Early impact of COVID-19 on transplant center practices and policies in the United States.
Identifieur interne : 001379 ( Main/Exploration ); précédent : 001378; suivant : 001380Early impact of COVID-19 on transplant center practices and policies in the United States.
Auteurs : Brian J. Boyarsky [États-Unis] ; Teresa Po-Yu Chiang [États-Unis] ; William A. Werbel [États-Unis] ; Christine M. Durand [États-Unis] ; Robin K. Avery [États-Unis] ; Samantha N. Getsin [États-Unis] ; Kyle R. Jackson [États-Unis] ; Amber B. Kernodle [États-Unis] ; Sarah E. Van Pilsum Rasmussen [États-Unis] ; Allan B. Massie [États-Unis] ; Dorry L. Segev [États-Unis] ; Jacqueline M. Garonzik-Wang [États-Unis]Source :
- American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons [ 1600-6143 ] ; 2020.
Descripteurs français
- KwdFr :
- AMP (analogues et dérivés), AMP (usage thérapeutique), Alanine (analogues et dérivés), Alanine (usage thérapeutique), Allocation des ressources (MeSH), Anticorps monoclonaux humanisés (usage thérapeutique), Betacoronavirus (MeSH), Donneur vivant (MeSH), Donneurs de tissus (MeSH), Défaillance rénale chronique (chirurgie), Défaillance rénale chronique (complications), Enquêtes et questionnaires (MeSH), Humains (MeSH), Hydroxychloroquine (usage thérapeutique), Incidence (MeSH), Infections à coronavirus (diagnostic), Infections à coronavirus (prévention et contrôle), Infections à coronavirus (traitement médicamenteux), Infections à coronavirus (transmission), Maladie grave (MeSH), Médecine factuelle (MeSH), Pandémies (prévention et contrôle), Pneumopathie virale (prévention et contrôle), Pneumopathie virale (transmission), Politique de santé (MeSH), Receveurs de transplantation (MeSH), Techniques de laboratoire clinique (statistiques et données numériques), Transplantation d'organe (législation et jurisprudence), Transplantation d'organe (statistiques et données numériques), Transplantation d'organe (tendances), Transplantation hépatique (statistiques et données numériques), Transplantation hépatique (tendances), Transplantation rénale (statistiques et données numériques), Transplantation rénale (tendances), États-Unis (MeSH).
- MESH :
- analogues et dérivés : AMP, Alanine.
- chirurgie : Défaillance rénale chronique.
- diagnostic : Infections à coronavirus.
- législation et jurisprudence : Transplantation d'organe.
- prévention et contrôle : Infections à coronavirus, Pandémies, Pneumopathie virale.
- statistiques et données numériques : Techniques de laboratoire clinique, Transplantation d'organe, Transplantation hépatique, Transplantation rénale.
- tendances : Transplantation d'organe, Transplantation hépatique, Transplantation rénale.
- traitement médicamenteux : Infections à coronavirus.
- usage thérapeutique : AMP, Alanine, Anticorps monoclonaux humanisés, Défaillance rénale chronique, Hydroxychloroquine, Infections à coronavirus, Pneumopathie virale.
- Allocation des ressources, Betacoronavirus, Donneur vivant, Donneurs de tissus, Enquêtes et questionnaires, Humains, Incidence, Maladie grave, Médecine factuelle, Politique de santé, Receveurs de transplantation, États-Unis.
- Wicri :
- geographic : États-Unis.
