Trends in US Heart Transplant Waitlist Activity and Volume During the Coronavirus Disease 2019 (COVID-19) Pandemic

JAMA Cardiology
Ersilia M DeFilippisMaryjane A Farr

Abstract

Solid organ transplants have declined significantly during the coronavirus disease (COVID-19) pandemic in the US. Limited data exist regarding changes in heart transplant (HT). To describe national and regional trends in waitlist inactivations, waitlist additions, donor recovery, and HT volume during COVID-19. This descriptive cross-sectional study used publicly available data from the United Network for Organ Sharing and US Centers for Disease Control and Prevention, using 8 prespecified United Network for Organ Sharing regions. Adult (18 years or older) HT candidates listed and deceased donors recovered between January 19 to May 9, 2020. COVID-19 pandemic. Changes in waitlist inactivations, waitlist additions, deceased donor recovery, and transplant volumes from the pre-COVID-19 (January 19-March 15, 2020) to the COVID-19 era (March 15-May 9, 2020). Density mapping and linear regression with interrupted time series analysis were used to characterize changes over time and changes by region. During the COVID-19 era, there were 600 waitlist inactivations compared with 343 during the pre-COVID era (75% increase). Waitlist additions decreased from 637 to 395 (37% reduction). These changes were most profound in the Northeast and Gr...Continue Reading

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Jun 25, 2020·Clinical Transplantation·Ashley Fan, Megan Kamath

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Citations

Sep 29, 2020·Journal of Cardiac Surgery·Subhasis ChatterjeeJoseph S Coselli
Oct 21, 2020·European Heart Journal. Quality of Care & Clinical Outcomes·Mohamed O MohamedMamas A Mamas
Nov 28, 2020·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·Rebecca R GoffDavid K Klassen
Dec 6, 2020·Current Opinion in Organ Transplantation·Jefferson L Vieira, Mandeep R Mehra
Jan 5, 2021·European Heart Journal Supplements : Journal of the European Society of Cardiology·Marie-Cécile Bories, Ramzi Abi Akar
Feb 24, 2021·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·Jonathan MillerJon J Snyder
Feb 21, 2021·Clinical Transplantation·Gillian HardmanJohn H Dark

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