COVID-19
Conditions
Keywords
organ, procurement, transplantation, pandemic
Brief summary
End-stage organ failure is estimated to affect more than 4 to 6 million persons worldwide. In 2018, transplant systems across the globe enabled around 150,000 patients to benefit from a kidney, heart, lung, liver, or other solid organ, a number that was far less than the demand. According to data from the World Health Organization, more than 1,500,000 persons live with a transplanted organ worldwide. In the US, approximately 40,000 patients receive an organ transplant every year, but 120,000 still remain waitlisted for transplantation today, with 7,600 dying annually while waiting for an organ transplant. A similar lack of organs and high death rates on the waiting list affect patients in Europe and many other countries. As nations adjust to new realities driven by the coronavirus (COVID-19) outbreak, many health care providers, institutions and patients are concerned about the potential impact that COVID-19 will have on organ donation and transplantation. One concern is that transplant recipients may have a greater susceptibility to infection and greater viral burden. A second concern is that hospitals will lack the resources in terms of staff and equipment to care for recipients after transplantation, who often require intensive care and multispecialty management. Because of the overwhelming healthcare system burden, a dramatic negative effect on worldwide organ donation and transplantation is anticipated, but has not been measured. Our objective was to quantify the worldwide impact of COVID-19 pandemic on organ donation and transplantation and consequences for waitlisted patients.
Interventions
None listed
Sponsors
Agence de La Biomédecine
Eurotransplant
United Network for Organ Sharing
Deutsche Stiftung Organtransplantation
Centro Nazionale Trapianti
Brazilian Organ Transplant Association
The Canadian Association of Transplantation
Scandiatransplant
Nederlandse Transplantatie Vereniging
Austrotransplant
Centro Nacional de Trasplantes
Instituto Nacional de Donación y Trasplante de Células, Tejidos y Órganos
Donor Network of Croatia
Instituto Nacional Central Único Coordinador de Ablación e Implante
Corporación Nacional de Trasplantes de Chile
Australian Organ and Tissue Donation and Transplantation Authority
Organización Nacional de Trasplantes
Autoridade Para Services de Sangue e Transplantacáo
Paris Translational Research Center for Organ Transplantation
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* All organs procured for transplantation and transplanted during the observation period. These include kidney, lung, liver, heart, and combined transplantations.
Exclusion criteria
* None
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Organ transplantation activity during COVID-19 pandemic | Two years since COVID-19 outbreak. | Overall deceased donor transplantation performed during the COVID-19 pandemic. Stratified analysis by deceased donor type (Kidney, lung, Liver, heart), and combined transplantations during the COVID-19 pandemic. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Further analysis on organ transplantation with stratification | Two years since COVID-19 outbreak. | Geographic disparities related to organ transplantation rates and association with COVID-19 clusters Living donor transplantation performed during the COVID-19 pandemic. Quality of transplanted organs (kidney) before and after the COVID-19 pandemic. Change in relationship between living donors and their recipients before and after the COVID-19 pandemic. |
Countries
France
Contacts
Primary ContactAlexandre Loupy
Outcome results
None listed