Follow-up and Management of Kidney Transplant Recipients During the COVID-19 Lockdown: The Experience of an Italian Transplant Center, Including Two Cases of COVID-19 Pneumonia

Binda, Barbara; Picchi, Giovanna; Carucci, Anna Cecilia; Sinatti, Gaia; Norcia, Monica Di; Grimaldi, Alessandro; Lancione, Laura; Natili, Andrea; Chiappori, Davide; Montali, Filippo; Lupi, Diana; Martinez, Viviana; Panarese, Alessandra; D’Anselmi, Fabrizio; Pisani, Francesco

doi:10.1016/j.transproceed.2020.06.026

Cited by 7 publications

(6 citation statements)

References 16 publications

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“…Overall, there were 4/13 studies that reported high medical adherence rate (>70%), 50–52,61 6/13 studies reported excellent or high satisfaction rates from both patients and physicians, 53–56,60,62 and 2/13 studies highlighted the ability to obtain accurate BP, weight, and other measurements (77.45%) 57,63 . With most consultation appointments able to be conducted virtually, only a handful of patients needed in‐person follow‐up visitations, specifically 33/197 patients (two studies) 58,59 …”

Section: Resultsmentioning

confidence: 99%

“…A detailed explanation of the inclusion/exclusion process can be found in Figure 17 (PRISMA fig). A total of 12 studies [50][51][52][53][54][55][56][57][58][59][60][61] were conducted in the adult population, and 1 study focused on children 62 with a total of 2216 telehealth consultations. As there were a limited number of studies with consistent outcomes measures of telehealth, pooled analysis could not be performed.…”

Section: Telehealth In Solid Organ Transplant Recipient Resultsmentioning

confidence: 99%

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The effects of COVID‐19 on pediatric and adult solid organ transplant recipients and the emergence of telehealth

Raina

Shah

Marks

et al. 2023

Pediatric Transplantation

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Background The SARS‐CoV‐2 pandemic and corresponding acute respiratory syndrome have affected all populations and led to millions of deaths worldwide. The pandemic disproportionately affected immunocompromised and immunosuppressed adult patients who had received solid organ transplants (SOTs). With the onset of the pandemic, transplant societies across the world recommended reducing SOT activities to avoid exposing immunosuppressed recipients. Due to the risk of COVID‐19‐related outcomes, SOT providers adapted the way they deliver care to their patients, leading to a reliance on telehealth. Telehealth has helped organ transplant programs continue treatment regimens while protecting patients and physicians from COVID‐19 transmission. This review highlights the adverse effects of COVID‐19 on transplant activities and summarizes the increased role of telehealth in the management of solid organ transplant recipients (SOTRs) in both pediatric and adult populations. Methods A comprehensive systematic review and meta‐analysis were conducted to accentuate the outcomes of COVID‐19 and analyze the efficacy of telehealth on transplant activities. This in‐depth examination summarizes extensive data on the clinical detriments of COVID‐19 in transplant recipients, advantages, disadvantages, patient/physician perspectives, and effectiveness in transplant treatment plans via telehealth. Results COVID‐19 has caused an increase in mortality, morbidity, hospitalization, and ICU admission in SOTRs. Telehealth efficacy and benefits to both patients and physicians have increasingly been reported. Conclusions Developing effective systems of telehealth delivery has become a top priority for healthcare providers during the COVID‐19 pandemic. Further research is necessary to validate the effectiveness of telehealth in other settings.

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Section: Resultsmentioning

confidence: 99%

Section: Telehealth In Solid Organ Transplant Recipient Resultsmentioning

confidence: 99%

The effects of COVID‐19 on pediatric and adult solid organ transplant recipients and the emergence of telehealth

Raina

Shah

Marks

et al. 2023

Pediatric Transplantation

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“…Perceived benefits in terms of time and cost savings have also been reported [ 2 , 12 , 15 ]. The available reports on remotemonitoring of kidney transplant recipients during the COVID-19 pandemic have consistently shown that telemedicine-based follow-up, regardless of the technological set-up that was used, ensured prompt interventions, continuity of care, and safe management of patients [ 3 , 4 ].…”

Section: The Video Visit Model: Discussion and Conclusionmentioning

confidence: 99%

“…Routine follow-up has become more difficult due to the allocation of resources to the COVID-19 emergency. In addition, the discontinuation of in-person routine medical services for safety reasons and elevated risks for transplant recipients attending medical clinics has further complicated this process [ 3 , 4 ]. Furthermore, it is common “real life” experience that, besides onsite visits, more and more patients need to have additional contacts with the physicians and nurses of the transplant team: these patient-promoted contacts occur through phone calls, faxes, emails and phone text/voice messages, tools that often may be inappropriate for the complexity of certain health issues and/or have drawbacks in terms of privacy regulations.…”

Section: Introductionmentioning

confidence: 99%

Telemedicine monitoring in the follow-up of kidney transplant recipients: consensus indications from an Italian panel of surgeons and nephrologists after the COVID-19 experience

et al. 2022

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The quality of follow-up has clearly emerged as a key factor for long-term kidney graft survival. Currently, many clinics are facing difficulties in delivering optimal surveillance because of the increased number and complexity of kidney transplant recipients, and because of the COVID-19 pandemic. Additional ways of performing follow-up visits are needed and telemedicine has emerged as a tool to strengthen patient care intensity. Six Italian transplant surgeons and nephrologists convened via teleconference to develop a consensual model of video visits for the follow-up of kidney transplant recipients. Issues discussed were: profile of eligible patients; assessments that can be carried out; video visit organization and medical professionals involved; supporting tools and implementation. The video visit was consensually recognized as the most relevant for the follow-up of kidney transplant recipients. Eligible patients should have basic electronic devices and the skills to correctly use them and be in clinically stable condition. With the exception of physical and instrumental examination, and kidney biopsy, all other assessments are feasible during a video visit and can be implemented by specific training and use of supporting tools. The video visit model is simple and adaptable to most transplant patients. It is not intended to replace face-to-face examinations, but is an additional tool for improving the intensity of follow-up of kidney transplant recipients, which can be integrated into current monitoring protocols. Graphical abstract

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“…Clinical roadmaps for transplant patients during the COVID-19 pandemic are described in this issue: Management of personnel as described by Thiessen et al [ 3 ]; identification of potential recipients by Virmani et al [ 4 ]; alterations of patterns of patient care as described by Binda et al [ 5 ]; Niriella et al [ 6 ], and Monaco et al [ 7 ]; including detection of allograft injury by Garg et al [ 8 ]. Quite reassuring has been the physical and psychological resilience of transplant recipients, reported by Zgoura et al [ 9 ] and Lupi et al [ 10 ].…”

Section: Treatment Outcomesmentioning

confidence: 99%

COVID-19 Minisymposium: Toward a Strategic Roadmap

Kahan¹

2020

Transplantation Proceedings

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Follow-up and Management of Kidney Transplant Recipients During the COVID-19 Lockdown: The Experience of an Italian Transplant Center, Including Two Cases of COVID-19 Pneumonia

Cited by 7 publications

References 16 publications

The effects of COVID‐19 on pediatric and adult solid organ transplant recipients and the emergence of telehealth

The effects of COVID‐19 on pediatric and adult solid organ transplant recipients and the emergence of telehealth

Telemedicine monitoring in the follow-up of kidney transplant recipients: consensus indications from an Italian panel of surgeons and nephrologists after the COVID-19 experience

COVID-19 Minisymposium: Toward a Strategic Roadmap

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