Transplant disciplines have faced considerable challenges in maintaining allocation and sustaining delivery of care during the COVID-19 pandemic. We evaluated the association between the COVID-19 pandemic and increased waiting list times among pediatric heart transplant (HT) recipients in the US.
The United Network for Organ Sharing data set was used to identify pediatric HT recipients (age <18 years) according to predefined waiting list periods before the COVID-19 pandemic (November 1, 2018, to February 28, 2020) and during the pandemic (March 1, 2020, to June 30, 2021).1 Because data were deidentified, the University of Colorado Institutional Review Board deemed the study exempt from approval and waived informed consent. The study followed the STROBE reporting guideline.
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CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.
Accepted for Publication: August 17, 2022.
Published: October 7, 2022. doi:10.1001/jamanetworkopen.2022.34874
Open Access: This is an open access article distributed under the terms of the CC-BY License. © 2022 Iguidbashian J et al. JAMA Network Open.
Corresponding Author: John Iguidbashian, MD, Department of Surgery, University of Colorado School of Medicine, 12605 E 16th Ave, Aurora, CO 80045 (firstname.lastname@example.org).
Author Contributions: Dr Stone had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.
Concept and design: Iguidbashian, Yoeli, Campbell, Jaggers, Stone.
Acquisition, analysis, or interpretation of data: Iguidbashian, Yoeli, Everitt, Mitchell, Stone.
Drafting of the manuscript: Iguidbashian, Stone.
Critical revision of the manuscript for important intellectual content: All authors.
Statistical analysis: Iguidbashian, Yoeli.
Obtained funding: Stone.
Administrative, technical, or material support: Stone.
Supervision: Everitt, Campbell, Mitchell, Jaggers, Stone.
Conflict of Interest Disclosures: None reported.
Additional Contributions: We thank Kathryn L. Colborn, PhD (University of Colorado School of Medicine), for assisting with statistical analysis; she was not compensated financially for her contribution.
Credit Designation Statement: The American Medical Association designates this Journal-based CME activity activity for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to:
It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting MOC credit.
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