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BACKGROUND Maintaining access to kidney transplantation during a pandemic is a challenge particularly for centers that serve a large rural and minority patient with an additional burden of travel. Aim of this manuscript is to describe our experience with the roll-out and utilization of a virtual pre-transplant evaluation platform to facilitate ongoing transplant wait-listing during the early peak of the COVID-19 pandemic. STUDY DESIGN This is a retrospective analysis of the process improvement project implemented to continue the evaluation of potential kidney transplant candidates and ensure waitlist placement during the COVID-19 pandemic. Operational metrics include transplant volume per month, referral volume per month, pre-transplant patients halted prior to completing an evaluation per month, evaluations completed per and patients waitlisted per month. RESULTS Between April and September 2020, a total of 1258 patients completed an evaluation. 247 patients were halted during this time period prior to completing a full evaluation. 152 patients were presented at selection and113 placed on the waitlist. Furthermore, patients in the active referral phase were able to be reduced by 46%.More evaluations were completed within the virtual platform (n=930 vs n= 880) yielding similar additions to the waitlist in 2020 (n=282) versus 2019 (n=308) despite the COVID-19 pandemic. CONCLUSIONS The virtual platform allowed continued maintenance of a large kidney transplant program despite the inability to live in person visits. The value of this platform will likely transform our approach to the pre-transplant process and provides an additional valuable method to improve patient equity and access to transplant.
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10.1016/j.jamcollsurg.2020.12.003
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Journal_of_the_American_College_of_Surgeons
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Maintaining Equity and Access: Successful Implementation of a Virtual Kidney Transplant Evaluation.
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