The impact of COVID-19 on kidney transplant activities in Brazil: a descriptive study

Santos, Reginaldo Passoni dos; Gadonski, Bruno; Carvalho, Ariana Rodrigues da Silva; Sandes‐Freitas, Tainá Veras de; Peres, Luís Alberto Batista

doi:10.1590/1516-3180.2021.0956.r1.29042022

Sao Paulo Med. J.

2023

DOI: 10.1590/1516-3180.2021.0956.r1.29042022

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The impact of COVID-19 on kidney transplant activities in Brazil: a descriptive study

Reginaldo Passoni dos Santos

Bruno Gadonski

Ariana Rodrigues da Silva Carvalho

et al.

Abstract: BACKGROUND: The coronavirus 19 (COVID-19) pandemic has reached services, systems, and world society. Despite its certified efficiency, the Brazilian National Transplant System is not exempt from the side effects of COVID-19. OBJECTIVE: To compare kidney transplantation activity registered in Brazil between the pandemic (2020) and pre-pandemic (2019) periods. DESIGN AND SETTING: A descriptive study was conducted in March 2021. The annual reports of the Brazilian Transplantation Registry for 2019 and 2020 were i… Show more

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Impact of the COVID-19 pandemic on services for patients with chronic kidney disease: findings of a national survey of UK kidney centres

Mackintosh,

Busby,

Farrington

et al. 2023

BMC Nephrol

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Background Services for patients with kidney disease underwent radical adaptations in response to the COVID-19 pandemic. We undertook an online national survey of UK kidney centres to understand the nature, range, and degree of variation in these changes and to explore factors contributing to differing practice. Methods The survey was designed by a multidisciplinary team of kidney professionals, service users and researchers. It enquired about centre services and staffing, including psychosocial provision, and changes to these in response to the COVID-19 pandemic. Links to the survey were sent to all 68 UK kidney centres and remained active from December 2021 to April 2022, and a revised version to nurses in late 2022 for additional data. Quantitative data were analysed descriptively. Content analysis on free-text responses identified common themes. Results Analysable responses were received from 41 out of the 68 UK centres (60%), with partial data from an additional 7 (11%). Adaptations were system-wide and affected all aspects of service provision. Some changes were almost universal such as virtual consultations for outpatient appointments, with significant variation in others. Outpatient activity varied from fully maintained to suspended. Many centres reduced peritoneal dialysis access provision but in some this was increased. Centres considered that changes to transplant surgical services and for patients with advanced CKD approaching end-stage kidney disease had the greatest impact on patients. Few centres implemented adjustments aimed at vulnerable and underrepresented groups, including the frail elderly, people with language and communication needs, and those with mental health needs. Communication issues were attributed to rapid evolution of the pandemic, changing planning guidance and lack of resources. Staffing shortages, involving all staff groups particularly nurses, mainly due to COVID-19 infection and redeployment, were compounded by deficiencies in staffing establishments and high vacancy levels. Centres cited three main lessons influencing future service delivery, the need for service redesign, improvements in communication, and better support for staff. Conclusion Kidney centre responses to the pandemic involved adaptations across the whole service. Though some changes were almost universal, there was wide variation in other areas. Exploring the role of centre characteristics may help planning for potential future severe service disruptions.

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Impact of the COVID-19 pandemic on services for patients with chronic kidney disease: findings of a national survey of UK kidney centres

Mackintosh,

Busby,

Farrington

et al. 2023

BMC Nephrol

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Optimizing Surgical Care Amidst COVID-19: A Scoping Review of Practices and Policies

Alzerwi,

Rayzah,

Alnemare

et al. 2023

Healthcare

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Background: The coronavirus disease (COVID-19) pandemic significantly disrupted surgical care worldwide, affecting different specialties in various ways. Lockdowns, surges in COVID-19 cases, and changes in hospital policies notably impacted patient attendance, management practices, and access to surgical services. This scoping review examines the adverse impacts of the COVID-19 pandemic on surgical services and the policies adopted to address these care barriers. Methods: We conducted a comprehensive literature review using the preferred reporting items for systematic reviews and meta-analyses extension for scoping reviews (PRISMA-ScR) guidelines. Our search, spanning 31 December 2019, to 29 January 2023, focused on understanding the multifaceted impacts of COVID-19 on surgical services, particularly across different specialties. Results: An analysis of 75 articles indicated that the pandemic challenged surgeons worldwide to maintain a balance between delivering emergency and elective surgical care, and implementing safety measures against viral transmission. There was a marked decline in the surgical volume, leading to extended waitlists and decreased operating theater usage. Strategies such as prioritizing medically necessary and time-sensitive surgeries and integrating telemedicine have emerged as pivotal for ensuring the continuity of urgent care. Despite the reduced rates, essential surgeries such as appendectomies and cancer-related operations continued, yet faced hurdles, including reduced staffing, limited operating theater capacity, and complications in patient transfers. Conclusions: This review emphasizes the steep reduction in surgical service utilization at the beginning of the pandemic and emergence of new compounded barriers. Policies that designated surgeries as essential, and focused on equitable and timely access, were effective. Incorporating these findings into post-pandemic assessments and future planning is crucial to sustain adequate surgical care during similar health emergencies.

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Múltiplos efeitos da pandemia de Covid-19 no contexto do transplante de órgãos no Brasil e no mundo

Fonseca,

Paes,

Cardoso

et al. 2024

Bepa

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Introdução: Este artigo apresenta uma revisão literária do impacto dos transplantes de órgãos no contexto da pandemia de COVID-19. Esse contexto trouxe desafios significativos para os programas de transplantes em todo o mundo, afetando a disponibilidade de órgãos, a segurança dos receptores, dos doadores e de recursos médicos. Objetivos: realizar um levantamento dos aspectos relacionados aos impactos da pandemia de COVID-19 em torno do processo de transplantes. Método: Foi utilizado um levantamento bibliográfico nas bases do Pubmed, Scielo e Lilacs. Resultados: Foram encontrados 23 artigos no período de 2020 a fevereiro de 2023. Diante da emergência da situação provocada pela síndrome respiratória aguda causada pela COVID-19, houve ocupação de Unidades de Terapia Intensiva, gerando indisponibilidade de leitos para pacientes transplantados. O número de transplantes sofreu decréscimo diante dos impactos da pandemia de COVID-19. Conclusões: o surto de COVID-19 impactou os receptores de órgãos na diminuição de transplantes e doação de órgãos, repercutindo nos aspectos emocionais e psicológicos dos pacientes e nas suas famílias, bem como o desafio dos profissionais de saúde na garantia da continuidade dos procedimentos.

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The impact of COVID-19 on kidney transplant activities in Brazil: a descriptive study

Cited by 3 publications

References 19 publications

Impact of the COVID-19 pandemic on services for patients with chronic kidney disease: findings of a national survey of UK kidney centres

Impact of the COVID-19 pandemic on services for patients with chronic kidney disease: findings of a national survey of UK kidney centres

Optimizing Surgical Care Amidst COVID-19: A Scoping Review of Practices and Policies

Múltiplos efeitos da pandemia de Covid-19 no contexto do transplante de órgãos no Brasil e no mundo

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