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Health disparities in cirrhosis care and liver transplantation.

Publication ,  Journal Article
Goldberg, D; Wilder, J; Terrault, N
Published in: Nat Rev Gastroenterol Hepatol
February 2025

Morbidity and mortality from cirrhosis are substantial and increasing. Health disparities in cirrhosis and liver transplantation are reflective of inequities along the entire spectrum of chronic liver disease care, from screening and diagnosis to prevention and treatment of liver-related complications. The key populations experiencing disparities in health status and healthcare delivery include racial and ethnic minority groups, sexual and gender minorities, people of lower socioeconomic status and underserved rural communities. These disparities lead to delayed diagnosis of chronic liver disease and complications of cirrhosis (for example, hepatocellular carcinoma), to differences in treatment of chronic liver disease and its complications, and ultimately to unequal access to transplantation for those with end-stage liver disease. Calling out these disparities is only the first step towards implementing solutions that can improve health equity and clinical outcomes for everyone. Multi-level interventions along the care continuum for chronic liver disease are needed to mitigate these disparities and provide equitable access to care.

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Published In

Nat Rev Gastroenterol Hepatol

DOI

EISSN

1759-5053

Publication Date

February 2025

Volume

22

Issue

2

Start / End Page

98 / 111

Location

England

Related Subject Headings

  • Liver Transplantation
  • Liver Cirrhosis
  • Humans
  • Healthcare Disparities
  • Health Services Accessibility
  • Gastroenterology & Hepatology
  • 3202 Clinical sciences
  • 1103 Clinical Sciences
  • 1101 Medical Biochemistry and Metabolomics
 

Citation

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Goldberg, D., Wilder, J., & Terrault, N. (2025). Health disparities in cirrhosis care and liver transplantation. Nat Rev Gastroenterol Hepatol, 22(2), 98–111. https://doi.org/10.1038/s41575-024-01003-1
Goldberg, David, Julius Wilder, and Norah Terrault. “Health disparities in cirrhosis care and liver transplantation.Nat Rev Gastroenterol Hepatol 22, no. 2 (February 2025): 98–111. https://doi.org/10.1038/s41575-024-01003-1.
Goldberg D, Wilder J, Terrault N. Health disparities in cirrhosis care and liver transplantation. Nat Rev Gastroenterol Hepatol. 2025 Feb;22(2):98–111.
Goldberg, David, et al. “Health disparities in cirrhosis care and liver transplantation.Nat Rev Gastroenterol Hepatol, vol. 22, no. 2, Feb. 2025, pp. 98–111. Pubmed, doi:10.1038/s41575-024-01003-1.
Goldberg D, Wilder J, Terrault N. Health disparities in cirrhosis care and liver transplantation. Nat Rev Gastroenterol Hepatol. 2025 Feb;22(2):98–111.

Published In

Nat Rev Gastroenterol Hepatol

DOI

EISSN

1759-5053

Publication Date

February 2025

Volume

22

Issue

2

Start / End Page

98 / 111

Location

England

Related Subject Headings

  • Liver Transplantation
  • Liver Cirrhosis
  • Humans
  • Healthcare Disparities
  • Health Services Accessibility
  • Gastroenterology & Hepatology
  • 3202 Clinical sciences
  • 1103 Clinical Sciences
  • 1101 Medical Biochemistry and Metabolomics