The hamletic dilemma of patients waiting for kidney transplantation during the COVID‐19 pandemic: To accept or not to accept (an organ offer)?

Autor: Roberta Angelico, Tommaso Maria Manzia, Giuseppe Vita, Gennaro Pisani, Brunella Maria Pirozzi, Danilo Vinci, Luca Toti, Francesca Romano, Giuseppe Iaria, Giuseppe Tisone, Roberto Cacciola
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Male
Multivariate analysis
Time Factors
medicine.medical_treatment
Psychological intervention
030230 surgery
Organ transplantation
SARS‐CoV‐2
Kidney Failure
Treatment Refusal
0302 clinical medicine
Surveys and Questionnaires
Pandemic
Odds Ratio
Chronic
Kidney transplantation
Middle Aged
COVID-19
SARS-CoV-2
deceased donor
kidney transplantation
Aged
Decision Making
Female
Heart Disease Risk Factors
Humans
Italy
Kidney Failure
Chronic
Logistic Models
Multivariate Analysis
Peritoneal Dialysis
Renal Dialysis
Sex Factors
Attitude to Health
Kidney Transplantation
Waiting Lists
Infectious Diseases
030211 gastroenterology & hepatology
Original Article
medicine.medical_specialty
Coronavirus disease 2019 (COVID-19)
03 medical and health sciences
COVID‐19
Internal medicine
medicine
Dialysis
Transplantation
business.industry
Original Articles
medicine.disease
Settore MED/18
business
Zdroj: Transplant Infectious Disease
ISSN: 1399-3062
1398-2273
DOI: 10.1111/tid.13560
Popis: The outbreak of COVID‐19 led to a reduction in the number of organ transplant interventions in most Countries. In April 2020, at the Tor Vergata University in Rome, Italy, two patients on the waiting list for kidney transplantation (KT) declined a deceased donor's kidney offer. Therefore, between April 20 and 25, 2020, we conducted a telephone survey among our 247 KT waitlist patients. Our aim was to explore: (a) the COVID‐19 diffusion among them and (b) their current willingness to be transplanted in case of a kidney offer from a deceased donor. Two hundred and forty‐three patients participated in a phone interview. One patient had died from COVID‐19. Eighty‐five (35%) KT candidates would decline any kidney offer, in most cases until the end of the COVID‐19 pandemic. Upon a multivariate analysis, female gender (OR = 2.25, 95% CI = 1.26‐4.03, P = .006), high cardiovascular risk (OR = 2.33, 95% CI = 1.06‐5.08, P = .034), a waiting list time
Databáze: OpenAIRE
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