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10.1016/j.ekir.2021.05.003

http://scihub22266oqcxt.onion/10.1016/j.ekir.2021.05.003
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34027242!8123405!34027242
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suck abstract from ncbi


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pmid34027242      Kidney+Int+Rep 2021 ; 6 (8): 2066-2074
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  • A National Survey of Practice Patterns for Accepting Living Kidney Donors With Prior COVID-19 #MMPMID34027242
  • Jan MY; Jawed AT; Barros N; Adebiyi O; Diez A; Fridell JA; Goggins WC; Yaqub MS; Anderson MD; Mujtaba MA; Taber TE; Mishler DP; Kumar V; Lentine KL; Sharfuddin AA
  • Kidney Int Rep 2021[Aug]; 6 (8): 2066-2074 PMID34027242show ga
  • INTRODUCTION: A critical question facing transplant programs is whether, when, and how to safely accept living kidney donors (LKDs) who have recovered from COVID-19 infection. The purpose of the study is to understand current practices related to accepting these LKDs. METHODS: We surveyed US transplant programs from 3 September through 3 November 2020. Center level and participant level responses were analyzed. RESULTS: A total of 174 respondents from 115 unique centers responded, representing 59% of US LKD programs and 72.4% of 2019 and 72.5% of 2020 LKD volume (Organ Procurement and Transplantation Network-OPTN 2021). In all, 48.6% of responding centers had received inquiries from such LKDs, whereas 44.3% were currently evaluating. A total of 98 donors were in the evaluation phase, whereas 27.8% centers had approved 42 such donors to proceed with donation. A total of 50.8% of participants preferred to wait >3 months, and 91% would wait at least 1 month from onset of infection to LD surgery. The most common reason to exclude LDs was evidence of COVID-19-related AKI (59.8%) even if resolved, followed by COVID-19-related pneumonia (28.7%) and hospitalization (21.3%). The most common concern in accepting such donors was kidney health postdonation (59.2%), followed by risk of transmission to the recipient (55.7%), donor perioperative pulmonary risk (41.4%), and donor pulmonary risk in the future (29.9%). CONCLUSION: Practice patterns for acceptance of COVID-19-recovered LKDs showed considerable variability. Ongoing research and consensus building are needed to guide optimal practices to ensure safety of accepting such donors. Long-term close follow-up of such donors is warranted.
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