Abstract

The COVID-19 pandemic created significant disruptions to kidney transplantation in the United States. Particularly in the initial surge, there was a dramatic decrease in deceased donor transplants, a near complete cessation in living donor kidney transplants, and considerable mortality among kidney transplant candidates.1–3 Although some of the significant operational challenges for organ procurement organizations and transplant centers have been described,4 remarkably more deceased donor kidney transplants occurred in 2020 than in any previous year.

Highlights

  • The COVID-19 pandemic created significant disruptions to kidney transplantation in the United States

  • We evaluated the impact of the COVID-19 pandemic on deceased donor kidney utilization and discard rates in the United States in 2020 using national registry data as of January 1, 2021 (Supplementary Methods)

  • The weekly kidney discard rate among procured kidneys was highest during the initial surge, dropped after the surge, and rose mildly in the summer

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Summary

Introduction

The COVID-19 pandemic created significant disruptions to kidney transplantation in the United States. We evaluated the impact of the COVID-19 pandemic on deceased donor kidney utilization and discard rates in the United States in 2020 using national registry data as of January 1, 2021 (Supplementary Methods).

Results
Conclusion
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