Pediatric transplantation in Europe during the COVID‐19 pandemic: Early impact on activity and healthcare

The current pandemic SARS‐CoV‐2 has required an unusual allocation of resources that can negatively impact chronically ill patients and high‐complexity procedures. Across the European Reference Network on Pediatric Transplantation (ERN TransplantChild), we conducted a survey to investigate the impac...

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Published in:	Clinical transplantation Vol. 34; no. 10; pp. e14063 - n/a
Main Authors:	Doná, Daniele, Torres Canizales, Juan, Benetti, Elisa, Cananzi, Mara, De Corti, Federica, Calore, Elisabetta, Hierro, Loreto, Ramos Boluda, Esther, Melgosa Hijosa, Marta, Garcia Guereta, Luis, Pérez Martínez, Antonio, Barrios, Maribel, Costa Reis, Patricia, Teixeira, Ana, Lopes, Maria Francelina, Kaliciński, Piotr, Branchereau, Sophie, Boyer, Olivia, Debray, Dominque, Sciveres, Marco, Wennberg, Lars, Fischler, Björn, Barany, Peter, Baker, Alastair, Baumann, Ulrich, Schwerk, Nicolaus, Nicastro, Emanuele, Candusso, Manila, Toporski, Jacek, Sokal, Etienne, Stephenne, Xavier, Lindemans, Caroline, Miglinas, Marius, Rascon, Jelena, Jara, Paloma
Format:	Journal Article
Language:	English
Published:	Denmark John Wiley and Sons Inc 01-10-2020
Subjects:	Adolescent adolescents Brief Communication Child Child, Preschool children coronavirus disease 2019 COVID-19 - epidemiology COVID-19 - etiology COVID-19 - prevention & control COVID‐19 Europe - epidemiology Female Health Care Rationing - trends Health Care Surveys Health Services Accessibility - trends hematopoietic stem cell transplantation Hematopoietic Stem Cell Transplantation - trends Humans Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi Hälsovetenskap Infant Infant, Newborn Infection Control - methods Infection Control - trends Infektionsmedicin Klinisk medicin Male Medicin och hälsovetenskap Organ Transplantation - trends Pandemics pediatric transplantation Pediatrik Postoperative Complications - epidemiology Postoperative Complications - etiology Postoperative Complications - prevention & control post‐transplant management Practice Patterns, Physicians' - trends Risk Factors SARS‐CoV‐2 solid organ transplantation Telemedicine - trends young Europe COVID-19 SARS-CoV-2 adolescents children young coronavirus disease 2019 post-transplant management hematopoietic stem cell transplantation solid organ transplantation pediatric transplantation
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Summary:	The current pandemic SARS‐CoV‐2 has required an unusual allocation of resources that can negatively impact chronically ill patients and high‐complexity procedures. Across the European Reference Network on Pediatric Transplantation (ERN TransplantChild), we conducted a survey to investigate the impact of the COVID‐19 outbreak on pediatric transplant activity and healthcare practices in both solid organ transplantation (SOT) and hematopoietic stem cell transplantation (HSCT). The replies of 30 professionals from 18 centers in Europe were collected. Twelve of 18 centers (67%) showed a reduction in their usual transplant activity. Additionally, outpatient visits have been modified and restricted to selected ones, and the use of telemedicine tools has increased. Additionally, a total of 14 COVID‐19 pediatric transplanted patients were identified at the time of the survey, including eight transplant recipients and six candidates for transplantation. Only two moderate‐severe cases were reported, both in HSCT setting. These survey results demonstrate the limitations in healthcare resources for pediatric transplantation patients during early stages of this pandemic. COVID‐19 disease is a major worldwide challenge for the field of pediatric transplantation, where there will be a need for systematic data collection, encouraging regular discussions to address the long‐term consequences for pediatric transplantation candidates, recipients, and their families.
Bibliography:	Funding information The authors would like to thanks to the European Commission and/or the Consumers, Health, Agriculture, and Food Executive Agency (CHAFEA). This work was supported by the European Commission and/or the Consumers, Health, Agriculture, and Food Executive Agency (CHAFEA) (SGA 847103). Daniele Doná and Juan Torres Canizales: Equally contributing authors. ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0902-0063 1399-0012 1399-0012
DOI:	10.1111/ctr.14063