Comparação entre o número de transplantes de órgãos sólidos e tecidos realizados no brasil durante o primeiro semestre de 2019 e 2020 / Comparison between the number of solid organ and tissue transplants performed in brazil during the first half of 2019 and 2020

Xavier, João Marcos Ribeiros Paiva; Jesus, Tiago Diniz de; Andrade, Mariana da Cruz; Rezende, Anderson Junior Borges de; Santos, Karolina Moreira dos; Ambrósio, Beatriz da Matta; Ferro, Laura Dourado; Picanço, Janiele Vidal Souza; Albernaz, Hyrlana Oliveira; Morais, Lúcio Kenny

doi:10.34119/bjhrv4n2-176

Cited by 4 publications

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“…Adding to the existing obstacles to a smooth organ transplantation process, from 2020 onwards, other important barriers emerged, due to the novel coronavirus SARS-CoV-2, which implied targeting surgical centers for the care and hospitalization of COVID-19 patients, problems in transporting organs between hospitals, and reduced availability of medical supplies needed to perform transplants [ 12 ]. As stated by Doná et al [ 13 : 3], “the emergence of COVID-19 has had a profound impact on transplantation worldwide, with respect to not only issues around donors or recipients, but also healthcare resource utilization”.…”

Section: Background and Literature Reviewmentioning

confidence: 99%

Assessing the impact of COVID-19 on the performance of organ transplant services using data envelopment analysis

Manoel

Santos

Amado

2023

Health Care Manag Sci

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Organ transplant is one of the best options for many medical conditions, and in many cases, it may be the only treatment option. Recent evidence suggests, however, that the COVID-19 pandemic might have detrimentally affected the provision of this type of healthcare services. The main purpose of this article is to use Data Envelopment Analysis and the Malmquist Index to assess the impact that the pandemic caused by the novel coronavirus SARS-CoV-2 had on the provision of solid organ transplant services. To this purpose, we use three complementary models, each focusing on specific aspects of the organ donation and transplantation process, and data from Brazil, which has one of the most extensive public organ transplant programs in the world. Using data from 17 States plus the Federal District, the results of our analysis show a significant drop in the performance of the services in terms of the organ donation and transplantation process from 2018 to 2020, but the results also indicate that not all aspects of the process and States were equally affected. Furthermore, by using different models, this research also allows us to gain a more comprehensive and informative assessment of the performance of the States in delivering this type of service and identify opportunities for reciprocal learning, expanding our knowledge on this important issue and offering opportunities for further research.

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Section: Background and Literature Reviewmentioning

confidence: 99%

Assessing the impact of COVID-19 on the performance of organ transplant services using data envelopment analysis

Manoel

Santos

Amado

2023

Health Care Manag Sci

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“…A abordagem inadequada durante a entrevista familiar é outro fator crítico e que influencia negativamente para a decisão familiar, assim como o serviço prestado pelos profissionais do hospital à família do paciente (4,23,29) . Xavier et al (2021) (9) relatam a disseminação de notícias sensacionalistas sobre tráfico de órgãos como outro fator limitante para o consentimento da família e a escassez de programas voltados para a conscientização da população sobre a importância da doação.…”

Section: Nogueira Et Al (2017)unclassified

“…Apesar desse cenário, de acordo a Associação Brasileira de Transplante de Órgãos (ABTO), o Brasil é referência mundial em números absolutos de transplantes, sendo o Sistema Único de Saúde (SUS) responsável por mais de 90% dos procedimentos. Em 2018, por exemplo, foi o país com o segundo maior número absoluto de transplantes renais realizados, ficando atrás apenas dos Estados Unidos (2,(7)(8)(9) .…”

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“…Apesar do Brasil ser destaque no cenário mundial em números absolutos de transplantes e o Paraná ser um exemplo nesse contexto nos últimos anos, o volume ainda é insuficiente dada a demanda populacional pelo serviço (2,6,9) . O estado do Paraná destacou-se, no panorama nacional, em 2019, ao registrar taxa de notificação de potenciais doadores maior que 100 pmp, de doadores efetivos acima de 40 pmp, e taxa de efetivação de doação acima de 50%, sendo um exemplo para outros estados (6) .…”

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“…Outro fator que chama a atenção é o número elevado de potenciais doadores em todo o país quando comparado ao baixo índice de efetivação dos transplantes, o que pode inferir que muitos fatores podem levar a não efetivação da doação, como a falta de entendimento do processo de morte encefálica, fatores culturais e entrevista familiar não adequada (9) . Ao considerar a importância da transplantação sobre a terapia, reabilitação e sobrevida de pacientes com problemas crônicos e debilitantes e os vários fatores que envolvem o processo de transplantação, justifica-se uma pesquisa que aborde uma retrospectiva dos últimos anos sobre a situação dos transplantes de órgãos e tecidos e o perfil dos doadores.…”

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Organ and tissue transplantation in the Estate of Paraná: retrospective analysis from 2011 to 2020 / Transplantes de órgãos e tecidos no Estado do Paraná: análise retrospectiva de 2011 a 2020

Becker¹,

Acosta²,

Almeida³

et al. 2022

Braz. J. Hea. Rev.

