Transplant centers coordinate complex care in acute liver failure (ALF), for which liver transplantation (LT) can be lifesaving. We studied associations between waitlist outcomes and center (i) ALF waitlist volume (low: <20; medium: 20â€39; high: 40+ listings) and (ii) total LT volume (<600; 600â€1199; 1200+ LTs) in a retrospective cohort of 3,248 adults with ALF listed for LT at 92 centers nationally from 2002â€2019.
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