An International survey on living kidney donation and transplant practices during the COVID‐19 pandemic

Autor: Alexandre Loupy, Paolo R. Salvalaggio, Lúcio Roberto Requião Moura, Krista L. Lentine, David A. Axelrod, Yasar Caliskan, Tainá Veras de Sandes-Freitas, Ngan N. Lam, Luke S. Vest, Rafael A Maldonado, Gustavo Ferreira, Mark A. Schnitzler
Jazyk: angličtina
Rok vydání: 2020
Předmět:
medicine.medical_specialty
Telemedicine
Asia
Internationality
Tissue and Organ Procurement
Coronavirus disease 2019 (COVID-19)
Telehealth
030230 surgery
03 medical and health sciences
Patient safety
Middle East
0302 clinical medicine
Practices
COVID‐19
Surveys and Questionnaires
Pandemic
medicine
Living Donors
Humans
Mass Screening
Evaluation
Personal protective equipment
Personal Protective Equipment
Mass screening
Kidney transplantation
Transplantation
business.industry
SARS-CoV-2
Living Kidney Donation
COVID-19
Original Articles
medicine.disease
Kidney Transplantation
Europe
Latin America
Infectious Diseases
Family medicine
COVID-19 Nucleic Acid Testing
North America
Tissue and Organ Harvesting
030211 gastroenterology & hepatology
Original Article
Patient Safety
business
Delivery of Health Care
Zdroj: Transplant Infectious Disease
ISSN: 1399-3062
1398-2273
DOI: 10.1111/tid.13526
Popis: The scope of the impact of the Coronavirus disease 19 (COVID‐19) pandemic on living donor kidney transplantation (LDKT) practices across the world is not well defined. We received survey responses from 204 transplant centers internationally from May to June 2020 regarding the impact of the COVID‐19 pandemic on LDKT practices. Respondents represented 16 countries on 5 continents. Overall, 75% of responding centers reported that LDKT surgery was on hold (from 67% of North American centers to 91% of European centers). The majority (59%) of centers reported that new donor evaluations were stopped (from 46% of North American centers to 86% of European centers), with additional 23% of centers reporting important decrease in evaluations. Only 10% of centers reported slight variations on their evaluations. For the centers that continued donor evaluations, 40% performed in‐person visits, 68% by video, and 42% by telephone. Center concerns for donor (82%) and recipient (76%) safety were the leading barriers to LDKT during the pandemic, followed by patients concerns (48%), and government restrictions (46%). European centers reported more barriers related to staff limitations while North and Latin American centers were more concerned with testing capacity and insufficient resources including protective equipment. As LDKT resumes, 96% of the programs intend to screen donor and recipient pairs for coronavirus infection, most of them with polymerase chain reaction testing of nasopharyngeal swab samples. The COVID‐19 pandemic has had broad impact on all aspects of LDKT practice. Ongoing research and consensus‐building are needed to guide safe reopening of LDKT programs.
Databáze: OpenAIRE
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