English descriptors
- KwdEn :
- Adenosine Monophosphate (analogs & derivatives), Adenosine Monophosphate (therapeutic use), Alanine (analogs & derivatives), Alanine (therapeutic use), Antibodies, Monoclonal, Humanized (therapeutic use), Betacoronavirus (MeSH), COVID-19 (MeSH), COVID-19 Testing (MeSH), Clinical Laboratory Techniques (statistics & numerical data), Coronavirus Infections (diagnosis), Coronavirus Infections (drug therapy), Coronavirus Infections (prevention & control), Coronavirus Infections (transmission), Critical Illness (MeSH), Evidence-Based Medicine (MeSH), Health Policy (MeSH), Humans (MeSH), Hydroxychloroquine (therapeutic use), Incidence (MeSH), Kidney Failure, Chronic (complications), Kidney Failure, Chronic (surgery), Kidney Transplantation (statistics & numerical data), Kidney Transplantation (trends), Liver Transplantation (statistics & numerical data), Liver Transplantation (trends), Living Donors (MeSH), Organ Transplantation (legislation & jurisprudence), Organ Transplantation (statistics & numerical data), Organ Transplantation (trends), Pandemics (prevention & control), Pneumonia, Viral (prevention & control), Pneumonia, Viral (transmission), Resource Allocation (MeSH), SARS-CoV-2 (MeSH), Surveys and Questionnaires (MeSH), Tissue Donors (MeSH), Transplant Recipients (MeSH), United States (MeSH).
- MESH :
- chemical , analogs & derivatives : Adenosine Monophosphate, Alanine.
- chemical , therapeutic use : Adenosine Monophosphate, Alanine, Antibodies, Monoclonal, Humanized, Hydroxychloroquine.
- geographic : United States.
- complications : Kidney Failure, Chronic.
- diagnosis : Coronavirus Infections.
- drug therapy : Coronavirus Infections.
- legislation & jurisprudence : Organ Transplantation.
- prevention & control : Coronavirus Infections, Pandemics, Pneumonia, Viral.
- statistics & numerical data : Clinical Laboratory Techniques, Kidney Transplantation, Liver Transplantation, Organ Transplantation.
- surgery : Kidney Failure, Chronic.
- transmission : Coronavirus Infections, Pneumonia, Viral.
- trends : Kidney Transplantation, Liver Transplantation, Organ Transplantation.
- Betacoronavirus, COVID-19, COVID-19 Testing, Critical Illness, Evidence-Based Medicine, Health Policy, Humans, Incidence, Living Donors, Resource Allocation, SARS-CoV-2, Surveys and Questionnaires, Tissue Donors, Transplant Recipients.
Abstract
COVID-19 is a novel, rapidly changing pandemic: consequently, evidence-based recommendations in solid organ transplantation (SOT) remain challenging and unclear. To understand the impact on transplant activity across the United States, and center-level variation in testing, clinical practice, and policies, we conducted a national survey between March 24, 2020 and March 31, 2020 and linked responses to the COVID-19 incidence map. Response rate was a very high 79.3%, reflecting a strong national priority to better understand COVID-19. Complete suspension of live donor kidney transplantation was reported by 71.8% and live donor liver by 67.7%. While complete suspension of deceased donor transplantation was less frequent, some restrictions to deceased donor kidney transplantation were reported by 84.0% and deceased donor liver by 73.3%; more stringent restrictions were associated with higher regional incidence of COVID-19. Shortage of COVID-19 tests was reported by 42.5%. Respondents reported a total of 148 COVID-19 recipients from <1 to >10 years posttransplant: 69.6% were kidney recipients, and 25.0% were critically ill. Hydroxychloroquine (HCQ) was used by 78.1% of respondents; azithromycin by 46.9%; tocilizumab by 31.3%, and remdesivir by 25.0%. There is wide heterogeneity in center-level response across the United States; ongoing national data collection, expert discussion, and clinical studies are critical to informing evidence-based practices.
