Journal article
Survey of US Living Kidney Donation and Transplantation Practices in the COVID-19 Era
Kidney international reports, v 5(11), pp 1894-1905
Nov 2020
PMID: 32864513
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
The scope of the impact of the coronavirus disease 2019 (COVID-19) pandemic on living donor kidney transplantation (LDKT) practices is not well defined.
We surveyed US transplant programs to assess practices, strategies, and barriers to living LDKT during the COVID-19 pandemic. After institutional review board approval, the survey was distributed from 9 May 2020 to 30 May 2020 by e-mail and postings to professional society list-servs. Responses were stratified based on state COVID-19 cumulative incidence levels.
Staff at 118 unique centers responded, representing 61% of US living donor recovery programs and 75% of LKDT volume in the prepandemic year. Overall, 66% reported that LDKT surgery was on hold (81% in “high” vs. 49% in “low” COVID-19 cumulative incidence states). A total of 36% reported that evaluation of new donor candidates had paused, 27% reported that evaluations were very much decreased (>0% to <25% typical), and 23% reported that evaluations were moderately decreased (25% to <50% typical). Barriers to LDKT surgery included program concerns for donor (85%) and recipient (75%) safety, patient concerns (56%), elective case restrictions (47%), and hospital administrative restrictions (48%). Programs with higher local COVID-19 cumulative incidence reported more barriers related to staff and resource diversion. Most centers continuing donor evaluations used remote strategies (video, 82%; telephone, 43%). As LDKT resumes, all programs will screen for COVID-19, although timeframe and modalities will vary. Recommendations for presurgical self-quarantine are also variable.
The COVID-19 pandemic has had broad impacts on LDKT practice. Ongoing research and consensus building are needed to reduce barriers, to guide optimal practices, and to support safe restoration of LDKT across centers.
Metrics
Details
- Title
- Survey of US Living Kidney Donation and Transplantation Practices in the COVID-19 Era
- Creators
- Krista L. Lentine - Saint Louis University Center for Abdominal Transplantation, St. Louis, Missouri, USALuke S. Vest - Saint Louis UniversityMark A. Schnitzler - Saint Louis UniversityRoslyn B. Mannon - University of Nebraska at OmahaVineeta Kumar - University of Alabama at BirminghamMona D. Doshi - University of Michigan–Ann ArborMatthew Cooper - Medstar Georgetown Transplant Institute, Washington DC USA.Didier A. Mandelbrot - UW Health University HospitalMeera N. Harhay - Drexel UniversityMichelle A. Josephson - University of ChicagoYasar Caliskan - Saint Louis UniversityAsif Sharfuddin - Indiana University – Purdue University IndianapolisBertram L. Kasiske - Hennepin County Medical CenterDavid A. Axelrod - University of Iowa
- Publication Details
- Kidney international reports, v 5(11), pp 1894-1905
- Publisher
- Elsevier
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Medicine
- Web of Science ID
- WOS:000587774200007
- Scopus ID
- 2-s2.0-85092087514
- Other Identifier
- 991019335228404721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Urology & Nephrology