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Supplementary Tables

Table S1: Variables Used for Multivariate Survival Analysis Variables Considered for Analysis

Transplanted MELD Level Functional Status at Transplant

MELD at Transplant 6-11 10

MELD at Transplant 12-14 20

MELD at Transplant 15-17 50

Etiology of Liver Failure 60

Primary Biliary Cirrhosis 70

Primary Sclerosing Cholangitis 80

Autoimmune Cirrhosis 90

Hepatocellular Carcinoma 100

Non-alcoholic Steatohepatitis INR at Transplant

Viral Hepatitis 2-2.5

Alcoholic Cirrhosis 2.5-3

Incompatible Blood Type 3-3.5

Age of Transplant Recipient 3.5-4

18-30 >4

60-65 Life Support for Transplant Patient

>65 ICU Stay Prior to Transplant

Albumin Level at Transplant (g/dL) Hospitaliztation Prior to Transplant

<1.5 Timing of Retransplant 1.5- 2 More Than 3 Transplants

2-2.5 Patient on Ventilator

BMI Portal Venous Thrombosis

30-35 Payment Method

35-40 Private Insurance

>40 Medicaid

Cold Ischemia Time (h) Previous Abdominal Surgery

<6 UNOS Region

12-14 Region: CT, ME, MA, NH, RI

>14

Region: DE, DC, MD, NJ, PA, N. VA, WV Donation after Circulatory Death Region: AL, AR, FL, GA, LA, MS, PR

Dialysis Prior to Transplant Region: OK, TX

Distance of Donor to Transplant Center (miles) Region: AZ, CA, NV, NM, UT 500-100 Region: AK, HI, ID, MT, OR, WA

>1000 Region: IL, MN, ND, SD, WI

Highest Education Level Region: CO, IA, KS, MO, NE, WY

High School Dropout Region: NY, VT

High School Education Region: IN, MI, OH

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Technical Degree Region: KY, NC, SC, TN, VA Bachelors Degree Transplant Location

Doctorate Degree Regional

Encephalopathy National

African American Recipient Foreign

Pretransplant Serum Sodium Level (mEq/L) Total Bilirubin (mg/dL)

<125 <2

125-130 8-16

130-135 16-32

145-150 >32

150-155 TIPSS

>155 Employment Status

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Table S2: Sensitivity Analysis: High Transplant MELD Region, Low Transplant MELD Region, Dropped Exceptions

Region 9

MELD 6-11 12-14 15-17 18-20 21-23 24-26 27-29 30-32 33-35 36-39 >40

Hazard Ratio (95% CI)

0.70 0.68 0.47 0.45 0.41 0.54 0.45 0.49 0.40 0.45 0.27

(0.62- 0.80)

(0.58- 0.79)

(0.40- 0.57)

(0.37- 0.55)

(0.34- 0.51)

(0.43- 0.68)

(0.35- 0.58)

(0.38- 0.62)

(0.31- 0.51)

(0.36- 0.57)

(0.22- 0.33)

p-values <0.001 <0.001 <0.001 <0.001 <0.001 <0.001 <0.001 <0.001 <0.001 <0.001 <0.001

Region 3

MELD 6-11 12-14 15-17 18-20 21-23 24-26 27-29 30-32 33-35 36-39 >40

Hazard Ratio (95% CI) 0.68 0.59 0.54 0.55 0.55 0.48 0.48 0.50 0.48 0.40 0.34

(0.60- 0.77)

(0.51- 0.67)

(0.48- 0.60)

(0.48- 0.62)

(0.48- 0.63)

(0.41- 0.56)

(0.40- 0.58)

(0.41- 0.61)

(0.39- 0.61)

(0.32- 0.50)

(0.28- 0.41)

p-values <0.001 <0.001 <0.001 <0.001 <0.001 <0.001 <0.001 <0.001 <0.001 <0.001 <0.001

Excluding Exceptions

MELD 6-11 12-14 15-17 18-20 21-23 24-26 27-29 30-32 33-35 36-39 >40

Hazard Ratio (95% CI) 0.69 0.54 0.49 0.42 0.48 0.42 0.43 0.43 0.39 0.36 0.23

(0.64- 0.75)

(0.50- 0.58)

(0.46- 0.52)

(0.40- 0.45)

(0.45- 0.51)

(0.39- 0.45)

(0.40- 0.47)

(0.40- 0.47)

(0.36- 0.43)

(0.33- 0.39)

(0.21- 0.24)

p-values <0.001 <0.001 <0.001 <0.001 <0.001 <0.001 <0.001 <0.001 <0.001 <0.001 <0.001

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