Survey of U.S. Living Kidney Donation and Transplant Practices in the COVID-19 Era
| Autor: | Didier A. Mandelbrot, Meera N. Harhay, Michelle A. Josephson, Asif Sharfuddin, Mark A. Schnitzler, Krista L. Lentine, Roslyn B. Mannon, Bertram L. Kasiske, Vineeta Kumar, Luke S. Vest, Matthew Cooper, David A. Axelrod, Mona D. Doshi, Yasar Caliskan |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
KPD
kidney paired donation medicine.medical_specialty IRB Institutional Review Board Coronavirus disease 2019 (COVID-19) 030232 urology & nephrology Telehealth 030204 cardiovascular system & hematology DDKT deceased donor kidney transplantation LDKT living donor kidney transplantation Article 03 medical and health sciences 0302 clinical medicine PCR polymerase chain reaction Pandemic medicine Cumulative incidence CMS Centers for Medicare and Medicaid Services OPTN Organ Procurement and Transplantation Network Evaluation Kidney transplantation UNOS United Network for Organ Sharing Scientific Registry of Transplant Recipients (SRTR) business.industry Living Kidney Donation Follow-up Kidney donation COVID-19 AST American Society of Transplantation medicine.disease Kidney Transplantation Transplantation ASTS American Society of Transplant Surgeons Nephrology Family medicine COVID-19 Coronavirus Disease 2019 Screening Professional association business PPE personal protective equipment COP Community of Practice |
| Zdroj: | Kidney International Reports |
| ISSN: | 2468-0249 |
| Popis: | The scope of the impact of the coronavirus disease 2019 (COVID-19) pandemic on living donor kidney transplantation (LDKT) practices is not well defined.We surveyed US transplant programs to assess practices, strategies, and barriers to living LDKT during the COVID-19 pandemic. After institutional review board approval, the survey was distributed from 9 May 2020 to 30 May 2020 by e-mail and postings to professional society list-servs. Responses were stratified based on state COVID-19 cumulative incidence levels.Staff at 118 unique centers responded, representing 61% of US living donor recovery programs and 75% of LKDT volume in the prepandemic year. Overall, 66% reported that LDKT surgery was on hold (81% in "high" vs. 49% in "low" COVID-19 cumulative incidence states). A total of 36% reported that evaluation of new donor candidates had paused, 27% reported that evaluations were very much decreased (0% to 25% typical), and 23% reported that evaluations were moderately decreased (25% to 50% typical). Barriers to LDKT surgery included program concerns for donor (85%) and recipient (75%) safety, patient concerns (56%), elective case restrictions (47%), and hospital administrative restrictions (48%). Programs with higher local COVID-19 cumulative incidence reported more barriers related to staff and resource diversion. Most centers continuing donor evaluations used remote strategies (video, 82%; telephone, 43%). As LDKT resumes, all programs will screen for COVID-19, although timeframe and modalities will vary. Recommendations for presurgical self-quarantine are also variable.The COVID-19 pandemic has had broad impacts on LDKT practice. Ongoing research and consensus building are needed to reduce barriers, to guide optimal practices, and to support safe restoration of LDKT across centers. |
| Databáze: | OpenAIRE |
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