Original Investigation

Sex Differences in Long-Term Overall and Cause-Specific Mortality in Patients With Cirrhosis

JAMA Network Open 10.1001/jamanetworkopen.2026.22711

July 09, 2026 at 11:00 AM EDT

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Are there any differences in the long-term overall and cause-specific mortality between male and female patients with cirrhosis?In this cohort study of 316 957 adults with cirrhosis, males had higher all-cause, cardiovascular, and hepatocellular carcinoma (HCC)–related mortality, whereas females had higher non-HCC liver-related mortality. Among patients younger than 50 years or with alcohol-associated cirrhosis, females had higher liver-related mortality but were less likely to undergo liver transplantation.These findings suggest that significant sex disparities exist in all-cause and cause-specific mortality in cirrhosis, supporting a sex-based strategy for monitoring and management of patients with cirrhosis.

Corresponding Author: Mindie H. Nguyen, MD, MAS, Division of Gastroenterology and Hepatology, Stanford University Medical Center, 780 Welch Rd, CJ250K, Palo Alto, CA 94304 (mindiehn@stanford.edu).

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