Addressing global variation and systemic inequities in access to liver transplantation

Liver transplantation remains the only curative intervention for patients with decompensated cirrhosis and provides good long-term outcomes for patients with hepatocellular carcinoma. However, inequities exist for patients accessing transplantation across the world relating to healthcare provision, socioeconomic factors, and the donating public. In this review, we evaluate three different models of transplant care provision with the aim to highlight challenges and potential solutions in achieving equitable access to liver transplantation.