The Liver Meeting 2021-Evaluating Disparities in Access to and Outcomes of Liver Transplantation

Video Transcription

Video Summary

Dr. Goldberg moderates a seminar on liver transplantation disparities, covering gender, pediatric, race, ethnicity, and socioeconomic status issues. Challenges include disease severity recognition, referrals, evaluation, waitlisting decisions, and access to care based on social support and socioeconomic factors. Dr. Verna discusses gender equity disparities, proposing solutions like GFR substitution in MELD score calculations. Dr. Hsu focuses on enhancing pediatric liver transplantation, while Dr. Turow addresses care for the uninsured. Dr. Ford emphasizes racial disparities in post-transplant outcomes to minimize preventable deaths on the pediatric liver transplant waitlist. The transcript highlights organ allocation policies for children, ethical concerns in pediatric organ transplantation, insurance-based disparities in post-transplant outcomes, Medicaid expansion effects, and immigrant access to transplantation. It stresses the importance of equitable allocation policies, awareness of post-transplant outcome disparities, Medicaid expansion's impact, and challenges for uninsured immigrants. The importance of research to address disparities, ACA and Medicaid benefits, and the role of advocates and navigators in aiding uninsured patients are discussed, emphasizing equitable care access for all patients despite barriers.

Keywords

liver transplantation disparities

gender disparities

pediatric liver transplantation

race disparities

socioeconomic status disparities

disease severity recognition

referrals for liver transplantation

MELD score calculations

organ allocation policies

post-transplant outcomes

Medicaid expansion effects