Review for 10.1186/s12876-020-01392-y (2020)

Reviewer’ s report
Title: Racial Disparities of Black Americans Hospitalized for Decompensated Liver Cirrhosis
Version: 1Date: 10 Jul 2020
Reviewer: Conrado M Fernandez Rodriguez
Reviewer's report:
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This is a retrospective single center analysis of 463 patients with cirrhosis of different etiologies
and with different ethnicity admitted between 2013 and 2918. the conclusion was that in spite ofreceiving high quality care the whole cohort, several different outcomes occurred at the expense ofhigher rate of admission and higher rate of 30-D readmission in the AA sub-group. A possibleexplanation was that this sub-group had higher baseline co-morbidities, including higher baselineMELD-NA and higher HCV cause of liver disease. Unfortunately CPT score was unavailable andcould not be calculated due to the retrospective nature of the study. In line with several othersstudies, lower income or more unfavourable socioeconomic category is associated with highercomorbidity indices, therefore social disparities influence health-related outcomes.
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