Most pediatric transplant centers are low volume, adult-focused, and in proximity to higher volume pediatric centers.

Background: Independent studies provide evidence that low volume pediatric solid organ transplant centers have inferior outcomes compared to high volume pediatric centers. The study assessed whether patients treated at low volume pediatric centers have access to higher volume pediatric centers, which offer potentially better outcomes.

Methods: We analyzed center specific data on 467 pediatric solid organ transplant centers in the U.