{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T09:40:46Z","timestamp":1762940446410,"version":"3.45.0"},"reference-count":24,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T00:00:00Z","timestamp":1760227200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","award":["K23DK132454","T32DK007762\u201045S1","UCSF Liver Center P30 DK026743"],"award-info":[{"award-number":["K23DK132454","T32DK007762\u201045S1","UCSF Liver Center P30 DK026743"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["K24AG080021"],"award-info":[{"award-number":["K24AG080021"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100017245","name":"Hennepin Healthcare Research Institute","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100017245","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100019874","name":"Children's Hospital Association","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100019874","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Transplantation"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Racially minoritized children with intestinal failure are less likely to undergo intestinal transplant and more than twice as likely to die without one. Socioeconomic factors may contribute to disparities in transplant receipt and healthcare utilization, but their role remains poorly understood.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We included intestinal transplant recipients (&lt;\u200918\u2009years) listed in the Scientific Registry of Transplant Recipients (2002\u20132021) with hospitalizations recorded in the Pediatric Health Information System (2004\u20132023). Race was categorized as White or Non\u2010White. Neighborhood income was determined using patient zip code\u2010level median household income and categorized by federal poverty thresholds. Primary outcomes were wait\u2010list time, annual inpatient bed\u2010days, risk of hospitalization, and 30\u2010day readmission post\u2010transplant. Cox proportional hazards models, generalized linear mixed effects models, and logistic regression were used, adjusting for neighborhood income and insurance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 42 children (median age at listing 1\u2009year, IQR: [1, 4]), 21% were non\u2010White, 48% had public insurance, and 52% lived in low\u2010income neighborhoods. The median wait\u2010list time was 486\u2009days (IQR: [232, 650]). Non\u2010White children had longer wait\u2010list times than White children (1034 vs. 442\u2009days, HR: 0.38, 95% CI: 0.17, 0.88,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.02), persisting after adjustment (HR 0.27, 95% CI 0.11, 0.71,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.008). No racial differences were observed in inpatient bed days, hospitalization risk, or 30\u2010day readmission.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Racial disparities in intestinal transplant wait\u2010list times persisted after adjustment for socioeconomic measures, suggesting that barriers beyond income and insurance contribute to inequities in timely transplant. Further research should clarify where in the process disparities arise to inform strategies that ensure more equitable care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/petr.70207","type":"journal-article","created":{"date-parts":[[2025,10,13]],"date-time":"2025-10-13T04:00:18Z","timestamp":1760328018000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Racial Disparities in Pediatric Intestinal Transplant Wait\u2010List Times Are Not Explained by Socioeconomic Measures"],"prefix":"10.1111","volume":"29","author":[{"given":"Susan A.","family":"Gutierrez","sequence":"first","affiliation":[{"name":"Department of Pediatrics University of California  San Francisco California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tianna M.","family":"Truby","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of California  San Francisco California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vikram","family":"Raghu","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of Pittsburgh  Pittsburgh Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer","family":"Garcia","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of Miami\/Jackson Health System, Miami Transplant Institute  Miami Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Debra L.","family":"Sudan","sequence":"additional","affiliation":[{"name":"Department of Surgery Duke Children's Hospital &amp; Health Center  Durham North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sue","family":"Rhee","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of California  San Francisco California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer C.","family":"Lai","sequence":"additional","affiliation":[{"name":"Department of Medicine University of California  San Francisco California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5565-6670","authenticated-orcid":false,"given":"Sharad I.","family":"Wadhwani","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of California  San Francisco California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,10,12]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/jpen.2232"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1399\u20103046.2001.005002080.x"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajt.17150"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0000000000003065"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0000000000000456"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2022.00656"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41372\u2010018\u20100184\u2010x"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/hep.32106"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2021.689462"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2023.113819"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2017\u20102432"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2013\u20100619"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/jpn3.12234"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2010.12.023"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0b013e3181adcbe9"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/jpen.2665"},{"key":"e_1_2_8_18_1","unstructured":"ASPE \u201c2015 Poverty Guidelines \u201dhttps:\/\/aspe.hhs.gov\/2015\u2010poverty\u2010guidelines."},{"key":"e_1_2_8_19_1","unstructured":"\u201cR: The R Project for Statistical Computing \u201dhttps:\/\/www.r\u2010project.org\/."},{"key":"e_1_2_8_20_1","unstructured":"OPTN \u201cPolicies \u201dhttps:\/\/optn.transplant.hrsa.gov\/policies\u2010bylaws\/policies\/."},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hpb.2024.03.003"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/tri.13832"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0b013e3182406a94"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2018.11.016"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/ctr.15137"}],"container-title":["Pediatric Transplantation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/petr.70207","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T09:37:07Z","timestamp":1762940227000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/petr.70207"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,12]]},"references-count":24,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2025,11]]}},"alternative-id":["10.1111\/petr.70207"],"URL":"https:\/\/doi.org\/10.1111\/petr.70207","archive":["Portico"],"relation":{},"ISSN":["1397-3142","1399-3046"],"issn-type":[{"type":"print","value":"1397-3142"},{"type":"electronic","value":"1399-3046"}],"subject":[],"published":{"date-parts":[[2025,10,12]]},"assertion":[{"value":"2025-09-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-01","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-12","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70207"}}