Impact on the Solid Organ Transplant Waiting List During the Covid-19 Pandemic: An Integrative Review

Authors

  • Ludmila Rodrigues Oliveira Costa Universidade de Pernambuco – Faculdade de Ciências Médicas – Departamento de Introdução à metodologia de pesquisa – Recife/PE– Brazil |Hospital Universitário Oswaldo Cruz – Unidade de Transplante de Fígado – Recife/PE– Brazil. https://orcid.org/0000-0001-7137-4323
  • Ludmila Cristina Camilo Furtado Universidade de Pernambuco – Faculdade de Ciências Médicas – Departamento de Introdução à metodologia de pesquisa – Recife/PE– Brazil. https://orcid.org/0000-0002-5497-4033
  • Renan Camilo Braga Universidade de Pernambuco – Faculdade de Ciências Médicas – Departamento de Introdução à metodologia de pesquisa – Recife/PE– Brazil. https://orcid.org/0000-0001-6960-8530
  • Bruna Dyana Batista Brito Universidade de Pernambuco – Faculdade de Ciências Médicas – Departamento de Introdução à metodologia de pesquisa – Recife/PE– Brazil. https://orcid.org/0009-0007-5504-7323
  • Thiago Joanes Brandao Sales Universidade de Pernambuco – Faculdade de Ciências Médicas – Departamento de Introdução à metodologia de pesquisa – Recife/PE– Brazil. https://orcid.org/0000-0003-2434-0651
  • Daniela de Lucena Motta Universidade de Pernambuco – Faculdade de Ciências Médicas – Departamento de Introdução à metodologia de pesquisa – Recife/PE– Brazil. https://orcid.org/0009-0002-2789-3200
  • Felipe Henrique Santos Nunes Universidade de Pernambuco – Faculdade de Ciências Médicas – Departamento de Introdução à metodologia de pesquisa – Recife/PE– Brazil. https://orcid.org/0000-0002-7920-1678
  • Yasmin Fontes Schmidt Universidade de Pernambuco – Faculdade de Ciências Médicas – Departamento de Introdução à metodologia de pesquisa – Recife/PE– Brazil. https://orcid.org/0009-0003-1935-9355
  • Hugo Rafael de Souza e Silva Universidade de Pernambuco – Faculdade de Ciências Médicas – Departamento de Introdução à metodologia de pesquisa – Recife/PE– Brazil. https://orcid.org/0000-0002-7958-2474
  • Olival Cirilo Lucena da Fonseca Neto Universidade de Pernambuco – Faculdade de Ciências Médicas – Departamento de Introdução à metodologia de pesquisa – Recife/PE– Brazil |Hospital Universitário Oswaldo Cruz – Unidade de Transplante de Fígado – Recife/PE– Brazil. https://orcid.org/0000-0002-2383-8610

Keywords:

Covid, Organ Transplantation, Pandemic, Organ Donation

Abstract

Introduction: With the Covid-19 pandemic, many medical procedures underwent significant changes due to the reallocation of resources to patients infected with Sars-Cov-2. The logistics of transplants were directly affected, with important repercussions for the patient on the waiting list for a new organ. Objective: This review seeks to analyze the impact of the Covid-19 pandemic on the logistics of solid organ availability and volume of transplants. Methods: An integrative search of articles with the descriptors “Covid OR Sars-Cov-2”, “COVID-19”, “Transplant”, “Donor”, “Waiting list”, and “Organ donation” in PubMed and Web of Science wasperformed. Only articles on pancreas, heart, liver, kidney and intestine transplantation that addressed one of the following topics were considered: availability of donors, volume and time on the waiting list, mortality of patients on the waiting list, and volume of transplants performed. Results: Of the 68 articles found, 49 of them were multicentric. Among all 68, 29 made a statement concerning donor volume, 42 concerning transplant volume, 18 about mortality on the transplant waiting list, 15 concerning the volume on the waiting list, and 4 regarding time on the waiting list. Thus, with such data, in general, it was possible to observe a decrease in the volume of donors and the volume of transplants, besides a reduction in addition to the waiting list and an increase both in the waiting time for transplantation and in the mortality of the patients waiting for the transplant. Conclusion: The SARS-CoV-2 pandemic has directly influenced the logistics of solid organ transplants globally. The reasons that led to this fact are related to the decrease in the availability of ICU beds, contamination of the donor by the virus, and strict protocols to prevent the transmission of the virus.

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Published

2023-07-02

How to Cite

Costa, L. R. O., Furtado, L. C. C., Braga, R. C. B., Brito, B. D. B. B., Sales, T. J. B., Motta, D. de L., Nunes, F. H. S. ., Schmidt, Y. F. ., Rafael de Souza e Silva, H. ., & Fonseca Neto, O. C. L. da. (2023). Impact on the Solid Organ Transplant Waiting List During the Covid-19 Pandemic: An Integrative Review. Brazilian Journal of Transplantation, 26. Retrieved from https://bjt.emnuvens.com.br/revista/article/view/477

Issue

Vol. 26 (2023)

Section

Review Article

License

Copyright (c) 2023 Ludmila Rodrigues Oliveira Costa, Ludmila Cristina Camilo Furtado, Renan Camilo Braga, Bruna Dyana Batista Brito, Thiago Joanes Brandao Sales, Daniela de Lucena Motta, Felipe Henrique Santos Nunes, Yasmin Fontes Schmidt, Hugo Rafael de Souza e Silva, Olival Cirilo Lucena da Fonseca Neto

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.