Waitlist Suspension Is Associated with Persistent Reduction in Access to Liver Transplantation.

Publication date: Jul 18, 2026

Candidates awaiting liver transplantation may undergo waitlist suspension, the temporary inactivation of candidates from organ allocation, for various medical or logistical reasons. We performed a national cohort study using the United Kingdom Transplant Registry to evaluate the association between waitlist suspension and outcomes in adults listed for liver-only transplantation. Adjusted time-varying cause-specific Cox models, with start-stop times for suspension, were used as the primary analysis . Separate sensitivity analyses adjusted for centre-specific effects, censoring for COVID-19-related suspensions, censoring clinical improvement suspensions, and incorporating a 30-day landmark removing early events from the risk set. Among 13,596 candidates, 3,250 (23. 9%) experienced at least one suspension episode. In adjusted time-varying analyses, reactivation following suspension was strongly associated with reduced access to transplantation (HR 0. 36, 95% CI 0. 32-0. 39, p

Concepts Keywords
Liver transplantation
Outcomes
Suspension
Waiting list

Semantics

Type Source Name
disease MESH COVID-19

Original Article

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