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10.1097/TXD.0000000000001126

http://scihub22266oqcxt.onion/10.1097/TXD.0000000000001126
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33688577!7935425!33688577
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suck abstract from ncbi


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pmid33688577      Transplant+Direct 2021 ; 7 (4): e678
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  • Resuming Deceased Donor Kidney Transplantation in the COVID-19 Era: What Do Patients Want? #MMPMID33688577
  • Thind AK; Beckwith H; Dattani R; Dhutia A; Gleeson S; Martin P; Ryan L; Shuaib R; Svetitsky S; Dor FJMF; Brown EA; Willicombe M
  • Transplant Direct 2021[Apr]; 7 (4): e678 PMID33688577show ga
  • BACKGROUND: The rapidly evolving novel coronavirus 2019 (COVID-19) pandemic bought many kidney transplant (KT) programs to a halt. Integral to resuming KT activity is understanding the perspectives of potential transplant candidates during this highly dynamic time. METHODS: From June 1 to July 7, 2020, a telephone survey of KT candidates on the deceased donor waiting list at Imperial College Renal and Transplant Centre in West London was conducted. The survey captured ongoing COVID-19 exposure risks and patients' views on waitlist (WL) reactivation and undergoing transplantation. RESULTS: Two hundred seven responses were received. Of the respondents, 180 patients (87%) were happy to be reactivated onto the WL; with 141 patients (68%) willing to give consent to transplantation currently, while 53 patients (26%) felt unsure, and 13 patients (6%) would decline a KT. The vast majority of patients had no concerns. In the responses from those who were uncertain or who would decline a KT, concerns about COVID-19 infection and the need for reassurance from transplant units dominated. Universally patients wanted more information about COVID-19 infection risk with KT and the precautions being taken to reduce this risk. CONCLUSIONS: The majority of surveyed patients are in favor of reactivation and receiving a KT despite the ongoing COVID-19 pandemic. Reactivation of candidates cannot be assumed and should take an individualized approach, incorporating clinical risk with patient perspectives. Improved communication with KT candidates is highly requested.
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