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Gender Disparities in Liver Transplantation

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Abstract

Health disparities between men and women have become apparent in recent years in many fields, including the transplant setting. In this chapter, we address gender inequities in liver transplantation, including the type of liver diseases that leads to the need of transplantation, the referral pattern to transplant centers, access to waiting lists, and transplantation itself as well as posttransplant outcome. An analysis and literature search that integrates sociocultural, biological, and physiopathological perspectives is included in each of these different steps. Furthermore, recommendations regarding specific strategies that can be developed to reduce gender disparities in liver transplant care are also suggested. Particularly, changes in the liver allocation system and a consideration for a greater use of live donors and split livers are potential means to improving access to liver transplantation for women.

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Author information

Authors and Affiliations

  1. Hepatology and Liver Transplantation Unit, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain

    Trinidad Serrano

  2. Hepatology and Liver Transplantation Unit, La Fe University Hospital, Valencia, Spain

    Marina Berenguer

  3. Instituto de Investigación Sanitaria La Fe. Valencia Spain, Valencia, Spain

    Marina Berenguer

  4. Facultad de Medicina. Universidad de Valencia, Valencia, Spain

    Marina Berenguer

  5. CIBERehd (Networked Biomedical Research Center in Hepatic and Digestive Disease) Spain, Hospital Universitari i Politecnic La Fe. Avda. Fernando Abril Martorell, Valencia, Spain

    Marina Berenguer

Authors
  1. Trinidad Serrano
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  2. Marina Berenguer
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Corresponding author

Correspondence to Marina Berenguer .

Editor information

Editors and Affiliations

  1. Texas A&M Health Science Center, Baylor University Medical Center, Dallas, TX, USA

    Robert S. Rahimi

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Serrano, T., Berenguer, M. (2020). Gender Disparities in Liver Transplantation. In: Rahimi, R. (eds) The Critically Ill Cirrhotic Patient. Springer, Cham. https://doi.org/10.1007/978-3-030-24490-3_15

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  • DOI: https://doi.org/10.1007/978-3-030-24490-3_15

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-24489-7

  • Online ISBN: 978-3-030-24490-3

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