COVID-19 and kidney transplantation: an Italian Survey and Consensus.
COVID-19
Consensus
Kidney transplantation
Survey
Journal
Journal of nephrology
ISSN: 1724-6059
Titre abrégé: J Nephrol
Pays: Italy
ID NLM: 9012268
Informations de publication
Date de publication:
08 2020
08 2020
Historique:
received:
06
05
2020
accepted:
15
05
2020
pubmed:
5
6
2020
medline:
11
8
2020
entrez:
5
6
2020
Statut:
ppublish
Résumé
Italy was the first Western country to face the COVID-19 pandemic. Here we report the results of a national survey on kidney transplantation activity in February and March 2020, and the results of a three-round Delphi consensus promoted by four scientific societies: the Italian Society of Organ Transplantation, the Italian Society of Nephrology, the Italian Society of Anesthesia and Intensive Care, and the Italian Group on Antimicrobial Stewardship. All 41 Italian transplant centers were invited to express their opinion in the Delphi rounds along with a group of seven experts. The survey revealed that, starting from March 2020, there was a decline in kidney transplantation activity in Italy, especially for living-related transplants. Overall, 60 recipients tested positive for SARS-CoV2 infection, 57 required hospitalization, 17 were admitted to the ICU, and 11 died. The online consensus had high response rates at each round (95.8%, 95.8%, and 89.5%, respectively). Eventually, 27 of 31 proposed statements were approved (87.1%), 12 at the first or second round (38.7%), and 3 at the third (9.7%). Based on the Italian experience, we discuss the reasons for the changes in kidney transplantation activity during the COVID-19 pandemic in Western countries. We also provide working recommendations for the organization and management of kidney transplantation under these conditions.
Identifiants
pubmed: 32495231
doi: 10.1007/s40620-020-00755-8
pii: 10.1007/s40620-020-00755-8
pmc: PMC7268183
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
667-680Investigateurs
Giuliano Brunori
(G)
Flavia Petrini
(F)
Franco Valenza
(F)
Bruna Lavezzo
(B)
Decenzio Bonucchi
(D)
Enzo Capocasale
(E)
Paolo Grossi
(P)
Claudio Ponticelli
(C)
Silvio Sandrini
(S)
Francesco Paolo Schena
(FP)
Giuseppe Segoloni
(G)
Luigi Biancone
(L)
Luigino Boschiero
(L)
Paolo Rigotti
(P)
Giorgia Comai
(G)
Nicola Bossini
(N)
Enrico Minetti
(E)
Giuseppe Iaria
(G)
Andrea Ambrosini
(A)
Pier Giorgio Messa
(PG)
Giuliano Boscutti
(G)
Mario Carmellini
(M)
Flavia Caputo
(F)
Andrea Ranghino
(A)
Paride De Rosa
(P)
Stefano Federico
(S)
Massimiliano Veroux
(M)
Calogero Cirami
(C)
Maurizio Nordio
(M)
Franco Citterio
(F)
Gian Benedetto Piredda
(GB)
Renzo Pretagostini
(R)
Paolo De Paolis
(P)
Teresa Rampino
(T)
Francesco Pisani
(F)
Gianni Cappelli
(G)
Antonio Secchi
(A)
Paola Salis
(P)
Fiorella Gastaldon
(F)
Francesca Mallamaci
(F)
Luca Dello Strologo
(LD)
Chiara Taglioni
(C)
Papalia Teresa
(P)
Licia Peruzzi
(L)
Loreto Gesualdo
(L)
Eliana Gotti
(E)
Paolo Feltracco
(P)
Ernesto Paoletti
(E)
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