TY - JOUR
T1 - COVID-19 and kidney transplantation
T2 - an Italian Survey and Consensus
AU - on behalf of the Italian National Kidney Transplantation Network
AU - the Joint Committee of the Italian Society of Organ Transplantation and the Italian Society of Nephrology
AU - Vistoli, Fabio
AU - Furian, Lucrezia
AU - Maggiore, Umberto
AU - Caldara, Rossana
AU - Cantaluppi, Vincenzo
AU - Ferraresso, Mariano
AU - Zaza, Gianluigi
AU - Cardillo, Massimo
AU - Biancofiore, Giandomenico
AU - Menichetti, Francesco
AU - Russo, Alessandro
AU - Turillazzi, Emanuela
AU - Di Paolo, Marco
AU - Grandaliano, Giuseppe
AU - Boggi, Ugo
AU - Brunori, Giuliano
AU - Petrini, Flavia
AU - Valenza, Franco
AU - Lavezzo, Bruna
AU - Bonucchi, Decenzio
AU - Capocasale, Enzo
AU - Grossi, Paolo
AU - Ponticelli, Claudio
AU - Sandrini, Silvio
AU - Schena, Francesco Paolo
AU - Segoloni, Giuseppe
AU - Biancone, Luigi
AU - Boschiero, Luigino
AU - Rigotti, Paolo
AU - Comai, Giorgia
AU - Bossini, Nicola
AU - Minetti, Enrico
AU - Iaria, Giuseppe
AU - Ambrosini, Andrea
AU - Messa, Pier Giorgio
AU - Boscutti, Giuliano
AU - Carmellini, Mario
AU - Caputo, Flavia
AU - Ranghino, Andrea
AU - De Rosa, Paride
AU - Federico, Stefano
AU - Veroux, Massimiliano
AU - Cirami, Calogero
AU - Nordio, Maurizio
AU - Citterio, Franco
AU - Rampino, Teresa
AU - Pisani, Francesco
AU - Secchi, Antonio
AU - Salis, Paola
AU - Strologo, Luca Dello
PY - 2020
Y1 - 2020
N2 - Italy was the first Western country to face the COVID-19 pandemic. Here we report the results of a national survey on kidney transplantation activity in February and March 2020, and the results of a three-round Delphi consensus promoted by four scientific societies: the Italian Society of Organ Transplantation, the Italian Society of Nephrology, the Italian Society of Anesthesia and Intensive Care, and the Italian Group on Antimicrobial Stewardship. All 41 Italian transplant centers were invited to express their opinion in the Delphi rounds along with a group of seven experts. The survey revealed that, starting from March 2020, there was a decline in kidney transplantation activity in Italy, especially for living-related transplants. Overall, 60 recipients tested positive for SARS-CoV2 infection, 57 required hospitalization, 17 were admitted to the ICU, and 11 died. The online consensus had high response rates at each round (95.8%, 95.8%, and 89.5%, respectively). Eventually, 27 of 31 proposed statements were approved (87.1%), 12 at the first or second round (38.7%), and 3 at the third (9.7%). Based on the Italian experience, we discuss the reasons for the changes in kidney transplantation activity during the COVID-19 pandemic in Western countries. We also provide working recommendations for the organization and management of kidney transplantation under these conditions.
AB - Italy was the first Western country to face the COVID-19 pandemic. Here we report the results of a national survey on kidney transplantation activity in February and March 2020, and the results of a three-round Delphi consensus promoted by four scientific societies: the Italian Society of Organ Transplantation, the Italian Society of Nephrology, the Italian Society of Anesthesia and Intensive Care, and the Italian Group on Antimicrobial Stewardship. All 41 Italian transplant centers were invited to express their opinion in the Delphi rounds along with a group of seven experts. The survey revealed that, starting from March 2020, there was a decline in kidney transplantation activity in Italy, especially for living-related transplants. Overall, 60 recipients tested positive for SARS-CoV2 infection, 57 required hospitalization, 17 were admitted to the ICU, and 11 died. The online consensus had high response rates at each round (95.8%, 95.8%, and 89.5%, respectively). Eventually, 27 of 31 proposed statements were approved (87.1%), 12 at the first or second round (38.7%), and 3 at the third (9.7%). Based on the Italian experience, we discuss the reasons for the changes in kidney transplantation activity during the COVID-19 pandemic in Western countries. We also provide working recommendations for the organization and management of kidney transplantation under these conditions.
KW - Consensus
KW - COVID-19
KW - Kidney transplantation
KW - Survey
UR - http://www.scopus.com/inward/record.url?scp=85086115207&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85086115207&partnerID=8YFLogxK
U2 - 10.1007/s40620-020-00755-8
DO - 10.1007/s40620-020-00755-8
M3 - Article
C2 - 32495231
AN - SCOPUS:85086115207
VL - 33
SP - 667
EP - 680
JO - Journal of Nephrology
JF - Journal of Nephrology
SN - 1121-8428
IS - 4
ER -