This study assessed the current literature to determine the role of donor-recipient sex pairing in the outcomes of OCA transplantation. Only 1 study (25%) concluded a significant difference in graft failure among sex-matched and mismatched cohorts. A principal concern of this review is that only 4 studies report data on donor-recipient sex pairings. Only one-fifth of all patients received a female donor graft, limiting the ability to draw conclusions about subgroups. Graft failure across all studies was comparable between sex-matched and sex-mismatched cohorts. This study supports current graft-matching practices, primarily based on size and anatomy, without sex matching.
Bartkoski et al. (Thu,) studied this question.