Between fear and courage: Attitudes, beliefs, and behavior of liver transplantation recipients and waiting list candidates during the COVID-19 pandemic

American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons
Philipp A ReukenAndreas Stallmach

Abstract

Patients with chronic liver disease and patients after solid organ transplantation (SOT) are vulnerable to severe coronavirus disease 2019 (COVID-19). We evaluated fears, attitudes, and opinions associated with COVID-19 in 365 SOT recipients (95% liver, 5% pancreas/kidney), 112 SOT candidates, and 394 immediate household contacts in 2 German transplant centers. Seven (1.5%) patients and 10 (2.5%) controls had contact with confirmed COVID-19 cases. Fear of infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) was expressed by 65% of SOT recipients and by 55% of SOT candidates. SOT recipients had higher levels of fear of infection and more often wore personal protective gear than household controls. Female sex, steroid treatment, and using the local newspaper as a primary source of information were independently associated with expressed fear of infection in SOT recipients. Younger age and more recent transplantation correlated with concerns about severe COVID-19 expressed by patients and with concerns about worse medical care expressed by household controls. One third of the patients expressed fear that immunosuppression could worsen COVID-19 but only 15% used the transplantation center as a source of infor...Continue Reading

References

Jan 25, 2020·The New England Journal of Medicine·Na ZhuUNKNOWN China Novel Coronavirus Investigating and Research Team
Mar 8, 2020·The Lancet. Gastroenterology & Hepatology·Chao ZhangFu-Sheng Wang
Mar 21, 2020·Lancet·Puja MehtaUNKNOWN HLH Across Speciality Collaboration, UK
Mar 21, 2020·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Lorenzo D'Antiga
Apr 13, 2020·The Lancet. Gastroenterology & Hepatology·Sherrie BhooriVincenzo Mazzaferro
Apr 15, 2020·JHEP Reports : Innovation in Hepatology·Tobias BoettlerThomas Berg
Apr 22, 2020·Policy Sciences·Christopher M WeibleDiane Stone
Apr 28, 2020·The Lancet. Gastroenterology & Hepatology·Gwilym J WebbThomas Marjot

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Citations

Jan 15, 2021·International Journal of Environmental Research and Public Health·Xixiang SunZiyuan Tian
Jan 29, 2021·Pediatric Gastroenterology, Hepatology & Nutrition·Steffen ReinschPhilip Christian Grunert
Mar 30, 2021·World Journal of Gastroenterology : WJG·Riccardo De CarlisLuciano De Carlis
Aug 5, 2021·Family Medicine and Community Health·John Scott Frazer, Glenn Ross Frazer
Sep 11, 2021·Pediatric Transplantation·Mirac MusaoğluCigdem Arikan
Aug 12, 2021·Transplant International : Official Journal of the European Society for Organ Transplantation·Siobhan C McKayHermien Hartog
Dec 17, 2021·Current Urology Reports·David Andrés Castañeda MillánAna María Autrán-Gómez

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