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. 2021 Apr;23(2):e13526.
doi: 10.1111/tid.13526. Epub 2020 Dec 19.

An International survey on living kidney donation and transplant practices during the COVID-19 pandemic

Paolo R Salvalaggio  1 , Gustavo F Ferreira  2 , Yasar Caliskan  3 , Luke S Vest  3 , Mark A Schnitzler  3 , Taina V de Sandes-Freitas  4 , Lucio R Moura  5 , Ngan N Lam  6 , Rafael A Maldonado  7 , Alexandre Loupy  8 , David A Axelrod  9 , Krista L Lentine  3
Affiliations

An International survey on living kidney donation and transplant practices during the COVID-19 pandemic

Paolo R Salvalaggio et al. Transpl Infect Dis. 2021 Apr.

Abstract

The scope of the impact of the Coronavirus disease 19 (COVID-19) pandemic on living donor kidney transplantation (LDKT) practices across the world is not well-defined. We received survey responses from 204 transplant centers internationally from May to June 2020 regarding the impact of the COVID-19 pandemic on LDKT practices. Respondents represented 16 countries on five continents. Overall, 75% of responding centers reported that LDKT surgery was on hold (from 67% of North American centers to 91% of European centers). The majority (59%) of centers reported that new donor evaluations were stopped (from 46% of North American centers to 86% of European centers), with additional 23% of centers reporting important decrease in evaluations. Only 10% of centers reported slight variations on their evaluations. For the centers that continued donor evaluations, 40% performed in-person visits, 68% by video, and 42% by telephone. Center concerns for donor (82%) and recipient (76%) safety were the leading barriers to LDKT during the pandemic, followed by patients concerns (48%), and government restrictions (46%). European centers reported more barriers related to staff limitations while North and Latin American centers were more concerned with testing capacity and insufficient resources including protective equipment. As LDKT resumes, 96% of the programs intend to screen donor and recipient pairs for coronavirus infection, most of them with polymerase chain reaction testing of nasopharyngeal swab samples. The COVID-19 pandemic has had broad impact on all aspects of LDKT practice. Ongoing research and consensus-building are needed to guide safe reopening of LDKT programs.

Keywords: COVID-19; evaluation; kidney transplantation; living kidney donation; pandemic; practices; telehealth.

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Conflict of interest statement

The authors of this manuscript have no conflicts of interest to disclose as described by Transplantation.

Figures

Figure 1
Figure 1
Volume changes in (A) living donor candidate evaluation and (B) LDKT procedure activity during the pandemic
Figure 2
Figure 2
Barriers to living donor candidate evaluation during the pandemic
Figure 3
Figure 3
Barriers to living donor transplant encountered during the pandemic
Figure 4
Figure 4
Barriers to living donor follow‐up during the pandemic
See this image and copyright information in PMC

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References

    1. Wu Z, McGoogan JM. Characteristics of and important lessons from the coronavirus disease 2019 (COVID‐19) outbreak in China: Summary of a Report of 72314 Cases From the Chinese Center for Disease Control and Prevention. JAMA. 2020;7(323):1239–1242. - PubMed
    1. Zhu N, Zhang D, Wang W, et al. A novel coronavirus from patients with pneumonia in China, 2019. N Engl J Med. 2020;382(8):727‐733. - PMC - PubMed
    1. Huang C, Wang Y, Li X, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan. China. Lancet. 2020;395(10223):497‐506. - PMC - PubMed
    1. Kumar D, Tellier R, Draker R, Levy G, Humar A. Severe Acute Respiratory Syndrome (SARS) in a liver transplant recipient and guidelines for donor SARS screening. Am J Transplant. 2003;3(8):977‐981. - PMC - PubMed
    1. AlGhamdi M, Mushtaq F, Awn N, Shalhoub S. MERS CoV infection in two renal transplant recipients: case report. Am J Transplant. 2015;15(4):1101‐1104. - PMC - PubMed

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