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Publication Name World Journal of Transplantation
Manuscript ID 124190
Country Greece
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
2026-08-03 16:18
Typeset the Manuscript
2026-08-21 08:41
Publish the Manuscript Online
2026-09-02 06:21
ISSN 2220-3230 (online)
Open Access This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Copyright ©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Article Reprints For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
Permissions For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
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
ORCID
Author(s) ORCID Number
Sofia Rozani http://orcid.org/0000-0002-4465-022X
Alexander Papadopoulos http://orcid.org/0000-0001-9355-6769
Giorgos Smyrnis http://orcid.org/0009-0004-8699-8656
Francesca Albanesi http://orcid.org/0000-0002-1898-1367
Stavros P Papadakos http://orcid.org/0000-0003-1583-1125
Efstathia Liatsou http://orcid.org/0000-0002-1114-1680
Venkatesh Balaraman Sundararajan http://orcid.org/0000-0002-8597-9785
Lorenzo Petagna http://orcid.org/0000-0003-0467-550X
Georgia Rozani http://orcid.org/0009-0001-5828-6641
Vasileios Vougas http://orcid.org/0000-0003-3988-3333
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.
Publish Date 2026-09-02 06:21
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; 16(3): 124190

URL https://www.wjgnet.com/2220-3230/full/v16/i3/124190.htm
DOI https://doi.org/10.5500/wjt.124190
Full Article (PDF) WJT-16-124190-with-cover.pdf
PRISMA 2009 Checklist 124190-PRISMA-2009-Checklist.pdf
Manuscript File 124190_Auto_Edited_032819.docx
Answering Reviewers 124190-answering-reviewers.pdf
Audio Core Tip 124190-audio.m4a
Biostatistics Review Certificate 124190-biostatistics-statement.pdf
Conflict-of-Interest Disclosure Form 124190-conflict-of-interest-statement.pdf
Copyright License Agreement 124190-copyright-assignment.pdf
Non-Native Speakers of English Editing Certificate 124190-non-native-speakers.pdf
Peer-review Report 124190-peer-reviews.pdf
Scientific Misconduct Check 124190-scientific-misconduct-check.png
CrossCheck Report 124190-crosscheck-report.pdf