Coronavirus disease 2019 and transplantation: A view from the inside

Gori, Andrea; Dondossola, Daniele; Antonelli, Barbara; Mangioni, Davide; Alagna, Laura; Reggiani, P.; Bandera, Alessandra; Rossi, Giorgio

doi:10.1111/ajt.15853

Cited by 74 publications

(66 citation statements)

References 4 publications

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“…In planning the reorganization of transplant programmes during the pandemic, a phased approach scaled to the current severity of the pandemic has been suggested. Accordingly, most centres have initially stopped elective living donor programmes while maintaining other transplant services. The scenario of submitting a healthy donor to a major surgical procedure concomitant with the risk of being infected with COVID‐19 must be considered and calls for caution, even if cases of successful recovery exist.…”

Section: Surgical Services During Pandemic Phasementioning

confidence: 99%

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Immediate and long-term impact of the COVID-19 pandemic on delivery of surgical services

Søreide

Hallet

Matthews

et al. 2020

British Journal of Surgery

598

564

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Background: The ongoing pandemic is having a collateral health effect on delivery of surgical care to millions of patients. Very little is known about pandemic management and effects on other services, including delivery of surgery. Methods: This was a scoping review of all available literature pertaining to COVID-19 and surgery, using electronic databases, society websites, webinars and preprint repositories. Results: Several perioperative guidelines have been issued within a short time. Many suggestions are contradictory and based on anecdotal data at best. As regions with the highest volume of operations per capita are being hit, an unprecedented number of operations are being cancelled or deferred. No major stakeholder seems to have considered how a pandemic deprives patients with a surgical condition of resources, with patients disproportionally affected owing to the nature of treatment (use of anaesthesia, operating rooms, protective equipment, physical invasion and need for perioperative care). No recommendations exist regarding how to reopen surgical delivery. The postpandemic evaluation and future planning should involve surgical services as an essential part to maintain appropriate surgical care for the population during an outbreak. Surgical delivery, owing to its cross-cutting nature and synergistic effects on health systems at large, needs to be built into the WHO agenda for national health planning. Conclusion: Patients are being deprived of surgical access, with uncertain loss of function and risk of adverse prognosis as a collateral effect of the pandemic. Surgical services need a contingency plan for maintaining surgical care in an ongoing or postpandemic phase.

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Section: Surgical Services During Pandemic Phasementioning

confidence: 99%

“…Furthermore, the competition for scarce resources related to hospital and ICU beds and blood transfusions mandates strict prioritization. As the overall strain of the pandemic intensifies, this might dynamically change organ allocation and prioritization policies.…”

Section: Surgical Services During Pandemic Phasementioning

confidence: 99%

Immediate and long-term impact of the COVID-19 pandemic on delivery of surgical services

Søreide

Hallet

Matthews

et al. 2020

British Journal of Surgery

598

564

View full text Add to dashboard Cite

show abstract

“…Michaels and colleagues recently described possible risks associated with transplant in COVID-19 positive recipients [37]. In Italy, where the COVID-19 outbreak is rapidly spreading, the Italian Transplant Authority recommended nasopharyngeal swab or bronchoalveolar lavage to identify COVID-19 before donation, with consequent exclusion of positive donors [38].…”

Section: Covid-19 and Pre-existing Liver Diseasementioning

confidence: 99%

Hepatic and gastrointestinal involvement in coronavirus disease 2019 (COVID-19): What do we know till now?

Musa

2020

Arab Journal of Gastroenterology

149

182

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“…In some countries such as in Italy, where the health care system is being challenged in an unprecedented manner, the concept of distributive justice and allocation of resources during the COVID-19 pandemic must be taken into consideration when deciding whether or not to proceed with cardiothoracic transplantation at this time. 12 Outbreaks overburden the capacity of the health care system, which can lead to worse outcomes, and performing an elective operation in such a situation, particularly a procedure that is resource-and cost-intensive, has to be balanced against the collateral damages that would nevertheless ensue in this situation.…”

mentioning

confidence: 99%

Dilemma of organ donation in transplantation and the COVID-19 pandemic

Mehra

2020

The Journal of Heart and Lung Transplantation

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Coronavirus disease 2019 and transplantation: A view from the inside

Cited by 74 publications

References 4 publications

Immediate and long-term impact of the COVID-19 pandemic on delivery of surgical services

Immediate and long-term impact of the COVID-19 pandemic on delivery of surgical services

Hepatic and gastrointestinal involvement in coronavirus disease 2019 (COVID-19): What do we know till now?

Dilemma of organ donation in transplantation and the COVID-19 pandemic

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