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Tytuł:
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Waitlisted Transplant Candidates' Attitudes and Concerns Toward Transplantation During COVID-19.
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Autorzy:
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Tan EK; Department of Hepato-Pancreato-Biliary and Transplant Surgery, Singapore General Hospital, Singapore, Singapore.; SingHealth Duke-NUS Transplant Centre, Singapore, Singapore.
Koh YX; Department of Hepato-Pancreato-Biliary and Transplant Surgery, Singapore General Hospital, Singapore, Singapore.; SingHealth Duke-NUS Transplant Centre, Singapore, Singapore.
Kee T; SingHealth Duke-NUS Transplant Centre, Singapore, Singapore.; Department of Renal Medicine Singapore General Hospital, Singapore, Singapore.
Juhari JB; SingHealth Duke-NUS Transplant Centre, Singapore, Singapore.
Tan TE; National Heart Center, Singapore, Singapore.; Department of Cardiothoracic Surgery, Singapore General Hospital, Singapore, Singapore.
Sim DKL; SingHealth Duke-NUS Transplant Centre, Singapore, Singapore.; Department of Cardiology, Singapore General Hospital, Singapore, Singapore.
Ho AYL; SingHealth Duke-NUS Transplant Centre, Singapore, Singapore.; Department of Cardiology, Singapore General Hospital, Singapore, Singapore.
Krishnan L; SingHealth Duke-NUS Transplant Centre, Singapore, Singapore.
Tee PS; SingHealth Duke-NUS Transplant Centre, Singapore, Singapore.
Krishnamoorthy TL; SingHealth Duke-NUS Transplant Centre, Singapore, Singapore.; Department of Gastroenterology and Hepatology, Singapore General Hospital, Singapore, Singapore.
Goh BKP; Department of Hepato-Pancreato-Biliary and Transplant Surgery, Singapore General Hospital, Singapore, Singapore.; SingHealth Duke-NUS Transplant Centre, Singapore, Singapore.
Tan BH; SingHealth Duke-NUS Transplant Centre,, Singapore, Singapore.; Department of Infectious Diseases, Singapore General Hospital, Singapore, Singapore.
Chung SJ; SingHealth Duke-NUS Transplant Centre, Singapore, Singapore.; Department of Infectious Diseases, Singapore General Hospital, Singapore, Singapore.
Phua GC; SingHealth Duke-NUS Transplant Centre, Singapore, Singapore.; Department of Respiratory and Critical Care Medicine, Singapore General Hospital, Singapore, Singapore.
Jeyaraj PR; Department of Hepato-Pancreato-Biliary and Transplant Surgery, SinghealthSingapore General Hospital, Singapore, Singapore.; SingHealth Duke-NUS Transplant Centre, Singapore, Singapore.
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Źródło:
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Annals of transplantation [Ann Transplant] 2020 Dec 08; Vol. 25, pp. e926992. Date of Electronic Publication: 2020 Dec 08.
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Typ publikacji:
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Journal Article
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Język:
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English
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Imprint Name(s):
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Publication: <2013- > : Smithtown, New York: International Scientific Literature, Inc.
Original Publication: Warsaw : Polish Transplantology Foundation : Transplantation Institute, Warsaw Medical School, 1996-
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MeSH Terms:
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Health Knowledge, Attitudes, Practice*
Waiting Lists*
COVID-19/*psychology
Hematopoietic Stem Cell Transplantation/*psychology
Organ Transplantation/*psychology
Patient Preference/*psychology
Adult ; Aged ; Aged, 80 and over ; COVID-19/epidemiology ; COVID-19/etiology ; COVID-19/prevention & control ; Female ; Global Health ; Health Care Surveys ; Health Literacy ; Humans ; Male ; Middle Aged ; Pandemics ; Patient Preference/statistics & numerical data ; Postoperative Complications/prevention & control ; Postoperative Complications/psychology ; Singapore/epidemiology
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References:
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Transplant Proc. 2018 Dec;50(10):3564-3570. (PMID: 30577239)
Kidney Int. 2020 Jun;97(6):1076-1082. (PMID: 32354637)
Am J Transplant. 2020 Jul;20(7):1809-1818. (PMID: 32282982)
Oncologist. 2012;17(6):881-5. (PMID: 22615217)
Am J Transplant. 2020 Jul;20(7):1916-1921. (PMID: 32282986)
Liver Transpl. 2014 Sep;20(9):1072-80. (PMID: 24863055)
Lancet Public Health. 2020 May;5(5):e249-e250. (PMID: 32302535)
BMC Nephrol. 2018 Nov 26;19(1):338. (PMID: 30477440)
Transplant Direct. 2020 May 08;6(6):e554. (PMID: 32607420)
Am J Transplant. 2020 Jul;20(7):1849-1858. (PMID: 32301155)
Lancet. 2020 May 23;395(10237):e95-e96. (PMID: 32407668)
Fam Med. 2004 Sep;36(8):588-94. (PMID: 15343421)
JAMA. 2010 Jul 7;304(1):76-84. (PMID: 20606152)
Ann Acad Med Singap. 2013 Jun;42(6):269-77. (PMID: 23842767)
Am J Transplant. 2020 Jul;20(7):1800-1808. (PMID: 32330343)
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Entry Date(s):
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Date Created: 20201208 Date Completed: 20201231 Latest Revision: 20201231
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Update Code:
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20240104
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PubMed Central ID:
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PMC7735226
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DOI:
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10.12659/AOT.926992
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PMID:
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33289727
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BACKGROUND In solid organ transplant (SOT) and hematopoietic stem cell transplant (HSCT) recipients, coronavirus disease 2019 (COVID-19) can contribute to a severe clinical course and an increased risk of death. Thus, patients awaiting a SOT or HSCT face the dilemma of choosing between a life-saving treatment that presents a significant threat of COVID-19 and the risk of waitlist dropout, progression of disease, or mortality. The lack of established literature on COVID-19 complicates the issue as patients, particularly those with inadequate health literacy, may not have the resources needed to navigate these decisions. MATERIAL AND METHODS We conducted a standardized phone survey of patients awaiting SOT or HSCT to assess the prevalence of inadequate health literacy and attitudes toward transplant during the COVID-19 pandemic. RESULTS Seventy-one patients completed the survey, with a response rate of 84.5%. Regardless of health literacy, most waitlisted candidates recognized that the current pandemic is a serious situation affecting their care and that COVID-19 poses a significant risk to their health. Despite the increased risks, most patients reported they would choose immediate transplantation if there was no foreseeable end to the pandemic, and especially if the medical urgency did not permit further delay. There were no differences in responses across the patient waitlist groups for heart, kidney, liver, and stem cell transplant. CONCLUSIONS These findings can help transplant centers decide how transplantation services should proceed during this pandemic and can be used to educate patients and guide discussions about informed consent for transplant during the COVID-19 pandemic.