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. 2021 Jul;45(4):101560.
doi: 10.1016/j.clinre.2020.10.005. Epub 2020 Nov 8.

Impact of the first Covid-19 outbreak on liver transplantation activity in France: A snapshot

Affiliations

Impact of the first Covid-19 outbreak on liver transplantation activity in France: A snapshot

Célia Turco et al. Clin Res Hepatol Gastroenterol. 2021 Jul.

Abstract

Background: The global pandemic of Coronavirus Disease 2019 (COVID-19) has potentially affected liver transplantation (LT) programs worldwide. The aim of this study was to determine whether the COVID-19 outbreak affected organ donation and LT activity in France.

Methods: Data on the number of brain-dead donor procurements and adult liver transplantations were compared between two periods (1st January- 31st May 2019 vs. 1st January-31st May 2020).

Main findings: There was a 28% decrease in the number of organ donations in 2020 (543 in 2020vs. 752 organ donations in 2019). A 22% decrease in the number of liver transplantations was also observed: 435 in 2020 vs. 556 LTs in 2019. Overall, the North East area which was the main COVID-19 cluster area, had > 25% decrease of the multiorgan procurement (-33% compared to 2019), and liver transplantation (-26% compared to 2019) activities in 2020 CONCLUSION: This analysis confirmed that during the COVID-19 outbreak there was a significant decrease in the number of organ donations and liver transplantations performed in France.

Keywords: coronavirus; liver procurement; liver transplantation.

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Conflict of interest statement

None.

Figures

Figure 1
Figure 1
2020 COVID-19 pandemic in France (black) and the 16 adult liver transplantation centers (yellow).
Figure 2
Figure 2
Time variations of the organ procurement (A) and liver transplantation (B) activities.
Figure 3
Figure 3
Regional variations of the organ procurement activity. Variations shown in regard to: (A) the percentage of decrease in organ procurement, (B) the number of organ procurement.
Figure 4
Figure 4
Regional and center variations of the liver transplantation program activity. Variations shown in regard to: (A) the percentage of decrease in liver transplantations at a regional level, (B) the number of liver transplantations at a regional level, (C) the percentage of decrease in number of liver transplantations at a center level, (D) the number of liver transplantations at a center level.

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