Sharad I. Wadhwani
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View article: Enhancing food insecurity screening in pediatric celiac disease using a quality improvement framework
Enhancing food insecurity screening in pediatric celiac disease using a quality improvement framework Open
Objectives Food insecurity (FI) affects more than 18 million households in the United States. Children with celiac disease (CeD) depend exclusively on the gluten‐free diet, yet gaps persist in screening for food‐insecure households who cou…
View article: Central line–associated bloodstream infection rates in pediatric short bowel syndrome in the United States: A retrospective cohort study from 2016 to 2023
Central line–associated bloodstream infection rates in pediatric short bowel syndrome in the United States: A retrospective cohort study from 2016 to 2023 Open
Background Central line–associated bloodstream infections (CLABSIs) are the leading cause of hospitalization in pediatric short bowel syndrome, disproportionately impacting socioeconomically disadvantaged children. We examined changes in o…
View article: Racial differences in primary sclerosing cholangitis: A retrospective cohort study leveraging a new ICD-10 code
Racial differences in primary sclerosing cholangitis: A retrospective cohort study leveraging a new ICD-10 code Open
Black patients had sociodemographic and clinical features suggestive of more severe disease compared to White patients. Although hospitalization rates were similar, Black patients received higher-intensity care. There was no significant di…
View article: Adult provider role in transition of care for young adult pediatric recipients of liver transplant: An expert position statement
Adult provider role in transition of care for young adult pediatric recipients of liver transplant: An expert position statement Open
Health care transition (HCT) is the process of changing from a pediatric to an adult model of care. Young adult pediatric recipients of liver transplant transferring from pediatric to adult health care services are highly vulnerable and su…
View article: Association between neighborhood‐based material deprivation and liver transplant waitlist registrants demographics and mortality
Association between neighborhood‐based material deprivation and liver transplant waitlist registrants demographics and mortality Open
Background & aims Liver transplantation for alcohol‐related liver disease (ARLD) has increased. We examined temporal trends in ARLD listing practices by neighborhood deprivation and evaluated the impact of neighborhood deprivation on waitl…
View article: Neighborhood Income Is Associated with Health Care Use in Pediatric Short Bowel Syndrome
Neighborhood Income Is Associated with Health Care Use in Pediatric Short Bowel Syndrome Open
View article: Ambient air pollution is associated with graft failure/death in pediatric liver transplant recipients
Ambient air pollution is associated with graft failure/death in pediatric liver transplant recipients Open
View article: Caregiver Perceptions of Social Risk Screening in Pediatric Liver Transplantation: From the Multicenter SOCIAL-Tx Study
Caregiver Perceptions of Social Risk Screening in Pediatric Liver Transplantation: From the Multicenter SOCIAL-Tx Study Open
Background. The social determinants of health contribute to adverse post–liver transplant outcomes. Identifying unmet social risks may enable transplant teams to improve long-term outcomes for at-risk children. However, providers may feel …
View article: Association of state Medicaid expansion policies with pediatric liver transplant outcomes
Association of state Medicaid expansion policies with pediatric liver transplant outcomes Open
View article: Variation in skeletal muscle mass among patients with cirrhosis of different <scp>self‐identified</scp> race/ethnicity
Variation in skeletal muscle mass among patients with cirrhosis of different <span>self‐identified</span> race/ethnicity Open
Skeletal muscle index (SMI) remains a strong predictor of mortality in cirrhosis patients. However, the extent to which SMI varies by race/ethnicity has not been fully evaluated. Among 317 patients, 55% identified themselves as non-Hispani…
View article: Subspecialty Pediatrics: An Unmet Opportunity to Address Unmet Social Risks
Subspecialty Pediatrics: An Unmet Opportunity to Address Unmet Social Risks Open
View article: Effects of social determinants of health on mortality and incident liver‐related events and cardiovascular disease in steatotic liver disease
Effects of social determinants of health on mortality and incident liver‐related events and cardiovascular disease in steatotic liver disease Open
Summary Background Social determinants of health (SDOH) are becoming increasingly recognised as mediators of human health. In the setting of metabolic dysfunction‐associated steatotic liver disease (MASLD), most of the literature on SDOH r…
View article: Geographic disparities in access to liver transplantation
Geographic disparities in access to liver transplantation Open
Since the Final Rule regarding transplantation was published in 1999, organ distribution policies have been implemented to reduce geographic disparity. While a recent change in liver allocation, termed acuity circles, eliminated the donor …
View article: Racial and Ethnic Disparities Among Patients Hospitalized for Acute Cholangitis in the United States
Racial and Ethnic Disparities Among Patients Hospitalized for Acute Cholangitis in the United States Open
Goals: We sought to determine whether race/ethnicity is associated with hospitalization outcomes among patients admitted with acute cholangitis. Background: Few studies have evaluated the association between race and outcomes in patients w…
View article: Novel approaches are needed to study social determinants of health in liver transplantation
Novel approaches are needed to study social determinants of health in liver transplantation Open
Jin Ge received grants from Merck.