DOI: 10.1111/ajt.15915
PubMed: 32282982
PubMed Central: PMC7262146
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Boyarsky</name><affiliation wicri:level="2"><nlm:affiliation>Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland</wicri:regionArea><placeName><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="Po Yu Chiang, Teresa" sort="Po Yu Chiang, Teresa" uniqKey="Po Yu Chiang T" first="Teresa" last="Po-Yu Chiang">Teresa Po-Yu Chiang</name><affiliation wicri:level="2"><nlm:affiliation>Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland</wicri:regionArea><placeName><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="Werbel, William A" sort="Werbel, William A" uniqKey="Werbel W" first="William A" last="Werbel">William A. Werbel</name><affiliation wicri:level="2"><nlm:affiliation>Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland</wicri:regionArea><placeName><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="Durand, Christine M" sort="Durand, Christine M" uniqKey="Durand C" first="Christine M" last="Durand">Christine M. Durand</name><affiliation wicri:level="2"><nlm:affiliation>Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland</wicri:regionArea><placeName><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="Avery, Robin K" sort="Avery, Robin K" uniqKey="Avery R" first="Robin K" last="Avery">Robin K. Avery</name><affiliation wicri:level="2"><nlm:affiliation>Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland</wicri:regionArea><placeName><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="Getsin, Samantha N" sort="Getsin, Samantha N" uniqKey="Getsin S" first="Samantha N" last="Getsin">Samantha N. Getsin</name><affiliation wicri:level="2"><nlm:affiliation>Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland</wicri:regionArea><placeName><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="Jackson, Kyle R" sort="Jackson, Kyle R" uniqKey="Jackson K" first="Kyle R" last="Jackson">Kyle R. Jackson</name><affiliation wicri:level="2"><nlm:affiliation>Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland</wicri:regionArea><placeName><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="Kernodle, Amber B" sort="Kernodle, Amber B" uniqKey="Kernodle A" first="Amber B" last="Kernodle">Amber B. Kernodle</name><affiliation wicri:level="2"><nlm:affiliation>Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland</wicri:regionArea><placeName><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="Van Pilsum Rasmussen, Sarah E" sort="Van Pilsum Rasmussen, Sarah E" uniqKey="Van Pilsum Rasmussen S" first="Sarah E" last="Van Pilsum Rasmussen">Sarah E. Van Pilsum Rasmussen</name><affiliation wicri:level="2"><nlm:affiliation>Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland</wicri:regionArea><placeName><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="Massie, Allan B" sort="Massie, Allan B" uniqKey="Massie A" first="Allan B" last="Massie">Allan B. 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Segev</name><affiliation wicri:level="2"><nlm:affiliation>Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland</wicri:regionArea><placeName><region type="state">Maryland</region></placeName></affiliation><affiliation wicri:level="2"><nlm:affiliation>Department of Epidemiology, Johns Hopkins School of Public Health, Baltimore, Maryland, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Epidemiology, Johns Hopkins School of Public Health, Baltimore, Maryland</wicri:regionArea><placeName><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="Garonzik Wang, Jacqueline M" sort="Garonzik Wang, Jacqueline M" uniqKey="Garonzik Wang J" first="Jacqueline M" last="Garonzik-Wang">Jacqueline M. Garonzik-Wang</name><affiliation wicri:level="2"><nlm:affiliation>Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland</wicri:regionArea><placeName><region type="state">Maryland</region></placeName></affiliation></author></analytic><series><title level="j">American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons</title><idno type="eISSN">1600-6143</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adenosine Monophosphate (analogs & derivatives)</term><term>Adenosine Monophosphate (therapeutic use)</term><term>Alanine (analogs & derivatives)</term><term>Alanine (therapeutic use)</term><term>Antibodies, Monoclonal, Humanized (therapeutic use)</term><term>Betacoronavirus (MeSH)</term><term>COVID-19 (MeSH)</term><term>COVID-19 Testing (MeSH)</term><term>Clinical