COVID-19 OUTBREAK AND SOLID ORGAN TRANSPLANTATION
Conditions
Keywords
COVID-19, Solid Organ Transplantation
Brief summary
Background COVID-19 has brought into questioning the equitable distribution of resources. Solid Organ Transplants (SOT) are life-saving procedures. Rapid changes in the management of patients are occurring, with potential for inequity. Drawing on professionals across transplant specialities, we investigated resource distribution specifically for SOT to guide healthcare policies. A multidisciplinary team developed a survey. The survey included demographic questions to contextualise respondents, questions on resource allocation for SOT. Multiple strategies were used to distribute the survey internationally. Descriptive, uni-multivariate ordinal regressions analysis were performed. Open comments were analysed using qualitative methods.
Interventions
OTHERSurvey Group
The survey sought to elucidate equity principles that are influencing transplant decision making. The group of respondents included solid organ transplant doctors (surgeons, referring doctors, transplant physicians, transplant coordinators, ICU transplant doctors), COVID-doctors (ICU doctors, Infectious Disease Doctors, Pulmonologists, Internists), and Ethicists with experience of transplant related issues. Respondent identification: A. The e-mail addresses of corresponding authors from Scopus January 1, 2017 and march 20, 2020: All (surgery) AND subj (medi) and key (transplantation), All (critical care) AND subj (medi) and key (transplantation), All (ethics) AND subj (medi) and key (transplantation). B. Emailing through the mailing list of scientific societies. C. The link to the survey published online. D. The link to the survey circulated through personal contacts and via social media sites.
Sponsors
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
Study design
Observational model
OTHER
Time perspective
PROSPECTIVE
Eligibility
Inclusion criteria
* transplant surgeons, referring doctors, transplant physicians, transplant coordinators, transplant ICU doctors, COVID-19 ICU, Infectious Disease Doctors, Pulmonologists, Internist, and Ethicists
Exclusion criteria
* not applicable
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Management of Solid Organ Transplant during COVID-19 pandemic | 20/04/2020 | Question 1Given the COVID-19 outbreak, should liver transplant activities be stopped? with three possible answers (Completely, Selectively and Not at All) |
| Equity of resource distribution | 20/04/2020 | Question 2I feel that the current policy to allocate most resources to COVID-19 meets the equity of access in healthcare for different diseases with four possible alternative answers (strongly agree, partially agree, partially disagree and strongly disagree). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Equity rank of resource distribution | 20/04/2020 | Scale (10 strongly agree- 0 strongly disagree). |
Countries
Italy
Outcome results
None listed