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AAP News
The demand for transplantable solid organs far exceeds the supply of deceased donor organs. Like the debate as to which patients will receive lifesaving interventions during the COVID-19 pandemic, individual transplant programs must make eligibility determinations based on the principle of utilitarianism — doing the greatest amount of good for the greatest number of people.
Given the scarcity of solid organs for transplantation, allocation to those most likely to gain the most benefit takes into consideration both medical and psychosocial factors. Children with intellectual and developmental disabilities historically have been excluded as potential recipients of organ transplants.
A new AAP policy states that denying transplantation to people with disabilities on the basis of their disability and supposed lower quality of life may constitute illegal and unjustified discrimination.
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American Journal of Kidney Diseases
For weeks we watched as Wuhan, China was ravaged by the novel severe acute
respiratory syndrome coronavirus 2, wondering what the future had in store for
us. On Jan. 21, 2020, the first case of COVID-19 on U.S. soil was identified 20 miles north of
Seattle in the town of Everett, WA. On Friday Feb. 28, the nation's first reported
death due to COVID-19 infection was disclosed, followed by the second mortality case a mere 48
hours later. Both were end-stage renal disease patients dialyzing with Northwest Kidney
Centers in ambulatory clinics, and subsequently under the care of their Hospital Services
team. Over the course of that weekend, the organization was brought to the forefront of the
COVID-19 pandemic.
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Cardiology Advisor
Investigations into the presentation and prognosis of the COVID-19 in patients who have received a heart transplant are needed, according to an editorial published in The Journal of Heart and Lung Transplantation.
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The Wall Street Journal
The volume of organ transplants across New York state has dropped precipitously with the outbreak of the novel coronavirus, falling to 23 total organ transplants during April from an average of 220 transplants, according to an official for one of the state’s nonprofit transplant organizations.
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Veloxis Pharmaceuticals
Follow the journeys of kidney transplant patients who transitioned to a different immunosuppression regimen. After talking with their doctors about their experiences with other options, they decided to make a switch.
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The Journal of Heart and Lung Transplantation
The number of potential pediatric heart transplant recipients continues to exceed the number of donors, and consequently the waitlist mortality remains significant. Despite this, around 40 percent of all donated organs are not used and are discarded. This document evaluates factors responsible for discarding donor hearts and makes recommendations regarding donor heart acceptance. The aim of this statement is to ensure that no usable donor heart is discarded, wait-list mortality is reduced, and post-transplant survival is not adversely impacted.
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Veloxis Pharmaceuticals
Did you know there’s a transplant support system to help patients and providers with best-in-class assistance and resources? This ongoing support system assists with benefit investigation, prior authorization assistance, coordination with specialty pharmacies, prescription fulfillment navigation, and CoverMyMeds® access. There’s also a $0 co-pay card to overcome financial barriers.
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OncLive
Neehar Parikh, MD, medical director, Multidisciplinary Liver Tumor Clinic, Living Donor Liver Transplantation Program, assistant professor, Michigan Medicine, University of Michigan, discusses criteria for determining transplant eligibility in hepatocellular carcinoma.
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Kidney International
The outcome of SARS-CoV2 infection in patients who have received a kidney allograft and are being treated with immunosuppression is unclear. This article describes 20 kidney transplant recipients, median age of transplant 13 years, baseline eGFR 36.5 with SARS-CoV2 induced pneumonia.
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