Laboratory Techniques (statistics & numerical data)</term><term>Coronavirus Infections (diagnosis)</term><term>Coronavirus Infections (drug therapy)</term><term>Coronavirus Infections (prevention & control)</term><term>Coronavirus Infections (transmission)</term><term>Critical Illness (MeSH)</term><term>Evidence-Based Medicine (MeSH)</term><term>Health Policy (MeSH)</term><term>Humans (MeSH)</term><term>Hydroxychloroquine (therapeutic use)</term><term>Incidence (MeSH)</term><term>Kidney Failure, Chronic (complications)</term><term>Kidney Failure, Chronic (surgery)</term><term>Kidney Transplantation (statistics & numerical data)</term><term>Kidney Transplantation (trends)</term><term>Liver Transplantation (statistics & numerical data)</term><term>Liver Transplantation (trends)</term><term>Living Donors (MeSH)</term><term>Organ Transplantation (legislation & jurisprudence)</term><term>Organ Transplantation (statistics & numerical data)</term><term>Organ Transplantation (trends)</term><term>Pandemics (prevention & control)</term><term>Pneumonia, Viral (prevention & control)</term><term>Pneumonia, Viral (transmission)</term><term>Resource Allocation (MeSH)</term><term>SARS-CoV-2 (MeSH)</term><term>Surveys and Questionnaires (MeSH)</term><term>Tissue Donors (MeSH)</term><term>Transplant Recipients (MeSH)</term><term>United States (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>AMP (analogues et dérivés)</term><term>AMP (usage thérapeutique)</term><term>Alanine (analogues et dérivés)</term><term>Alanine (usage thérapeutique)</term><term>Allocation des ressources (MeSH)</term><term>Anticorps monoclonaux humanisés (usage thérapeutique)</term><term>Betacoronavirus (MeSH)</term><term>Donneur vivant (MeSH)</term><term>Donneurs de tissus (MeSH)</term><term>Défaillance rénale chronique (chirurgie)</term><term>Défaillance rénale chronique (complications)</term><term>Enquêtes et questionnaires (MeSH)</term><term>Humains (MeSH)</term><term>Hydroxychloroquine (usage thérapeutique)</term><term>Incidence (MeSH)</term><term>Infections à coronavirus (diagnostic)</term><term>Infections à coronavirus (prévention et contrôle)</term><term>Infections à coronavirus (traitement médicamenteux)</term><term>Infections à coronavirus (transmission)</term><term>Maladie grave (MeSH)</term><term>Médecine factuelle (MeSH)</term><term>Pandémies (prévention et contrôle)</term><term>Pneumopathie virale (prévention et contrôle)</term><term>Pneumopathie virale (transmission)</term><term>Politique de santé (MeSH)</term><term>Receveurs de transplantation (MeSH)</term><term>Techniques de laboratoire clinique (statistiques et données numériques)</term><term>Transplantation d'organe (législation et jurisprudence)</term><term>Transplantation d'organe (statistiques et données numériques)</term><term>Transplantation d'organe (tendances)</term><term>Transplantation hépatique (statistiques et données numériques)</term><term>Transplantation hépatique (tendances)</term><term>Transplantation rénale (statistiques et données numériques)</term><term>Transplantation rénale (tendances)</term><term>États-Unis (MeSH)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="analogs & derivatives" xml:lang="en"><term>Adenosine Monophosphate</term><term>Alanine</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Adenosine Monophosphate</term><term>Alanine</term><term>Antibodies, Monoclonal, Humanized</term><term>Hydroxychloroquine</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>United States</term></keywords><keywords scheme="MESH" qualifier="analogues et dérivés" xml:lang="fr"><term>AMP</term><term>Alanine</term></keywords><keywords scheme="MESH" qualifier="chirurgie" xml:lang="fr"><term>Défaillance rénale chronique</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Kidney Failure, Chronic</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Coronavirus Infections</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Infections à coronavirus</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Coronavirus Infections</term></keywords><keywords scheme="MESH" qualifier="legislation & jurisprudence" xml:lang="en"><term>Organ Transplantation</term></keywords><keywords scheme="MESH" qualifier="législation et jurisprudence" xml:lang="fr"><term>Transplantation d'organe</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Coronavirus Infections</term><term>Pandemics</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="prévention et contrôle" xml:lang="fr"><term>Infections