Association of Primary Care Shortage Areas with Adverse Outcomes after Pediatric Liver Transplant.

ABSTRACT:

Objective

To characterize associations between living in primary care shortage areas and graft failure/death for children after liver transplantation.

Study design

This was an observational study of all pediatric patients (aged <19 years) who received a liver transplant between January 1, 2005, and December 31, 2015 in the US, with follow-up through January 2019 (N = 5964). One hundred ninety-five patients whose home ZIP code could not be matched to primary care shortage area status were excluded. The primary outcome was a composite endpoint of graft failure or death. We used Cox proportional hazards to model the associations between health professional shortage area (HPSA) and graft failure/death.

Results

Children living in HPSAs had lower estimated graft survival ra

SUBMITTER: Shifman HP 

PROVIDER: S-EPMC9987637 | biostudies-literature | 2022 Jul

REPOSITORIES: biostudies-literature