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.

COVID-19 and kidney transplantation: an Italian Survey and Consensus / F. Vistoli, L. Furian, U. Maggiore, R. Caldara, V. Cantaluppi, M. Ferraresso, G. Zaza, M. Cardillo, G. Biancofiore, F. Menichetti, A. Russo, E. Turillazzi, M. Di Paolo, G. Grandaliano, U. Boggi, G. Brunori, F. Petrini, F. Valenza, B. Lavezzo, D. Bonucchi, E. Capocasale, P. Grossi, C. Ponticelli, S. Sandrini, F.P. Schena, G. Segoloni, L. Biancone, L. Boschiero, P. Rigotti, G. Comai, N. Bossini, E. Minetti, G. Iaria, A. Ambrosini, P.G. Messa, G. Boscutti, M. Carmellini, F. Caputo, A. Ranghino, P. De Rosa, S. Federico, M. Veroux, C. Cirami, M. Nordio, F. Citterio, G.B. Piredda, R. Pretagostini, P. De Paolis, T. Rampino, F. Pisani, G. Cappelli, A. Secchi, P. Salis, F. Gastaldon, F. Mallamaci, L.D. Strologo, C. Taglioni, P. Teresa, L. Peruzzi, L. Gesualdo, E. Gotti, P. Feltracco, E. Paoletti. - In: JN. JOURNAL OF NEPHROLOGY. - ISSN 1121-8428. - (2020). [Epub ahead of print] [10.1007/s40620-020-00755-8]

COVID-19 and kidney transplantation: an Italian Survey and Consensus

M. Ferraresso;F. Valenza;S. Sandrini;E. Minetti;A. Ambrosini;F. Caputo;S. Federico;F. Citterio;F. Pisani;G. Cappelli;A. Secchi;
2020

Abstract

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.
Consensus; COVID-19; Kidney transplantation; Survey
Settore MED/14 - Nefrologia
2020
giu-2020
Article (author)
File in questo prodotto:
File Dimensione Formato  
Vistoli F COVID-19 and SOT JN 2020.pdf

accesso aperto

Tipologia: Publisher's version/PDF
Dimensione 882.49 kB
Formato Adobe PDF
882.49 kB Adobe PDF Visualizza/Apri
Pubblicazioni consigliate

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/745420
Citazioni
  • ???jsp.display-item.citation.pmc??? 27
  • Scopus 41
  • ???jsp.display-item.citation.isi??? 39
social impact