à coronavirus</term><term>Pandémies</term><term>Pneumopathie virale</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Clinical Laboratory Techniques</term><term>Kidney Transplantation</term><term>Liver Transplantation</term><term>Organ Transplantation</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Techniques de laboratoire clinique</term><term>Transplantation d'organe</term><term>Transplantation hépatique</term><term>Transplantation rénale</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Kidney Failure, Chronic</term></keywords><keywords scheme="MESH" qualifier="tendances" xml:lang="fr"><term>Transplantation d'organe</term><term>Transplantation hépatique</term><term>Transplantation rénale</term></keywords><keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr"><term>Infections à coronavirus</term></keywords><keywords scheme="MESH" qualifier="transmission" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="trends" xml:lang="en"><term>Kidney Transplantation</term><term>Liver Transplantation</term><term>Organ Transplantation</term></keywords><keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>AMP</term><term>Alanine</term><term>Anticorps monoclonaux humanisés</term><term>Défaillance rénale chronique</term><term>Hydroxychloroquine</term><term>Infections à coronavirus</term><term>Pneumopathie virale</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Betacoronavirus</term><term>COVID-19</term><term>COVID-19 Testing</term><term>Critical Illness</term><term>Evidence-Based Medicine</term><term>Health Policy</term><term>Humans</term><term>Incidence</term><term>Living Donors</term><term>Resource Allocation</term><term>SARS-CoV-2</term><term>Surveys and Questionnaires</term><term>Tissue Donors</term><term>Transplant Recipients</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Allocation des ressources</term><term>Betacoronavirus</term><term>Donneur vivant</term><term>Donneurs de tissus</term><term>Enquêtes et questionnaires</term><term>Humains</term><term>Incidence</term><term>Maladie grave</term><term>Médecine factuelle</term><term>Politique de santé</term><term>Receveurs de transplantation</term><term>États-Unis</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>États-Unis</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">COVID-19 is a novel, rapidly changing pandemic: consequently, evidence-based recommendations in solid organ transplantation (SOT) remain challenging and unclear. To understand the impact on transplant activity across the United States, and center-level variation in testing, clinical practice, and policies, we conducted a national survey between March 24, 2020 and March 31, 2020 and linked responses to the COVID-19 incidence map. Response rate was a very high 79.3%, reflecting a strong national priority to better understand COVID-19. Complete suspension of live donor kidney transplantation was reported by 71.8% and live donor liver by 67.7%. While complete suspension of deceased donor transplantation was less frequent, some restrictions to deceased donor kidney transplantation were reported by 84.0% and deceased donor liver by 73.3%; more stringent restrictions were associated with higher regional incidence of COVID-19. Shortage of COVID-19 tests was reported by 42.5%. Respondents reported a total of 148 COVID-19 recipients from <1 to >10 years posttransplant: 69.6% were kidney recipients, and 25.0% were critically ill. Hydroxychloroquine (HCQ) was used by 78.1% of respondents; azithromycin by 46.9%; tocilizumab by 31.3%, and remdesivir by 25.0%. There is wide heterogeneity in center-level response across the United States; ongoing national data collection, expert discussion, and clinical studies are critical to informing evidence-based practices.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32282982</PMID><DateCompleted><Year>2020</Year><Month>07</Month><Day>20</Day></DateCompleted><DateRevised><Year>2020</Year><Month>12</Month><Day>10</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1600-6143</ISSN><JournalIssue CitedMedium="Internet"><Volume>20</Volume><Issue>7</Issue><PubDate><Year>2020</Year><Month>07</Month></PubDate></JournalIssue><Title>American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons</Title><ISOAbbreviation>Am J Transplant</ISOAbbreviation></Journal><ArticleTitle>Early impact of COVID-19 on transplant center practices and policies in the United States.