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RESUMOO Brasil apresenta um dos maiores sistemas públicos de transplantes de órgãos e tecidos do mundo, sendo uma referência global. O estado do Paraná se destaca nessa prática, no entanto, o volume ainda é insuficiente dada a demanda pelo serviço. Ao considerar as dificuldades que permeiam as etapas de transplantação e de doação, percebe-se a necessidade de conhecer, acompanhar e avaliar o processo, com vista na melhoria desse cenário. Portanto, esta revisão integrativa, teve como objetivo analisar e caracterizar, no período de 2011 a 2020, os transplantes de órgãos e tecidos e o perfil dos doadores, no estado do Paraná em relação ao Brasil, além de verificar as taxas de notificação de potenciais doadores, de doações efetivas e as causas da não efetivação da doação. Os resultados apontaram que no cenário nacional houve

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Impact of SARS-CoV-2 Pandemic on Ocular Tissue Donation in a Teaching Hospital

Magalhaes,

Carvalho,

Boteon

et al. 2024

BJT

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Objectives: To analyze the impact of the severe acute respiratory syndrome coronavirus (SARS-CoV-2) pandemic on ocular tissue donations, assessing lost opportunities for potential donors due to the suspension of collections and changes in eligibility criteria, as well as hospital eligibility rates of donors and causes of non-donation. Methods: Data from patients who died in cardiopulmonary arrest in a Brazilian university hospital in 2020 were analyzed. The number of donations made, the number of deaths potentially eligible for donation, and the causes of non-donation were compared during the three periods of 2020: period 1, pre-pandemic ( January 1 to March 18, 2020), period 2, with suspension of donations in cardiorespiratory arrest (March 19 to September 19, 2020), and period 3, of collections with epidemiological screening for SARS-CoV-2 and reduction of the age range of donors less than 65 years old (September 20 to December 31 2020). Results: There were 710 circulatory deaths in 2020. The hospital eligibility rate was 5.7% among 140 deaths in the pre-pandemic period 1, 11.9% among 395 patients during the suspension of uptake in pandemic period 2, and 3.4% among 175 patients during age group restrictions and coronavirus disease 2019 (COVID-19) screening (p:0.004). Forty-seven patients who died in period 2 represented a loss of donation opportunities due to the suspension of collections, and 13 (7.6%) of the 175 patients in period 3 were ineligible due to the reduction in age group. Due to pandemic restrictions, eighty-one percent of the 75 eligible patients without clinical contraindications had limited tissue donation offers. Only one patient was considered ineligible for donation due to clinical-epidemiological screening for SARS-CoV-2. Serious infections were the leading cause of non-donation in 50.7, 48.1, and 47.4% of deaths in the three periods (p:0.615). Conclusion: The SARS-CoV-2 pandemic significantly affected the procurement of ocular tissues for transplants due to the restrictive measures implemented for safety reasons, leading to the loss of donation opportunities for 81% of families. Age restrictions significantly reduced potential donor eligibility rates. Serious infections were the leading cause of non-donation of ocular tissue, but it did not increase significantly in this study during the pandemic, in the period studied.

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Comparação entre o número de transplantes de órgãos sólidos e tecidos realizados no brasil durante o primeiro semestre de 2019 e 2020 / Comparison between the number of solid organ and tissue transplants performed in brazil during the first half of 2019 and 2020

Cited by 4 publications

References 0 publications

Assessing the impact of COVID-19 on the performance of organ transplant services using data envelopment analysis

Assessing the impact of COVID-19 on the performance of organ transplant services using data envelopment analysis

Organ and tissue transplantation in the Estate of Paraná: retrospective analysis from 2011 to 2020 / Transplantes de órgãos e tecidos no Estado do Paraná: análise retrospectiva de 2011 a 2020

Impact of SARS-CoV-2 Pandemic on Ocular Tissue Donation in a Teaching Hospital

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