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10.1016/j.trim.2020.101304 http://scihub22266oqcxt.onion/10.1016/j.trim.2020.101304 32371150!7194049!32371150     free     free     free Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Transpl+Immunol 2020 ; 61 (ä): 101304 Nephropedia Template TP {{tp|p=32371150|t=2020. Immediate impact of COVID-19 on transplant activity in the Netherlands |pdf=|usr=}}{{32371150}} gab.com Text Immediate impact of COVID-19 on transplant activity in the Netherlands JO: Transpl Immunol http://www.kidney.de/pget.php?&tw=1&pmid=32371150 #FOAvip 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. Twit Text FOAVip Immediate impact of COVID-19 on transplant activity in the Netherlands ????Transpl Immunol http://www.kidney.de/pget.php?&tw=1&pmid=32371150 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=32371150 #FOAvip English Wikipedia <ref>{{Cite pmid|32371150}}</ref> Immediate impact of COVID-19 on transplant activity in the Netherlands #MMPMID32371150 de Vries APJ; Alwayn IPJ; Hoek RAS; van den Berg AP; Ultee FCW; Vogelaar SM; Haase-Kromwijk BJJM; Heemskerk MBA; Hemke AC; Nijboer WN; Schaefer BS; Kuiper MA; de Jonge J; van der Kaaij NP; Reinders MEJ Transpl Immunol 2020[Aug]; 61 (ä): 101304 PMID32371150show ga 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. |Adolescent[MESH] |Betacoronavirus/isolation & purification[MESH] |COVID-19[MESH] |Child[MESH] |Child, Preschool[MESH] |Coronavirus Infections/*epidemiology/*transmission[MESH] |Humans[MESH] |Netherlands[MESH] |Organ Transplantation/*statistics & numerical data[MESH] |Pandemics[MESH] |Pneumonia, Viral/*epidemiology/*transmission[MESH] |SARS-CoV-2[MESH] |Tissue and Organ Procurement[MESH]Immediate impact of COVID-19 on transplant activity in the Netherlands(epmc).pdf DeepDyve Pubget Overpricing