</ArticleTitle><Pagination><MedlinePgn>1809-1818</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1111/ajt.15915</ELocationID><Abstract><AbstractText>COVID-19 is a novel, rapidly changing pandemic: consequently, evidence-based recommendations in solid organ transplantation (SOT) remain challenging and unclear. To understand the impact on transplant activity across the United States, and center-level variation in testing, clinical practice, and policies, we conducted a national survey between March 24, 2020 and March 31, 2020 and linked responses to the COVID-19 incidence map. Response rate was a very high 79.3%, reflecting a strong national priority to better understand COVID-19. Complete suspension of live donor kidney transplantation was reported by 71.8% and live donor liver by 67.7%. While complete suspension of deceased donor transplantation was less frequent, some restrictions to deceased donor kidney transplantation were reported by 84.0% and deceased donor liver by 73.3%; more stringent restrictions were associated with higher regional incidence of COVID-19. Shortage of COVID-19 tests was reported by 42.5%. Respondents reported a total of 148 COVID-19 recipients from <1 to >10 years posttransplant: 69.6% were kidney recipients, and 25.0% were critically ill. Hydroxychloroquine (HCQ) was used by 78.1% of respondents; azithromycin by 46.9%; tocilizumab by 31.3%, and remdesivir by 25.0%. There is wide heterogeneity in center-level response across the United States; ongoing national data collection, expert discussion, and clinical studies are critical to informing evidence-based practices.</AbstractText><CopyrightInformation>© 2020 The American Society of Transplantation and the American Society of Transplant Surgeons.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Boyarsky</LastName><ForeName>Brian J</ForeName><Initials>BJ</Initials><Identifier Source="ORCID">0000-0001-6902-9854</Identifier><AffiliationInfo><Affiliation>Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Po-Yu Chiang</LastName><ForeName>Teresa</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Werbel</LastName><ForeName>William A</ForeName><Initials>WA</Initials><Identifier Source="ORCID">0000-0003-2943-5895</Identifier><AffiliationInfo><Affiliation>Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Durand</LastName><ForeName>Christine M</ForeName><Initials>CM</Initials><Identifier Source="ORCID">0000-0003-2605-9257</Identifier><AffiliationInfo><Affiliation>Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Avery</LastName><ForeName>Robin K</ForeName><Initials>RK</Initials><Identifier Source="ORCID">0000-0001-7692-3619</Identifier><AffiliationInfo><Affiliation>Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Getsin</LastName><ForeName>Samantha N</ForeName><Initials>SN</Initials><AffiliationInfo><Affiliation>Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Jackson</LastName><ForeName>Kyle R</ForeName><Initials>KR</Initials><Identifier Source="ORCID">0000-0002-8135-5377</Identifier><AffiliationInfo><Affiliation>Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kernodle</LastName><ForeName>Amber B</ForeName><Initials>AB</Initials><Identifier Source="ORCID">0000-0002-6459-5280</Identifier><AffiliationInfo><Affiliation>Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Van Pilsum Rasmussen</LastName><ForeName>Sarah E</ForeName><Initials>SE</Initials><Identifier Source="ORCID">0000-0002-4644-3590</Identifier><AffiliationInfo><Affiliation>Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Massie</LastName><ForeName>Allan B</ForeName><Initials>AB</Initials><Identifier Source="ORCID">0000-0002-5288-5125</Identifier><AffiliationInfo><Affiliation>Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Epidemiology, Johns Hopkins School of Public Health, Baltimore, Maryland, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Segev</LastName><ForeName>Dorry L</ForeName><Initials>DL</Initials><Identifier Source="ORCID">0000-0003-3205-1024</Identifier><AffiliationInfo><Affiliation>Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Epidemiology, Johns Hopkins School of Public Health, Baltimore, Maryland, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Garonzik-Wang</LastName><ForeName>Jacqueline M</ForeName><Initials>JM</Initials><Identifier Source="ORCID">0000-0002-2789-7503</Identifier><AffiliationInfo><Affiliation>Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>T32 AI007291</GrantID><Acronym>AI</Acronym><Agency>NIAID NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>F32 