Publication Name	World Journal of Transplantation
Manuscript ID	124190
Country	Greece

Category	Transplantation
Manuscript Type	Systematic Reviews
Article Title	Addressing gender-based disparities in liver transplantation: A global analysis of surgical access and donor organ allocation
Manuscript Source	Invited Manuscript
All Author List	Sofia Rozani, Alexander Papadopoulos, Giorgos Smyrnis, Francesca Albanesi, Stavros P Papadakos, Efstathia Liatsou, Venkatesh Balaraman Sundararajan, Lorenzo Petagna, Georgia Rozani and Vasileios Vougas
Funding Agency and Grant Number
Corresponding Author	Sofia Rozani, Academic Fellow, MD, PhD, Research Fellow, 2nd Department of Surgery, Aretaieio University Hospital, National and Kapodistrian University of Athens, Vas. Sofias Street 76, Athens 11528, Attikí, Greece. sofrozan@gmail.com
Key Words	Liver transplantation; Model for end-stage liver disease; Transplantation; Gender disparities; Model for end-stage liver disease 3.0
Core Tip	Sex- and gender-based disparities remain a significant challenge in liver transplantation despite advances in allocation systems. Female patients continue to experience lower transplant access, longer waiting times, and higher waitlist mortality due to multifactorial factors including model for end-stage liver disease-related creatinine bias, donor-recipient size mismatch, reduced access to exception points, and barriers in referral and evaluation pathways. Recent innovations, such as model for end-stage liver disease 3.0, sex-adjusted allocation models, living donor liver transplantation, and size-aware allocation strategies have improved equity but have not eliminated disparities yet. This review summarizes contemporary global evidence and highlights emerging approaches aimed at achieving fairer organ allocation and improved outcomes for female liver transplant candidates.
Citation	Rozani S, Papadopoulos A, Smyrnis G, Albanesi F, Papadakos SP, Liatsou E, Balaraman Sundararajan V, Petagna L, Rozani G, Vougas V. Addressing gender-based disparities in liver transplantation: A global analysis of surgical access and donor organ allocation. World J Transplant 2026; In press

Received	2026-06-09 02:38
Peer-Review Started	2026-06-09 02:39
First Decision by Editorial Office Director
Return for Revision	2026-07-03 09:16
Revised	2026-07-15 17:14
Publication Fee Transferred
Second Decision by Editor	2026-07-24 03:17
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-07-27 09:52
Articles in Press	2026-07-27 09:52
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2220-3230 (online)
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Copyright	©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
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