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HEPATOLOGY, VOLUME 62, NUMBER 1 (SUPPL) AASLD ABSTRACTS 1053A<br />

Disclosures:<br />

The following authors have nothing to disclose: Adam Arterbery, Awo Osafo-<br />

Addo, Maria Ciarleglio, Yanghong Deng, Mercedes Martinez, Steven J. Lobritto,<br />

Yaron Avitzur, David Hafler, Markus Kleinewietfeld, Udeme D. Ekong<br />

1732<br />

Distance Affects Mortality on the Waitlist in Pediatric<br />

Liver Transplantation<br />

Joel T. Adler, Yanik Bababekov, James F. Markmann, David C.<br />

Chang, Heidi Yeh; Massachusetts General Hospital, Boston, MA<br />

INTRODUCTION: The distance between patients and their liver<br />

transplant centers contributes to disparities in adult liver transplantation.<br />

We hypothesized that distance would adversely<br />

affect the time to transplantation and waitlist mortality for pediatric<br />

transplant candidates. METHODS: The Scientific Registry<br />

of Transplant Recipients was queried for isolated pediatric liver<br />

transplant registrants (under age 18) with chronic liver disease<br />

and valid ZIP code information from 2003 to 2012. Distance<br />

from home ZIP code to listing transplant center was calculated<br />

in miles. Competing events analysis, adjusted for demographic<br />

factors, rural/urban status, indication, and Pediatric End Stage<br />

Liver Disease score, was undertaken for transplantation and<br />

death while on the waitlist. RESULTS: 6,924 children were<br />

included. The median distance to listing transplant center was<br />

65 (IQR 17.5-189) miles. Median distance traveled increased<br />

by listing volume (73.9 vs. 33.8 miles, highest vs. lowest volume<br />

quartile, P

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