View article: The digital determinants of liver disease
The digital determinants of liver disease Open
Telehealth has been heralded as an opportunity to mitigate health inequities by enabling patients to overcome structural barriers to seeking health care.1 Structural barriers, such as the inability to secure time off of work or high transp…
View article: Caregiver perspectives on the everyday medical and social needs of long‐term pediatric liver transplant patients
Caregiver perspectives on the everyday medical and social needs of long‐term pediatric liver transplant patients Open
Using in‐depth interviews, we sought to characterize the everyday medical and social needs of pediatric liver transplant caregivers to inform the future design of solutions to improve care processes. Participants (parents/caregivers of ped…
View article: Loneliness in adults awaiting liver transplantation at 7 U.S. transplant centers
Loneliness in adults awaiting liver transplantation at 7 U.S. transplant centers Open
Loneliness is prevalent in adults awaiting LT, and independently associated with younger age, female sex and physical frailty. These data lay the foundation to investigate the extent to which loneliness impacts health outcomes in LT, as in…
View article: Association of Primary Care Shortage Areas with Adverse Outcomes after Pediatric Liver Transplant
Association of Primary Care Shortage Areas with Adverse Outcomes after Pediatric Liver Transplant Open
View article: A review of racial, socioeconomic, and geographic disparities in pediatric liver transplantation
A review of racial, socioeconomic, and geographic disparities in pediatric liver transplantation Open
Equity is a core principle in both pediatrics and solid organ transplantation. Health inequities, specifically across race, socioeconomic position, or geography, reflect a moral failure. Ethical principles of prudential life span, maximin …
View article: Racial/ethnic disparities in wait‐list outcomes are only partly explained by socioeconomic deprivation among children awaiting liver transplantation
Racial/ethnic disparities in wait‐list outcomes are only partly explained by socioeconomic deprivation among children awaiting liver transplantation Open
Background and Aims Racial/ethnic minority children have worse liver transplant (LT) outcomes. We evaluated whether neighborhood socioeconomic deprivation affected associations between race/ethnicity and wait‐list mortality. Approach and R…
View article: Addressing Social Adversity to Improve Outcomes for Children After Liver Transplant
Addressing Social Adversity to Improve Outcomes for Children After Liver Transplant Open
The social determinants of health, defined as the conditions in which we live, learn, work, and play, undoubtedly impact health outcomes. Social adversity in childhood perpetuates over the life course and has consequences extending into ad…
View article: Center variation in long-term outcomes for socioeconomically deprived children
Center variation in long-term outcomes for socioeconomically deprived children Open
Neighborhood socioeconomic deprivation is associated with adverse outcomes after pediatric liver transplant. We sought to determine if this relationship varies by transplant center. Using SRTR, we included patients <18 years transplanted 2…
View article: Neighborhood socioeconomic deprivation, racial segregation, and organ donation across 5 states
Neighborhood socioeconomic deprivation, racial segregation, and organ donation across 5 states Open
One in 10 people die awaiting transplantation from donor shortage. Only half of Americans register as organ donors. In this cross-sectional study, we evaluated population-level associations of neighborhood socioeconomic deprivation and rac…
View article: Implementing a Process to Systematically Identify and Address Poor Medication Adherence in Pediatric Liver Transplant Recipients
Implementing a Process to Systematically Identify and Address Poor Medication Adherence in Pediatric Liver Transplant Recipients Open
Objectives: Poor adherence to medication following pediatric liver transplantation remains a major challenge, with some estimates suggesting that 50% of adolescent liver transplant recipients exhibit reduced medication adherence. To date, …
View article: Association Between Neighborhood-level Socioeconomic Deprivation and the Medication Level Variability Index for Children Following Liver Transplantation
Association Between Neighborhood-level Socioeconomic Deprivation and the Medication Level Variability Index for Children Following Liver Transplantation Open
Background. Neighborhood socioeconomic deprivation is associated with adverse health outcomes. We sought to determine if neighborhood socioeconomic deprivation was associated with adherence to immunosuppressive medications after liver tran…
View article: Neighborhood socioeconomic deprivation is associated with worse patient and graft survival following pediatric liver transplantation
Neighborhood socioeconomic deprivation is associated with worse patient and graft survival following pediatric liver transplantation Open
View article: 50 Years Ago in T J P
50 Years Ago in T J P Open
View article: Predicting ideal outcome after pediatric liver transplantation: An exploratory study using machine learning analyses to leverage Studies of Pediatric Liver Transplantation Data
Predicting ideal outcome after pediatric liver transplantation: An exploratory study using machine learning analyses to leverage Studies of Pediatric Liver Transplantation Data Open
Machine learning analyses allow for the consideration of numerous variables in order to accommodate complex relationships that would not otherwise be apparent in traditional statistical methods to better classify patient risk. The SPLIT re…