About: Immediate impact of COVID-19 on transplant activity in the Netherlands

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An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
title	Immediate impact of COVID-19 on transplant activity in the Netherlands
Creator	De Vries, A Van Der Kaaij, N Alwayn, I De Jonge, J Haase-Kromwijk, B »more»
source	Elsevier; Medline; PMC
abstract	The rapid emergence of the COVID-19 pandemic is unprecedented and poses an unparalleled obstacle in the sixty-five year history of organ transplantation. Worldwide, the delivery of transplant care is severely challenged by matters concerning - but not limited to - organ procurement, risk of SARS-CoV-2 transmission, screening strategies of donors and recipients, decisions to postpone or proceed with transplantation, the attributable risk of immunosuppression for COVID-19 and entrenched health care resources and capacity. The transplant community is faced with choosing a lesser of two evils: initiating immunosuppression and potentially accepting detrimental outcome when transplant recipients develop COVID-19 versus postponing transplantation and accepting associated waitlist mortality. Notably, prioritization of health care services for COVID-19 care raises concerns about allocation of resources to deliver care for transplant patients who might otherwise have excellent 1-year and 10-year survival rates. Children and young adults with end-stage organ disease in particular seem more disadvantaged by withholding transplantation because of capacity issues than from medical consequences of SARS-CoV-2. This report details the nationwide response of the Dutch transplant community to these issues and the immediate consequences for transplant activity. Worrisome, there was a significant decrease in organ donation numbers affecting all organ transplant services. In addition, there was a detrimental effect on transplantation numbers in children with end-organ failure. Ongoing efforts focus on mitigation of not only primary but also secondary harm of the pandemic and to find right definitions and momentum to restore the transplant programs.
has issue date	2020-05-01(xsd:dateTime)
bibo:doi	10.1016/j.trim.2020.101304
bibo:pmid	32371150
has license	no-cc
sha1sum (hex)	220174ac0a9a107a0013fc4abde3523f15accdc8
schema:url	https://doi.org/10.1016/j.trim.2020.101304
resource representing a document's title	Immediate impact of COVID-19 on transplant activity in the Netherlands
has PubMed Central identifier	PMC7194049
has PubMed identifier	32371150
schema:publication	Transpl Immunol
resource representing a document's body	covid:220174ac0a9a107a0013fc4abde3523f15accdc8#body_text
is schema:about of	named entity 'Dutch' named entity 'transplant' named entity 'disease' named entity 'SARS-CoV-2' named entity 'harm' »more»

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