Resuming Deceased Donor Kidney Transplantation in the COVID-19 Era: What Do Patients Want?
| Autor: | Amarpreet K. Thind, MBBS, Hannah Beckwith, MB ChB, Rakesh Dattani, MBBS, Amrita Dhutia, MB ChB, Sarah Gleeson, MB BCh, BAO,, Paul Martin, BM BS,, Louise Ryan, MB BCh, BAO,, Rishana Shuaib, MBBS,, Shuli Svetitsky, MD, Frank J.M.F. Dor, MD, PhD, Edwina A. Brown, DM (Oxon), BM BCh, Michelle Willicombe, MD, MBBS, on behalf of the ICHNT Renal COVID grou |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: | |
| Zdroj: | Transplantation Direct, Vol 7, Iss 4, p e678 (2021) |
| Druh dokumentu: | article |
| ISSN: | 2373-8731 00000000 |
| DOI: | 10.1097/TXD.0000000000001126 |
| Popis: | Background. The rapidly evolving novel coronavirus 2019 (COVID-19) pandemic bought many kidney transplant (KT) programs to a halt. Integral to resuming KT activity is understanding the perspectives of potential transplant candidates during this highly dynamic time. Methods. From June 1 to July 7, 2020, a telephone survey of KT candidates on the deceased donor waiting list at Imperial College Renal and Transplant Centre in West London was conducted. The survey captured ongoing COVID-19 exposure risks and patients’ views on waitlist (WL) reactivation and undergoing transplantation. Results. Two hundred seven responses were received. Of the respondents, 180 patients (87%) were happy to be reactivated onto the WL; with 141 patients (68%) willing to give consent to transplantation currently, while 53 patients (26%) felt unsure, and 13 patients (6%) would decline a KT. The vast majority of patients had no concerns. In the responses from those who were uncertain or who would decline a KT, concerns about COVID-19 infection and the need for reassurance from transplant units dominated. Universally patients wanted more information about COVID-19 infection risk with KT and the precautions being taken to reduce this risk. Conclusions. The majority of surveyed patients are in favor of reactivation and receiving a KT despite the ongoing COVID-19 pandemic. Reactivation of candidates cannot be assumed and should take an individualized approach, incorporating clinical risk with patient perspectives. Improved communication with KT candidates is highly requested. |
| Databáze: | Directory of Open Access Journals |
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