DK117563</GrantID><Acronym>DK</Acronym><Agency>NIDDK NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>F32DK117563</GrantID><Acronym>DK</Acronym><Agency>NIDDK NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>K01 DK101677</GrantID><Acronym>DK</Acronym><Agency>NIDDK NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>F32DK113719</GrantID><Acronym>DK</Acronym><Agency>NIDDK NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>T32AI007291</GrantID><Acronym>DK</Acronym><Agency>NIDDK NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>K23 DK115908</GrantID><Acronym>DK</Acronym><Agency>NIDDK NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>T32 DK007713</GrantID><Acronym>DK</Acronym><Agency>NIDDK NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>K01DK101677</GrantID><Acronym>DK</Acronym><Agency>NIDDK NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>K24 DK101828</GrantID><Acronym>DK</Acronym><Agency>NIDDK NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>T32DK007713-22</GrantID><Acronym>DK</Acronym><Agency>NIDDK NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>K23DK115908</GrantID><Acronym>DK</Acronym><Agency>NIDDK NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>K24DK101828</GrantID><Acronym>DK</Acronym><Agency>NIDDK NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>F32 DK113719</GrantID><Acronym>DK</Acronym><Agency>NIDDK NIH HHS</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D052061">Research Support, N.I.H., Extramural</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>05</Month><Day>10</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Am J Transplant</MedlineTA><NlmUniqueID>100968638</NlmUniqueID><ISSNLinking>1600-6135</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D061067">Antibodies, Monoclonal, Humanized</NameOfSubstance></Chemical><Chemical><RegistryNumber>3QKI37EEHE</RegistryNumber><NameOfSubstance UI="C000606551">remdesivir</NameOfSubstance></Chemical><Chemical><RegistryNumber>415SHH325A</RegistryNumber><NameOfSubstance UI="D000249">Adenosine Monophosphate</NameOfSubstance></Chemical><Chemical><RegistryNumber>4QWG6N8QKH</RegistryNumber><NameOfSubstance UI="D006886">Hydroxychloroquine</NameOfSubstance></Chemical><Chemical><RegistryNumber>I031V2H011</RegistryNumber><NameOfSubstance UI="C502936">tocilizumab</NameOfSubstance></Chemical><Chemical><RegistryNumber>OF5P57N2ZX</RegistryNumber><NameOfSubstance UI="D000409">Alanine</NameOfSubstance></Chemical></ChemicalList><SupplMeshList><SupplMeshName Type="Protocol" UI="C000705127">COVID-19 drug treatment</SupplMeshName></SupplMeshList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000249" MajorTopicYN="N">Adenosine Monophosphate</DescriptorName><QualifierName UI="Q000031" MajorTopicYN="N">analogs & derivatives</QualifierName><QualifierName UI="Q000627" MajorTopicYN="N">therapeutic use</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000409" MajorTopicYN="N">Alanine</DescriptorName><QualifierName UI="Q000031" MajorTopicYN="N">analogs & derivatives</QualifierName><QualifierName UI="Q000627" MajorTopicYN="N">therapeutic use</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D061067" MajorTopicYN="N">Antibodies, Monoclonal, Humanized</DescriptorName><QualifierName UI="Q000627" MajorTopicYN="N">therapeutic use</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000073640" MajorTopicYN="N">Betacoronavirus</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000086382" MajorTopicYN="N">COVID-19</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000086742" MajorTopicYN="N">COVID-19 Testing</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019411" MajorTopicYN="N">Clinical Laboratory Techniques</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D018352" MajorTopicYN="N">Coronavirus Infections</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000188" MajorTopicYN="N">drug therapy</QualifierName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName><QualifierName UI="Q000635" MajorTopicYN="Y">transmission</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016638" MajorTopicYN="N">Critical Illness</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019317" MajorTopicYN="N">Evidence-Based Medicine</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006291" MajorTopicYN="N">Health Policy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006886" MajorTopicYN="N">Hydroxychloroquine</DescriptorName><QualifierName UI="Q000627" MajorTopicYN="N">therapeutic