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However, a focus on the outcome of patient or graft survival rates alone provides an incomplete and limited view of life for patients who undergo LT as an infant, child, or teen. The paradigm has now appropriately shifted to opportunities focused on our overarching goals of \u201csurviving and thriving\u201d with long\u2010term allograft health, freedom of complications from long\u2010term immunosuppression, self\u2010reported well\u2010being, and global functional health. Experts within the liver transplant community highlight clinical gaps and potential barriers at each of the pretransplant, intra\u2010operative, early\u2010, medium\u2010, and long\u2010term post\u2010transplant stages toward these broader mandates. Strategies including clinical research, innovation, and quality improvement targeting both\u00a0traditional as well as PRO are outlined and, if successfully leveraged and conducted, would improve outcomes for recipients of pediatric LT.<\/jats:p>","DOI":"10.1111\/petr.13537","type":"journal-article","created":{"date-parts":[[2019,7,25]],"date-time":"2019-07-25T06:20:51Z","timestamp":1564035651000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":47,"title":["Barriers to ideal outcomes after pediatric liver transplantation"],"prefix":"10.1111","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9998-5692","authenticated-orcid":false,"given":"Vicky Lee","family":"Ng","sequence":"first","affiliation":[{"name":"Division of Pediatric Gastroenterology, Hepatology and Nutrition, Transplant and Regenerative Medicine Center, The Hospital for Sick Children University of Toronto Toronto Ontario 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