Transplant trends in Mexico during the COVID-19 pandemic: Disparities within healthcare sectors

Servín-Rojas, Maximiliano; Olivas-Martínez, Antonio; Val, Fernando Ramírez Del; Gómez, Armando Torres; Navarro-Vargas, Luis; García‐Juárez, Ignacio

doi:10.1111/ajt.16801

Cited by 14 publications

(15 citation statements)

References 23 publications

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“…10 A Mexican study also found that transplants decreased more in public institutions than in private institutions (89% vs 57%). 11 COVID-19 has also negatively affected transplantation activities in general (public) transplantation centres in India. 12…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the Effect of the COVID-19 Pandemic on the Distribution of Kidney Transplants in the World in 2019 and 2020

Elgin

Sezen

Yıldız

et al. 2022

Turkish Journal of Internal Medicine

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BackgroundThe COVID-19 pandemic caused by SARS-CoV-2 has had adverse effects in every field. One of the affected areas is organ supply and transplantation. This study aimed to evaluate the impact of the pandemic period on the number of kidney transplants in 2019 and 2020 in countries with a population of 40 million and above. Material and MethodsWe evaluated kidney transplants from living and deceased donors reported between 2019 and 2020 from the Global Observatory on Donation and Transplantation (GODT). We obtained the number of kidney transplants in countries with a population of 40 million and over before and after the COVID-19 pandemic. ResultsThe total number of kidney transplants performed in 2019 and 2020 of countries with a population of 40 million or more, which sent data to the GODT database, were respectively:

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Section: Discussionmentioning

confidence: 99%

Evaluation of the Effect of the COVID-19 Pandemic on the Distribution of Kidney Transplants in the World in 2019 and 2020

Elgin

Sezen

Yıldız

et al. 2022

Turkish Journal of Internal Medicine

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“…The reduction in transplants became more prominent for patients with public insurance than private insurance. Another study from Mexico showed an unequal reduction of liver transplantation for public (88% reduction) and private (35% reduction) hospitals during the COVID-19 pandemic[ 82 ].…”

Section: Liver Transplantationmentioning

confidence: 99%

Current status of disparity in liver disease

Sempokuya¹,

Warner²,

Azawi³

et al. 2022

World J Hepatol

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Disparities have emerged as an important issue in many aspects of healthcare in developed countries and may be based on race, ethnicity, sex, geographical location, and socioeconomic status. For liver disease specifically, these potential disparities can affect access to care and outcome in viral hepatitis, chronic liver disease, and hepatocellular carcinoma. Shortages in hepatologists and medical providers versed in liver disease may amplify these disparities by compromising early detection of liver disease, surveillance for hepatocellular carcinoma, and prompt referral to subspecialists and transplant centers. In the United States, continued efforts have been made to address some of these disparities with better education of healthcare providers, use of telehealth to enhance access to specialists, reminders in electronic medical records, and modifying organ allocation systems for liver transplantation. This review will detail the current status of disparities in liver disease and describe current efforts to minimize these disparities.

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“…2,5,6 Aside from increased morbidity and mortality of vulnerable populations caused directly by COVID-19, adverse effects caused by the pandemic permeate into morbidity and mortality in other areas of medicine on these vulnerable populations as well due to disparities in underlying healthcare infrastructure and resource allocation. 7 In addition, many people experienced increased socioeconomic risks during the COVID-19 pandemic, including food insecurity, housing instability, transportation difficulties, and utilities difficulties. 8 Similar to the multifactorial nature of disparities related to COVID-19, multifactorial healthcare disparities in orthopedic care also exist.…”

Section: Introductionmentioning

confidence: 99%

Examining Health Disparities in Orthopedic Care During COVID-19

Pond

Samuels

Meinhardt

et al. 2023

The American Surgeon™

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Background Demographics and socioeconomic status affect the delivery of medical care resulting in healthcare disparities. The purpose of this study was to investigate the impact of COVID-19 on existing healthcare disparities, including access to healthcare in the outpatient orthopedic surgery clinic. Methods The medical records of 3006 patients treated at the University of Kentucky Orthopedic Surgery Department prior to COVID-19 (April 2018, 2019), and during the COVID-19 pandemic (2020) were retrospectively reviewed for demographic data, distance to clinic, and type of visit. We then compared the total number of patient visits, new patient visits, telehealth visits, and the patient’s insurance provider (public or private) between the time period prior to and during the pandemic. Results During the COVID-19 pandemic, there were significant declines in the number of patients seen, new patient presentations, and publicly insured patients. Thirty-three percent of visits were telemedicine visits in 2020 compared to 0% pre-COVID ( P < .0001). There was a lower proportion of initial visits in 2020 ( P < .0001). The majority of patients paid via private/commercial insurance (1798, 59.8%), with a greater proportion paying via private/commercial insurance in 2020 ( P < .001). The median average household income was increased in 2020 ( P < .001). Discussion While COVID-19 resulted in a significant decline in overall access to care, there were negative ramifications particularly on patients with new complaints and those of lower socioeconomic status. Future endeavors should be focused on correcting the obstacles to accessing care, exacerbated by the pandemic, that these vulnerable populations face.

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Transplant trends in Mexico during the COVID-19 pandemic: Disparities within healthcare sectors

Cited by 14 publications

References 23 publications

Evaluation of the Effect of the COVID-19 Pandemic on the Distribution of Kidney Transplants in the World in 2019 and 2020

Evaluation of the Effect of the COVID-19 Pandemic on the Distribution of Kidney Transplants in the World in 2019 and 2020

Current status of disparity in liver disease

Examining Health Disparities in Orthopedic Care During COVID-19

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