use</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015994" MajorTopicYN="N">Incidence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007676" MajorTopicYN="N">Kidney Failure, Chronic</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016030" MajorTopicYN="N">Kidney Transplantation</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName><QualifierName UI="Q000639" MajorTopicYN="N">trends</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016031" MajorTopicYN="N">Liver Transplantation</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName><QualifierName UI="Q000639" MajorTopicYN="N">trends</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D019520" MajorTopicYN="N">Living Donors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016377" MajorTopicYN="N">Organ Transplantation</DescriptorName><QualifierName UI="Q000331" MajorTopicYN="N">legislation & jurisprudence</QualifierName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName><QualifierName UI="Q000639" MajorTopicYN="Y">trends</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="N">Pandemics</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011024" MajorTopicYN="N">Pneumonia, Viral</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName><QualifierName UI="Q000635" MajorTopicYN="Y">transmission</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D040841" MajorTopicYN="N">Resource Allocation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000086402" MajorTopicYN="N">SARS-CoV-2</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014019" MajorTopicYN="N">Tissue Donors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D066027" MajorTopicYN="N">Transplant Recipients</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014481" MajorTopicYN="N" Type="Geographic">United States</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">clinical decision-making</Keyword><Keyword MajorTopicYN="Y">epidemiology</Keyword><Keyword MajorTopicYN="Y">guidelines</Keyword><Keyword MajorTopicYN="Y">infectious agents-viral</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>04</Month><Day>03</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2020</Year><Month>04</Month><Day>03</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>04</Month><Day>06</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>4</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>7</Month><Day>21</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>4</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId 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Boyarsky</name></region><name sortKey="Avery, Robin K" sort="Avery, Robin K" uniqKey="Avery R" first="Robin K" last="Avery">Robin K. Avery</name><name sortKey="Durand, Christine M" sort="Durand, Christine M" uniqKey="Durand C" first="Christine M" last="Durand">Christine M. Durand</name><name sortKey="Garonzik Wang, Jacqueline M" sort="Garonzik Wang, Jacqueline M" uniqKey="Garonzik Wang J" first="Jacqueline M" last="Garonzik-Wang">Jacqueline M. Garonzik-Wang</name><name sortKey="Getsin, Samantha N" sort="Getsin, Samantha N" uniqKey="Getsin S" first="Samantha N" last="Getsin">Samantha N. Getsin</name><name sortKey="Jackson, Kyle R" sort="Jackson, Kyle R" uniqKey="Jackson K" first="Kyle R" last="Jackson">Kyle R. Jackson</name><name sortKey="Kernodle, Amber B" sort="Kernodle, Amber B" uniqKey="Kernodle A" first="Amber B" last="Kernodle">Amber B. Kernodle</name><name sortKey="Massie, Allan B" sort="Massie, Allan B" uniqKey="Massie A" first="Allan B" last="Massie">Allan B. Massie</name><name sortKey="Massie, Allan B" sort="Massie, Allan B" uniqKey="Massie A" first="Allan B" last="Massie">Allan B. Massie</name><name sortKey="Po Yu Chiang, Teresa" sort="Po Yu Chiang, Teresa" uniqKey="Po Yu Chiang T" first="Teresa" last="Po-Yu Chiang">Teresa Po-Yu Chiang</name><name sortKey="Segev, Dorry L" sort="Segev, Dorry L" uniqKey="Segev D" first="Dorry L" last="Segev">Dorry L. Segev</name><name sortKey="Segev, Dorry L" sort="Segev, Dorry L" uniqKey="Segev D" first="Dorry L" last="Segev">Dorry L. Segev</name><name sortKey="Van Pilsum Rasmussen, Sarah E" sort="Van Pilsum Rasmussen, Sarah E" uniqKey="Van Pilsum Rasmussen S" first="Sarah E" last="Van Pilsum Rasmussen">Sarah E. Van Pilsum Rasmussen</name><name sortKey="Werbel, William A" sort="Werbel, William A" uniqKey="Werbel W" first="William A" last="Werbel">William A. Werbel</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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