AbstractObjective To characterize barriers and facilitators influencing caregiver decision-making regarding living donor liver transplantation for children with end-stage liver disease. Study design This qualitative study used semi-structured, in-depth interviews conducted between May 2023 and March 2025 with caregivers of pediatric liver transplant recipients enrolled in the Social 50% reported household incomes Conclusions Strategies to support decision making about living donor liver transplantation should include counseling about the procedure's benefits early in the transplant evaluation process, helping identify non-directed donors and reducing the caregiving burden during the donor recovery period. Such efforts should prioritize under-resourced families to enhance equitable outcomes for children with end-stage liver disease.
Kelly et al. (2026) studied this question.