Evidence map›Paper›PMID 36939212›Full record

ArticlePediatric transplantation2023

Survey of pediatric transplant center practices regarding COVID-19 vaccine mandates for transplant candidates and living donors and use of COVID-19-positive deceased organs.

Amy G Feldman, Brenda Beaty, Melanie Everitt, Jens Goebel, Allison Kempe, Lauren Pratscher, Lara A Danziger-Isakov

Open access · greenAbstract read
In one paragraph

Article in Pediatric transplantation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.8field-weighted citation impact, top 31% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Amy G FeldmanSection of Pediatric Gastroenterology, Hepatology and Nutrition, Pediatric Liver Transplant Center, Digestive Health Institute, University of Colorado School of Medicine and Children's Hospital Colorado, Aurora, Colorado, USA.ORCID 0000-0003-4021-5615
Brenda BeatyAdult and Child Center for Outcomes Research and Delivery Science (ACCORDS), University of Colorado School of Medicine and Children's Hospital Colorado, Aurora, Colorado, USA.
Melanie EverittPediatric Heart Transplant Program, Section of Pediatric Cardiology, University of Colorado School of Medicine and Children's Hospital Colorado, Aurora, Colorado, USA.ORCID 0000-0003-4117-2282
Jens GoebelPediatrics and Human Development, Section of Pediatric Nephrology, Helen DeVos Children's Hospital, Michigan State University, Grand Rapids, Michigan, USA.ORCID 0000-0002-2874-8040
Allison KempeDepartment of Pediatrics, Adult and Child Center for Outcomes Research and Delivery Science (ACCORDS), University of Colorado School of Medicine and Children's Hospital Colorado, Aurora, Colorado, USA.ORCID 0000-0002-0764-9334
Lauren PratscherChildren's Hospital Colorado, Aurora, Colorado, USA.
Lara A Danziger-IsakovImmunocompromised Host Infectious Disease, Cincinnati Children's Hospital Medical Center, University of Cincinnati, Cincinnati, Ohio, USA.ORCID 0000-0002-5691-5221
Children's Hospital Colorado · USCincinnati Children's Hospital Medical Center · USHelen DeVos Children's Hospital · US

Funding

Improving Immunization Rates in Transplant Candidates Through the Use of a Health Information Technology ToolK08HS026510 · AHRQ · UNIVERSITY OF COLORADO DENVER · PI FELDMAN, AMY · 2019 to 2023
$742k
AHRQ HHS K08 HS026510
6 · The paper itself

Abstract

backgroundCOVID-19 vaccine is recommended for individuals ages ≥6 months; however, whether vaccination should be mandated for transplant candidates and living donors remains controversial. This study assessed COVID-19 policies at US pediatric solid organ transplant centers.

methodsA 79-item survey was emailed between March and April 2022 to 200 UNOS Medical Directors detailing center COVID-19 vaccine policies for transplant candidates and living donors and use of grafts from COVID-19-positive deceased donors.

resultsThe response rate was 77% (154/200). For children aged 5-15 years, 23% (35/154 centers) have a COVID-19 vaccine mandate, 27% (42/154) anticipate implementing a future mandate, and 47% (72/154) have not considered or do not anticipate implementing a mandate. For children ≥16 years, 32% (50/154 centers) have a COVID-19 vaccine mandate, 25% (39/154) anticipate implementing a future mandate, and 40% (62/154) have not considered or do not anticipate implementing a mandate. The top two reasons for not implementing a COVID-19 vaccine mandate were concerns about penalizing a child for their parent's decision and worsening inequities in transplant. Of 85 kidney and liver living donor centers, 32% (27/85) require vaccination of donors. Twenty percent (31/154) of centers accept organs from COVID-19-positive deceased donors.

conclusionsThere is great variation among pediatric SOT centers in both the implementation and details of COVID-19 vaccine mandates for candidates and living donors. To guide more uniform policies, further data are needed on COVID-19 disease, vaccine efficacy, and use of grafts from donors positive for COVID-19 in the pediatric transplant population.

Indexed as

COVID-19Kidney TransplantationOrgan TransplantationChildCOVID-19 VaccinesHumansLiving DonorsCOVID-19 Vaccines

Identifiers

PMID36939212
PMCPMC10509306
OpenAlexW4327893767

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.