title: [Regional differences in the access to liver transplantation in France].
abstract: OBJECTIVE
  This study evaluated regional differences in registration on the waiting list and access to liver transplantation in France.
  
  
  METHODS
  The annual incidence of registration on the waiting list was calculated with the number of transplantation candidates registered in each region between 1996 and 1998 and was used as an indicator for access to the waiting list. The median waiting time before receiving a graft was estimated for patients registered between 1992 and 1998 by the Kaplan Meier method using transplantation as the event. This was used as an indicator for access to transplantation. Shortage of liver grafts was based on the ratio between the number of registered patients and the number of transplantations.
  
  
  RESULTS
  The national incidence rate on the liver transplantation waiting list was 11.5 candidates per million inhabitants (pmi). There were no significant statistical differences among regions but it was high for the Rhône-Alpes region (18.6 pmi) and low for the French West Indies (3.6 pmi). The median waiting time before a graft is 2.2 months, and varied from 0.5 month to 3.8 months in French regions (p<0.001). Lack of a graft was strongly correlated with the median waiting time but not with the harvested liver rate.
  
  
  CONCLUSIONS
  Although there is no statistical significant difference in access to the waiting list for liver transplantations, access to grafts differs among the regions in France.
authors.affiliation: Etablissement français des Greffes, 5, rue Lacuée, 75012 Paris, France. adunbavand001@efg.rss.fr
authors.forename: Annabel
authors.initials: A
authors.lastname: Dunbavand
authors.forename: Sophie
authors.initials: S
authors.lastname: Cohen
authors.forename: Christian
authors.initials: C
authors.lastname: Jacquelinet
authors.forename: Ylana
authors.initials: Y
authors.lastname: Chalem
authors.forename: Philippe
authors.initials: P
authors.lastname: Tuppin
mesh_terms: D005602:France; D006297:Health Services Accessibility; D006801:Humans; D016031:Liver Transplantation / Q000706:statistics & numerical data; D012042:Registries; D013997:Time Factors
vernacular_title: Variations géographiques de l'accès à la greffe de foie en France.