Journal article
Survey of current transplant center practices regarding COVID-19 vaccine mandates in the United States
American journal of transplantation, Vol.22(6), pp.1705-1713
06/01/2022
DOI: 10.1111/ajt.16995
PMCID: PMC9111251
PMID: 35143100
Abstract
An electronic survey canvassing current policies of transplant centers regarding a COVID-19 vaccine mandate for transplant candidates and living donors was distributed to clinicians at US solid organ transplant centers performing transplants from October 14, 2021-November 15, 2021. Responses were received from staff at 141 unique transplant centers. These respondents represented 56.4% of US transplant centers, and responding centers performed 78.5% of kidney transplants and 82.4% of liver transplants in the year prior to survey administration. Only 35.7% of centers reported implementing a vaccine mandate, while 60.7% reported that vaccination was not required. A minority (42%) of responding centers with a vaccine mandate for transplant candidates also mandated vaccination for living organ donors. Centers with a vaccine mandate most frequently cited clinical evidence supporting the efficacy of pre-transplant vaccination (82%) and stewardship obligations to ensure organs were transplanted into the lowest risk patients (64%). Centers without a vaccine mandate cited a variety of reasons including administrative, equity, and legal considerations for their decision. Transplant centers in the United States exhibit significant heterogeneity in COVID-19 vaccination mandate policies for transplant candidates. While all centers encourage vaccination, most centers have not mandated COVID-19 vaccination for candidates and living donors, citing administrative opposition, legal prohibitions, and concern about equity in access to transplants.
Details
- Title: Subtitle
- Survey of current transplant center practices regarding COVID-19 vaccine mandates in the United States
- Creators
- Benjamin E. Hippen - Fresenius Medical Care (United States)David A. Axelrod - University of IowaKennan Maher - Saint Louis UniversityRuixin Li - Saint Louis UniversityDeepali Kumar - University Health NetworkYasar Caliskan - Saint Louis UniversityTarek Alhamad - Saint Louis UniversityMark Schnitzler - Saint Louis UniversityKrista L. Lentine - Saint Louis University
- Resource Type
- Journal article
- Publication Details
- American journal of transplantation, Vol.22(6), pp.1705-1713
- DOI
- 10.1111/ajt.16995
- PMID
- 35143100
- PMCID
- PMC9111251
- NLM abbreviation
- Am J Transplant
- ISSN
- 1600-6135
- eISSN
- 1600-6143
- Publisher
- Wiley
- Number of pages
- 9
- Language
- English
- Date published
- 06/01/2022
- Academic Unit
- Surgery
- Record Identifier
- 9984322798202771
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