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We hypothesize that patients from regions without transplant and fewer National Cancer Institute (NCI) designated cancer centers would less frequently undergo resection and transplantation resulting in worse overall survival (OS). Most patients (64.1%) had no surgical intervention, while 16.6% underwent ablation, 12.9% underwent resection, and 6.4% underwent transplant. Sacramento patients were less likely to undergo resection (OR 0.64, 95%CI 0.51-0.79, p<0.001) and more likely to undergo ablation (OR 1.64, 95%CI 1.42-1.90, p<0.001) compared to Bay patients. [Extracted from the article]