","sequence":"additional","affiliation":[{"name":"Australian National Liver Transplant Unit Royal Prince Alfred Hospital  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madeleine","family":"Gill","sequence":"additional","affiliation":[{"name":"Australian National Liver Transplant Unit Royal Prince Alfred Hospital  Sydney New South Wales Australia"},{"name":"Faculty of Medicine and Health The University of Sydney  Sydney New South Wales 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