and the South African Transplant Sports Association . All cite dramatic mortality findings and plummeting organ donations from field studies conducted in the UK and South Africa.
“There is some conflicting evidence. You have to tease out the comorbidities – but typically transplant patients also have hypertension and are often diabetic, which also impacts on outcomes,” he said.A Western Cape study of public and private hospitals shows a monthly average drop from 4.8 to 1.8 organ donor referrals when the first 10 months of the pandemic were compared to the full year prior.
Thomson says the big problem is the total lack of nationally mandated reporting of outcomes that would inform local practice. In some studies when transplant recipients infected with Covid-19 were compared to the general population, there was a tenfold increase in mortality. Nichols adds that while South African transplant centres work together, the country lacks an umbrella body like the US’s United Network for Organ Sharing, backed by an electronic data system that helps ensure that available organs are sent to the person most in need. She adds that in Spain, for example, every hospital has a transplant officer, and each death is audited for potential tissue of organ donation.
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