Sex‐Based Disparities in Liver Transplant Rates in the United States

We sought to characterize sex‐based differences in access to deceased donor liver transplantation. Scientific Registry of Transplant Recipients data were used to analyze n = 78 998 adult candidates listed before (8/1997–2/2002) or after (2/2002–2/2007) implementation of Model for End‐Stage Liver Disease (MELD)‐based liver allocation. The primary outcome was deceased donor liver transplantation. Cox regression was used to estimate covariate‐adjusted differences in transplant rates by sex. Females represented 38% of listed patients in the pre‐MELD era and 35% in the MELD era. Females had significantly lower covariate‐adjusted transplant rates in the pre‐MELD era (by 9%; p