COVID-19 OUTBREAK AND SOLID ORGAN TRANSPLANTATION (SOT) : AN INTERNATIONAL WEB-BASED SURVEY

Study Overview
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Brief Summary
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Background COVID-19 has brought into questioning the equitable distribution of resources. Solid Organ Transplants (SOT) are life-saving procedures. Rapid changes in the management of patients are occurring, with potential for inequity. Drawing on professionals across transplant specialities, we investigated resource distribution specifically for SOT to guide healthcare policies. A multidisciplinary team developed a survey. The survey included demographic questions to contextualise respondents, questions on resource allocation for SOT. Multiple strategies were used to distribute the survey internationally. Descriptive, uni-multivariate ordinal regressions analysis were performed. Open comments were analysed using qualitative methods.

Official Title
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COVID-19 OUTBREAK AND SOLID ORGAN TRANSPLANTATION (SOT) : AN INTERNATIONAL WEB-BASED SURVEY

Conditions
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COVID-19 OUTBREAK AND SOLID ORGAN TRANSPLANTATION

Intervention / Treatment
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* Other: Survey Group


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: transplant surgeons, referring doctors, transplant physicians, transplant coordinators, transplant ICU doctors, COVID-19 ICU, Infectious Disease Doctors, Pulmonologists, Internist, and Ethicists Exclusion Criteria: not applicable

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Other: Survey Group|The survey sought to elucidate equity principles that are influencing transplant decision making. The group of respondents included solid organ transplant doctors (surgeons, referring doctors, transplant physicians, transplant coordinators, ICU transplant doctors), COVID-doctors (ICU doctors, Infectious Disease Doctors, Pulmonologists, Internists), and Ethicists with experience of transplant related issues. Respondent identification: A. The e-mail addresses of corresponding authors from Scopus January 1, 2017 and march 20, 2020: All (surgery) AND subj (medi) and key (transplantation), All (critical care) AND subj (medi) and key (transplantation), All (ethics) AND subj (medi) and key (transplantation). B. Emailing through the mailing list of scientific societies. C. The link to the survey published online. D. The link to the survey circulated through personal contacts and via social media sites.|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Management of Solid Organ Transplant during COVID-19 pandemic | Question 1Given the COVID-19 outbreak, should liver transplant activities be stopped? with three possible answers (Completely, Selectively and Not at All) | 20/04/2020 | 
| Equity of resource distribution | Question 2I feel that the current policy to allocate most resources to COVID-19 meets the equity of access in healthcare for different diseases with four possible alternative answers (strongly agree, partially agree, partially disagree and strongly disagree). | 20/04/2020 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Equity rank of resource distribution | Scale (10 strongly agree- 0 strongly disagree). | 20/04/2020 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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COVID-19, Solid Organ Transplantation