Should kidney transplants during the COVID-19 pandemic be canceled or maintained?

Arruda, Germano José Ferraz de; Neto, Jerônimo Ferraz de Arruda; Spessoto, Luis Cesar Fava; Arruda, José Germano Ferraz de; Junior, Fernando Nestor Facio

doi:10.1590/1806-9282.66.7.864

Cited by 2 publications

(1 citation statement)

References 2 publications

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“…It is necessary to understand the magnitude of the clinical problem generated by the suspension of KTx during the pandemic. As a consequence of this behavior, the resources available for the routine care of dialysis patients can be saturated, and mortality and the number of patients on the waiting list may increase in our region [32]. There are experimental and simulated models in the COVID-19 pandemic to mitigate the negative impact.…”

Section: How To Guarantee a Safe And Rational Organ Donation And Ktx Activity In Latin America During The Covid-19 Pandemic?mentioning

confidence: 99%

Strategies to Mitigate the Impact of COVID 19 Pandemic on Organ Donation and Kidney Transplantation in Latin America

Castañeda-Millán

Fajardo-Cediel²,

Roa

et al. 2021

Curr Urol Rep

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Purpose of Review COVID-19 pandemics have severely affected Latin America. It has resulted in SARS-CoV-2-associated clinical adverse outcomes, but also in social and economic deterioration. Consequently, it generated a significant negative impact on organ donation and kidney transplantation (KTx) activity in our region, leading to a negative impact on these patients' survival and quality of life. For this reason, this article aimed to describe applicable logistics, organizational and clinical strategies to mitigate the effect of the COVID-19 pandemic on kidney donation and transplantation in our region. Recent Findings Absenteeism to hemodialysis sessions in patients with end-stage renal disease has been described in up to 54% in Latin America. Not surprisingly, there was a reduction in organ donation and transplants between 21 and 59%. Also, there is a higher incidence of COVID-19 positive tests in the waiting list population than KTx recipients (9.9%). However, there was a higher mortality rate in KTx recipients than the waiting list population (32%). Additionally, 59% of living donor kidney transplant programs suspended the evaluation of new donors due to the COVID-19 pandemic. Summary Throughout this manuscript, we summarize some practical tips to resume organ donation and KTx during pandemics in Latin America, such as selecting healthy donors and recipients, universal SARS-CoV-2 screening, implementing COVID-19 accessible pathways, and telehealth as a standard, and postpone all non-urgent visits.

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Section: How To Guarantee a Safe And Rational Organ Donation And Ktx Activity In Latin America During The Covid-19 Pandemic?mentioning

confidence: 99%

Strategies to Mitigate the Impact of COVID 19 Pandemic on Organ Donation and Kidney Transplantation in Latin America

Castañeda-Millán

Fajardo-Cediel²,

Roa

et al. 2021

Curr Urol Rep

View full text Add to dashboard Cite

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Partial Nephrectomy of Transplanted Kidney with Calyceal Fistula

de Arruda,

Abularach,

Gatti

et al. 2022

Saudi Journal of Kidney Diseases and Transplantation

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Kidney transplant is the established treatment for patients with chronic kidney disease but is associated with complications due to the complexity of the procedure. Calyceal fistulas are rare urological complications in transplants caused by arterial occlusion with segmental infarction of the graft. Treatment is based on the extension of the affected area and the clinical status of the patient. For extensive infarctions treated surgically, a total nephrectomy of the transplanted kidney is generally performed. We present a case of a transplanted kidney with polar necrosis and calyceal fistula treated with partial nephrectomy of the affected area, maintaining the graft and preserving kidney function.

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Should kidney transplants during the COVID-19 pandemic be canceled or maintained?

Cited by 2 publications

References 2 publications

Strategies to Mitigate the Impact of COVID 19 Pandemic on Organ Donation and Kidney Transplantation in Latin America

Strategies to Mitigate the Impact of COVID 19 Pandemic on Organ Donation and Kidney Transplantation in Latin America

Partial Nephrectomy of Transplanted Kidney with Calyceal Fistula

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