Impact of Covid-19 on kidney transplant and waiting list patients: Lessons from the first wave of the pandemic - 02/02/21

Doi : 10.1016/j.nephro.2020.12.004

Lionel Couzi ^a,⁎ , Miriam Manook ^b, Sophie Caillard ^c, Éric Épailly ^d, Benoît Barrou ^e, Dany Anglicheau ^f, Mathias Buchler ^g, Sacha Mussot ^h, Jérôme Dumortier ⁱ, Olivier Thaunat ^j, Laurent Sebbag ^k, Gilles Blancho ^l, Yannick Le Meur ^m, Yuval A. Patel ⁿ, Mariya Samoylova ^b, Lisa McElroy ^b, Brian I. Shaw ^b, Scott Sanoff ^o, Marc Hazzan ^p
^a Department of Nephrology and Transplantation, CHU de Bordeaux, CNRS-UMR 5164 ImmunoConcEpT, Université de Bordeaux, place Amélie Raba Léon, 33076 Bordeaux, France
^b Department of Surgery, Duke University, Dhuram, NC, USA
^c Department of Nephrology and Transplantation, Strasbourg University Hospital, Strasbourg, France
^d Department of Cardiac Surgery, Strasbourg University Hospital, Strasbourg, France
^e Department of Urology, Nephrology, Transplantation, APHP Sorbonne University, Inserm U1082, Paris, France
^f Department of Nephrology and Kidney Transplantation, Necker Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France
^g Department of Nephrology and Transplantation, Tours University Hospital, Tours, France
^h Paris-Saclay University, Inserm UMR_S999, Thoracic, vascular and heart-lung transplantation department, Marie Lannelongue Hospital, Paris Saint-Joseph Hospital Group, Le Plessis-Robinson, France
ⁱ Department of Hepatology, Hôpital Edouard Herriot, Lyon University Hospital, Lyon, France
^j Department of Nephrology, Transplantation and Clinical Immunology of Edouard Herriot Hospital, Hospices Civils de Lyon, Lyon-I University UFR Lyon Est, Lyon, France
^k Heart failure Department, Hôpital Louis Pradel, Lyon University Hospital, Lyon, France
^l Institut de Transplantation Urologie Néphrologie, CHU de Nantes, and CRTI, UMR 1064, Inserm, Université de Nantes, Nantes, France
^m Department of Nephrology and Transplantation, Brest University Hospital, Brest, France
ⁿ Division of Gastroenterology, Department of Medicine, Duke University, Durham, NC, USA
^o Division of Nephrology, Department of Medicine, Duke University, Durham, NC, USA
^p Department of Nephrology and Transplantation, Lille University Hospital, Lille, France

^⁎Corresponding author.

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En prensa. Pruebas corregidas por el autor. Disponible en línea desde el Tuesday 02 February 2021
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Highlights

•	Kidney transplant recipients had better home confinement and less health care than candidates.
•	Kidney transplant recipients experienced less contact with Covid-19 patients.
•	Many recipients and candidates felt inadequately informed by their transplant center.
•	Among candidates, 71% preferred to undergo transplant as soon as possible during the pandemic.

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Abstract

Background

The first wave of the Covid-19 pandemic resulted in a drastic reduction in kidney transplantation and a profound change in transplant care in France. It is critical for kidney transplant centers to understand the behaviors, concerns and wishes of transplant recipients and waiting list candidates.

Methods

French kidney patients were contacted to answer an online electronic survey at the end of the lockdown.

Results

At the end of the first wave of the pandemic in France (11 May 2020), 2112 kidney transplant recipients and 487 candidates answered the survey. More candidates than recipients left their home during the lockdown, mainly for health care (80.1% vs. 69.4%; P<0.001). More candidates than recipients reported being exposed to Covid-19 patients (2.7% vs. 1.2%; P=0.006). Many recipients and even more candidates felt inadequately informed by their transplant center during the pandemic (19.6% vs. 54%; P<0.001). Among candidates, 71.1% preferred to undergo transplant as soon as possible, 19.5% preferred to wait until Covid-19 had left their community, and 9.4% were not sure what to do.

Conclusions

During the Covid-19 pandemic in France, the majority of candidates wished to receive a transplant as soon as possible without waiting until Covid-19 had left their community. Communication between kidney transplant centers and patients must be improved to better understand and serve patients’ needs.

El texto completo de este artículo está disponible en PDF.

Keywords : Candidates, Covid-19, Kidney, Patients, Transplantation