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Evolving Impact of COVID‐19 on Transplant Center Practices and Policies in the United States
- Source :
- Clinical Transplantation
- Publication Year :
- 2020
- Publisher :
- Wiley, 2020.
-
Abstract
- In our first survey of transplant centers in March 2020, >75% of kidney and liver programs were either suspended or operating under restrictions. To safely resume transplantation, we must understand the evolving impact of COVID-19 on transplant recipients and center-level practices. We therefore conducted a six-week follow-up survey May 7-15, 2020, and linked responses to the COVID-19 incidence map, with a response rate of 84%. Suspension of live donor transplantation decreased from 72% in March to 30% in May for kidneys and from 68% to 52% for livers. Restrictions/suspension of deceased donor transplantation decreased from 84% to 58% for kidneys and from 73% to 42% for livers. Resuming transplantation at normal capacity was envisioned by 83% of programs by August 2020. Exclusively using local recovery teams for deceased donor procurement was reported by 28%. Respondents reported caring for a total of 1166 COVID-19-positive transplant recipients; 25% were critically ill. Telemedicine challenges were reported by 81%. There was a lack of consensus regarding management of potential living donors or candidates with SARS-CoV-2. Our findings demonstrate persistent heterogeneity in center-level response to COVID-19 even as transplant activity resumes, making ongoing national data collection and real-time analysis critical to inform best practices.
- Subjects :
- Adult
medicine.medical_specialty
Tissue and Organ Procurement
Coronavirus disease 2019 (COVID-19)
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
Clinical Decision-Making
030230 surgery
Health Services Accessibility
03 medical and health sciences
COVID-19 Testing
Postoperative Complications
0302 clinical medicine
Epidemiology
Humans
Medicine
Practice Patterns, Physicians'
Response rate (survey)
Infection Control
Transplantation
business.industry
Critically ill
Incidence
Incidence (epidemiology)
COVID-19
Organ Transplantation
Organizational Policy
Telemedicine
United States
Deceased donor transplantation
Health Care Surveys
Emergency medicine
030211 gastroenterology & hepatology
business
Follow-Up Studies
Subjects
Details
- ISSN :
- 13990012 and 09020063
- Volume :
- 34
- Database :
- OpenAIRE
- Journal :
- Clinical Transplantation
- Accession number :
- edsair.doi.dedup.....d804cef70a676de3bdb1e54820c52987