Global Impact of the COVID-19 Pandemic on Solid Organ Transplant.
Global Impact of the COVID-19 Pandemic on Solid Organ Transplant.
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DOI：
10.1016/j.transproceed.2022.02.009
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发表时间：
2022-07
影响因子：
0.9
通讯作者：
Meshram HS
中科院分区：
文献类型：
--
作者：
Kute VB;Tullius SG;Rane H;Chauhan S;Mishra V;Meshram HS
COVID-19严重影响了移植服务，但人们对COVID-19在世界不同地区的影响差异的了解有限。我们研究了全球器官捐赠和移植观察站的数据，以评估2019年（n = 157,301）和2020年（129,681）之间移植数量的变化。COVID-19对世界不同地区的影响不成比例。在全球范围内，下降了17.5%，其中死者捐赠、肾脏（20.9%）、胰腺（16.2%）、肺（12.7%）、肝脏（11.3%）和心脏（8%）移植在世界不同地区不成比例地下降。大流行几乎影响到所有地理区域和国家，但中国和美国大多能够从大流行造成的最初停止的移植实践中恢复过来，因此移植数量出现了累积增长。我们的数据显示，发展中国家落后了，而发达国家在疫情期间恢复了他们的移植项目。需要进一步制定政策和做好准备，以保护世界上最脆弱的地区，尽量减少未来任何大流行病对移植做法的影响。
COVID-19 has drastically affected transplant services, but there is limited understanding of the discrepancy of COVID-19 effects on various regions of the world. We have explored the Global Observatory for Organ Donation and Transplantation data for assessing the transplant number changes between the calendar year 2019 (n = 157,301) and 2020 (129,681). There was a disproportionate impact of COVID-19 on different areas of the world. Globally, there was a decline of 17.5%, in which deceased donation, kidney (20.9%), pancreas (16.2%), lung (12.7%), liver (11.3%), and heart (8%) transplant declined disproportionally in different regions of the world. The pandemic affected almost all geographic regions and nations, but China and the United States were mostly able to recover from the initial halt of the transplant practices by the pandemic so that there was a cumulative increase in transplant numbers. Our data show that developing nations lagged behind, whereas developed nations have been able to recover their transplantation programs during the pandemic. Further policy making and preparedness is required to safeguard the most vulnerable areas of the world to minimize the impact of any future pandemic on transplantation practices.
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