*Purpose: The purpose of this research project was to evaluate the role of non-traditional subjective environmental factors in long-term outcomes of liver transplantation.

*Methods: We conducted a retrospective cohort study of consecutive adult liver transplants performed at a single center from 2012 – 2017. The difference between compared groups was assessed using independent sample t-tests or one-way analysis of variance. The association between continuous variables was assessed using linear regression. Non-traditional environmental factors were classified as distance traveled to the transplant center, marital status, education level and the requirement to fund raise pre-transplant. Outcomes measured included length of stay, missed appointments, graft survival and patient survival.

*Results: There were 455 patients who received a liver transplant. There was no significant difference in length of stay based on marital status (p=0.18), education level (p=0.77), distance from the transplant center (p=0.68), or the requirement to fundraise (p=0.87). Measured outcomes demonstrated no significant difference in the number of missed pre-transplant appointments according to marital status (p=0.24), education level (p=0.99), distance from the transplant center (p=0.16), or the requirement to fundraise (p=0.83). There was no significant difference in graft survival or overall patient survival based on marital status, education level, distance from the transplant center, or the requirement to fundraise.

*Conclusions: Our findings indicate liver transplant outcomes are not impacted by non-traditional environmental factors. These findings suggest subjective factors should not impact approval listing decisions for liver transplantation.

« Back to 2019 American Transplant Congress