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Evolving Impact of COVID-19 on Transplant Center Practices and Policies in the United States.
Boyarsky, Brian J; Ruck, Jessica M; Chiang, Teresa Po-Yu; Werbel, William A; Strauss, Alexandra T; Getsin, Samantha N; Jackson, Kyle R; Kernodle, Amber B; Van Pilsum Rasmussen, Sarah E; Baker, Talia B; Al Ammary, Fawaz; Durand, Christine M; Avery, Robin K; Massie, Allan B; Segev, Dorry L; Garonzik-Wang, Jacqueline M.
  • Boyarsky BJ; Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
  • Ruck JM; Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
  • Chiang TP; Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
  • Werbel WA; Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
  • Strauss AT; Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
  • Getsin SN; Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
  • Jackson KR; Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
  • Kernodle AB; Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
  • Van Pilsum Rasmussen SE; Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
  • Baker TB; Department of Surgery, University of Chicago School of Medicine, Chicago, IL, USA.
  • Al Ammary F; Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
  • Durand CM; Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
  • Avery RK; Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
  • Massie AB; Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
  • Segev DL; Department of Epidemiology, Johns Hopkins School of Public Health, Baltimore, MD, USA.
  • Garonzik-Wang JM; Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
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.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Tissue and Organ Procurement / Practice Patterns, Physicians' / Organ Transplantation / Organizational Policy / Telemedicine / COVID-19 / Health Services Accessibility Type of study: Cohort study / Diagnostic study / Experimental Studies / Observational study / Prognostic study Topics: Long Covid Limits: Adult / Humans Country/Region as subject: North America Language: English Journal: Clin Transplant Journal subject: Transplantation Year: 2020 Document Type: Article Affiliation country: Ctr.14086

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Tissue and Organ Procurement / Practice Patterns, Physicians' / Organ Transplantation / Organizational Policy / Telemedicine / COVID-19 / Health Services Accessibility Type of study: Cohort study / Diagnostic study / Experimental Studies / Observational study / Prognostic study Topics: Long Covid Limits: Adult / Humans Country/Region as subject: North America Language: English Journal: Clin Transplant Journal subject: Transplantation Year: 2020 Document Type: Article Affiliation country: Ctr.14086