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Addressing sex-based disparities in solid organ transplantation in the United States - a conference report.

Publication ,  Journal Article
Sawinski, D; Lai, JC; Pinney, S; Gray, AL; Jackson, AM; Stewart, D; Levine, DJ; Locke, JE; Pomposelli, JJ; Hartwig, MG; Hall, SA; Dadhania, DM ...
Published in: Am J Transplant
March 2023

Solid organ transplantation provides the best treatment for end-stage organ failure, but significant sex-based disparities in transplant access exist. On June 25, 2021, a virtual multidisciplinary conference was convened to address sex-based disparities in transplantation. Common themes contributing to sex-based disparities were noted across kidney, liver, heart, and lung transplantation, specifically the existence of barriers to referral and wait listing for women, the pitfalls of using serum creatinine, the issue of donor/recipient size mismatch, approaches to frailty and a higher prevalence of allosensitization among women. In addition, actionable solutions to improve access to transplantation were identified, including alterations to the current allocation system, surgical interventions on donor organs, and the incorporation of objective frailty metrics into the evaluation process. Key knowledge gaps and high-priority areas for future investigation were also discussed.

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Published In

Am J Transplant

DOI

EISSN

1600-6143

Publication Date

March 2023

Volume

23

Issue

3

Start / End Page

316 / 325

Location

United States

Related Subject Headings

  • Waiting Lists
  • United States
  • Tissue and Organ Procurement
  • Tissue Donors
  • Surgery
  • Organ Transplantation
  • Kidney
  • Humans
  • Healthcare Disparities
  • Frailty
 

Citation

APA
Chicago
ICMJE
MLA
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Sawinski, D., Lai, J. C., Pinney, S., Gray, A. L., Jackson, A. M., Stewart, D., … Pomfret, E. (2023). Addressing sex-based disparities in solid organ transplantation in the United States - a conference report. Am J Transplant, 23(3), 316–325. https://doi.org/10.1016/j.ajt.2022.11.008
Sawinski, Deirdre, Jennifer C. Lai, Sean Pinney, Alice L. Gray, Annette M. Jackson, Darren Stewart, Deborah Jo Levine, et al. “Addressing sex-based disparities in solid organ transplantation in the United States - a conference report.Am J Transplant 23, no. 3 (March 2023): 316–25. https://doi.org/10.1016/j.ajt.2022.11.008.
Sawinski D, Lai JC, Pinney S, Gray AL, Jackson AM, Stewart D, et al. Addressing sex-based disparities in solid organ transplantation in the United States - a conference report. Am J Transplant. 2023 Mar;23(3):316–25.
Sawinski, Deirdre, et al. “Addressing sex-based disparities in solid organ transplantation in the United States - a conference report.Am J Transplant, vol. 23, no. 3, Mar. 2023, pp. 316–25. Pubmed, doi:10.1016/j.ajt.2022.11.008.
Sawinski D, Lai JC, Pinney S, Gray AL, Jackson AM, Stewart D, Levine DJ, Locke JE, Pomposelli JJ, Hartwig MG, Hall SA, Dadhania DM, Cogswell R, Perez RV, Schold JD, Turgeon NA, Kobashigawa J, Kukreja J, Magee JC, Friedewald J, Gill JS, Loor G, Heimbach JK, Verna EC, Walsh MN, Terrault N, Testa G, Diamond JM, Reese PP, Brown K, Orloff S, Farr MA, Olthoff KM, Siegler M, Ascher N, Feng S, Kaplan B, Pomfret E. Addressing sex-based disparities in solid organ transplantation in the United States - a conference report. Am J Transplant. 2023 Mar;23(3):316–325.

Published In

Am J Transplant

DOI

EISSN

1600-6143

Publication Date

March 2023

Volume

23

Issue

3

Start / End Page

316 / 325

Location

United States

Related Subject Headings

  • Waiting Lists
  • United States
  • Tissue and Organ Procurement
  • Tissue Donors
  • Surgery
  • Organ Transplantation
  • Kidney
  • Humans
  • Healthcare Disparities
  • Frailty