Original Investigation

Residential and Transplant Center Neighborhood Segregation and Live Donor Liver Transplant

JAMA Network Open 10.1001/jamanetworkopen.2026.16148

June 02, 2026 at 11:00 AM EDT

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Is living in or being wait-listed at a transplant center in a high-segregation neighborhood associated with access to live donor liver transplant (LDLT)?In this cohort study of 22 223 adult liver transplant candidates, those living in or wait-listed at centers in high-segregation neighborhoods were less likely to receive LDLT. Candidates living in high-segregation neighborhoods with a larger racial and ethnic minority population compared with a larger White population had lower likelihood of LDLT.The findings suggest that living and receiving care in high-segregation neighborhoods is associated with a lower likelihood of LDLT.

Corresponding Author: Alexandra T. Strauss, MD, PhD, MIE, Department of Medicine, Division of Gastroenterology and Hepatology, Johns Hopkins University School of Medicine, 600 N Wolfe St, Blalock 449, Baltimore, MD 21287 (astraus6@jhmi.edu).

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