Julio Pascual , Auxiliadora Mazuecos , Gloria Sánchez-Antolín , Amparo Solé , Pedro Ventura-Aguiar , Marta Crespo , Marta Farrero , Constantino Fernández-Rivera , Iris P. Garrido , Francisco Gea , Esther González-Monte , Antonio González-Rodríguez , Román Hernández-Gallego , Carlos Jiménez , Verónica López-Jiménez , Alejandra Otero , Sonia Pascual , Gonzalo P. Rodríguez-Laiz , Juan Carlos Ruiz , Asunción Sancho , Juan F. Delgado
{"title":"Best practices during COVID-19 pandemic in solid organ transplant programs in Spain","authors":"Julio Pascual , Auxiliadora Mazuecos , Gloria Sánchez-Antolín , Amparo Solé , Pedro Ventura-Aguiar , Marta Crespo , Marta Farrero , Constantino Fernández-Rivera , Iris P. Garrido , Francisco Gea , Esther González-Monte , Antonio González-Rodríguez , Román Hernández-Gallego , Carlos Jiménez , Verónica López-Jiménez , Alejandra Otero , Sonia Pascual , Gonzalo P. Rodríguez-Laiz , Juan Carlos Ruiz , Asunción Sancho , Juan F. Delgado","doi":"10.1016/j.trre.2023.100749","DOIUrl":null,"url":null,"abstract":"<div><p>Clinical management of transplant patients abruptly changed during the first months of COVID-19 pandemic (March to May 2020). The new situation led to very significant challenges, such as new forms of relationship between healthcare providers and patients and other professionals, design of protocols to prevent disease transmission and treatment of infected patients, management of waiting lists and of transplant programs during state/city lockdown, relevant reduction of medical training and educational activities, halt or delays of ongoing research, etc.</p><p>The two main objectives of the current report are: 1) to promote a project of best practices in transplantation taking advantage of the knowledge and experience acquired by professionals during the evolving situation of the COVID-19 pandemic, both in performing their usual care activity, as well as in the adjustments taken to adapt to the clinical context, and 2) to create a document that collects these best practices, thus allowing the creation of a useful compendium for the exchange of knowledge between different Transplant Units.</p><p>The scientific committee and expert panel finally standardized 30 best practices, including for the pretransplant period (<em>n</em> = 9), peritransplant period (<em>n</em> = 7), postransplant period (<em>n</em> = 8) and training and communication (<em>n</em> = 6). Many aspects of hospitals and units networking, telematic approaches, patient care, value-based medicine, hospitalization, and outpatient visit strategies, training for novelties and communication skills were covered.</p><p>Massive vaccination has greatly improved the outcomes of the pandemic, with a decrease in severe cases requiring intensive care and a reduction in mortality. However, suboptimal responses to vaccines have been observed in transplant recipients, and health care strategic plans are necessary in these vulnerable populations. The best practices contained in this expert panel report may aid to their broader implementation.</p></div>","PeriodicalId":48973,"journal":{"name":"Transplantation Reviews","volume":"37 1","pages":"Article 100749"},"PeriodicalIF":3.6000,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9894830/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Transplantation Reviews","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0955470X23000034","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"IMMUNOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Clinical management of transplant patients abruptly changed during the first months of COVID-19 pandemic (March to May 2020). The new situation led to very significant challenges, such as new forms of relationship between healthcare providers and patients and other professionals, design of protocols to prevent disease transmission and treatment of infected patients, management of waiting lists and of transplant programs during state/city lockdown, relevant reduction of medical training and educational activities, halt or delays of ongoing research, etc.
The two main objectives of the current report are: 1) to promote a project of best practices in transplantation taking advantage of the knowledge and experience acquired by professionals during the evolving situation of the COVID-19 pandemic, both in performing their usual care activity, as well as in the adjustments taken to adapt to the clinical context, and 2) to create a document that collects these best practices, thus allowing the creation of a useful compendium for the exchange of knowledge between different Transplant Units.
The scientific committee and expert panel finally standardized 30 best practices, including for the pretransplant period (n = 9), peritransplant period (n = 7), postransplant period (n = 8) and training and communication (n = 6). Many aspects of hospitals and units networking, telematic approaches, patient care, value-based medicine, hospitalization, and outpatient visit strategies, training for novelties and communication skills were covered.
Massive vaccination has greatly improved the outcomes of the pandemic, with a decrease in severe cases requiring intensive care and a reduction in mortality. However, suboptimal responses to vaccines have been observed in transplant recipients, and health care strategic plans are necessary in these vulnerable populations. The best practices contained in this expert panel report may aid to their broader implementation.
期刊介绍：
Transplantation Reviews contains state-of-the-art review articles on both clinical and experimental transplantation. The journal features invited articles by authorities in immunology, transplantation medicine and surgery.
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