The aim of this study is to determine listing practices for morbidly obese

patients in United States (U.S.) liver transplant centers. Methods: A 19 item survey was created to assess liver transplant evaluation and listing practices for morbidly obese patients. All U.S. adult liver transplant medical and surgical directors were contacted by email with a cover letter describing the study and an internet link to the SurveyMonkey® website. A few questions had a free-text section which allowed for comment. Five follow-up emails were sent to encourage participation. Results: A total of 187 surveys were emailed with responses received from 46 physicians (24.7% response rate). The responding cohort Selleck AZD9668 consisted of 29 (63%) medical directors and 17 (37%) surgical directors, including respondents from all United Network Organ Sharing (UNOS) regions, though regions 4 and 6 had the fewest respondents (n=2). The majority of respondents reported treating patients at an academic medical center (73.3%) and performing more than 50 liver transplants a year (60.8%). A policy on evaluation and listing of obese patients

was present at 70.5% of institutions with the majority (54.5%) reporting their BMI cut off for transplant was 40 but a range of 35 to unlimited was noted. The majority (61.4%) of Ibrutinib datasheet respondents agreed that there has been an increase in the number of obese patients they have listed for liver transplant, however 75% of

respondents’ reported medchemexpress that patients with high BMI were less likely to be evaluated for transplantation. With regards to complications in obese patients, 65.9% of respondents reported experiencing an increased complication rate, with the most frequently cited complications being poor wound healing and increased infection rates. Despite the reported increased complication rate, only 34.1% reported they had experienced worse survival rates with obese patients. Conclusions: The majority of medical and surgical liver transplant directors have a strong appreciation of the possible morbidity risks associated with morbidly obese patients post-transplant and have policies in effect to minimize these risks. This is of specific concern due to the need to provide more high quality and cost effective transplant care in the current healthcare climate. More data examining morbidly obese cirrhotic patient outcomes perioper-atively, stratified by other co-morbidities, is needed. Disclosures: Jonathan M. Fenkel – Consulting: Gilead Pharmaceuticals, Janssen Therapeutics The following people have nothing to disclose: Dina Halegoua-De Marzio, She-Yan Wong, Cataldo Doria, David A. Sass Background: Racial/ethnic disparities in liver transplantation (LT) are well established. African Americans (AAs) are referred for LT at lower rates, and there is significantly lower post-LT survival among AAs compared to other groups.