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. 2022 Jan-Mar:5:100051.
doi: 10.1016/j.liver.2021.100051. Epub 2021 Oct 23.

Impact of COVID-19 on 2020 transplant activity and waiting lists in France✰,✰✰

C Legeai  1 , E Savoye  1 , C Cantrelle  1 , C Jasseron  1 , G Santin  1 , G Brousse  2 , M Duman  2 , F Foubert  2 , R Mahmoudi  2 , A Deshayes  2 , C Antoine  1 , F Kerbaul  1
Affiliations

Impact of COVID-19 on 2020 transplant activity and waiting lists in France✰,✰✰

C Legeai et al. J Liver Transpl. 2022 Jan-Mar.

Abstract

The COVID-19 pandemic strongly affected organ procurement and transplantation in France, despite the intense efforts of all participants in this domain. In 2020, the identification and procurement of deceased donors fell by 12% and 21% respectively, compared with the mean of the preceding 2 years. Similarly, the number of new registrations on the national waiting list declined by 12% and the number of transplants by 24%. The 3-month cumulative incidence of death or drop out for worsening condition of patients awaiting a liver transplant was significantly greater in 2020 compared to the previous 2 years. Continuous monitoring at the national level of early post-transplant outcomes showed no deterioration for any organ in 2020. At the end of 2020, less than 1% of transplant candidates and less than 1% of graft recipients - of any organ - had died of COVID-19.

Keywords: COVID-19; Solid organ procurement; Solid organ transplant.

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Figures

Fig. 1
Fig. 1
Number of potential and actual deceased donors each month, by year.
Fig. 2
Fig. 2
Monthly growth rates of new waiting list registrations in 2020 compared with the mean monthly number in 2018 and 2019.
Fig. 3
Fig. 3
Monthly growth rates of new transplants in 2020 compared with the mean monthly number in 2018 and 2019.
Fig. 4
Fig. 4
Continuous surveillance of failures 1 month posttransplant (CUSUM method).
Fig. 5
Fig. 5
Kinetics of SARS-CoV-2 infection of patients awaiting or having received a transplant in 2020.
Fig. 6
Fig. 6
Incidence and severity of COVID-19.
See this image and copyright information in PMC

References

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