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Clin Transplant ; 34(12): e14086, 2020 12.
Article in English | MEDLINE | ID: covidwho-751771

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.


Subject(s)
COVID-19/prevention & control , Health Services Accessibility/trends , Organ Transplantation/trends , Organizational Policy , Practice Patterns, Physicians'/trends , Telemedicine/trends , Tissue and Organ Procurement/trends , Adult , COVID-19/diagnosis , COVID-19/epidemiology , COVID-19/etiology , COVID-19 Testing , Clinical Decision-Making , Follow-Up Studies , Health Care Surveys , Health Services Accessibility/organization & administration , Humans , Incidence , Infection Control/methods , Infection Control/trends , Organ Transplantation/methods , Postoperative Complications/epidemiology , Postoperative Complications/prevention & control , Postoperative Complications/virology , Tissue and Organ Procurement/organization & administration , United States/epidemiology
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